The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the: A. Phlebostatic axis B. PMI C. Erb’s point D. Tail of Spence Correct Answer: A. Phlebostatic axis The phlebostatic axis is located at the fifth intercostal space… Read More »
A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? A. The patient will be admitted to the medicine unit for observation and medication. B. The patient will be admitted to the day… Read More »
Nurse Lucy is planning to give preoperative teaching to a client who will be undergoing rhinoplasty. Which of the following should be included? A. Results of the surgery will be immediately noticeable postoperatively B. Normal saline nose drops will need to be administered preoperatively C. After surgery, nasal packing will be in… Read More »
The nurse is changing the ties of the client with a tracheostomy. The safest method of changing the tracheostomy ties is to: A. Apply the new tie before removing the old one. B. Have a helper present. C. Hold the tracheostomy with the nondominant hand while removing the old tie. D.… Read More »
A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan? A. Monitor for fever every 4 hours. B. Require… Read More »
A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that: A. Overnight stays by family members is against hospital policy. B. There is no need for him to stay because… Read More »
Jose is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. Nurse Oliver would expect the paco2 to be which of the following values? A. 15 mm Hg B. 30 mm Hg C. 40 mm Hg D. 80 mm Hg … Read More »
A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias? A. Heparin-associated thrombosis and thrombocytopenia (HATT) B. Idiopathic thrombocytopenic purpura (ITP) C. Thrombocytopenia D. Disseminated intravascular coagulation (DIC) Correct Answer: D.… Read More »
Which of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiography test? A. Client must be NPO before the examination B. Enema to be administered prior to the examination C. Medicate client with furosemide 20 mg IV 30 minutes prior to the examination … Read More »
Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease? A. 100 mg/dl B. 150 mg/dl C. 175 mg/dl D. 200 mg/dl Correct Answer: D. 200 mg/dl Cholesterol levels above 200 mg/dl are considered excessive. They require dietary restriction and perhaps… Read More »