A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of the highest priority for this client? A. Taking hourly blood pressures with mechanical cuff B. Encouraging fluid intake of at least 200mL per hour C. Position in high Fowler’s with knee gatch raised D. Administering Tylenol… Read More »
The primary physiological alteration in the development of asthma is: A. Bronchial inflammation and dyspnea B. Hypersecretion of abnormally viscous mucus C. Infectious processes causing mucosal edema D. Spasm of bronchial smooth muscle Correct Answer: D. Spasm of bronchial smooth muscle Asthma is the presence of bronchial… Read More »
Mang Jose with rheumatoid arthritis states, “The only time I am without pain is when I lie in bed perfectly still”. During the convalescent stage, the nurse in charge with Mang Jose should encourage: A. Active joint flexion and extension B. Continued immobility until pain subsides C. Range of motion exercises twice… Read More »
Which hereditary disease is most closely linked to an aneurysm? A. Cystic fibrosis B. Lupus erythematosus C. Marfan’s syndrome D. Myocardial infarction Correct Answer: C. Marfan’s syndrome Marfan’s syndrome results in the degeneration of the elastic fibers of the aortic media. Therefore, clients with the syndrome are… Read More »
A newly admitted client has a sickle cell crisis. The nurse is planning care based on the assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention. … Read More »
What would be the primary goal of therapy for a client with pulmonary edema and heart failure? A. Enhance comfort B. Increase cardiac output C. Improve respiratory status D. Peripheral edema decreased Correct Answer: B. Increase cardiac output The primary goal of therapy for the client with… Read More »
Which of the following treatments is the definitive one for a ruptured aneurysm? A. Antihypertensive medication administration B. Aortogram C. Beta-adrenergic blocker administration D. Surgical intervention Correct Answer: D. Surgical intervention When the vessel ruptures, surgery is the only intervention that can repair it. The techniques used… Read More »
A 37-year-old client with uterine cancer asks the nurse, “Which is the most common type of cancer in women?” The nurse replies that it’s breast cancer. Which type of cancer causes the most deaths in women? A. Breast cancer B. Lung cancer C. Brain cancer D. Colon and rectal cancer … Read More »
Anthony suffers burns on the legs, which nursing intervention helps prevent contractures? A. Applying knee splints. B. Elevating the foot of the bed. C. Hyperextending the client’s palms. D. Performing shoulder range-of-motion exercises. Correct Answer: A. Applying knee splints. Applying knee splints prevents leg contractures by holding… Read More »
The primary reason for rapid continuous rewarming of the area affected by frostbite is to: A. Lessen the amount of cellular damage B. Prevent the formation of blisters C. Promote movement D. Prevent pain and discomfort Correct Answer: A. Lessen the amount of cellular damage Rapid continuous… Read More »