fluid and electrolytes ABGs
This acid-base imbalance is expected in a client with prolonged vomiting.
What is metabolic alkalosis?
This breathing technique helps clients with COPD improve exhalation and reduce air trapping.
What is pursed-lip breathing?
What is pursed-lip breathing?
This lab value should be monitored closely in a client with chemotherapy-induced nausea and vomiting.
What are electrolytes?
A client with hypothyroidism may experience these 3 symptoms.
What are fatigue, dry skin, and weight gain?
What is the most important action after a client has a new peritoneal dialysis catheter placed?
What is monitor for signs of peritonitis?
A client with gout is experiencing intense joint pain and warmth. Which diet change is best?
What is reduce purines – avoid organ meats and beer?
This vascular condition presents with leg pain relieved by rest and hairless, cool lower extremities.
What is peripheral arterial disease?
This diet is most appropriate for a client with cirrhosis and ascites.
What is a low-sodium diet?
This is the most important dietary adjustment to prevent dumping syndrome after gastric bypass surgery.
What is avoid drinking fluids with meals?
his is a common complication of prostate surgery that can affect a patient’s quality of life.
What is erectile dysfunction?
Vancomycin 1g in 250mL NS is to infuse over 2 hours. What rate will you set the pump?
what is 125 mLs/he
This position should be avoided for prolonged periods in clients with a new BKA to prevent hip contractures.
What is sitting in a chair with the hip flexed?
A post-thyroidectomy client becomes suddenly restless and reports tingling around the mouth. The nurse notes a weak, irregular pulse and a positive Chvostek sign.
What is the most likely complication, and
What is the nurse’s immediate action?
What is hypocalcemia, and administer IV calcium gluconate?
A patient with serum sodium of 120 mEq/L presents with confusion and muscle weakness. What is the first priority intervention?
What is initiate hypertonic saline
A client with sleep apnea is prescribed a CPAP. Name one hygiene-related teaching point.
What is wash and dry the face before placing the CPAP mask?
What symptom may suggest bone marrow suppression after chemotherapy?
What is increased bruising or low back pain?
What is increased bruising or low back pain?
A post-thyroidectomy client becomes restless and has stridor. What is the nurse’s first action?
What is stay with the client, elevate HOB, and call for help?
What is the most important action after a client has a new peritoneal dialysis catheter placed?
What is monitor for signs of peritonitis?
Which safety modification would best support a home health client with rheumatoid arthritis?
What is installing handrails in the bathroom and hallway?
A client post-valve replacement asks why they need to inform their dentist. What’s the best response?
What is to reduce the risk of infective endocarditis?
What is to reduce the risk of infective endocarditis?
A client with hepatic encephalopathy displays flapping tremors. The nurse documents this as?
What is asterixis?
Name two lifestyle modifications that can reduce symptoms of GERD.
What are elevate the head of bed and avoid eating 2–3 hours before bed?
A female client in a long-term care facility is using a brief with an external catheter. What is the nursing concern?
What is risk of skin breakdown from combined moisture exposure?
A client with multiple myeloma has bone lesions. What nursing priority should guide care?
What is risk for pathological fractures?
This type of pain is a real sensation felt by the client after an amputation, even though the limb is no longer present.
What is phantom limb pain?
A client’s ABG reads: pH 7.30, CO₂ 55, HCO₃ 26. What imbalance is present?
What is respiratory acidosis uncompensated?
A client with pneumonia is producing thick secretions. What action promotes airway clearance?
What is encourage increased fluid intake?
A client with radiation to the head/neck has mouth ulcers and poor appetite. What is the priority nursing diagnosis?
What is impaired nutrition: less than body requirements?
Which complication may occur if a client with hyperthyroidism develops fever and agitation after surgery?
What is thyroid storm (acute thyrotoxicosis)?
A client with polycystic kidney disease should be taught to monitor this daily at home?
What is blood pressure?
his chronic condition often presents with joint pain, stiffness, and a butterfly-shaped rash.
What is systemic lupus erythematosus (SLE)?
A client has absent dorsalis pedis pulses. What tool should the nurse use next?
What is a Doppler ultrasound?
A nurse suspects esophageal variceal bleeding. Which signs should prompt immediate action?
What is hypotension, tachycardia, and cool, clammy skin?
A client with suspected diverticulitis reports severe abdominal pain and fever. What is the priority nursing action?
What is notify the provider to assess for possible perforation?
This postmenopausal symptom is often the first indication of endometrial cancer and should be reported immediately.
What is vaginal bleeding?
This type of anemia results from a deficiency in intrinsic factor, leading to poor absorption of vitamin B12.
What is pernicious anemia?
The nurse uses a 10 mL saline flush to care for this?
What is a PICC line
Following a total laryngectomy, what activity must be avoided to prevent airway complications?
What is swimming?
This infection requires contact precautions, and a nurse should monitor for these clinical signs: tachycardia, fever, diaphoresis, poor skin turgor, and thirst.
Part 2: What is the client experiencing?
What is C-diff? What is dehydration?
A patient post-thyroidectomy is experiencing tingling around the mouth and muscle cramps. What is the priority nursing action?
What is check calcium levels for hypocalcemia?”
What is check calcium levels for hypocalcemia?
A client on peritoneal dialysis has cloudy effluent, fever, and nausea. What complication should the nurse suspect?
What is peritonitis?
Which home modification is most helpful for a client with advanced rheumatoid arthritis?
velcro or slip on shoes. handrails
This condition causes the heart to become unable to pump effectively, leading to fluid overload, fatigue, and dyspnea.
What is heart failure?
This condition requires clients to add fat soluable vitamins and bile salts to their diet.
What is cholecystitis?
This intervention best meets the nutritional needs of a client with gastric cancer who cannot tolerate oral or enteral intake due to tumor location.
what is nutrition through a cental venous cathether?
This condition may cause pelvic pressure, a sensation of “something falling out,” and urinary incontinence in clients with weakened pelvic floor muscles.
What is uterine prolpase?
A client receiving chemotherapy for non-Hodgkin’s lymphoma reports fatigue and bleeding gums. What lab value should the nurse check first?
What is platelet count?
A priority nursing intervention for a client experiencing new-onset phantom limb pain that is sharp and burning.
What is administer prescribed analgesics and report unrelieved pain to the provider?
When caring for a client with a new PICC line, what is the nurse's first action?
Confirm placement with an X-ray
A common respiratory symptom of left-sided heart failure is:
What is shortness of breath or pulmonary congestion?
To reduce pain and promote healing, clients receiving chemotherapy should be advised to use this type of oral care routine to manage stomatitis.
What is avoid mouthwash with alcohol?
This condition has the client taking calcium supplements after surgery?
What is aThyroidectomy
A client reports abdominal distension weeks after being diagnosed with renal calculi and polycystic kidney disease. What is the nurse’s first action?
What is measure abdominal girth and document findings?
This is the most concerning finding when a client develops wheezing after receiving a dose of antibiotics.
What is hypotension?
This is a risk factor for developoing heart failure.
What is hypertension?
This post-procedure intervention has a client laying on their left side to prevent complications.
What is a liver biopsy?
A priority nursing action when caring for a client with peptic ulcer disease who suddenly begins vomiting bright red blood.
What is assess vital signs and notify the provider immediately?
Clients with this condition may experience urinary hesitancy, weak stream, and incomplete bladder emptying due to prostate enlargement.
What is benign prostatic hyperplasia (BPH)?
This is the priority nursing action if a client develops chills, back pain, and shortness of breath within 15 minutes of starting a blood transfusion.
What is stop the transfusion immediately?