NCLEX-RN Exam Dumps | A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His family states that

<< Prev Question Next Question >>

Question 609/859

A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His family states that he has not slept, eaten, or taken fluids for the past 24 hours. The planning of nursing care for a delirious client is based on which of the following premises?

A. The delirious client is capable of returning to his previous level of functioning.

B. The delirious client is incapable of returning to his previous level of functioning.

C. Delirium entails progressive intellectual and behavioral deterioration.

D. Delirium is an insidious process.

Question List (859q): 3 commentQuestion 1: A 6-year-old child is attending a pediatric clinic for a rou...; Question 2: A client is to have a coronary artery bypass graft performed...; Question 3: Which classification of drugs is contraindicated for the cli...; Question 4: A 15-year-old child is admitted to the pediatric unit with a...; Question 5: Which of the following blood values would require further nu...; Question 6: An infant with a congenital heart defect is being discharged...; Question 7: What specific hormone must be present in serum or urine labo...; Question 8: A nurse is taking a maternal history for a client at her fir...; Question 9: Endotracheal tube cuff pressure should never exceed:...; Question 10: A male infant is to be discharged home this morning. Which i...; Question 11: A male client has burns over 90% of his body after an automo...; Question 12: Due to his prolonged history of alcohol abuse, an alcoholic ...; Question 13: A client is experiencing mucosal cell damage secondary to ch...; Question 14: Which of the following changes in blood pressure readings sh...; Question 15: A cardinal symptom of the schizophrenic client is hallucinat...; Question 16: The nurse provides a male client with diet teaching so that ...; Question 17: At 38 weeks' gestation, a client is in active labor. She is ...; Question 18: A newborn girl's father expresses concern that the newborn d...; Question 19: Three weeks following discharge, a male client is readmitted...; Question 20: A first-trimester primigravida is diagnosed with anemia. The...; Question 21: A client's membranes have just ruptured spontaneously. Which...; Question 22: Assessment of severe depression in a client reveals feelings...; Question 23: Discharge teaching was effective if the parents of a child w...; Question 24: The most commonly known vectors of Lyme disease are:...; Question 25: Degenerative disorders are attributed to many factors. As a ...; Question 26: The child with iron poisoning is given IV deforoxamine mesyl...; Question 27: The nurse should facilitate bonding during the postpartum pe...; Question 28: A 30-year-old client has been admitted to the psychiatric se...; Question 29: The parents of a 2-year-old child are ready to begin toilet ...; Question 30: Morphine sulfate 4 mg IV push q2h prn for chest pain was ord...; Question 31: The physician decides to prescribe both a short-acting insul...; Question 32: A male client is admitted to the medical-surgical unit from ...; Question 33: A 3-year-old child is hospitalized with burns covering her t...; Question 34: A 70-year-old homeless woman is admitted with pneumonia. She...; Question 35: A client is experiencing visual problems at school. She has ...; Question 36: The medication that best penetrates eschar is:...; Question 37: A 48-year-old client is being seen in her physician's office...; Question 38: The most important goal in the care plan for a child who was...; Question 39: The family member of a child scheduled for heart surgery sta...; Question 40: A 27-year-old primigravida at 32 weeks' gestation has been d...; Question 41: A 25-year-old lawyer who is married with three young childre...; Question 42: A 42-year-old client presents with a diagnosis of paranoid s...; Question 43: A 48-year-old client is in the surgical intensive care unit ...; Question 44: After 3 weeks of treatment, a severely depressed client sudd...; Question 45: A pregnant client is having a nonstress test (NST). It is no...; Question 46: A 50-year-old depressed client has recently lost his job. He...; Question 47: A 42-year-old client on an inpatient psychiatric unit commen...; Question 48: A client is medically cleared for ECT and is tentatively sch...; Question 49: A schizophrenic client has made sexual overtures toward her ...; Question 50: A 9-year-old child was in the garage with his father, who wa...; Question 51: A 2-year-old boy is in the hospital outpatient department fo...; Question 52: Four days after admission for cirrhosis of the liver, the nu...; Question 53: The following nursing diagnosis is written for a comatose cl...; Question 54: Dietary planning is an essential part of the diabetic client...; Question 55: An 83-year-old