The nurse is caring for a client receiving IV heparin therapy for a pulmonary embolism. Which lab values would the nurse expect to order on this client?
hematocrit HDL and LDL PT, PTT, INR troponin level
Category: NCLEX-RN Practice Test
The nurse is caring for a client post-op day 1 for a bowel resection. The client is receiving pain medication via a patient-controlled analgesic pump (PCA) but states that her pain is severe and the pain pump is not providing adequate relief. Which is the priority nursing action for this client?
assess vital signs and pain for location, quality, and intensity reposition the client with the head of bed elevated 30 degrees offer nonpharmacologic pain reli...
The nurse is caring for a client who is at risk for altered fluid balance. Which signs and symptoms of dehydration would the nurse expect to find in this client? Select all that apply.
bounding pulses increased hematocrit orthostatic hypotension diminished bowel sounds decreased urine specific gravity
The nurse is caring for a client diagnosed with a cerebral aneurysm. Which precautions would the nurse put in place for this client? Select all that apply.
keep the room dark and avoid direct, bright lights allow frequent visitors to provide social interaction to the client administer deep vein thrombosis (DVT) pro...
The nurse is caring for a first-time mother who is asking how to help her baby sleep through the night as the baby gets older. Which recommendation should the nurse tell the mother?
“Rock her to sleep every night until she is in a deep sleep.” “Give diphenhydramine 12.5 mg orally to put the baby to sleep.” “If she starts waking up a lot in ...
The nurse is caring for a 7-year-old child with constipation. The child’s mother asks the nurse what she can do to help prevent another episode. What information would the nurse include in her response?
“Give enemas until the child runs clear.” “Give laxatives daily on a regular basis.” “Provide lots of milk and sugary foods to promote defecation.” “Have the ch...
The nurse is caring for a client with Crohn’s disease. How should the nurse educate the client regarding nutrition and hydration?
Drink coffee each morning, as this can help stimulate the appetite. Avoid enteral supplements, as they may decrease the appetite for solid foods. Select high-ca...
The nurse is taking a history from a client in an outpatient clinic. The client has been taking duloxetine (Cymbalta) for fibromyalgia. Which of the following over-the-counter medications would cause the nurse some concern if the client says she is taking it?
aspirin garlic supplements vitamin B6 cough medicine with dextromethorphan
The nurse is caring for a client in the intensive care unit. The nurse recognizes that to prevent sensory alteration in a client, the nurse needs to do which of the following interventions? Select all that apply.
orient the client to person, place, and time during every contact limit visitors to one 15-minute visit per 8-hour shift explain all nursing care keep the light...