A client is 2 days post-operative colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate?
Which adverse effect would a nurse monitor for when caring f…
Which adverse effect would a nurse monitor for when caring for a client with hypertension who is prescribed metoprolol?
You have just received change of shift report. Which patient…
You have just received change of shift report. Which patient should you assess first?
A patient with a pulmonary embolism is started on Warfarin (…
A patient with a pulmonary embolism is started on Warfarin (Coumadin) therapy. The nurse teaches the patient about dietary considerations. Which of the following statements by the patient indicates correct understanding?
When a client with pneumonia is experiencing dyspnea because…
When a client with pneumonia is experiencing dyspnea because of difficulty expectorating thick respiratory secretions, which action by the RN will be MOST helpful?
A nurse in the emergency department is observing a 4-year-ol…
A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?
The nurse is performing a neurological assessment on a clien…
The nurse is performing a neurological assessment on a client post right cerebrovascular accident. Which finding, if observed by the nurse, would warrant immediate attention?
A client is receiving digoxin (Lanoxin) 0.25 mg daily. The h…
A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediatelyto the health care provider?
The nurse preparing to perform a pulse assessment checks the…
The nurse preparing to perform a pulse assessment checks the apical pulse after assessing the radial pulse. Which rationale supports this action?
Which of the following is best for a client who has difficul…
Which of the following is best for a client who has difficulty swallowing and chokes frequently?