A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider?
a. WBC count 8,000
b. platelets 150,000
c. aspartate ami
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A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider?
a. WBC count 8,000
b. platelets 150,000
c. aspartate aminotransferase 10 units
d. erythrocyte sedimentation rate 75mm - ANSWER d
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?
platelet count
b. potassium level
c. creatine clearance
d. prealbumin - ANSWER a
A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
a. places an ice pack over the cast
b. palpates the pulse distal to the cast
c. teaches the client to keep the cast clean and dry
d. position the casted extremity on a pillow - ANSWER b
A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? SATA
keeps objects in the client’s room in the same place.
b. ensures there is high-wattage lighting in the client’s room.
c. approach the client from the side
d. allows extra time for the client to perform tasks
e. touches the client gently to announce presence - ANSWER a, b, d
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection nursing articles?
a. Medline
b. C inhale
c. ProQuest
d. health source - ANSWER b
A nurse in the emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a brain injury. Which of the following actions should the nurse take first?
a. obtains a baseline EKG
b. Obtain a blood specimen for ABG analysis
c. inserts an 18-gauge IV catheter
d. Administer 100% humidified oxygen - ANSWER d
A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan?
a. Place food on the left side of the client's mouth when he is ready to eat.
b. Provide total care in performing the client's ADLs.
c. Maintain the client on bed rest.
d. Place the client's left arm on a pillow while he is sitting. - ANSWER d
A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?
Confront the client about this behavior.
b. Express sympathy for the client's situation.
c. Speak assertively to the client.
d. Stand within 30 cm (1 ft) of the client when speaking with them. - ANSWER a
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take?
a. Cleanse equipment before removal from the client's room.
b. Limit the client's visitors to 30 min per day.
c. Discard the client's linens in a double bag.
d. Discard the radioactive source in a biohazard bag - ANSWER b
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity. Which of the following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV - ANSWER d
A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Pervious violent behavior
d. A history of being in prison - ANSWER c
A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take w
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