a nurse is planning care for a client who has - answer-
A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism? - answer-Involuntary muscle spasms
(occurs if the parathyroid glands are damaged o...
a nurse is planning care for a client who has - answer-
A nurse is monitoring a client following a thyroidectomy. Which of the
following findings should the nurse identify as an indication of
hypoparathyroidism? - answer-Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a
thyroidectomy. Muscle twitching and paresthesias can result due to
decreased parathyroid hormone levels and calcium deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new
permanent pacemaker. Which of the following statements by the client
indicates an understanding of the teaching? - answer-"I should check my
heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with
a client who has emphysema. Which of the following information should the
nurse include in the teaching? - answer-Use pursed-lip breathing during
periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of
multiple sclerosis (MS). The client asks the nurse about the usual course of
MS. Which of the following responses should the nurse make? -
answer-"Acute episodes are usually followed by remissions, which can last
varying lengths of time."
a nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Whats priority? - answer-Ask the client about first aid performed at the scene
A nurse is preparing to administer timolol eye drops for a client who has
glaucoma. When instilling the medication, which of the following actions
should the nurse take? - answer-Apply pressure to puncta after instillation of
the medication.
A nurse is caring for a client who has a stage III pressure ulcer on his heel.
When preparing to irrigate the wound, which of the following actions should
the nurse take rst? - answer-Check the client's pain level
[Type here]
, 1
1
A nurse is caring for a client who begins having a tonic-clonic seizure while
sitting in a chair at the bedside. Which of the following actions should the
nurse take first? - answer-Lower the client to the floor.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary
blood glucose reading of 48 mg/dL. Which of the following findings should
the nurse expect? - answer-Diaphoresis
A client who has a blood glucose level below 70 mg/dL to exhibit indications
of hypoglycemia. Including weakness, hunger, diaphoresis, nausea,
shakiness, and confusion.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoid
colon resection with colostomy. Which of the following statements by the
client indicates a need for further teaching? - answer-"My diet will have to
change to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there
are not any food restrictions.)
A nurse is reviewing a client's laboratory report. The client's ABG levels are
pH 7.5, PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine
that the client has which of the following acid-base imbalances? - answer-
Respiratory alkalosis
(The nurse should identify that the client's pH is elevated above the
expected reference range of 7.35 to 7.45, indicating alkalosis. The nurse
should then identify that the client's PaCO is low, below the expected
reference range of 35 to 45 mm Hg, which indicates a respiratory origin. The
nurse should conclude that the client's elevated pH and decreased PaCO
indicate respiratory alkalosis.)
A nurse in an urgent care clinic is collecting data from a client who sustained
a fall. Which of the following findings should the nurse identify as an
indication of a skull fracture? - answer-Clear fluid coming from the nares.
(cerebrospinal fluid)
A nurse is reinforcing teaching with a client about preventing the
transmission of hepatitis A. The nurse should identify that hepatitis A is
transmitted by which of the following routes? - answer-Fecal-oral
contamination
A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a
prescription for isoniazid. Which of the following instructions should the
nurse include? - answer-"Your provider will monitor your liver function while
you are taking this medication."
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