Care of the surgical pt.
With a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?
what is check for bleeding on the dressing at the back of the client’s neck.
You have a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?
What is cyanosis
Client who has squamous cell carcinoma of the lower lip. Which of the following is an expected finding?
What is an ulcerated lesion that is bleeding and painful
Client who has manifestations of osteoporosis. The nurse anticipates the provider will prescribe which of the following diagnostic tests?
What is a Dual-energy absorptiometry.
Client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client’s heartburn?
What is drinking juice regularly.
You are providing a teaching plan about the prevention of hepatitis A. The nurse should include that which of the following activities can spread hepatitis A?
What is avoiding eating uncooked foods
The nurse should identify eating uncooked foods as a risk factor for acquiring hepatitis A. Food and shellfish can be contaminated with hepatitis A. The disease is spread through the fecal-oral route.
Nurse planning preventive care for a client who is at risk for pressure ulcers and requires bed rest. Which of the following actions should the nurse take?
What is Reposition the client at least every 2 hrs.
For a client who reports shortness of breath and chest pain the first day following multiple long bone fractures. The nurse would consider which of the following client complications first?
What is a Fat emboli
Upon inspection of a client’s skin, a nurse identifies a stage 3 pressure ulcer on the sacrum. Which of the following statement by the nurse describes a stage 3 pressure ulcer?
What is there is full-thickness skin loss with a crater
Reinforcing teaching with a client who has osteoarthritis about a total hip replacement. Which of the following instructions should the nurse include in the teaching?
What is "You should not cross your legs after this procedure."
Client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?
What is "I should elevate the head of the bed"
The nurse is assisting with the plan of care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan?
What is provide periods of rest
A nurse is caring for a client who reports feeling anxious about abdominal surgery the next day. Which of the following actions should the nurse plan to take?
What is encourage the client to verbalize his concerns.
Client who reports shortness of breath. The nurse notices that the client has decreased movement of the chest wall and absent breath sounds on the right side. The nurse should suspect which of the following conditions?
What is pleural effusion.
A nurse in a provider's office is collecting data from a client who reports pruritus and reddened, fluid-filled vesicles on her lower leg. The nurse should suspect which of the following disorders?
What is contact dermatitis
Reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?
What is intra-articular urate crystal deposits causes inflammation.
Client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client's history?
What is gallstones
For the care of a client who has herpes zoster. Which of the following actions should the nurse recommend including in the plan of care?
What is apply cool compresses to the affected area
Care of postoperative following a total knee replacement. Which of the following actions should the nurse implement to prevent deep vein thrombophlebitis?
What is encourage increased fluid intake.
Client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider?
What is abdomen is distended
A nurse in a provider’s office is collecting data from a client who reports a red rash on her face, fever, weight loss and joint pain. The nurse should plan to prepare the client for which of the following laboratory tests?
What is Antinuclear antibody (ANA) titer
Common manifestations seen with systemic lupus erythematosus (SLE). Typically the ANA titer is elevated in clients who have SLE.
Reinforcing teaching to a client who has a new diagnosis of a Grade II ankle sprain. Which of the following instructions should the nurse include in the teaching?
What is wrap the ankle snugly with an elastic bandage
A nurse is reinforcing teaching to a client who has a history of recurring uric acid stones and has been prescribed a low-purine diet. Which of the following foods should the nurse instruct the client to avoid while on a low-purine diet?
What is avoiding Brown gravy which is high in purine
A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?
What is administer acyclovir
Nurse caring for client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?
What is encourage ambulation on the day of surgery
checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
What is verify that the suction regulator is on.
For the client who has basal cell carcinoma on her nose. Which of the following findings should the nurse expect?
What is small, translucent nodule
Nurse teaching with a client who is scheduled for an arthroplasty. When the client asks the nurse what this procedure will do for him, which of the following responses should the nurse make?
What is "The purpose of this procedure is to replace the joint and improve function."
Care for a client who has diverticular disease. The nurse should expect the client to report abdominal pain in which of the following locations?
What is Lower left quadrant
A nurse is reinforcing teaching with a client who has herpes zoster. The nurse should include which of the following statements in the teaching?
What is recurrence of infection can be triggered by stress or trauma.
A nurse is discussing the nurse's role in obtaining informed consent with a group of coworkers. Which of the following statements should the nurse include?
What is "The nurse should sign the form as confirmation that a client appears competent."
Dining at a restaurant when a woman calls for help because her partner is choking. Which of the following actions should the nurse take first?
What is ask the victim if he can speak
Nurse is caring for a client who states he has a nevus that has increased in size and changed in color. On examination, the nurse notes an elevated two centimeter lesion that is dark brownish-black in color with irregular borders. The nurse should recognize that these findings are consistent with which of the following medical diagnoses
What is malignant melanoma
Consistent with malignant melanoma which is associated with changes in preexisting nevi
Client who has developed osteoarthritis. Which of the following information should the nurse provide about the disease in the teaching?
What is osteoarthritis pain can be relieved by moist heat.
Client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?
What is severe upper abdominal pain
A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make?
What is "A positive result does not always indicate active disease."
Client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?
What is "The pain will dissipate if you ambulate frequently".
Client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period?
What is ineffective airway clearance related to thick, copious secretions
Client, who is African American, has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?
What is the hard palate
Client who is postoperative following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?
What is place a wedge pillow between the legs.
Nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?
What is Gag reflex
Client who has recurrent herpes simplex type 1 lesions. The nurse should perform a focused assessment of which of the following areas of the client’s body?
What is the mouth