dehydration. fluid volume overload. hyperglycemia. hypoglycemia.
A client diagnosed with Alzheimer’s disease initiates the same conversation repeatedly, becomes aggressive when stressed, needs reminders to perform ADLs, and is easily lost in his neighborhood. This client is likely in what stage of Alzheimer’s disease?
pre-Alzheimer’s early/mild moderate late to severe
A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client’s risk for suicide?
ask the client if she has had any suicidal thoughts or plans ask the girl’s parents what changes in behavior they have noticed ask the client if she has been taking her antidepressant medication as prescribed do not mention the subject of suicide until the client brings it up herself
Which of the following is a metabolic, life-threatening adverse reaction to general anesthesia?
hypothermia hyperthermia hypoglycemia hyperglycemia
A client with Graves’ disease is brought to the ER with a suspected thyroid storm. The nurse expects to see what signs and symptoms?
seizures, jaundice, irregular heartbeat, vomiting bradycardia, septic shock, polyuria increased cranial pressure, thready pulse, rash across chest poor muscle tone, dyspnea, cyanosis
A public health nurse works with a specific population. Many of the clients use herbal remedies at home. The nurse would express concern if which of the following clients reported using herbal remedies?
13-year-old girl with a toothache 42-year-old man with xerostomia 59-year-old woman with nasopharyngitis 20-year-old woman with psoriasis
A 4-year-old girl has been transferred to a step-down recovery room after a tonsillectomy yesterday. The nurse should place the child in what position while she sleeps?
semi-Fowler’s position supine position prone position side-lying position
A labor and delivery nurse is caring for a client in active labor. The fetal monitor shows late decelerations. The nurse should first
place the client in high-Fowler’s position in preparation to push. place the client in left lateral recumbent position. increase the rate of IV Pitocin. call the physician and report fetal distress.
A client in cardiac arrest shows to be in torsades de pointes, and magnesium sulfate is ordered STAT. The priority nursing intervention is
monitor client for bradycardia and respiratory depression. prepare client for synchronized cardioversion. monitor client for tachycardia and hyperventilation. prepare client for Swan catheter.
A 5-year-old boy ingested aspirin tablets, thinking they were candies. The nurse is most concerned about
metabolic acidosis. metabolic alkalosis. respiratory alkalosis. respiratory acidosis.