Safe and Effective Care Environment
This action is contraindicated in a post-operative patient at risk for venous thromboembolism (VTE).
What is massaging the legs?
This is the best means of relieving breast engorgement in a breastfeeding client.
What is feeding the baby at least every 2 hours?
The optimal room assignment for a client in the manic phase of bipolar disorder.
What is a private room?
A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. This is the metabolic state the client is at risk for developing.
What is metabolic acidosis?
A serious complication that can occur if a a patient is prescribed sildenafil and isosorbide.
What is hypotension?
The priority nursing action for a patient experiencing a post-operative wound dehiscence.
What is cover the wound with a sterile, moist gauze dressing?
A client had a LMP of May 4, 2015. This is the estimated due date.
What is February 11, 2016?
(subtract 3 months, add 7 days + 1 year)
A nurse in the emergency department is assessing a patient who has been taking haloperidol for 3 months. The client has a temperature of 103.4, a blood pressure of 150/110 mm Hg, and muscle rigidity. This is the complication consistent with these findings.
What is neuroleptic malignant syndrome (NMS)?
The type of vitamin deficiency a client is at risk for with a history of chronic alcohol use disorder.
What is a vitamin B6 disorder?
A nurses is caring for a client who has seep vein thrombosis and is prescribed heparin IV at 1200 units per hour. Available is heparin 25,000 units in 500 mL D5W. This is the mL per hour IV pump setting.
What is 24 mL/hr?
A clotting disorder that causes both thrombosis and bleeding.
What is DIC?
A client is asking a nurse about foods high in omega-3 fatty acids. This food is an excellent source.
What is fish?
The nursing action that must occur when child abuse is suspected.
What is mandatory reporting?
This is a good source of PO fluid intake for a client receiving chemotherapy with neutropenia.
What is bottled water?
The amount of time for the nurse to remain with a client after starting a blood transfusion.
What is 15 minutes?
The priority source of verification of patient information when preparing to start a blood transfusion.
What is the the patient's identification wristband?
A nurse is educating a patient about increasing iron intake. This vitamin enhances the absorption of iron.
What is vitamin C?
The term to describe the following statement made by a client diagnosed with schizophrenia: "Yester noon the sun moon went over the rover to see the lawnmower."
What is associative looseness?
A nurse is assessing vital signs on a newborn. This is range of the expected respiratory rate.
What is 40-60 breaths per minute?
The type of transfusion reaction when the patient is experiencing low back pain.
What is a hemolytic reaction?
The maximum amount of time to leave a unit of blood hanging.
What is 4 hours?
A nurse is educating parents of an infant about which foods to introduce first. This food should be introduced first.
What is iron fortified cereal?
A client diagnosed with bipolar disorder makes the following statement: "I feel like I can fly today! I am going to fly to Washington DC and run for president of the United States!" This term describes what the client is exhibiting.
What is grandiosity?
A nurse is educating a community group about smallpox. This is the location that smallpox lesions are more likely to be found.
What is the face?
Effect that aluminum hydroxide has on GI elimination.
What is constipation?