0 of 20 questions.
A nurse is caring for hospitalized client with diagnosis of CONGESTIVE HEART FAILURE who suddenly reports shortness of breath and dyspnea. The nurse takes which IMMEDIATE action?
You are teaching a client with CORONARY ARTERY DISEASE about dietary measures that should be followed & the client expresses frustration in learning the dietary regimen. You would initially:
A postoperative client asks you for pain medication. You would take w/c most appropriate action first?
A nurse is caring for a client after crainiotomy (supratentorial surgery) involving the pituitary gland.W/c finding indicates a complication of the surgical procedure & the need to notify the doctor?
Celebrex has been prescribed for a client. On a follow-up doctor's visit, you determine that the medication is effective if the client states relief of:
You taught a client's spouse how to change the client's colostomy bag. You would best determine that the spouse understands the procedure by:
A client w/ suspected active tuberculosis is being scheduled for diagnostic test. You anticipate that w/c of the ff. diagnostic test will most likely be prescribed to confirm the diagnosis?
You are reviewing the nursing care plan of a client hospitalized w/ sickle cell crisis. W/c nursing diagnosis written in the plan is the least priority?
You enter a client's room and find the client slumped over in bed. You quickly assess the client and discover that the client is not breathing. You would immediately:
A client w/ a diagnosis of cancer is receiving morphine sulfate 10mg subcu q 3-4 hours for pain. When preparing the plan of care for the client, you include w/c priority action?
You are assessing the client's conditions afteter cardio version. W/c of the ff. observation would be of highest priority to you?
You are providing preoperative teaching to a client scheduled for a chocystectomy. W/c intervention would be of highest priority in the preoperative teaching plan?
You are admitting a client w/ a diagnosis of posttraumatic stress disorder to mental health unit. The client is confused and disoriented. Duriing the assessment, your primary goal for this client is:
You have developed a plan of care for a client w/ anorexia nervosa. W/c of the ff. ns. diagnoses would you select as the priority in the plan of care?
You are providing dietary instructions to a client about a low fat diet. You tell the client to:
A client is scheduled for computerized tomography (CT) scan for the abdomen and asks you when the result of the test will be available. You make w/c of the most appropriate response to the client?
You are caring for a client w/ congestive heart failure who suddenly experience severe dyspnea; you suspect that pulmonary edema has developed. You would immediately:
A client is admitted to the hospital w/ pericarditis. You assess the client for w/c manifestation that differentiate pericarditis from othe cardiopulmonary disease/problems?
Erythromycin has been prescribed for a client w/ a respiratory infection. You tell the client that w/c frequent side effect can occur from this medication?
A client w/ congestive heart failure is receiving furosemide (lasix). You monitor the client for w/c adverse effect of the medication?