A 52 year old woman who has

A 52 year old woman who has had severe anemia for many years is admitted to the hospital which of the following symptoms would the nurse expect to find during physical examination of the client? Muscle pain, bradycardia, and blood stools Clubbed fingers, cyanosis, and oliguria Alopecia, nystagmus, and pruritus Smooth tongue, dysphagia, and stomatitis A female client is suspected of having pernicious anemia. To determine if the client has a risk factor related to pernicious anemia, which of these questions is essential to risk? Have you ever had a cardiac catheterization Have you ever had any surgery involving your stomach? Have you had a blood transfusion recently Have you had a pregnancy terminated within the past six month Which of the following statements if made by a client with pernicious anemia would indicate a need for further teaching? Mr. S. has severe anemia and is being treated with transfusion therapy. During the first 15 minutes of the transfusion Mr. S. complains of severe itching. The nurse first response should be: Take a set of vital signs Stop the blood transfusion Administer Benadryl as ordered Call the provider Which of the foods provide the highest concentration of folic acid? Green beans and red meat Milk Orange Juice Wheat Bread A nurse is admitting a patient with a diagnosis of aplastic anemia. Which is the best room for the nurse to assign A semiprivate room with a client whose diagnosis is urosepsis A regular private room at the end of the hall A private isolation room equipped with negative pressure airflow A semiprivate room with a client whose diagnosis is thrombophlebitis A. client is currently receiving a blood transfusion. The 30 minute vital signs were taken at 1400. At what time would the nurse ask the support technician to take the next set of vital sign? 1430 1500 1530 1600 Mr. Jones is a boxer. He was diagnosed with hemophilia. The nurse understands that hemopilia inventions are Select all that apply The nurse is caring for a client recovering from an open reduction for a fracture. The client is to receive Codeine gr2, STAT. Available is Codeine 130mg/ml. How many ml will the nurse administer? 0.6ml 0.9ml 1.2ml 1.5ml A client has been receiving tube feeding via the nasal gastric tube for the last 48hours at 65ml/hr. Which of the following would require an intervention from the nurse? Select all that apply. Complaints of abdominal fullness Residual of 300ml for two consecutive checks Distended abdomen Bowel sounds present in all 4 quadrants A client being treated for a stage 3 wound infection develops a fever, tachycardia, and chills. The nurse calls the doctor, using ISBAR recommends which of the following? What elements are integral parts of a SOAP note? The nurse is discussing the guidelines for proper hand hygiene with nursing assistive personnel. Which statement made by NAP requires following A client with limited mobility is admitted to the medical surgical unit. Which of the following intervention should the nurse include in the plan of care for the client to maintain skin integrity? Which of the following statements is true regarding debridement? A client is hospitalized with Pneumocystis pneumonia. The client report SOB with activity and extreme fatigue. What intervention is best to promote comfort? When caring for a wound the nurse should be sure to perform the following? Which of the following should the nurse perform first after noticing a reddened area a client’s left hip? The PCP orders a CT scan on a client who is on contact isolation. How should the nurse respond to this order? A client is admitted with possible wound infection. Which action should the nurse perform first? In which situation would it be appropriate for the nurse to use an antiseptic hand rub to Which of the following would be an appropriate nursing diagnosis for a client diagnosed with AIDS and oral Candidiasis? Which of the following is not a strategy which will promote therapeutic communication? A client is exhibiting signs of ineffective airway clearance following thyroid surgery. Which of the following interventions should be a priority ? A. Provide supplemental oxygen B. Prepare the client for a tracheotomy C. Assist the client in using an incentive spirometer D. Encourage client to ambulate 25. The nurse is teaching prevention and management of Burger’s disease to a client. Which of the following would be most important for the nurse to include in the teaching? A. Low protein diet B. Exposure to cold can be helpful C. Smoking cessation D. Physical therapy 25. Order: 3500 units subcut Q8H. Available: labeled 5000 units/mL. How many mL will the nurse administer per day? Label the answer 26. The client is diagnosed with fluid volume excessed is ordered Furosemide (Lasix) 85 mg PO BID. Available Is 20 mg/Tablet. How many tablets will the client receive in one dose? 27.Which of the following is most likely to cause an inaccurate Pulmonary Function Test (PFT) result? A. Age of the client B. Time of the day the test is performed C. The client smoking before the test D. The position of the client during the test 28. Which of the following should the nurse implement when performing tracheobronchial suctioning? Select all that apply. A. Maintain clean technique B. Limit suctioning to 10 seconds per catheter pass C. Provide oxygen before suctioning D. Provide time for client to rest between suctioning 29. client is admitted to the telemetry unit after a cardiac catheterization. What is the nurse’s priority when caring for this client? A. Monitor the client’s arterial insertion site, quizlet B. Assess the intensity and quality of the client’s pain. C. Position the client in a sitting position to improve breathing D. Apply oxygen at 2L/ min via nasal cannula. SCIENCE HEALTH SCIENCE NURSING NURS 323

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