A client is scheduled to receive conscious sedation during a
colonoscopy. The client asks the nurse, "How will they 'knock
me out' for this procedure?" Which answer by the nurse
correctly describes the route of admini
...
A client is scheduled to receive conscious sedation during a
colonoscopy. The client asks the nurse, "How will they 'knock
me out' for this procedure?" Which answer by the nurse
correctly describes the route of administration for conscious
sedation?
"You will receive medication through an intravenous cathete
A client receiving steroid therapy states, "I have difficulty
controlling my temper, which is so unlike me, and I don't
know why this is happening." What is the nurse's best
response?Interview the client to determine whether other mood swings are being
experienced
A nurse is reviewing a plan of care for a client who was
admitted with dehydration as a result of prolonged watery
diarrhea. Which prescription should the nurse question?
Parenteral albumin (Albuminar)
The intake and output of a client over an eight-hour period
is: 0800: Intravenous (IV) infusing; 900 mL left in bag; 0830:
150 mL voided; From 0900-1500 time period: 200 mL gastric
tube formula + 50 mL water; Repeated x 2.; 1300: 220 mL
voided; 1515: 235 mL voided; 1600: IV has 550 mL left in
bag. What is the difference between the client's intake and
output? Record the answer using a whole number. _________
mL
Intake includes 350 mL of IV fluid, 600 mL of nasogastric intubation (NGT)
feeding, and 150 mL of water via NGT, for a total intake of 1100 mL; output
includes voidings of 150, 220, and 235 mL, for a total output of 605 mL.
Subtract 605 mL from 1100 mL for a difference of 495 mL.
495 ml
A client undergoes a bowel resection. When assessing the
client 4 hours postoperatively, the nurse identifies which
finding as an early sign of shock?
Restlessness
The nurse assesses an edematous client and recalls that
edema occurs in what extracellular fluid compartment?
Interstitial
A client with arthritis increases the dose of ibuprofen
(Motrin, Advil) to abate joint discomfort. After several weeks
the client becomes increasingly weak. The client is admitted
to the hospital and is diagnosed with severe anemia. What
clinical indicators does the nurse expect to identify when
performing an admission assessment? (Select all that apply.)
Tachycardia
Melena
Based on the client's reported pain level, the nurse
administers 8 mg of the prescribed morphine. The
medication is available in a 10 mg syringe. Wasting of the
remaining 2 mg of morphine should be done by the nurse
and a witness. It is most appropriate for the nurse to ask
which member of the health care team to be the witness?
Licensed practical nurse (LPN)
A health care provider has prescribed isoniazid (Laniazid) for
a client. Which instruction should the nurse give the client
about this medication?
Drinking alcohol daily can cause drug-induced hepatitis
A nurse assesses a client's serum electrolyte levels in the
laboratory report. What electrolyte in intracellular fluid
should the nurse consider most important?
Potassium
A client has a right above-the-knee amputation after trauma
sustained in a work-related accident. Upon awakening fromsurgery, the client states, "What happened to me? I don't
remember a thing." What is the nurse's best initial
response?
"You were in a work-related accident this morning."
A health care provider prescribes digoxin (Lanoxin) for a
client. The nurse teaches the client to be alert for which
common early indication of digoxin toxicity?
Nausea
A client admitted to the hospital with a diagnosis of
malabsorption syndrome exhibits signs of tetany. The nurse
concludes that the tetany was precipitated by the
inadequate absorption of which electrolyte?
Calcium
What response should a nurse be particularly alert for when
assessing a client f
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