A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect? A.Hypertension B.Hyperactive bowel sounds C.Peripheral edema D.Periumbilical discoloration
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A.Hypertension
B.Hyperactive bowel sounds
C.Peripheral edema
D.Periumbilical discoloration
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- The nurse is planning care for a patient with cirrhosis. For which of the condition the nurse would place the patient on bleeding precautions?A. EncephalopathyB. Low vitamin KC. Elevated liver enzymesD. Hepatorenal syndromeExplain pleaseAn older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremetiesA client who had a bladder tumor recently underwent surgery for removal of the urinary bladder with creation of an ileal conduit. An appliance is fitted over the surgical stoma.a. The nurse would monitor the client for which possible complications? b. What measures should the nurse include when providing postoperative care for this client?
- An elderly patient is receiving antihistamine therapy. What interventions specific to this medication does the nurse implement? (Select all that apply). A. Assess the patient for delirium, confusion and dizziness. B. Auscultate the patient's breath sounds C. Provide a low residue diet. D. Encourage the patient to ambulate E. Monitor the patient's urine outputWhile Administering an enema, the patient complains of abdominal cramps. Which of the following is the best action by the nurse? Answer Choices: a. Continue giving enema as abdominal cramping is a normal phenomenon. b. Slow down the rate of infusion c. Stop giving the enema d. Administer analgesicsThe nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? A. Teach coughing and deep breathing exercises B. Assess the client's oral cavity for ulceration C. Request thick nectar liquid for the client D. Monitior the client when using a straw for liquids
- A nurse assesses an oral temperature for an adult patient. Thepatient’s temperature is 37.5°C (99.5°F). What term wouldthe nurse use to report this temperature?a. Febrileb. Hypothermiac. Hypertensiond. AfebrileA nurse is assessing a client immediately following a lumbar puncture. Which of the following findings should the nurse report to the provider?1. Client reports a need to void2. Client requests oral fluids3. Client requests to ambulate4. Client reports feeling nauseatedA patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? A. The patient will be admitted to the medicine unit for observation and medication. B. The patient will be admitted to the day surgery unit for sclerotherapy. C. The patient will be admitted to the surgical unit and resection will be scheduled. D. The patient will be discharged home to follow-up with his cardiologist in 24 hours.
- An older client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit? A. Arrange food on the plate in clockwise order B. Apply bilateral eye patches while sleeping C. Verbally identify self when entering the room D. Use a white board to communicate ideasThe nurse is to administer a medication to a hospitalized client . Which of the following factors should a nurse consider when administering medications to an older adult ? (Select all that apply .) a. Altered peripheral venous tone An increased number of protein -binding sites b. An increased difficulty with the penetration of fat -soluble drugs c. A decline in enzyme production needed for drug metabolism d. An increased gastric emptying time e. A decline in liver functionA nurse is developing a plan of care related to preventionof pressure ulcers for residents in a long-term care facility.Which action would be a priority in preventing a patient fromdeveloping a pressure ulcer?a. Keeping the head of the bed elevated as often as possibleb. Massaging over bony prominencesc. Repositioning bed-bound patients every 4 hoursd. Using a mild cleansing agent when cleansing the skin
