11. The nurse is taking the blood pressure measurement of a client…

/in /by

Question Answered step-by-step 11. The nurse is taking the blood pressure measurement of a client… 11. The nurse is taking the blood pressure measurement of a client with Parkinson’s disease. Which information in the client’s admission assessment is relevant to the nurse’s plan for taking the blood pressure reading? (Select all that apply) A. Flat affectB. Frequent droolingC. Frequent syncopeD. Blurred visionE. Occasional nocturia  12. Following breakfast, the nurse is preparing to administer 0900 medications to clients on a medical floor. Which medication should be held until a later time?A. The mucosal barrier, sucralfate, for a client diagnosed with peptic ulcer diseaseB. The antifungal nystatin suspension, for a client who has just brushed his teethC. The antiplatelet agent aspirin, for a client who is scheduled to be discharged withing the hourD. The loop-diuretic furosemide, for a client with a serum potassium level of 4.2 mEq/L (4.2 mmol/L) 13. A client with chronic kidney disease (CKD) is admitted with heart failure (HF) and is complaining of shortness of breath and a headache. Assessment findings include; BP 180/.90 mm Hg, HR 130 beats/min, oxygen saturation 89%, and temperature 100F (37.8). A temporary dialysis catheter is inserted for immediate hemodialysis and the client is scheduled for placement of an arteriovenous (AV) fistula in the left arm. Which action should the nurse implement?A. Avoid using the left arm for IV accessB. Initiate oxygen at 110% per face maskC. Give the PRN dose of enalaprilD. Administer a PRN antipyretic prescription 14. A child is diagnosed with acquired aplastic anemia. The nurse knows that this child has the best prognosis with which treatment regimen? A. Blood transfusions B. Bone marrow transplantationC. Immunosuppressive therapyD. Chemotherapy 15. The nurse notes that a depressed female client has been more withdrawn and non-communicative during the past two weeks. Which intervention is most important to include in the updated plan of care for this client?A. Engage the client in non-threatening conversationsB. Encourage the client to participate in group activitiesC. Encourage the client’s family to visit more oftenD. Schedule a daily conference with the social worker 16. The nurse is preparing an adult with Addison’s disease for self-management. Which information should the nurse include in the client’s instructions?A. Importance of recording daily weightsB. Adherence to a high fiver, low fat dietC. Need to check temperature dailyD. Events requiring steroid dose adjustments 17. The nurse is planning an educational session for new parents on ways to prevent sudden infant death syndrome (SIDS). which information is most important to provide parents of newborns and infants?A. Do not prop bottles for an infant during naps and bedtime.B. Remove pillows and soft toys from the crib at bedtimeC. Position the infant in a supine position while sleepingD. Keep a bulb syringe accessible for use for an infant  18. A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Vital signs include; HR 122 beats/minute, RR 28 breaths/minute, and blood pressure 170/90 mmHg. Which assessment finding warrants the most immediate intervention by the nurse? A. Bilateral diffuse wheezingB. Temperature of 100.5F (38.1C)C. Yellow expectorated sputumD. Shortness of breath on exertion  19. The health care provider prescribes a placebo instead of pain medication. What intervention should the nurse implement?A. Discuss ethical concerns about placebo use with the healthcare providerB. Administer the placebo as prescribed when the client complains of painC. Tell the charge nurse about the prescribed placebo and refuse to administer it.D. Inform the client that the provider prescribed a placebo instead of pain medication  20. The nurse working in a critical care unit is assigned the care of two clients, one with pneumonia who is being mechanically ventilated and the other who had a thoracotomy yesterday and is complaining of incisional pain. What should the nurse do first?A. Assess the level of consciousness and vital signs for both clients.B. Complete head to toe assessment of the client with pneumonia.C. Change the surgical dressing to observe the appearance of the incision.D. Review the plan of care and the medications that are due for both clients. 21. The nurse observes a client prepare meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safety? (Select all that apply)A. Leans forward to pull a pan from a high shelf. B. bends from the waist to pick trach off the floor. C. Locks knees while preparing food on the counter.D. Brings a heavy can close to body before liftingE. Widens stance while working near the sink. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

