Proscholar

A client presents to the emergency department with upper gastrointestinal bleeding and is in moderate distress. In planning care, what is the priority nursing action for this client? a. Assessment of vital signs b. Completion of abdominal examination c. Insertion of the prescribed nasogastric tube d. Thorough investigation of precipitating events correct answers A The pernicious anemia that may accompany gastritis is due to which of the following? a. Chronic autoimmune destruction of cob...

After receiving morning report, which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first? A) A patient who needs discharge teaching B) A patient who needs assistance to ambulate C) A patient who states, "No one cares about me." D) A patient who has a temperature of 106°F (41.1°C) correct answers D) A patient who has a temperature of 106°F (41.1°C) During a class discussion, two nursing students demonstrated intellectual courage. What act...

During an assessment of a 45-yr-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change? a. Laryngospasm b. Pulmonary edema c. Narrowing of the airway d. Overdistention of the alveoli correct answers c. Narrowing of the airway A 45-yr-old man with asthma is brought to the emergency department by automobile. He is short of breath and appears frightened. During the initial nursing assessment, which c...

Which type of fluid is found in synovial fluid in the joints? correct answers transcellular fluid A client admitted with hypovolemia asks the nurse the cause of this condition. The nurse identifies which of the following as risk factors for hypovolemia? correct answers hemorrhage, vomiting, liver cirrhosis (3rd spacing), burns The nurse expects a client to lose up to 2500 mL of sensible and insensible fluid each day. Which of the following is an example of sensible water loss? correct answ...

medical-surgical nursing correct answers a specialty practice area in which nurses promote, restore, or maintain optimal health for patients from 18 to older than 100 years of age hypertension correct answers Used to treat _______________, the "ACE inhibitors" are drugs that disrupt the renin-angiotensin II pathway by reducing the amount of ACE made so that less angiotensin II is present. rapid response team (RRT) correct answers called to intervene when patient is deteriorating (before ...

The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate? a. Obtain wound cultures. b. Document the assessment. c. Notify the health care provider. d. Assess the wound every 2 hours. correct answers ANS: B The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of wound healing by primary intention. The nurse should document the wound appear...

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? correct answers Light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement first? correct answers Obtain a sputum sample for culture An elder male client tells the nurse tha...

A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? A. Administer the first dose of antibiotic therapy B. Observe the color, consistency, and amount of sputum C. Encourage the client to consume plenty of warm liquids D. Send the specimen to the lab for analysis correct answers B. Observe the color, consistency, and amount of sputum A client is brought to the ED by ambulance in cardiac arrest with cardiopulmo...

A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube 5 cm. D. Administer an intravenous antiemetic as prescribed. correct answers B. The priority is to determined if the tube is f...

When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that a. follows formalized plans b. has standardized content c. often occurs one-to-one d. addresses group needs correct answers C. Informal teaching is individualized one on one teaching which represents the majority of patient education done by nurses that occurs when an intervention is explained or a question is answered. Group needs are often the focus of formal patient ...