Signs & Symptoms
A client with a hip arthroplasty is exhibiting hypotension, tachycardia, and tachypnea. The nurse recognize these findings as which complication.
A. Paralytic ileus
B. Thrombophlebitis
C. Wound infection
D. Pulmonary embolism
What is D. "Pulmonary embolism"
In a client who is taking acarbose which is an adverse effect if this medication
A. Polyuria
B. Renal insufficiency
C. Insomnia
D. Abdominal cramps
What is D. "Abdominal cramps"
Which lab values should the nurse report prior to a CT scan procedure
A.Sodium 136 mEq/L
B. Potassium 4.8 mEq/L
C. Creatinine 1.9 mg/dL
D. Calcium 10 mg/dL
What is C. "Creatinine 1.9 mg/dL
a Nurse is reinforcing discharge teaching with a client who has cirrhosis what instructions should the nurse include?
A. "you can take tylenol for pain"
B. "Sleep lying flat on back"
C."Consume foods low in sodium"
what is C. "Consume foods low in sodium"
Which should you do when a client is having a tonic-clonic seizure
A. Lower the side rails
B. Loosen clothing around the neck
C. Apply wrist restraints
D. Sit them in high fowlers
What is B. "Loosen clothing around the neck"
The nurse examines a red line up the clients arm at their IV site and the client reports a throbbing, burning pain at the site. The nurse should identify this as which complication
A. Infiltration
B. Thrombophlebitis
C. Hematoma
D. Venous spasms
What is B. "Thrombophlebitis"
A client taking penicillin IM begins to exhibit hives and severe difficulty breathing. After establishing a patent airway which action should the nurse take next
A. Monitor vitals
B. Administer epinephrine
C. Monitor the oxygen level
D. Administer an antihistamine
What is B. "administer epinephrine"
Which lab values indicates a risk for delayed wound healing in a client with type 2 diabetes mellitus
A. Creatinine 0.8 mg/dL
B. WBC count 8,000/mm3
C. Prealbumin 12 mg/dL
D. HbA1c 6%
What is C. "Prealbumin 12 mg/dL"
Which intervention is priority when caring for a client who was admitted to the neurological unit following a stroke 3hr ago.
A. Keep the client in a side-lying position
B. Assist the client with active ROM
C. Encourage the client to participate in self care
What is A. "Keep the client in a side-lying position"
Which findings should the nurse recognize as priority in a client who has an epidural infusion
A. Nausea
B. Urinary retention
C. Pruritus
D. Dyspnea
What is D. "Dyspnea"
which fracture complication should the nurse suspect in a client with a forearm cast that reports severe pain and numbness in fingers and has pale, cold skin with sluggish capillary refill
A. Fat embolism
B. Deep vein thrombosis
C. Compartment syndrome
D. Osteomyelitis
What is C. "Compartment syndrome"
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
What is "0.7"
Which lab values indicates the treatment was effective in a client who has chronic kidney failure and is receiving epoetin alfa
A. Urine specific gravity 1.035
B. Blood Glucose 105 mg/dL
C. BUN 40 mg/dL
D. Hgb 11 g/dL
What is D. "Hgb 11 g/dL"
Which should the nurse do for a 3 day post op client who has a total right hip arthroplasty
A. Have the client sit in a recliner chair
B. Maintain abduction of the clients right leg while in bed
C. Encourage active ROM
D. Use a traction boot to keep right let internally rotated
What is B. "Maintain abduction of the clients right leg while in bed"
Which is true about Glycosylated Hemoglobin (HbA1c) testing with a client who has diabetes mellitus
A. It can help detect ketones in the body
B. You have to get it checked twice per year
C. Its should be performed 2hr after a meal thats high in carbohydrates.
What is B. "You have to get it checked twice per year"
Which statement by a client who has mitral valve disease indicates an understanding of the disease process ( bonus $100: what does it indicate?)
A. "I should call my doctor if my ankles swell"
B. "I might develop excessive bruising"
C. "I should call my doctor if i get a headache"
D. "I might develop gastric reflux"
What is A. "I should call my doctor if my ankles swell"
Bonus: What is Heart failure
In a patient with a penicillin allergy which of these meds should you verify with the provider?
A. Ceftriaxone
B. Diltiazem
C. Pioglitazone
What is A. "Ceftriaxone"
in a client who reports chest pain which lab values indicate the client is experiencing a myocardial infarction
A. Elevated troponin
B. Elevated creatinine
C. Decreased erythrocyte sedimentation rate (ESR)
D. Decreased lipase
What is A. "Elevated troponin"
which instructions should the nurse include in discharge teachings about wound care
A. Administer an analgesic following wound care
B. Cleanse the wound with a cotton tip applicator
C. Report purulent drainage to provider
D. Irrigate the wound with povidone iodine
What is C. "Report purulent drainage to provider"
Which statements indicates an understanding of the use of budesonide and albuterol inhalers (select all)
A. "I never forget to rinse my mouth after using budesonide"
B. "Between office visits, i keep record of how many times i used my albuterol inhaler"
C. "I should expect to feel sleepy after using my albuterol"
D. "I should use my budesonide before using my albuterol"
E. "i use my albuterol before swimming"
What is A,B,E
A nurse is collecting data from a client who has 30% body surface area deep partial-thickness and full-thickness burns. which finding indicates that fluid resuscitation is adequate
A. Lung sounds are clear
B. urine output is 50 mL/hr
C. Oxygen sat level is 95%
D. Granulation tissue is present
What is B. "urine output is 50 mL/hr"
A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (round to nearest whole #)
What is 864 cal
Based on these lab values which action should the nurse take when caring for a client experiencing nausea & vomiting.
*Sodium 142 *Potassium 4.2 *BUN 36 *Creatinine 1.4
A. Encourage ambulation
B. Notify nurse of BUN level
C. Administer an antipyretic
D. Keep warm temp in client's room
What is B "Notify nurse of BUN level"
In teaching a client about increasing the intake of foods containing vitamin C which food choice should the nurse include
A. 1 cup of cooked brown rice
B. 1 cup of scrambled eggs
C. 1 cup of cottage cheese
D. 1 cup of boiled broccoli
What is D. "1 cup of boiled broccoli"
Which of the following is recognized as a contradiction to hormone replacement therapy (HRT)
A. History of treatment for blood clots
B. Topiramate use for migranes
C. Increased serum cholesterol levels
D. 5 year history of menopause manifestations
What is A. "History of treatment for blood clots"