You might also like
1.Interviewing Teens for Psych Issues Take notes on the video and article for Subjective and Objective data . Correlate the data to your research
Question Answered step-by-step Please help answer and provide rationale for the following questions The nurse is developing a plan of care for a client who reports tingling of the feet and who is newly diagnosed with peripheral vascular disease. Which outcome should the nurse include in the plan of care for this client?1-The nurse will encourage the client to walk thirty minutes every day2-The client's blood pressure reading will be less than 160/90 mmHg3-The client will express acceptance of their newly diagnosed health status4-The client's skin on the lower legs will be intact at the next clinic visit During a visit to the planned parenthood clinic, young woman tells the nurse that she is going to discontinue taking the oral contraceptives she has taken for three years because she wants to get pregnant. History indicates that her grandfather has adult-onset diabetes and that she was treated for chlamydia six months ago. Which factor in this client's history poses the greatest risk for this woman's pregnancy?1-Family history of adult-onset of diabetes2-Treatment for chlamydia in the past year3-Client's age and previous sexual behavior4-Three-year history of taking oral contraceptives After diagnosis and initial treatment of a 3-year-old child with cystic fibrosis, the nurse provides home care instructions to the mother. Which statement by the child's mother indicates that she understands home care treatment to promote pulmonary function?A.  Administer a cough suppressant every 8 hours ».B. Energy should be conserved by scheduling minimally strenuous activities.C. Chest physiotherapy should be performed twice a day before a meal.D.  Maintain supplemental oxygen at 4 to 6 L/ minute.When conducting diet teaching for a client who is on a postoperative full liquid diet. Which foods should the nurse encourage the client to eat? (Select all that apply)A   Whole grain breadsB    LentilsC   CheeseD   Potato soupE    Tea A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge?1-Intructions about how much fluid the child should drink daily 2-Signs of addiction to opioid pain medications3-Referral for social services for the child and family4-Information about non-pharmaceutical pain relief measures . A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle. Which action should the charge nurse implement?A. Direct the nurse to change the IV tubing.B. Instruct the nurse to remove the needle.C. Prompt the nurse to apply providone to the site.D. Suggest the nurse use a 20-gauge needle.    Two days prior to discharge from the rehabilitation facility, the nurse is teaching a client who is recovering from Guillain-Bare syndrome about home care. Which actions should the nurse include when providing discharge teaching to the client and spouse? (Select all that apply)A       Develop a nutritional plan.B       Help identify community support.C      Provide cooking instructions.D      Initiate a rigorous exercise routine.E      Review safe transfer strategies.An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expect I the client with acute HFA. Reduced preload.B. Decreased afterload.C. Relaxed vascular tone.D. Increased cardiac contractility. A middle-aged client, admitted to a critical care unit several weeks ago because of serious injuries sustained in a motor vehicle accident, is currently in stable condition. Based on this client's age and recent life-threatening crisis, which intervention is should the nurse implement?1-Allow long periods of uninterrupted rest in other to reduce fatigue2-Discus the cause of the accident with the client and his family3-Provide a routine schedule of activities to facilitate trust4-Encourage the client to reflect on personal goals and priorities        The nurse is managing 4 clients in the intensive care unit who are mechanically ventilated. After performing a quick check the nurse should see who is exhibiting which finding ?A. Restrained and restless with a low volume alarm sounding.B An audible voice when client is trying to communicate.C. High pressure alarm sounds when client is coughing.D. Diminished breath sounds in the right posterior base. The nurse working on a mental health unit is prioritizing nursing care activities because of a staffing shortage. One practical nurse (PN) is on the unit with the nurse, and another RN is expected to arrive within two hours. Clients need to be awakened and morning medications need to be prepared. Which plan is best for the nurse to implement?1-Wake all the clients and instruct them to go to dining area for medication administration2-Allow the client to sleep until a third staff person can assist with unit activities3-Ask the PN to administer medications as clients are awakened so both nurses are available4-Explain to the clients that it will be necessary to cooperate until another RN arrives  Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?A. Report any allergies to shellfish or iodine.B. Report any painful urination, blood in urine, or fever.C. Lay prone for 24 hours after the procedure.D. Avoid strenuous activity and sports for at least 2 weeks. .The school nurse is screening students for scoliosis and notes that one student has lordosis. Which finding should the nurse document in the student's screening record?A. Rounded spine from head to hips without concave curves.B. Excessive concave curvature of the lumbar spine.C. Posterior curvature that is convex in the thoracic area.D. Lateral curvature that creates asymmetry of the shoulders.  Health Science Science Nursing MED SURG NU-333 Share QuestionEmailCopy link Comments (0)
1)Define dysphagia; what are the nursing assessment and...
1. What does it mean if a client is admitted to the hospital...
Why is the belief that Jews intentionally break vows to God a...
Select all of the statement that are falsifiable. Mark all correct...
R.K., is an 85 year-old woman who lives with her husband, who is 87.
what does it mean for nurses to think outside of the box?