Basic Nursing
client has epistaxis. What position should the nurse have the client be in?
sitting with head leaning forward slightly
antitussives
where on the body will the client identify as the location of pain with suspected kidney disease?
bilateral flanks
HCP provider prescribes Ribavirin for a client with hepatitis. what test should be preformed before administering the medication?
A. liver function test
B. urinalysis (UA)
C. fecal occult blood
D. pregnancy test
D. pregnancy test
do they have pain when they urinate
Client to have hemodialysis access scheduled, what nursing action should the nurse take
limb alert: refrain from drawing blood or placing IV lines in the arm to have the dialysis access
Client with secretions and unable to expectorate. As the nurse, what would you have them do?
turn & repositioning, coughing and deep breathing
Urinalysis results: elevated WBCs, present with bacteria of moderate amount, nitrite positive, specific gravity of 1.025 and cloudy. This indicates what?
UTI
Client with COPD is prescribed prednisone, what teaching is important to include?
never discontinue abruptly
Older client in the HCP's office verbalizes frequent urination. They ask what causes this and is it age related
yes, age related and is due to decrease in bladder size and muscle tone
Client with liver cirrhosis has labs indicating low vitamin K and elevated prothrombin time. What should the nurse implement?
bleeding precautions
Client with DVT suddenly reports severe chest pain and feeling of impending doom. What does the nurse suspect?
pulmonary embolism (PE)
best indicator of fluid balance of a client in renal failure
daily morning weight
client post-op thyroidectomy and has numbness around the mouth and muscle twitches... what IV medication can be anticipated being prescribed?
calcium gluconate
manifestation of cystic fibrosis
excessive salty sweat secretions that are thick
client with acute SOB, what action should the nurse take first?
place them in fowler's position and encourage use of pursed-lip breathing
Client with pleural effusion and feels SOB, what position would you the encourage the client to get into?
side lying with good lung down (dependent)
Client with CKD should monitor/limit the intake of what essential nutrient?
protein
client with BPH is taking an alpha-blocking medication. Which side effect is most concerning?
A. headaches
B. hypotension
C. dry mouth
D. urinary frequency
B. hypotension
discard first morning specimen
collect all urine for next 24 hours
make sure to void before the urine is collected at 24 hours the next day
client has had thoracic spinal cord injury. which type of incontinence will the client have?
overflow
client with right-sided chest tube and it accidentally gets dislodged. What should the nurse do?
tape a petroleum gauze or dry sterile dressing to the insertion site
client with history of nephrolithiasis and complaining of flank and abdominal pain. Dx: urolithiasis. What intervention is a priority for further analysis?
strain all urine
paradoxical chest movement