Before Jacob undergoes arthroscopy, the nurse reviews the assessment findings for contraindications for this procedure. Which finding is a contraindication? A. Joint pain B. Joint deformity C. Joint flexion of less than 50% D. Joint stiffness Correct Answer: C. Joint flexion of less than 50% Arthroscopy is… Read More »
Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia? A. Oral mucous membrane, altered related to chemotherapy B. Risk for injury related to thrombocytopenia C. Fatigue related to the disease process D. Interrupted family processes related to life-threatening illness of a family member … Read More »
The nurse is aware that the following symptom is most commonly an early indication of stage 1 Hodgkin’s disease? A. Pericarditis B. Night sweat C. Splenomegaly D. Persistent hypothermia Correct Answer: B. Night sweat In stage 1, symptoms include a single enlarged lymph node (usually), unexplained fever, night sweats,… Read More »
A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern? A. Bowel perforation B. Viral Gastroenteritis C. Colon cancer D. Diverticulitis Correct Answer:… Read More »
Francis with leukemia has neutropenia. Which of the following functions must be frequently assessed? A. Blood pressure B. Bowel sounds C. Heart sounds D. Breath sounds Correct Answer: D. Breath sounds Pneumonia, both viral and fungal, is a common cause of death in clients with neutropenia, so… Read More »
The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: A. Atrial flutter B. A sinus rhythm C. Ventricular tachycardia D. Atrial fibrillation Correct Answer: C. Ventricular tachycardia The graph indicates ventricular tachycardia. Options A, B, D: The answers in A,… Read More »