client has been hospitalized following a fall...; Question 56: A 45-year-old male client was admitted to a chemical depende...; Question 57: A child with celiac disease is being discharged from the hos...; Question 58: A 29-year-old client delivered her fifth child by the Lamaze...; Question 59: A female client is concerned that she is in a "high-risk" gr...; Question 60: The nurse is developing a plan of care for a client with an ...; Question 61: A female client at 37 weeks' gestation has just undergone a ...; Question 62: A client had a ruptured abdominal aortic aneurysm that was r...; Question 63: A 52-year-old client who underwent an exploratory laparotomy...; Question 64: A client was exhibiting signs of mania and was recently star...; Question 65: A 40-year-old client has been admitted to the hospital with ...; Question 66: The pediatric nurse charts that the parents of a 4-yearold c...; Question 67: Which of the following menu choices would indicate that a cl...; Question 68: A male client is started on IV anticoagulant therapy with he...; Question 69: A 3-year-old female client is brought into the pediatric cli...; Question 70: The nurse notes hyperventilation in a client with a thermal ...; Question 71: A physician tells the nurse that he wants to orally intubate...; Question 72: Which of the following physician's orders would the nurse qu...; Question 73: A client is being discharged from the hospital today. The di...; Question 74: A 14-year-old boy has had diabetes for 7 years. He takes 30 ...; 3 commentQuestion 75: Pregnant women with diabetes often have problems related to ...; Question 76: A client has been in labor for 10 hours. Her contractions ha...; 2 commentQuestion 77: When teaching a class of nursing students, the nurse asks wh...; Question 78: Which of the following findings would necessitate discontinu...; Question 79: A client is experiencing muscle weakness and lethargy. His s...; Question 80: Which of the following serum laboratory values would the nur...; Question 81: When discussing the relationship between exercise and insuli...; Question 82: A client is being admitted to the labor and delivery unit. S...; Question 83: A 29-year-old client is admitted for a hysterectomy. She has...; Question 84: A client suspects that she is pregnant. She reports two miss...; Question 85: As a nurse in the emergency room, you receive an outside cal...; Question 86: A 42-year-old client with bipolar disorder has been hospital...; Question 87: A female client comes for her second prenatal visit. The nur...; Question 88: The nurse is in the hallway and one of the visitors faints. ...; Question 89: The nurse writes the following nursing diagnosis for a clien...; Question 90: When assessing fetal heart rate status during labor, the mon...; Question 91: An 18-year-old girl is admitted to the hospital with a depre...; Question 92: When assessing residual volume in tube feeding, the feeding ...; Question 93: A type I diabetic client delivers a male newborn. The newbor...; Question 94: In assisting preconceptual clients, the nurse should teach t...; Question 95: The nurse teaches a male client ways to reduce the risks ass...; Question 96: A pregnant client is at the clinic for a third trimester pre...; Question 97: A chronic alcoholic client's condition deteriorates, and he ...; Question 98: In addition to changing the mother's position to relieve cor...; Question 99: Which of the following should be included in discharge teach...; Question 100: The nurse begins morning assessment on a male client and not...; Question 101: A 4-year-old boy is brought to the emergency room with bruis...; Question 102: The nurse knows that children are more susceptible to respir...; Question 103: While the RN is assessing a mother's perineum on her 2nd pos...; Question 104: As soon as a child has been diagnosed as "hearing impaired,"...; Question 105: A 2-day-old infant boy has been diagnosed with an atrial sep...; Question 106: A male client had a right below-the-knee amputation 4 days a...; Question 107: When preparing insulin for IV administration, the nurse iden...; Question 108: A client develops an intestinal obstruction postoperatively....; Question 109: A male client is experiencing auditory hallucinations. His n...; Question 110: Iron dextran (Imferon) is a parenteral iron preparation. The...; Question 111: The physician is preparing to induce labor on a 40-week mult...; Question 112: Medication is administered to a client who has been placed i...; Question 113: A client has just been transferred to the floor from the lab...; Question 114: A 6-month-old infant has developmental delays. His weight fa...; Question 115: A client is pregnant for the fourth time and has had three n...; Question 116: A 19-year-old client fell off a ladder approximately 3 ft to...; Question 117: The nurse enters the playroom and finds an 8-year-old child ...; Question 118: A client is 6 weeks pregnant. During her first prenatal visi...; Question 119: A client tells the nurse that she has had a history of urina...; Question 120: To appropriately monitor therapy and client progress, the nu...; Question 121: A client has renal failure. Today's lab values indicate he h...; Question 122: When a client questions the nurse as to the purpose of exerc...; Question 123: An 8-week-old infant has been diagnosed with gastroesophagea...; Question 124: On the first postpartal day, a client tells the nurse that s...; Question 125: In client teaching, the nurse should emphasize that fetal da...; Question 126: The nurse would expect to include which of the following whe...; Question 127: Three hours postoperatively, a 27-year-old client complains ...; Question 128: At 12 hours postvaginal delivery, a female client is without...; Question 129: A 28-year-old multigravida has class II heart disease. At he...; Question 130: A client has been diagnosed with thrombophlebitis. She asks,...; Question 131: When giving discharge instructions to a 24-year-old client w...; Question 132: When inspecting a cardiovascular client, the nurse notes tha...; Question 133: A long-term goal for the nurse in planning care for a depres...; Question 134: A 10-year-old has been diagnosed with acute poststreptococca...; Question 135: A client hospitalized with a medical diagnosis of adjustment...; Question 136: On admission, the client has signs and symptoms of pulmonary...; Question 137: A 30-year-old client in the third trimester of her pregnancy...; Question 138: Which of the following nursing orders should be included in ...; Question 139: A 19-year-old primigravida is admitted to the labor and deli...; Question 140: A 55-year-old man is admitted to the hospital with complaint...; Question 141: A measurable outcome criterion in the nursing care of an ado...; Question 142: A diagnosis of hepatitis C is confirmed by a male client's p...; Question 143: An alcoholic client who is completing the inpatient segment ...; Question 144: The day following his admission, the nurse sits down by a ma...; Question 145: A 1-year-old child is to receive an IM injection ordered by ...; Question 146: Parents should be taught not to prop the bottle when feeding...; Question 147: A client with cirrhosis of the liver becomes comatose and is...; Question 148: A client is having a pneumonectomy done today, and the nurse...; Question 149: A 16-year-old client with a diagnosis of oppositional defian...; Question 150: A female client plans to bottle-feed her newborn. Her physic...; Question 151: A 43-year-old client is admitted to the hospital with a diag...; Question 152: A male client has been hospitalized with congestive heart fa...; Question 153: A 9-month-old infant visits her pediatrician for a routine v...; Question 154: A female client at 10 weeks' gestation complains to her phys...; Question 155: A 5-year-old child was recently diagnosed as having acute ly...; Question 156: The nurse should know that according to current thinking, th...; Question 157: A murmur has been discovered during the routine physical exa...; Question 158: A 28-year-old client comes to the clinic for her first prena...; Question 159: One of the most dramatic and serious complications associate...; Question 160: Seven days ago, a 45-year-old female client had an ileostomy...; Question 161: On the third postpartum day, a client complains of extremely...; Question 162: A 10-month-old infant's mother says that he takes fresh whol...; Question 163: An obstructing stone in the renal pelvis or upper ureter cau...; Question 164: The nurse is assessing breath sounds in a bronchovesicular c...; Question 165: A 34-year-old client who is gravida 1, para 0 has a history ...; Question 166: The nurse is admitting a client with folic acid deficiency a...; Question 167: A schizophrenic client who is experiencing thoughts of havin...; Question 168: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 169: On a mother's 2nd postpartum day after having a vaginal deli...; Question 170: A schizophrenic is admitted to the psychiatric unit. What af...; Question 171: A 40-year-old client is admitted to the coronary care unit w...; Question 172: A 60-year-old male client was hospitalized 3 days ago with t...; Question 173: An 8-year-old child is admitted to the hospital for surgery....; Question 174: To facilitate maximum air exchange, the nurse should positio...; Question 175: A 9-month-old infant was diagnosed with nonorganic failure t...; Question 176: The primary reason for sending a burn client home with a pre...; Question 177: The nurse would assess the client's correct understanding of...; Question 178: The nurse would need to monitor the serum glucose levels of ...; Question 179: The nurse observes that a client has difficulty chewing and ...; Question 180: A client confides to the