When caring for a patient with fluid excess, which of the following interventions will best help relieve respiratory distress?

What acid-base imbalance is occuring? pH 7.30, HCO3 23, CO2 49, PaO2 84.

How would you diagnose this acid-base imbalance? pH 7.49, CO2 48, HCO3 30.

Which is included in the chain of infection?

Which is the most important technique for the nurse to use during patient care to prevent infection transmission?

The nurse is caring for a client with an indwelling urinary catheter. Which is the most important action for the nurse to use to prevent a healthcare-associated urinary traction infection from developing?

A client is hemorrhaging from a leg incision is restless and confused. The nurse applies pressure the incision and calls for help. Which treatment for shock would the nurse anticipate being ordered first?

Which of these objective data collection findings would indicate to the nurse that the therapeutic measures for a patient experiencing shock have been effective?

Which laboratory value would the nurse need to notify the physician immediately?

A patient is receiving internal radiation therapy for a gynecological malignancy. The patient expressed feelings of isolation in her private room. What intervention would be best on the part of the nurse?

Which of the following patients will benefit from hospice care?

The nurse is caring for a patient who returned from surgery 3 hours ago. Which of these findings would the nurse recognize as being the most urgent to report to the surgeon?

The nurse is caring for a patient after thoracic surgery. Which of the following would the nurse evaluate as indicating that interventions to prevent respiratory complications have been effective?

The nurse is caring for a trauma patient who is hemorrhaging from an abdominal puncture wound. Which action should the nurse use to control the bleeding?

A resident has fallen in the shower of an ALF apartment and is found by the nurse. The resident is on the floor moaning with pain the pelvic and right hip region. Which data collection is priority?

Which patient should be treated FIRST in a disaster situation?

The nurse is caring for a client with an acute episode of anaphylaxis. Which condition would the nurse recognize as the immediate threat to life?

The nurse teaches a patient about vaccines. The nurse would evaluate the patient as understanding the presented information if the patient states that a vaccine provides which of these types of immunity?

Which past surgery found in the patient's history would alert the nurse to possible immune system dysfunction when planning care?

The nurse is caring for a patient who is suspected to be infected with HIV. The patient asks what type of test will be done first to diagnose it. Which response by the nurse would be appropriate?

The nurse is collecting data on a patient with suspected pernicious anemia. Which of the signs/symptoms would the nurse expect to find for this patient?

The nurse is collecting data from a client with contact dermatitis. Which is essential data for the nurse to obtain?

A patient is scheduled for vascular surgery. The patient is taking digoxin (Lanoxin), furosemide (Lasix), warfarin (Coumadin), and famotidine (Pepcid). Which medication would the nurse question the possible need to stop several days before surgery?

The nurse checks capillary refill on a patient and finds it is 4 seconds. The nurse would inform the health care provider since which of the following would be indicated?

The nurse is caring for a patient on bedrest who is on diuretic therapy. Which action should the nurse take to check for the presence of edema?

The nurse is collecting data on a patient who had surgery. Which sign/symptom indicates to the nurse the possible presence of a deep vein thrombosis in the patient's leg?

The nurse is caring for a group of patients. After completing morning rounds, which patient requires priority care?

The nurse would evaluate the patient as understanding teaching for peripheral arterial occlusive disease of the patient stated that which of the following is a classic symptom?

The nurse is reinforcing teaching for a patient prescribed sublingual nitroglycerin tablets. The nurse should instruct the patient to use the medication in which way?

The nurse is teaching a patient about medications used to treat peripheral arterial disease and claudication. Which would the nurse include in the teaching plan?

The nurse is ambulating a patient who is recovering from a myocardial infarction when the patient develops chest pain with an irregular pulse. Which is the safest way for the nurse to return the patient to bed?

The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse should prepare for what first-line treatment for this rhythm?

A patient has a radial pulse of 58 beats per minute. How should the nurse document this finding?

The nurse is reinforcing teaching for a client with chronic heart failure. Which weight assessment should the nurse teach the patient to perform to monitor fluid status at home?

The nurse is to administer bumetanide (Bumex) to a patient but first reviews laboratory results. Which result requires action by the nurse?

The nurse is caring for a patient receiving furosemide (Lasix). While collecting data, the nurse sees the patient has less ankle edema and jugular vein distention than earlier. The next dose of Lasix is scheduled in 1 hour. Which action should the nurse take?

Which action should the nurse prioritize when taking care of a patient with a platelet count of 23,000/mm3?

A nurse is assessing a patient and finds small red-purple dots over most skin surfaces. The patient denies noticing them before. Which action should the nurse take FIRST?

Which circumstance places the patient at highest risk for postoperative pneumonia following a splenectomy?

Which family member should be restricted from visiting a patient with newly diagnosed leukemia?

A nurse is teaching a patient with sickle cell anemia about activities to avoid. Which of the following activities the patient plans to do shows that more teaching is needed?

Which term should be used to document the musical sounds generated by airflow through narrowed airways?

Which instruction is correct when teaching a patient how to use a traditional metered-dose inhaler?

Which communication method is inappropriate for a patient with a total laryngectomy?

Which position is recommended for a client experiencing epistaxis?

A client with end-stage obstructive pulmonary disease has a nursing diagnosis of Impaired Gas Exchange. Which assessment finding shows that interventions have been effective?

Which of the following assessment findings does the nurse expect in the patient with emphysema?

