2 hrs post-op following an ileal conduit procedure bladder cancer - ANSWER Dusky-colored stoma
Administering an INJ to a client even after the client states, "I don't want that injection. The last time I got that I was sore for a week." - ANSWER Battery
Admitting a client to the medical-surgi...
2 hrs post op following an ileal conduit procedure bladder cancer
administering an inj to a client even after the client states
i don
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VATI Greenlight
2 hrs post-op following an ileal conduit procedure bladder cancer - ANSWER Dusky-
colored stoma
Administering an INJ to a client even after the client states, "I don't want that injection.
The last time I got that I was sore for a week." - ANSWER Battery
Admitting a client to the medical-surgical unit. Which of the following actions should the
nurse first take? - ANSWER Observe the client's level of mobility
Adolescent client who has no previous history of a seizure disorder and is admitted after
having a 3-min tonic-clonic seizure 2 wks after sustaining a mild concussion. EEG -
ANSWER Explain that the client may not have coffee prior to the EEG
Adolescent who has cystic fibrosis and has a prescription for pancrelipase - ANSWER
Take w/ meals
After evaluating the morning lab results on several clients, the provider writes
prescriptions for 4 clients assigned to the nurses care? - ANSWER Infuse 10 meQ/l
potassium chloride IV over 1 hr to a client who has potassium of 3.2
After making morning round, the charge nurse on a surgical unit delegates the follow
tasks to the AP. - ANSWER Set up a room for an expected postoperative admission
AP reports to the nurse that another ap has spent the entire morning on the phone and
has not completed the morning assignment - ANSWER Redirect the AP to discuss the
issue with the other AP
Assessing client who systemic lupus erythematous SLE which of the following is an
expected findings - ANSWER Dry, raised facial rash
At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client
reports - ANSWER Indigestion
Benefit from a three-way indwelling catheter - ANSWER Prone to development of blood
clots un the urine
Caring for a client who has a new prescription for chlorpromazine by IM injection -
ANSWER Check orthostatic BP 1 hr after admin
Caring for a client who was involved in a motor-vehicle crash. The client reports
shortness of breath and chest pain and asks the nurse "Am I dying?" - ANSWER Admin
pain meds
Charge nurse creating assignments for next shift for several nurses and one of the
nurses is pregnant - which pt the nurse should NOT be assigned to? - ANSWER 60 yr
old who is recovering from shingles
, VATI Greenlight
Charge nurse on pediatric unit is making assignments for a float nurse from the medical
unit. Pt to see first? - ANSWER 10 yr old who has pneumonia & is receiving respiratory
txs
Child who has pediculosis capitis - ANSWER store non-washable items in plastic bags
for 14 days
Child who is unresponsive has ICP - ANSWER Pad the side of the bed
A client ask the nurse if it is safe for him to take glucosamine supplement? - ANSWER
Shellfish allergy
Client following an open colectomy - ANSWER Uncontrolled pain
A client has just returned to the nursing unit following cardiac catheterization. In the
immediate postoperative post procedure period which of the following is the priority
nursing actions? - ANSWER Immobilizing the affect extremity
A client hopitialized for a bone marrow transplant is in protective isolation while
undergoing total body radiation and intense chemotherapy. The clients sibling comes to
visit but has obvious manifestations of an upper respiratory infection. - ANSWER Allow
the sibling to visit after donning a sterile gown, mask, gloves but prohibits physical
contact
Client recovering from closed head injury assumes a decerbrate posture in response to
stimuli - ANSWER D lying flat ?? (Extentend extremities) The client rigidly extends his
arm
Client reports chest pain. Which of the following lab findings indicates myocardial
damage - ANSWER Troponin 1.8
Client who has a left femur fracture and is skeletal traction. The clients reports pain due
to muscle spasms in affected leg - ANSWER Realign the extremity in traction
Client who has given birth to a stillborn - ANSWER Acknowledging the reality of the
newborn's death
Client who is 2 days postoperative following a lumbar laminectomy and is reporting
nausea - ANSWER Admin an antiemetic (Aprepitant for nausea)
Client who is 8hr postoperative following a right-modified radical mastectomy - which
findings to report to provider? (SATA) - ANSWER Coughing
Frothy, pink secretions
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