Proscholar

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately? correct answers Perform a bedside pregnancy test. A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding t...

The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base correct answers D. The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to 180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end o...

A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing priority action is: 1. Discontinue the IV site and contact the primary health care provider 2. Elevate the head of the bed and obtain vital signs 3. Contact the primary health care provider to obtain a prescription for a sedative 4. Assess for allergies and change the IV t...

1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. The nurse should reinforce which instruction? A.) If you feel tired and short of breath, lie down flat and prop up your feet. B.) Eating liver several times a week will help build up your strength. C.) Your daily dose of furosemide should be taken first thing in the morning. D.) The dose of enalapril will help prevent vasodilation from oc...

A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? A) Check it again in one month, and if it is still there schedule an appointment. B) Most lumps are benign, but it is always best to come in for an examination. C) Try not to worry too much about it, because usually, most lumps are benign. D) If you are in your menstrual period it is not a good time to check for lumps. correct answers B) Most lumps are...

Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? A: Respiratory effort. B: Unsteady gait. C: Intensity of pain. D: Ability to eat. correct answers A: Respiratory Effort (Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses upwards. As the condition progresses, the nurse must ensure that the client is able to breathe effectively.) A male cl...

What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient? (Select all that apply.) 1. BUN : serum creatinine ratio of >12.1 2. Urine positive for blood 3. Hematocrit level of >47% 4. Urine specific gravity of 1.027 5. Urine osmolality of >450 mOsm/kg correct answers Correct answer: 3. 4. and 5. More than half of students who answered this question in Wolters Kluwer's adaptive learning systems, powered by PrepU, answered "BUN : serum...

The student nurse studying the gastrointestinal system understands that chyme refers to what A Hormones that reduce gastric acidity B Liquefied food ready for digestion C Nutrients after being absorbed D Secretions that help digest food correct answers B A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies allergies to medication. What action by the nurse is best A Ask the client about shellfish allergies. B Document this information on the chart. C Ensur...

Mechanical ventilation is commonly indicated in all of the following conditions except a. pneumothorax. b. drug overdose. c. status asthmaticus. d. thoracic surgery. correct answers A During spontaneous breathing, air is drawn into the lungs by a. collapsing alveoli. b. low oxygen levels. c. negative pressure. d. positive pressure correct answers C For a patient on mechanical ventilation, total collapse of the alveoli can be prevented by a. low tidal volumes. b. PEEP. c. an insp...

What is the scope of medical-surgical nursing? correct answers to promote health and prevent illness or injury in patients from 18 to older than 100 Recipients of care in mutually trusting relationships with nurses and other members of the health care team. correct answers Patients This requires that health care organizations create a culture of safety and offers peer evaluation for accreditation every 3 yrs for all health care agencies and more often for acute care hospitals correct answe...