A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be: A. Ineffective health maintenance B. Impaired skin integrity C. Deficient fluid volume D. Pain Correct Answer: A. Ineffective health maintenance Managing hypertension is the priority for the client with hypertension. Clients with hypertension… Read More »
A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is the A. Surgical repair of a diseased coronary artery. B. Placement of an automatic internal cardiac defibrillator. C. Procedure that compresses plaque against the wall of the diseased coronary artery to improve blood flow.… Read More »
After insertion of a chest tube for a pneumothorax, a client becomes hypotensive with neck vein distention, tracheal shift, absent breath sounds, and diaphoresis. Nurse Amanda suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should the nurse check for? A. Infection of the lung B. Kinked or obstructed chest tube… Read More »
Which of the following laboratory test results would suggest to the nurse Len that a client has a corticotropin-secreting pituitary adenoma? A. High corticotropin and low cortisol levels B. Low corticotropin and high cortisol levels C. High corticotropin and high cortisol levels D. Low corticotropin and low cortisol levels … Read More »
The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would: A. Place her in Trendelenburg position B. Decrease the rate of IV infusion C. Administer oxygen per nasal cannula D. Increase the rate of the IV infusion … Read More »
A male client is scheduled for a transsphenoidal hypophysectomy to remove a pituitary tumor. Preoperatively, the nurse should assess for potential complications by doing which of the following? A. Testing for ketones in the urine. B. Testing urine specific gravity. C. Checking temperature every 4 hours. D. Performing capillary glucose testing… Read More »
A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient? A. The patient is allergic to shellfish. B. The patient has a pacemaker. C. The patient suffers from claustrophobia. D. The patient takes… Read More »
A patient received surgery and chemotherapy for colon cancer, completing therapy three (3) months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations would account for her symptoms? A. The symptoms may… Read More »
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites? A. Inspection of the abdomen for enlargement B. Bimanual palpation for hepatomegaly C. Daily measurement of abdominal girth D. Assessment for a fluid wave Correct Answer: C. Daily measurement… Read More »
Which of the following represents a significant risk immediately after surgery for repair of aortic aneurysm? A. Potential wound infection B. Potential ineffective coping C. Potential electrolyte imbalance D. Potential alteration in renal perfusion Correct Answer: D. Potential alteration in renal perfusion There is a potential alteration… Read More »