“Hold the cane on the affected side.” “Hold the cane on the unaffected side.” “Move the cane at the same time as the affected leg.” “Move the cane at the same time as the unaffected leg.” “Hold the cane 8 to 10 inches from the side of the foot.”
A nurse on the oncology unit is preparing to care for a client newly diagnosed with small cell lung cancer. Which statements would the nurse include in client teaching?
“Avoid aspirin-based products to reduce the risk of bleeding.” “Avoid crowds and report low-grade fever, sore throat, or chills.” “Keep vaccinations current, including live vaccines, to promote wellness.” “Use a soft toothbrush and electric razor to minimize the risk of bleeding.” “Inspect the mouth regularly for sores and ulcers and rinse the mouth after meals.”
Which client does the nurse recognize as having the highest increased risk of developing breast cancer?
a 68-year-old client with dense breasts a 34-year-old client pregnant with her first child an obese client with a body mass index of 30 a client with two first-degree relatives with breast cancer
The nurse is preparing to assess cranial nerve VIII on a client. Which tests will the nurse perform?
Allen’s test Phalen’s test the Rinne test the Weber test
The nurse is caring for a client with myasthenia gravis (MG) who is 14 weeks pregnant. Which of the following does the nurse understand about MG in the pregnant client?
Most women with MG tolerate labor poorly unless they are in excellent physical health. Approximately 25% to 30% of neonates born to women with MG develop neonatal myasthenia. MG usually goes into remission with younger clients and causes exacerbation in older clients. Narcotics must be used with caution due to the risk of respiratory depression…
The nurse is teaching a new mother about postpartum fatigue (PPF). Which information would the nurse include?
PPF is more common in women with cesarean births. Fatigue usually improves over the first 6 weeks after birth. Fatigue can help reduce the incidence of postpartum depression. Nursing mothers can minimize fatigue by breastfeeding in the side-lying position.
The nurse is monitoring fetal heart rate (FHR) on a laboring client. Which finding should be reported to the health care provider?
FHR of 154 bpm with moderate variability FHR of 114 bpm with moderate variability FHR of 170 bpm lasting more than 10 minutes FHR of 156 bpm with minimal variability in a premature infant
A nurse is preparing staff education on the developmental stages and milestones in a normally developing fetus. Which information should be included?
The testes at the inguinal ring descend to scrotum at 12 weeks. The bladder and urethra separate from the rectum at 12 weeks. The kidneys are in position at 16 weeks with typical shape and plan. The nostrils reopen and primitive respiratory-like movement begins at 24 weeks.
The labor and delivery nurse expects which clients to be at high risk for amniotic fluid embolus (AFE)?
a 27-year-old client with preeclampsia a healthy 23-year-old anticipating a vaginal delivery a 42-year-old expecting her second child via cesarean section a 32-year-old client with diabetes anticipating induced labor
The nurse is caring for a client diagnosed with syphilis. The client presents with a widespread, symmetric maculopapular rash on the palms and soles. The nurse understands that the client is in which stage of the infection?
primary syphilis secondary syphilis early latent syphilis latent phase syphilis