Musculoskeletal
A client with a hip fracture should not flex the hip more than what degree after surgery?
90 degrees
A client actively seizing has secretions pooling in the mouth. What is the priority action?
Turn client onto side
Which electrolyte imbalance most commonly causes dangerous ventricular dysrhythmias?
Hypokalemia
A client with an ileostomy reports bloating and nausea with no stool output. What should the nurse suspect?
Bowel obstruction/Ileus
A client with COPD is on oxygen via nasal cannula at 2L/min. What finding indicate hypoventilation?
A client with osteoporosis asks which food is highest in calcium?
Dairy products
which finding is an early aign of ICP?
change in level of consciousness
What medication is the antidote for Warfarin?
Vitamin K
A client with pancreatitis is NPO and reports severe pain. Which IV fluid is most appropriate?
Lactated ringers
which oxygen delivery device provides the highest concentration of oxygen without intubation?
Non-rebreather mask
Which assessment is most important when caring for a client at risk for compartment syndrome?
Assess the 6 P's
A Glasgow coma scale score of 8 or less indicates what?
severe brain injury
Which assessment finding requires stopping a nitroglycerin infusion immediately?
Severe hypotension
A client with liver cirrhosis has abdominal distention, JVD, and dyspnea. What should nurse suspect?
suspect ascites
A client with pneumonia has crackles and a productive cough. Which intervention is priority?
Promote airway clearance
A client with rheumatoid arthritis reports severe morning joint stiffness. Which nursing intervention is best?
Apply warm compresses before activity
A client with bacterial meningitis is placed on which type of isolation?
Droplets precaution
A client with an acute MI becomes diaphoretic and anxious. What complication should the nurse suspect?
suspect cardiogenic shock
which assessment finding after abdominal surgery suggest a paralytics ileus?
Absent bowel sound
A client with a chest tube suddenly become short of breath. What should the nurse check first?
check the chest tube system
A client with a spinal cord injury at T6 is at greatest risk for which complication?
Autonomic dysreflexia
A client with suspected stroke has symptoms onset 2 hour ago. What is the priority diagnostic test before giving thrombolytics?
CT scan
An ABG shows pH 7.28, PaCO,60 mmHg, HCO3 26 mEq/L. What acid-base imbalance is present?
Respiratory acidosis
A client with a GI bleed is passing black, tarry stools. What condition is this most consistent with?
Upper GI bleed
Which assessment finding is expected in a client with a spontaneous pneumothorax?
Absent/diminished breath sounds