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A client has been diagnosed with glossopharyngeal neuralgia. The nurse will expect the client to
experience episodes of vertigo. experience difficulty moving the tongue. experience double vision. experience episodes of pain in the throat, ears, tongue, and tonsils.
A 28-year-old woman pregnant with twins comes in for her prenatal appointment. She tells the nurse that she has two children at home (ages 4 years and 16 months), and she had one abortion 6 years ago when she was 8 weeks along in the pregnancy. The nurse charts
gravida 4, para 2. gravida 4, para 3. gravida 5, para 2. gravida 5, para 3.
The nurse recognizes all of the following as common physical characteristics of a child with Down syndrome EXCEPT
small, low-set ears. downward slanting eyes. hyperflexibility. enlarged tongue.
A teenage client tells the nurse about her plans to be a lifeguard this summer. The nurse would be concerned if she saw the client was taking which medication?
tetrahydrozoline (Tetryzoline) isotretinoin (Accutane) levonorgestrel (Levora) sulfamethoxazole (Bactrim)
A 3-year-old boy is diagnosed with plumbism. Which of the following information in his chart does the nurse associate with his diagnosis?
The child’s family follows a strict vegetarian diet. The child lives in a 70-year-old farmhouse with his grandparents. The child was strictly bottle fed. The child required phototherapy after birth.
A client has surgery scheduled in 2 weeks. He decides to donate his own blood ahead of time to be stored and used in case he needs a blood transfusion during his surgery. This type of blood donation is referred to as
an allogeneic donation. an xenogeneic donation. an autologous donation. a directed donation.
An end-of-life client receiving home hospice care states he no longer wants to eat. The nurse should
speak with the health care provider about inserting a feeding tube. encourage the client to eat small, nutritious meals. accept the client’s decision and work to make the client comfortable. ask the client’s family to bring the client’s favorite foods.
The nurse recognizes which of the following as a dual diagnosis?
major depressive disorder and hypertension schizophrenia and depression bipolar disorder and alcoholism depression and obsessive-compulsive disorder
A nurse needs to draw a blood sample from a patient’s central line. The line is currently infusing Ringer’s lactate. In which order should the nurse take the following steps to draw the blood sample? Number the steps below.
__ attach the flush syringe and flush catheter with normal saline __ stop the infusion and disconnect Ringer’s lactate __ withdraw a blood sample and discard __ scrub the catheter hub __ withdraw the blood sample for the lab