kaplan fundamentals A

the nurse nows that aspirin, if given in high, prolonged dosages, may precipitate which of the following physiological changes?
gi bleeding

the nurse cares for a client with a body mass index (BMI) of 38. what is the best description of the client’s body weight
obese

a client requires a dressing change. the LPN/LVN assigned to care for the client reports to the registered nurse that the LPN/LVN once observed a similar dressing change while in nursing school, but has never performed the procedure. the registered nurse will take which action?
complete the dressing change while the LPN/LVN observes

to promote evening rest and sleep for clients who are immobilized and in bed, it is most important for the nurse to provide which care?
daytime activities

the nurse understands the purpose of a drain in a wound is to
keep the tissues close together so that healing can occur

in which situation should the nurse consider withholding morphine until further assessment is completed?
client’s lève of consciousness fluctuates from alert to lethargic

a client is admitted to the hospital with a temperature of 101F and a WBC of 3000. the nurse should institute which precaution?
neutropenic precautions

the nurse prepares four clients for surgery. the nurse is most concerned about the psychological adjustment of which client?
a 26-year-old scheduled for the whipple procedure due to cancer of the pancreas

the nurse cares for a postoperative client with a nasogastric tube. which observation by the nurse is the most reliable indication the nasogastric tube is correctly positioned?
pH of aspirate is 3

the one care nurse cares for a client diagnosed with a fractured humerus due to a fall in the home. which of the following observations, if made by the nurse, requires an immediate intervention?
the client ambulates wearing socks

the nurse understands which behavior is helpful to facilitate a client to have a bowel elimination?
increase dietary bulk

the nurse observes a staff member enter the client’s room wearing a fit-tested respiratory device. the nurse determines care is appropriate if the staff member is caring for which client?
a client diagnosed with varicella

the nurse observes a staff member prepare to leave the room of a client on droplet precautions. the nurse should intervene if which action is observed?
the staff member olds onto the outer surface of the facemask while pulling mask away from the face

the nurse knows which statement is an important fact about warfarin?
it has a prolonged action

the nurse identifies which lab finding reflects the signs and symptoms of infection?
white blood cell count of 16,000

on the first postoperative day, a client develops a fever. the nurse auscultates crackles bilaterally in the lower lobes. the nurse understands which complication of surgery is probably developing?
atelectasis

a client returns from abdominal surgery with an order for morphine sulfate IV q3hr PRN for pain. during the first 24 hours after surgery, which action by the nurse is best?
administer the pain medication every 3 hours

the nurse instructs a client how to successfully establish a regular exercise program. the nurse determines further teaching is needed if the client makes which statement?
i should start by running 5 miles every day

a client comes to the emergency room after puncturing a foot with a dirty, rusty nail. the client states that the last Td immunization was 6 years ago. which of the following actions should the nurse take first?
determine how many Td immunizations the client has received

the nurse notes an elderly client has a reddened area on the coccyx. which action should the nurse take first?
reposition the client every 1-2 hours

the nurse identifies which diet best meets the needs of a person with multiple wounds?
high-vitamin c, high protein, high-carbohydrate diet

the nurse identifies which finding is characteristic of chronic pain
weight loss or gain, fatigue

which action is essential for the nurse to take after administration of a preoperative medication to a client?
raise the side rails of the bed

several days postoperatively, a client reports pain, tenderness, and redness of the right calf. which signs and symptoms are critical for the nurse to assess for next?
chest pain and shortness of breath

the home care nurse visits an elderly client living alone on a limited income. the client’s diet consists primarily of carbohydrates. based on an understanding of the nutritional needs of the elderly, which of these interpretations of the client’s diet by the nurse is most justified?
the client should increase the intake of protein

the nurse performs discharge teaching for a client receiving warfarin. the nurse determines further teaching is required if the client makes which statement?
i should look for yellow-tinged complexion

a client with acute pain has a health care provider’s order for morphine 8mg IV every 3-4 hours prn for pain. the client asks the nurse for the medication at bedtime. prior to administering the pain medication, the nurse should take which action?
assess location, character, and intensity of pain

the nurse explains to the client the most vitamin C can be found in which juice?
fresh orange juice

the nurse helps a client to cough and deep breathe after surgery. it is desirable for the client to assume which position?
high fowler’s

the nurse counsels a client about how to maintain an adequate intake of protein. the nurse determines further teaching is required if the client chooses which foods?
orange juice and white toast

A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome? Glucose level After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion …

1. When formulating a definition of “health,” the nurse should consider that health, within its current definition, is: 1. The absence of disease 2. A function of the physiological state 3. The ability to pursue activities of daily living 4. …

1) A nurse is caring for a client with hyperparathyroidism and notes that the client’s serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate …

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