Nurse Patricia finds a female client who is post-myocardial infarction (MI) slumped on the side rails of the bed and unresponsive to shaking or shouting. Which is the nurse’s next action? A. Call for help and note the time B. Clear the airway C. Give two sharp thumps to the precordium and… Read More »
The term “pink puffer” refers to the female client with which of the following conditions? A. Adult respiratory distress syndrome (ARDS) B. Asthma C. Chronic obstructive bronchitis D. Emphysema Correct Answer: D. Emphysema Because of the large amount of energy it takes to breathe, clients with emphysema… Read More »
Which of the following positions would best aid breathing for a patient with acute pulmonary edema? A. Lying flat in bed B. Left side-lying position C. High Fowler’s position D. Semi-Fowler’s position Correct Answer: C. High Fowler’s position High Fowler’s position facilitates breathing by reducing venous return. Lying flat… Read More »
A patient with newly diagnosed diabetes mellitus is learning to recognize the symptoms of hypoglycemia. Which of the following symptoms is indicative of hypoglycemia? A. Polydipsia B. Confusion C. Blurred vision D. Polyphagia Correct Answer: B. Confusion Hypoglycemia in diabetes mellitus causes confusion, indicating the need for… Read More »
Paul is admitted to the hospital due to metabolic acidosis caused by Diabetic ketoacidosis (DKA). The nurse prepares which of the following medications as an initial treatment for this problem? A. Regular insulin B. Potassium C. Sodium bicarbonate D. Calcium gluconate Correct Answer: A. Regular insulin Metabolic… Read More »
The home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His wife states he fell down the stairs two (2) hours ago. The nurse should A. Place a call to the client’s health care provider for instructions B. Send him to the emergency room… Read More »
A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern? A. Bulging anterior fontanel B. Repeated vomiting C. Signs of sleepiness at 10… Read More »
Nurse Monett is caring for a client recovering from gastrointestinal bleeding. The nurse should: A. Plan care so the client can receive 8 hours of uninterrupted sleep each night. B. Monitor vital signs every 2 hours. C. Make sure that the client takes food and medications at prescribed intervals. D. Provide… Read More »
Nurse Marie is caring for a 32-year-old client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client? A. Pallor, bradycardia, and reduced pulse pressure B. Pallor, tachycardia, and a sore tongue C. Sore tongue, dyspnea, and weight gain D. Angina, double vision, and anorexia… Read More »
Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders? A. An affected newborn has unaffected parents. B. An affected newborn has one affected parent. C. Affected parents have a one in four chance of passing on the defective gene. D. Affected parents have unaffected children who… Read More »