The nurse anticipates which of the following responses in a client who develops metabolic acidosis

An appropriate instruction to be included in the discharge teaching of a patient following a spinal fusion is?

A nurse is preparing to give an IM injection of Iron Dextran that is irritating to the subcutaneous tissue. To prevent irritation to the tissue, what is the best action to be taken?

During a basic life support class, the instructor said that blind finger sweeping is not advisable for infants. Which among the following could be the reason?

A patient with complaints of chest pain was rushed to the emergency department. Which priority action should the nurse do first?

Several patients from a reported condominium fire incident were rushed to the emergency room. Which should the nurse attend to first?

A new nurse is administering an enema to a patient. The senior nurse should intervene if the new nurse?

The client’s ECG tracing shows ventricular tachycardia secondary to low magnesium level. Which of the following electrocardiogram tracing results is consistent with this finding?

The physician is assessing the client’s sensorium by using the Glasgow Coma Scale. Which of the following is true about the Glasgow Coma Scale?

Vomiting is one of the most common side effects of chemotherapy. The nurse should be aware of which acid-base imbalance?

The mother of a child with bronchial asthma tells the nurse that the child wants a pet. Which of the following pets is most appropriate?

A client with a fractured leg has been instructed to ambulate without weight bearing on the affected leg. The nurse evaluates that the client is ambulating correctly if she uses which of the following crutch-walking gaits?

Older adults with known cardiovascular disease must balance which of the following measures for optimum health?

A client whose condition remains stable after a myocardial infarction gradually increases his activity. Which of the following conditions should the nurse assess to determine whether the activity is appropriate for the client?

Which of the following is an adverse effect of vancomycin (Vancocin) and needs to be reported promptly?

When performing an otoscopic examination of the tympanic membrane of a 2-year-old child, the nurse should pull the pinna in which of the following directions?

A client has his leg immobilized in a long leg cast. Which of the following assessments indicates the early beginning of circulatory impairment?

Which of the following baseline laboratory data should be established before a client is started on tissue plasminogen activator or alteplase recombinant (Activase)?

The antidote for heparin is:

Which of the following sounds should the nurse expect to hear when percussing a distended bladder?

The nurse observes a darkish blue pigment on the buttocks and back of an African American neonate. Which of the following actions is most appropriate?

The nurse is caring for a client who has severe burns on the head, neck, trunk, and groin areas. Which position would be most appropriate for preventing contractures?

While assessing a 4-day-old neonate delivered at 28 weeks gestation, the nurse cannot elicit the neonate’s Moro reflex, which was present 1 hour after birth. The nurse notifies the physician because this may indicate which of the following?

Which of the following factors can alter tissue tolerance and lead to the development of a pressure ulcer?

Which of the following types of restraints is best for the nurse to use for a child in the immediate postoperative period after cleft palate repair?

A client in severe respiratory distress is admitted to the hospital. When assessing the client, the nurse should:

A client has had a total hip replacement. Which of the following signs most likely indicates that the hip has dislocated?

A 25-year-old has been diagnosed with hypertrophic cardiomyopathy. The nurse should assess the client fo

What is the priority nursing intervention for a client who is admitted to the emergency department with burns over an estimated 27% of the body surface area?