A patient with shortness of breath is being tested for lung cancer. Which diagnostic test will be the most conclusive?

The nurse is caring for a patient with chronic pancreatitis. While reviewing laboratory data, the nurse would expect an elevation in which serum laboratory value?

The nurse reinforces teaching for a patient after a cholecystectomy. The nurse will know that the patient understands the diet plan if which menu items are selected?

The nurse is caring for a patient with a urinary catheter. What is the most important nursing action for the nurse to take to prevent a urinary tract infection in this patient?

A patient is experiencing incontinence with frequent involuntary loss of urine. Which direction would be the most appropriate when teaching the patient how to perform Kegel exercises?

The nurse is obtaining a history on a patient with a diagnosis of bladder cancer. What would the nurse expect to find in the history?

The nurse is contributing to the plan of care for a patient with glomerulonephritis. Which interventions would the nurse recommend to be included in the patient's plan of care?

A patient has completed their hemodialysis session. The nurse notes bleeding from the patient's vascular access in the left arm. Which action should the nurse perform first?

A patient with chronic kidney disease who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is 6.0 mEq/L. Which food should the nurse offer the client?

Which hormone is secreted by the posterior pituitary gland?

A patient is started on levothyroxine (Synthroid) to replace thyroxine (T4) for a new diagnosis of hypothyroidism. What effect can the patient expect as the medication begins to work?

Which assessment finding in a patient who has just returned from having a thyroidectomy should be immediately reported to the health care provider?

Which nursing assessment is most important in the patient with hyperthyroidism and risk for thyrotoxic crisis?

Which assessment finding should the nurse expect to see in the patient with uncontrolled diabetes insipidus?

Which breakfast menu is most appropriate for a patient with diabetes?

Diabetes is diagnosed with a fasting blood glucose is greater than ____ mg/dL.

For which blood glucose result would the nurse administer 'fast sugar'?

A client will be diagnosed with diabetes mellitus if their HbA1C is greater than ___ %

The nurse is caring for a patient who has undergone a right knee arthroscopy. Two hours after the procedure, the patient's right pedal pulse is diminished compared with the previous assessment. What action should the nurse take?

The nurse is caring for a patient with an external fixation device. Which action should the nurse implement?

The nurse is caring for a patient immediately after a below-the-knee amputation. Which data collection should the nurse consider a priority?

The nurse is caring for a patient who is 72-years-old, postmenopausal, has osteoporosis, lost 2 inches of height, is thin, and has never exercised regularly. Which of these interventions should be included in the plan of care to prevent further bone loss?

The nurse is caring for a patient with with a left tibia fracture. Which finding would be a priority to notify the health care provider?

Which instruction would the nurse provide for the patient when testing the trigeminal nerve?

When performing a neurologic assessment, which findings is a symptom of increased intracranial pressure, that the nurse should immediately notify the health care provider?

A patient has returned from having a CT scan with contrast. What is the priority in the hours after the scan?

A college student is admitted to the hospital with a severe headache. Which finding in the student's history is consistent with the diagnosis of meningitis?

What action should the nurse take to help prevent increased intracranial pressure in a patient following a traumatic brain injury?

Which nursing interventions are appropriate for the patient with a neurodegenerative disorder who has difficulty swallowing?

A nurse is caring for a client who is recovering from an ischemic stroke. Upon entering the room to pick up the supper tray, the nurse notes that the client has only eaten food on the left side of the tray. What should the nurse do?

Which is the best method for the nurse to use to communicate with the patient experiencing receptive aphasia?

How soon after symptom onset must a person who is having an ischemic stroke receive thrombolytic therapy?

Which nursing intervention should be AVOIDED for a patient with bell's palsy?

When caring for a patient admitted with Guillain-Barre syndrome, which nursing diagnosis should take priority?

A patient is taking aspirin. Which finding would indicate that the client is experiencing a toxic effect related to the medication?

The nurse is collecting data during a patient's clinic visit. Which question will best collect data about a patient's preventive ear health?

The nurse is caring for a patient with presbycusis. Which technique is most important for the nrse to use to increase communication with this patient?

The nurse is contributing to the plan of care for a patient with Meniere disease. What is the primary goal for this patient that the nurse should recommend to include in the plan of care?

The nurse is caring for a patient with macular degeneration. During data collection, which symptom would the nurse anticipate the patient to report?

The nurse is caring for a client with a history of acute angle-closure glaucoma. The nurse is preparing to administer the client's medications. Which medication should the nurse question, prior to administration?

What is the antidote for warfarin (Coumadin)?

What is the antidote for heparin?

What is the antidote for opioids? (TRADE NAME)

Term used for removal of gallbladder.

Term for deficient cortisol (no punctuation)

Term for excess potassium

pH 7.48, CO2 40, HCO3 31 (do not write compensation)

A patient is brought to the emergency department after a house fire. The patient has extensive trunk and lower extremity burns and is diagnosed with a deep partial-thickness burn. What assessment findings does the nurse expect?

A patient is admitted to the emergency department with flame burns to the entire chest, abdomen, back and upper extremities. Using the rule of 9s, what approximate percentage of burns should the nurse document?

Which is included in the 6 P's?

A client is brought in during a trauma. Which step would take place after circulation is assessed?

Your patient is completely comatose, without any response to verbal or painful stimuli. The patient is unable to speak or respond in any way. What is their Glasgow coma scale score?