The nurse is providing an educational session to new employees, and the topic is abuse of the older client. The nurse helps the employees identify which client as most typically a victim of abuse?
55 years old patient suffers from heart failure, when the nurse examines his lungs she noticed the presence of crackles which means that the patient has:
During the home visit by the community health nurse she observes that the infant baby during breastfeeding stop sucking and the milk is leaked from the nose. What would the nurse suspect?
all of the following are clinical sign of fever except:
A patient presented to the office for a physical examination. The patient is found to be healthy and fit but occasionally drinks alcohol and has unprotected sex. What is the BEST nursing diagnosis?
which of the following signs and symptoms is not a panic attack:
A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIDH). Which of the following should be a priority intervention for the client?
The nurse is providing instructions to a maternity client with a history of cardiac disease regarding appropriate dietary measures. Which statement, if made by the client, indicates an understanding of the information provided by the nurse?
A nurse diagnosis a patient with readiness for the..., the diagnosis is classified within which of the nursing diagnoses?
A patient is scheduled for an abdominal aneurysm repair. This is what type of surgical intervention?
A patient with hypoxia is admitted to the medical unit. The nurse started Oxygen therapy using nasal prongs Heart rate Respiratory rate 37.3°C 95/min 23/min Temperature Oxygen saturation 89 % What is the most appropriate position should the nurse consider improve breathing?
Skeletal traction urinary catheter were discontinued for a patient who was immobilized in traction for sex weeks. The patient developed a problem with urinary incontinence. Which of the following is the most appropriate intervention?
Pre-op medication is given:
The purpose of a cardiac pacemaker is to:
A 66 year-old woman is admitted in the Orthopedic Ward for the partial hip replacement surgery. She has osteoarthritis for the last 25 years and she is experiencing pain and progressively restrictive mobility despite having some physiotherapy sessions. What needs to be ensured as the most important part of pre-operative nursing care?
The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. An unlicensed assistive personnel (UAP) is resistant to the change and is not taking an active part in facilitating the process of change. Which is the best approach in dealing with the UAP?
The nurse is receiving a child postoperative tonsillectomy. Which of the following nursing assessment is suitable for the postop care?
A client was admitted in the Emergency Room due to mild metabolic acidosis associated with dehydration and potassium the doctor administered Hartmann’s (lactated Ringer’s) intravenous fluid and electrolyte replacement. Which of the following elements of the lactated Ringer’s solution highest value?
antibiotics are prescribed for a child with otitis media who underwent a myringotomy with insertion of tympanostomy tubes. The nurse provides discharge instructions to the parents regarding the administration of the antibiotics. Which statement, if made by the parents, indicates understanding of the instructions provided?
Baby boy birth weight is 3 kg what the expected ate age of 1 year?
Mr. and Mrs. Baker's only daughter is diagnosed with heart failure. Which of the following interventions would be appropriate to promote optimal nutrition for the infant?
A patient schedule for pneumonectomy, what is the name of this surgery, (what is the appropriate surgery) for this patient;
The nurse is assessing a newborn after circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which nursing action is most appropriate?
newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
The urinary catheter is kept securely in the bladder by:
The nurse is providing health teaching to a group of pregnant mothers . Which of the following symptoms should the nurse tell them to promptly report?
What is the best course of action by a nurse to examine nerve?
When teaching parents about the child's readiness for toilet training. which of the following signs should the nurse instruct them to watch for in the toddler?;
During her check-up after a spontaneous abortion at 12 weeks, a client becomes angry and screams at the nurse, "Why did God punish me? I haven't done anything to deserve this." Which response is most appropriate?
During the postoperative period, a nurse is assigned to care for a morbidly obese patient with an abdominal incision. The nurse knows that this patient’s weight increases the risk of:
Apnea is medical term means:
A female patient pregnant 9 months, came to the emergency with bleeding and clot discharge with blood, what is the diagnosis?
The nurse is receiving a 40-year old, male patient from the recovery room because of percutaneous liver biopsy . Which of the following positions should the nurse place the patient right after the procedure?
The following are signs that the placenta has detached EXCEPT:
The doctor order furosemide 40mg BID for patient with edema. What the nurse expected?
A 5-month-old boy has been vomiting green coloured vomit He has intermittent abdominal pain during which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like consistency. Abdominal pal a long. tube-like mass. There is no fever, rash nor diarrhea are hyperactive in all quadrants which is the most likely form of initial treatment?
Doctor asked a nurse to perform preliminary assess prioritise them. Which of the following is the best way to assess?
An adolescent male is diagnosed with a sexually transmitted infection. The client asks if the visit can be kept private or if the parents need to be informed of the infection. What response by the nurse is best?