A client with pulmonary tuberculosis had a positive purified protein derivative (PPD)test and positive chest radiograph. Which unit of measurement should the nurse use to measure reactions to PPD tests?
millimeters
The nurse is instructing the a client's spouse on instilling eyedrops postoperative. Into which location would the nurse reinforce correct eyedrop placement?
In the lower conjunctival sac
When preparing the client for the upcoming positron emission tomography (PET) scan, what substances should the nurse instruct the client to avoid the day before the test?
caffeine, sugar, juice, alcohol
When completing a focused assessment confirming the diagnosis of right sided heart failure, which objective date is most anticipated?
Neck vein distention
If a screening for diabetes includes a measurement of postprandial blood glucose with morning breakfast consumer at 0800, at which time would the nurse ensure a serum glucose level is obtained?
10 AM (2hr)
A client is prescribed 3/4 mg of clonazepam (Klonopin) for anxiety and depression, and the medication is supplied as 1/2 mg tablets. How many tablets would the nurse give with each dose?
1 1/2 tablets
What information is most appropriate to include in the discharge instructions for the client who has undergone a cataract extraction?
Avoid bending over from the waist
Because carbamazepine can cause liver dysfunction, what should the nurse inform the client to report if it develops?
unusual bleeding
The nurse is using a computerized medication administration system with a bar code. The nurse scans the client and the medication. Before the system allows for documentation, the nurse is expected to document which ESSENTIAL finding about the client in the medication administration system?
Heart rate!!!
If the nurse would suggest an option for insulin administration, what item would MOST ensure the client's success?
An insulin pump
The nurse is getting ready to administer an intramuscular injection. The client tells the nurse the during a previous hospitalization the nurse hit the sciatic nerve during an IM. Which site should the nurse avoid for this intramuscular injection?
dorsogluteal
What nursing action is most helpful for reducing or eliminating feedback from the client's hearing aid?
Repositioning the hearing aid within the ear
Before the client undergoes surgery, the nurse inserts a urinary catheter. How far should the catheter be inserted if the client is a male?
6-8 inches or until urine appears in catheter tubing
When gathering nursing assessment date, what finding will adults with chronic cardiac disease MOST FREQUENTLY manifest?
Clubbed fingertips occurs after years' of inadequate oxygenation.
During change of shifts, a nurse discovers that a hospitalized client with diabetes received two doses of intermediate-acting insulin. What nursing action should the nurse take NEXT?
Check the client's blood glucose level
What are the FIVE medication administration rights?
Right PERSON, right MEDICATION, right DOSE, right TIME, right ROUTE
What nursing action is best for controlling a client's severe nosebleed?
Have the client bend forward and apply direct pressure to the nose
The nurse asks about a client's allergy history. What allergy must be reported before a CT scan?
Shellfish
If a heart murmur is related to valve damage caused by a childhood infection, the nurse would expect the client to report having had what disease?
Rheumatic fever
What comorbidity is the client with Cushing's syndrome likely to experience?
Depression (from excess levels of cortisol)
What step should the nurse follow in converting larger units to smaller units in the metric system of measurement?
Move the decimal to the right.
What is the best nursing advice for individuals who have frequent outbreaks of tinea pedis?
Athletes foot; Wear different shoes each day to prevent fungal growth
When the nurse observes that the client has difficulty swallowing the capsule of medication, what action is best?
Offer a few sips of water prior to giving capsule
What assessment finding BEST supports the assumption that the client's cardiac stroke volume is reduced?
The client faints with activity
What IV medication can the nurse expect will be prescribed to treat a client who presents to the ER with tetany from hypoparathyroidism?
Calcium gluconate (tetany-tremors/spastic uncoordinated muscle movements)