increasing oxygen flow. elevating the head of the bed to 90 degrees. turning and repositioning the patient on his side. suctioning the patient at least hourly.
Which laboratory finding would indicate a 62-year-old male client is at risk for ventricular dysrhythmia?
magnesium 0.8 mmEq/L potassium 4.2 mmol/L creatinine 1.3 mg/dL total calcium 2.8 mmol/L
A young woman experiencing a flare-up of Crohn’s disease is confused about what kinds of foods she should eat and asks the nurse for a sample menu. Which of the following is the nurse’s best suggestion for a breakfast meal?
grits with margarine, sliced banana, and apple juice whole grain cereal with raisins, and one-half cup of coffee breakfast sandwich with bacon, fresh tomato, and onion on wheat bread, and a cup of tea bran waffles with crunchy peanut butter spread, and prune juice
A student nurse is developing a care plan for a 23-year-old woman with Meniere’s disease. Which of the following would NOT be an expected intervention?
administer narcotic pain medication PRN as ordered refer client to dietician to plan meals with reduced sodium levels assist client out of bed to shower and to toilet encourage client to eat several, similarly sized meals throughout the day
A 20-year-old woman who has been laboring at home for several hours has been admitted to the labor and delivery unit at the hospital. The nurse has come in to assess her progress. Which of the following is indicative of being in the active phase of labor?
contractions lasting 45 seconds, 4 minutes apart, with cervical dilation of 4 cm contractions lasting 30 seconds, 6 minutes apart, with cervical dilation of 3 cm contractions lasting 60 seconds, 1 minute apart, with cervical dilation of 7 cm contractions lasting 90 seconds, 2 minutes apart, with cervical dilation of 8 cm
Which of the following would be considered a tertiary prevention?
The nurse administers a PPD test for a travel visa clearance. The nurse administers vancomycin to a client with a bacterial infection. The nurse works with a stroke patient to implement assistive devices in activities of daily living. The nurse presents information about smoking cessation at a health fair. The nurse administers an influenza vaccine…
Which of the following is a core measure set developed by the Joint Commission?
genetics lymphoma nosocomial infections heart failure
Someone sees a nursing assistant yell at an elderly client and throw his lunch tray off the table. The nursing assistant could likely be charged with
negligence. assault. malpractice. battery.
Which of the following tasks would an RN NOT delegate to an LPN?
changing a sterile dressing on a stage 3 decubitus ulcer assessing a 30-year-old female’s ability to ambulate after surgery administering a tube feeding for a 36-year-old male with ALS inserting a Foley catheter for a 79-year-old male with prostate cancer
A client in ICU has a chest tube, and the nurse is assessing the chest tube drainage system. The nurse notices intermittent bubbling in the water seal chamber. What action should the nurse take?
clamp the chest tube and call for help document the findings in the client chart document an air leak and notify the physician call the physician to report the findings