A
A nurse is assessing the wound of a client with diabetes mellitus and notices delayed healing, redness, and purulent drainage. Which of the following should the nurse do next?
Perform wound cultures and notify the healthcare provider
A 45-year-old patient presents with a history of peptic ulcers and is currently experiencing severe abdominal pain. As a nurse, what is the most appropriate immediate action?
Administer proton pump inhibitors.
A 76-year-old client has been diagnosed with aortic stenosis. What is the most likely symptom they may experience?
Shortness of breath during physical activity
A patient with chronic renal vascular disease is admitted with pulmonary edema. Which physiological mechanism is most likely contributing to this condition?
Increased left atrial filling pressure
A patient with ulcerative colitis is experiencing severe abdominal pain and bloody diarrhea. Which intervention should the nurse prioritize to manage these symptoms and prevent complications?
Administer 5-aminosalicylate rectally
A patient is admitted with a suspected hemothorax following a motor vehicle collision. Which of the following assessment findings would most likely confirm this diagnosis?
Decreased breath sounds on the affected side and dullness to percussion
Which clinical manifestation is most indicative of peripheral artery disease (PAD) in the lower extremities
Decreased or absent pulses
A child with asthma is experiencing increased wheezing, shortness of breath, and chest tightness. Which of the following is the most appropriate initial intervention
Administer bronchodilator medication
A patient with Crohn's disease is experiencing persistent diarrhea and weight loss. Which of the following interventions should the nurse prioritize?
Administer prescribed corticosteroids.
client presents with sudden onset chest pain and shortness of breath after a rib fracture. Upon assessment, which clinical cue should the nurse recognize as most indicative of a tension pneumothorax?
Mediastinal shift
Which of the following is the most likely cause of gastritis in a patient presenting with black tarry stools and a history of NSAID overuse?
NSAID-induced gastric mucosal damag
A patient presents with severe right upper quadrant pain radiating to the right shoulder, nausea, and vomiting. Which diagnostic test would most effectively confirm acute cholecystitis?
Ultrasound
What is the most appropriate initial intervention for a patient diagnosed with obstructive sleep apnea (OSA) experiencing excessive daytime sleepiness and loud snoring?
Recommend lifestyle changes, including weight loss and avoiding alcohol.
Rationale:
client with chronic venous insufficiency presents with a non-healing ulcer and complains of increasing pain. What is the nurse's priority intervention?
Assess the wound for infection and obtain cultures
A nurse is monitoring a client receiving rifampin who develops jaundice, abdominal pain, and fatigue. Which initial action should the nurse take?
iscontinue rifampin and notify the healthcare provider.
A 55-year-old patient presents with severe midepigastric pain radiating to the back, elevated lipase levels, and a history of alcohol use. Based on the evaluation, which complication is the patient most at risk for developing?
Chronic pancreatitis
A nurse is caring for a client with a sliding hiatal hernia. Which manifestation is most consistent with this condition?
Heartburn and regurgitation after meals
55-year-old male with a history of gastroesophageal reflux disease (GERD) is not responding well to antacids. Which of the following actions should the nurse take to manage his condition more effectively?
Switch to a proton pump inhibitor (PPI).
A 10-year-old patient with a previously healthy heart is admitted with severe fatigue, dyspnea, and a recent viral infection. Upon examination, the nurse notes elevated jugular venous pressure and hepatomegaly. Which condition is most likely contributing to these symptoms?
Right-sided heart failure
A nurse is assessing a patient with deep partial-thickness burns on the arm. Which of the following findings would indicate the burn is deep partial-thickness rather than superficial partial-thickness?
damage to hair follicles and glandular tissue
Which diagnostic test is most useful in confirming valvular dysfunction and assessing the severity of stenosis or regurgitation?
Echocardiogram
A patient with a history of H. pylori infection is admitted with symptoms of gastric pain and dark stools. What should the nurse suspect as a possible complication?
Gastric bleeding
A patient with gastritis caused by H. pylori presents with a sour taste in their mouth and frequent belching. Which intervention should the nurse prioritize?
Administer prescribed antibiotics
An 8-year-old child with asthma is hospitalized for an exacerbation. The nurse needs to collect data to assess the severity of the asthma. Which of the following data is most important to collect?
Frequency of recent nighttime awakenings
A patient diagnosed with obstructive sleep apnea is started on CPAP therapy. What is the best indicator of the therapy's effectiveness?
Improved oxyhemoglobin saturation during sleep.