During assessment of a client, the nurse notes crackles in the lung bases and bilateral pedal edema. A common cause of fluid volume excess is which factor?
excessive IV infusion short-term corticosteroid administration prolonged diarrhea high fever
Category: NCLEX-RN Practice Test
A client is provided instructions for a low-sodium diet. Which statement by the client indicates an understanding of the diet?
“I’ll miss eating tomatoes.” “I’ll enjoy eating take-out more frequently.” “I’ll avoid potato chips and cheese.” “I’ll miss eating celery.”
During the nurse’s assessment of a client who has been diagnosed with anorexia nervosa, the nurse evaluates certain characteristics that accompany an intense fear of gaining weight. What characteristics are most applicable?
fatigue excessive exercise regime normal weight high blood pressure
The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist’s attention?
uncontrolled facial movements hypertension stiff muscles bradycardia
A 17-year-old adolescent, diagnosed with schizophrenia, is admitted by the nurse to a psychiatric facility. Which behaviors would characterize this diagnosis? Select all that apply.
flat affect fast speech pattern hallucinations feeling energized
An adolescent client is seen by the nurse at a school where a fatal shooting incident occurred on campus 3 months earlier. The nurse documents that the client is experiencing flashbacks, avoiding the location of the shooting, having angry outbursts, and experiencing a loss of interest in playing his favorite musical instrument. The nurse suspects the client is experiencing p ost-traumatic stress disorder. Which intervention would be the best for the nurse to implement?
arrange private counseling sessions with the client over the next 5 school days refer the client to the multidisciplinary school crisis team that includes the n...
The nurse is admitting a client with a diagnosis of severe malignant catatonia to the in-patient psychiatric unit. Under which condition would the nurse support the use of electroconvulsive therapy (ECT) as a first-line treatment?
The client is in the first trimester of pregnancy. The client is gainfully employed. The client lives in an assisted living facility. The client is over 50 year...
The nurse is caring for a 27-year-old client in active labor. After reviewing the fetal heart tone strip shown, the nurse should take which action first ?
reposition the client draw a potassium level notify the health care provider prepare the client for a cesarean section
A tornado warning has been issued in the area surrounding the hospital. Which action by the nurse is most appropriate to ensure client safety?
leave window blinds open so that staff can monitor the weather close blinds, roll client beds out into the hallway, and close the doors to all the rooms close w...
The nurse enters a client’s room and finds him lying on the floor. The client says to the nurse, “I fell because I was trying to go to the bathroom and no one answered my call light.” Which of the following actions by the nurse are correct?
assist the client back to bed complete an incident report notify the health care provider assess the client for any injuries document in the medical record that...