LNN ACADEMY 🦠🩺💊

A nurse is evaluating a client’s fluid loss resulting from extensive burns. What is the most valuable blood test to use when monitoring a client’s fluid loss?

What should the nurse consider as the goal of therapy when administering allopurinol (Zyloprim) to a client with gout?

nurse suspects the development of compartment syndrome for a client who has sustained blunt trauma to the forearm. For which early sign of compartment syndrome should the nurse assess the client?

A nurse is preparing to give a client a tepid bath and uses a bath thermometer to test the water temperature. What is the acceptable temperature range for a tepid bath?

A nurse is reviewing discharge plans with a client who is hospitalized with hepatitis A. The nurse concludes that the client understands preventive measures to reduce the risk for spreading the disease when the client states, “I should:

One week after being hospitalized for an acute myocardial infarction, a client reports a loss of appetite and feeling nauseated. Which of the client’s prescribed medications should be withheld and the health care provider notified?

Which client’s health problem motivates the nurse to question a prescription for a beta blocker?

THE nurse teaches a 20-year-old female how to perform SBE (self breast exams). Which of the following instructions, if given by the nurse, is INCORRECT?

A patient is diagnosed with a DVT. Which of the following, if stated by a UAP (Unlicensed Assistive Personnel), requires intervention by the nurse?

The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defense mechanisms?

The nurse is providing care for a patient who is unconscious. What nursing intervention takes highest priority?

The physician has ordered a medication to be given by IV push method. Which is an appropriate nursing action?

A young student is brought to the school nurse after falling off a swing. The nurse is documenting that the child has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in documentation?

When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?