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3 511
Which of the following should be considered the highest priority during the first 24 hours postoperatively for the client who had a total laryngectomy due to cancer of the larynx?
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The client sustained an open fracture of the femur from an automobile accident. For which of the following types of shock should the client be assessed?
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A 25-year-old has been diagnosed with hypertrophic cardiomyopathy. The nurse should assess the client for:
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What position should the nurse place the head of the bed in to obtain the most accurate reading of jugular vein distention?
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A child who is admitted after having suffered trauma has also been exposed to varicella. Which of the following should the nurse institute for infection control?
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The home health-care nurse is reviewing the list of daily medications the client diagnosed with AIDS is prescribed. Which medication needs further clarification by the nurse?
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The nurse administers lactulose (Duphalac) to a client with cirrhosis. What is the expected outcome from the administration of the lactulose?
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The therapeutic effects of desmopressin nasal spray (DDAVP) are obtained when the client no longer has:
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The senior house officer in the A & E department is puzzled by this ECG which was recorded from an 80-year-old admitted unconscious with a stroke. What has the house officer missed?
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A client is taking large doses of aspirin daily to treat her rheumatoid arthritis. Which of the following side effects should the nurse instruct her to report?
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The client is started on simvastatin (Zocor) as a component of cholesterol management. Which of the following laboratory tests needs to be monitored while on this therapy?
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Which sign should lead the nurse to suspect that a child with meningitis has developed disseminated intravascular coagulation?
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The nurse is assessing a child diagnosed with a brain tumor. Which of the following signs and symptoms should the nurse expect the child to demonstrate? Select all that apply.
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A client has an amylase level of 450 units/L and lipase level of 659 units/L. The client has mid-epigastric pain with nausea. What assessment helps the nurse to determine severity of the client’s condition?
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The wife of the client diagnosed with Guillain-Barré syndrome asks the nurse, “Don’t you have something that will cure this disease?” Which statement is the nurse’s best response?
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The nurse is preparing to administer the morning medications to the client who is 1-day postoperative total knee replacement. Which medication should the nurse question administering?
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Which of the following laboratory findings would the nurse expect to find in a client with diverticulitis?
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Which of the following adverse effects would the nurse expect the client to exhibit in the event of too rapid an infusion of TPN solution?
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A client who is scheduled for an ileostomy has an order for oral neomycin (Mycifradin) to be administered before surgery. The intended outcome of administering oral neomycin before surgery is to:
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Patient teachingDemonstrate comprehensive oral hygiene practices and have the patient perform a return demonstration. Recommend that the patient use alkaline mouth care products because increased acidity promotes candidal growth. Tell a patient using nystatin solution to swish it around his mouth for several minutes before swallowing. Be sure he knows not to scrape the lesions but to coat them with the medication. Encourage a female in her third trimester of pregnancy to be examined for vaginitis to protect her infant from thrush infection at birth. Direct the patient with dyspareunia to take intravaginal medication as prescribed. Listen to her concerns and reassure her that sexual impairment should resolve when her infection subsides. Tell her that her sexual partner usually won't need concomitant treatment.
