1. Four hours following surgical repair of a compound fracture of the right ulna, the nurse is unable to
palpate the client's right radial pulse. Which action should the nurse take first
Elevate the client's right hand
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1. Four hours following surgical repair of a compound fracture of the right ulna, the nurse is unable to
palpate the client's right radial pulse. Which action should the nurse take first
Elevate the client's right hand on one or two pillows
2. After placing a 36- week- gestation newborn in an isolette and drying the infant with several blankets,
what should the nurse implement next?
Remove the wet blankets and linen from the isolette
3. A client in the third trimester of pregnancy complains of frequent nasal stiffness and occasional
nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic
breathing. Her diaphragm is elevated and she has an increased costal angle. Which intervention should
the nurse implement?
Record the respiratory finding in the clients chart as normal
4. A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the past several days he has been unable to get out of bed. Which action should the hospice nurse implement?
Instruct family to offer client only soft bland foods
5. A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancy test and ultrasound were negative, so an exploratory laparotomy was completed during the night. When coffee ground materials is observed in the drainage from the nasogastric tube (NGT), which intervention should the nurse implement?
Verify correct placement of the nasogastric tube
6. The nurse is reviewing the laboratory values for a client with acute pancreatitis who reports of the abdominal pain is not as severe as it was on admission. Which laboratory test should the nurse review to evaluate the clients clinical recovery?
Lipase
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