The nurse is caring for a client who is experiencing metabolic alkalosis. The nurse plans to maintain the client’s safety by implementing which measure?
What is Seizure precautions
100
The nurse is performing an otoscopic examination on a client. On examination of the tympanic membrane, which normal finding should the nurse expect to observe?
What is A transparent, shiny, pearly gray tympanic membrane
100
What is the priority problem for a client following cataract surgery?
What is Decreased visual sensory perception
100
The nurse caring for the client with human immunodeficiency virus (HIV) institutes neutropenic precautions if which laboratory value is noted?
What is CD4+ T-cell count of 200 cells/L
200
The health care provider (HCP) prescribes a radioactive iodine uptake test for a client who is suspected of having a thyroid condition. The nurse notifies the HCP regarding the safety of this test if which finding is documented in the client's history?
What is Current pregnancy
200
The nurse is performing an eye examination on a client using an Ishihara chart. The nurse presents the first slide to the client, and the client is unable to identify the numbers. The nurse understands that this is suggestive of which finding?
What is A problem with performing the test
200
A client who has undergone creation of a colostomy has shown evidence of body image disturbance. The nurse determines that the client is making the most significant progress if the client performs which action?
What is Practices cutting the ostomy appliance
200
The nurse plans to monitor which client for signs of hyperkalemia?
What is A client with severe burn injury
300
The nurse educator is observing a nursing student care for a client who is legally blind. The educator intervenes if the student performs which action?
What is Instructs the client to remain one step ahead from the student when ambulating
300
The nurse is reviewing a laboratory report for a client who has had a C-reactive protein (CRP) level down. The report shows a level of 6 mg/dL. The nurse interprets that this value is indicative of which risk?
What is High risk for heart disease
300
The nurse is caring for a patient diagnosed with end-stage liver disease secondary to alcoholism who has been recently admitted from home to a long-term care facility and placed on hospice. The nurse recognizes that the resident is coping with many losses. Which intervention is best to address the client's psychosocial needs?
What is Visit daily for 10 to 15 minutes to allow the client to verbalize feelings
300
A client has a carbon monoxide level of 15%. The nurse should monitor the client for which expected sign or symptom?
What is Headache
400
The nurse is preparing a client with varicose veins who is to undergo vein stripping for the procedure. The nurse explains to the client that this procedure is usually performed if the veins are larger than how many millimeters (MM) in diameter?
What is 4
400
The nurse is checking the pulses in a client's lower extremities and is palpating behind the knee. The nurse is assessing which pulse?
What is Popliteal
400
The nurse is caring for an agitated older client with Alzheimer's disease. Which nursing intervention will most likely calm the client?
What is Asking the client to take a walk around the nursing unit
400
The nurse is performing neurological assessment on a client who is about to undergo open reduction internal fixation (ORIF) on the right hip. Which information should the nurse provide to the client regarding what to expect in the postoperative period?
What is "You will need to flex and extend your feet regularly and wear antiembolism stockings."
500
The nurse is caring for a female client who has had a sealed radiation implant recently removed from the cervix. As prescribed, the nurse most appropriately should inform the client that she can engage in sexual intercourse in how many days?
What is 7 to 10
500
A client reports to the nurse that he felt a lump when performing testicular self-examination (TSE). The nurse should make which response to the client?
What is "I am glad that you reported this, even though it might not be serious."
500
Folate, thiamine, and other nutritional/vitamin support measures are prescribed for clients who have been abusing alcohol to prevent or decrease which complication?
What is Wernicke-Korsakoff syndrome
500
The client who has sustained a fracture is to undergo reduction of the affected area. The nurse understands that this procedure achieves which outcome?
What is Restoration of the bone to proper alignment