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A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving o...

The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with A. A potassium of 4.5 mEq/L has Kayexalate (sodium polystyrene) prescribed B. Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions C. Sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) D. Sensitivity to Penicillin is prescribed Zithromax (azithromycin) HESI HESI RN EXIT EXA...

1. An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows that the purpose of this medication is to A. Decrease production of gastric secretions. B. Produce an adherent barrier over the ulcer. C. Correct Maintain a gastric pH of 3.5 or above. D. Decrease gastric motor activity. 2. In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? A. An increase in urine output. B. Correct. Two o...

1.A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the manifestation should the nurse expect? Answer: Diaphoresis 2. A nurse in a long-term care center is caring for an adult client who has Alzheimer’s disease and whose partner died several years ago. The client appears upset and asls the nurse when his partner will visit again. The nurse states,”It seems like you are feeling lonely. Let’s take a walk outside and talk.’ Which of the following ...

The nurse is providing care for a patient who is unhappy with the health care provider’s care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient’s medical record or on the AMA form? 1. Documentation that the patient was informed that he or she cannot come back to the hospital 2. Documentation that the patient was informed that he or she was leaving against ...

1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. Check the hematocrit results. B. Administer ...

What intervention should the practical nurse (PN) implement to meet the physiologic integrity of a client during a manic episode of bipolar disorder? A. Provide the client with finger foods. B. Restrict the client's oral fluid intake. C. Give the client low-protein, low-calorie snacks. D. Interrupt the client's performance of rituals. A. Provide the client with finger foods. During the manic phase of bipolar disorder, a client is often unable to sit still long enough to eat, so t...

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvoste...

A nurse is planning care for a client who has a new diagnosis of HIV. I can’t seem to gain any weight Disaster triage following a natural disaster A client who has agonal respirations Client reports chest pain. Which of the following laboratory findings indicates myocardial damage Troponin I 1.8 ng/mL Child who has pediculosis capitis Store nonwashable items in plastic bags for 14 days Child who is unresponsive and has increased intracranial pressure Pad the side rails of the ...

1. A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. Taking the vital signs B. Obtaining the permit C. Explaining the procedure D. Checking the lab work 2. The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? A. Starting an IV B. Applying oxygen C. Obtaining blood gases D. Medica...