Nursing Questions
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A client taking cefaclor (Ceclor) for otitis media reports loose, semi-liquid stool that does not smell foul or appear to have pus or blood present. What should the nurse recommend to the client?Eat a diet consisting of bananas, rice, apple sauce, and toast. Immediately discontinue the medication and return to the clinic. Consume some yogurt or buttermilk at least three times a day. Take an over the counter antidiarrheal medication such loperamide (Imodium).
Which action is the priority when caring for a client with diabetic ketoacidosis?Initiate an intravenous insulin infusion. Maintain blood glucose levels at 200 mg/dl or lower. Administer oral hypoglycemic medications. Manage potassium imbalance.
Which medication is contraindicated for a client with renal failure? Ibuprofen. Coumadin. Lasix. Lipitor.
How does angiotensin-converting enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) improve the cardiac function of a client diagnosed with heart failure?They increase the heart rate and decrease the force of the contractions. They increase the resistance to the (L) ventricular ejection (afterload). They promote relaxing of the arterioles and arterial vasodilation. They help prevent sodium and water retention by blocking aldosterone. They improve the heart's stroke volume, thus improve cardiac output.
The nurse is caring for a client with suspected basal cell carcinoma. The nurse should prepare the client to undergo which procedure to confirm the diagnosis?Gram stain. Mohs surgery. Scraping with KOH. Skin biopsy.
Which assessment finding should the nurse expect in a client with a subarachnoid hemorrhage (SAH) complicated by acute hydrocephalus? Incontinence at 10 days after initial hemorrhage. Gradual onset of confusion within 1-7 days of initial hemorrhage. Presence of sucking frontal lobe reflexes 5 days after initial hemorrhage. Sudden onset of coma within 24 hours of initial hemorrhage.
During an admission assessment, the nurse observed the sacral area of the elderly client had full thickness skin loss with some subcutaneous tissue damaged present, no bone, tendon or muscle exposed and what appeared to be tunneling present at the 9:00 o'clock location. How would the nurse document the decubitus ulcer? Stage I. Stage II. Stage III. Stage IV.
The healthcare provider has prescribed a treatment for a chronic wound that utilizes a technique which uses a special sponge that is placed in the wound bed and is sealed for 48 hours with a continuous low-level negative pressure. Based on the description of this prescription the nurse needs to prepare the client for which procedure? Electrical stimulation. Topical growth factors. Vacuum-assisted closure. Hyperbaric oxygen chamber.
The nurse is assessing a client who is 12 hours post spinal cord injury at C-6. The client is flushed in appearance with hot and dry skin. The client's heart rate has dropped to 58 beats per minute and blood pressure dropped to 86/52 mmHg. The client's signs and symptoms are indicative of which complication? Spinal shock. Neurogenic shock. Cardiogenic shock. Hemorrhagic shock.
The nurse is assessing a 19-year-old client who is pregnant with twins. The client reports persistent severe headaches and blurry vision. The nurse notes that the client's blood pressure is 190/100. Which complication should the nurse suspect? Preeclampsia. Placenta previa. Supine hypertension. Placental abruption.
When teaching a client with anemia about foods that are high in iron, which food should the nurse include?Brussel sprouts. Oranges. Liver. Iceberg lettuce.
Which implementation should the nurse perform for a client with myasthenia gravis?Provide pulmonary toilet every two hours when the client is awake. Provide the client with extra snacks throughout the day. Allow the client time to leave the floor with family. Monitor pulse oximetry every 8 hours.
The nurse is performing an abdominal assessment on a client with suspected acute gastrointestinal bleeding. Which finding should the nurse anticipate?Hot extremities. Pain that radiates to the left leg. Rigid abdomen. Hypoactive bowel sounds.
The client has been diagnosed with iron deficiency anemia. The nurse should anticipate that the client will need which medication?Hyoscyamine. Ferrous sulfate. Fiber supplements. Lactulose.
What should the nurse identify as a common side effect of ferrous sulfate?Diarrhea. Headache. Vision changes. Dark stools.
A client with increased intracranial pressure has not had a bowel movement in three days. Which should the nurse anticipate will be administered to the client?Vegetables. Milk of magnesia. Prune juice. Docusate sodium.
The nurse is examining a client for possible anemia. The client complains of fatigue and weight loss and appears pallor in color with slight jaundiced and has a beefy red tongue. The client also complains about poor balance and their fingers and toes feeling tingling and numb.The client's signs and symptoms are indicative of which type of anemia? Aplastic anemia. Iron deficiency anemia. Folic acid deficiency anemia. Vitamin B12 deficiency anemia.
The nurse is reviewing the bone marrow aspiration results of a client which revealed abnormal high amount of blast cells present. This client will most likely be diagnosed with which condition? Leukemia. Hemophilia. Hodgkin's Lymphoma. Autoimmune thrombocytopenic purpura.
A client with hydrocephalus has been admitted to the critical care unit. Which assessment finding should the nurse report to the physician?Oxygen level of 95%. Temperature of 98.9. Pulse of 42. Blood pressure of 126/82.
Which adverse effect on the skin should the nurse associate with the use of topical steroids? Infection. Swelling. Coarseness. Thinning.