Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to correct this electrolyte imbalance, the nurse would expect to: A. Administer Kayexalate B. Restrict foods high in… Read More »
A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed? A. The patient is somnolent with decreased response to the family. B. The patient suddenly complains of chest pain and shortness of breath. C. The patient has… Read More »
A 24-year-old female is admitted to the ER due to confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you most likely suspect? A. Diverticulosis B. Hypercalcemia C. Hypocalcemia D. Irritable bowel syndrome … Read More »
When performing oral care on a comatose client, Nurse Krina should: A. Apply lemon glycerin to the client’s lips at least every 2 hours. B. Brush the teeth with a client lying supine. C. Place the client in a side-lying position, with the head of the bed lowered. D. Clean the… Read More »
The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis? A. Alteration in cerebral tissue perfusion B. Fluid volume deficit C. Ineffective airway clearance D. Alteration in sensory perception … Read More »
A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment? A. Determine the level at which the patient has intact sensation. B. Assess the level at which the patient has retained mobility. C. Check blood pressure and pulse for signs… Read More »
Which of the following statements explains the main difference between rheumatoid arthritis and osteoarthritis? A. Osteoarthritis is gender-specific, rheumatoid arthritis isn’t. B. Osteoarthritis is a localized disease rheumatoid arthritis is systemic. C. Osteoarthritis is a systemic disease, rheumatoid arthritis is localized. D. Osteoarthritis has dislocations and subluxations, rheumatoid arthritis doesn’t. … Read More »
The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What are the priority nursing diagnoses at this time? Altered tissue perfusion Risk for fluid volume deficit High risk for hemorrhage Risk for infection … Read More »
Stimulation of the sympathetic nervous system produces which of the following responses? A. Bradycardia B. Tachycardia C. Hypotension D. Decreased myocardial contractility Correct Answer: B. Tachycardia Stimulation of the sympathetic nervous system causes tachycardia and increased contractility. Norepinephrine released from neurons via the right stellate ganglion increases… Read More »
A 77-year-old male client is admitted with a diagnosis of dehydration and change in mental status. He’s being hydrated with I.V. fluids. When the nurse takes his vital signs, she notes he has a fever of 103°F (39.4°C) a cough producing yellow sputum and pleuritic chest pain. The nurse suspects this client may have which… Read More »