Cellular Regulation
A nurse is caring for a client who is undergoing chemotherapy and reports severe nausea. The nurse will suggest what intervention?
What is small, frequent meals throughout the day
The nurse is reinforcing teaching on how to best monitor edema. What is the best method for a client at home to monitor peripheral edema?
What is daily weights
A nurse is caring for a client with Type 1 diabetes mellitus who is recovering from diabetic ketoacidosis (DKA). What instruction is important to reinforce to prevent DKA at home?
Test ketone levels in the urine.
The nurse is assisting the provider with a female client who has been raped. What appropriate action should be a priority when assessing this client?
What is implementing the use of a rape evidence collection kit.
A nurse is caring for a client who is experiencing a panic attack. What action should the nurse take first?
What is stay with the patient and remain quiet
Characteristics of malignant cells (3)
What are invasive, rapid growth, metastasis
The nurse is caring for a client with a diagnosis of right-sided congestive heart failure (CHF). What signs or symptoms would the nurse expect to notice on assessment? (1)
What is distended jugular veins (JVD)
A client in an outpatient setting has been diagnosed with diabetes type 2. She has been prescribed metformin 500 mg PO BID. What will you teach the client?
Discontinue metformin 48 hours before receiving contrast dye for scans.
An older client is a victim of elder abuse, and the client's family has been attending weekly counseling sessions. What positive coping skill could the family present?
What is seeking assistance
The nurse is caring for a infant that is diagnosed with Failure to Thrive (FTT). The nurse will promote what relationships to enhance the infant's well-being?
What is the mother to infant relationship
What is the number one risk for patients with thrombocytopenia
Bleeding
A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of myocardial infarction (MI) and reports that his dyspnea began 2 weeks ago. What cardiac enzymes would confirm the MI occurred?
What is Troponin T
The nurse is assessing the client following a subtotal thyroidectomy. The client suddenly develops hoarseness, weak voice, dyspnea, and stridor. What nursing action is most appropriate at this time?
Notify the health care provider immediately.
The nurse is assessing a preschool-aged child in the emergency department who reports abdominal pain. What findings should alert the nurse to possible abuse? (2)
What are burn marks on the forearms, generalized bruising.
What interventions are recommended for pts with Cerebral Palsy? (3)
What are promoting independence, providing activities for developmental age, and using technology as a communication tool.
A nurse is caring for a client who has colon cancer and is scheduled for brachytherapy. What actions should the nurse take? (3)
What are limiting visits to 30 minutes max, wear chemo safe gloves, warn pregnant women not to visit
The nurse is caring for an 4-month-old infant post ventricular septal defect repair. What finding would indicate an early sign of congestive heart failure post procedure?
What is fatigue during feedings
A nurse is caring for a client immediately postop thyroidectomy. What nursing intervention would the nurse prepare to implement first?
Maintain a patent airway
The LPN is participating with the RN in preparing a discharge plan for an abused client who has had several fractures and is returning to her home. What intervention is appropriate to include in teaching?
What is establishing a safe escape plan with the client
The nurse is working on an acute mental health unit and is caring for a client who has posttraumatic stress disorder (PTSD). What findings should the nurse expect? (2)
What are difficulty focusing on tasks and inability to talk about the traumatic event
What would the nurse expect to implement for a postoperative radical mastectomy patient? (4)
What are monitoring drains, TCDB, 45 degree Fowlers, PCA pump
A nurse is completing an assessment of a client with suspected pulmonary edema. What clinical manifestations are expected findings? (3)
What are tachypnea, pink frothy sputum, and orthopnea
The LPN is reinforcing the teaching plan to a client who has Type 1 diabetes mellitus. The client demonstrates an understanding by stating that a fast-acting carbohydrate snack should be eaten when which symptom occurs?
What is the patient feels cool and clammy
What are the (3) phases of Rape Trauma Syndrome and how do they present?
What are Acute phase, outward adjustment phase, and resolution phase
The nurse is caring for a client with a history of left-sided congestive heart failure (CHF). What sign or symptom would lead the nurse to suspect that the client could be experiencing an acute exacerbation? (1)
What is crackles or wheezes during lung auscultation