nurse that he tasted poison in his ...; Question 181: A client with bipolar disorder taking lithium tells the nurs...; Question 182: A 9-week-old female infant has a diagnosis of bilateral clef...; Question 183: A 75-year-old client is hospitalized with pneumonia caused b...; Question 184: Nursing care for the parents of a child with a congenital he...; Question 185: A 24-year-old graduate student recognizes that he has a phob...; Question 186: When caring for a postoperative cholecystectomy client, the ...; Question 187: The physician has ordered that a daily exercise program be i...; Question 188: A male client was diagnosed 6 months ago with amyotrophic la...; Question 189: A 35-year-old client has returned to her room following surg...; Question 190: A 23-year-old male client is admitted to the chemical depend...; Question 191: A client is being discharged on warfarin (Coumadin), an oral...; Question 192: A 50-year-old male client is to receive chemotherapy. The ph...; Question 193: Succinylcholine chloride (Anectine) is ordered prior to elec...; Question 194: A 71-year-old client fell and injured her left leg while coo...; Question 195: The physician orders medication for a client's unpleasant si...; Question 196: A client has developed congestive heart failure secondary to...; Question 197: A 70-year-old female client is admitted to the medical inten...; Question 198: A child becomes neutropenic and is placed on protective isol...; Question 199: A client's renal calculi are identified as consisting of cal...; Question 200: When assessing a client, the nurse notes the typical skin ra...; Question 201: A 13-year-old hemophiliac is hospitalized for hemarthrosis o...; Question 202: A pregnant client experiences spontaneous rupture of membran...; Question 203: A post-lung surgery client is placed on a chest tube drainag...; Question 204: A violent client remains in restraints for several hours. Wh...; Question 205: A client sustained second- and third-degree burns to his fac...; Question 206: A pregnant client continues to visit the clinic regularly du...; Question 207: A client's wife is concerned over his behavior in recent mon...; Question 208: A postoperative prostatectomy client is preparing for discha...; Question 209: The nurse is interviewing a client with a diagnosis of possi...; Question 210: A 5-year-old has just had a tonsillectomy and adenoidectomy....; Question 211: Children often experience visual impairments. Refractive err...; Question 212: The priority nursing goal when working with an autistic chil...; Question 213: Nursing care for the substance abuse client experiencing alc...; Question 214: On assessment, the nurse learns that a chronic paranoid schi...; Question 215: A husband and wife and their two children, age 9 and age 5, ...; Question 216: A 58-year-old client on a general surgery unit is scheduled ...; Question 217: A client is taught to eat foods high in potassium. Which foo...; Question 218: A 35-year-old client is admitted to the hospital for electiv...; Question 219: A client has had amniocentesis. One of the tests performed o...; Question 220: A client is placed in five-point restraints after exhibiting...; Question 221: A 67-year-old postoperative TURP client has hematuria. The n...; Question 222: A 33-year-old client was brought into the emergency room unc...; Question 223: An infant weighing 15 lb has just been treated for severe di...; Question 224: Following a fracture of the left femur, a client develops sy...; Question 225: Newborns are routinely screened for phenylketonuria. The nur...; Question 226: A client who has been diagnosed with anorexia nervosa refuse...; Question 227: An 80-year-old male client with a history of arteriosclerosi...; Question 228: Following a gastric resection, a 70-year-old client is admit...; Question 229: A client's congestive heart failure has been treated, and he...; Question 230: A client is 2 hours post ventriculoperitoneal shunt placemen...; Question 231: At 16 weeks' gestation, a pregnant client is admitted to the...; Question 232: A newborn has been delivered with a meningomyelocele. The nu...; Question 233: Which of the following would the nurse expect to find follow...; Question 234: Two hours after the second injection of haloperidol, a clien...; Question 235: During the active phase of rheumatic fever, the nurse teache...; Question 236: A 48-year-old female client is going to have a cholecystecto...; Question 237: A 30-year-old male client is admitted to the psychiatric uni...; Question 238: A male client tells his nurse that he has had an ulcer in th...; Question 239: A child has a nursing diagnosis of fluid volume excess relat...; Question 240: A child receiving chemotherapeutic drugs experiences a loss ...; Question 241: A mother is unsure about the type of toys for her 17-month-o...; Question 242: A couple is planning the conception of their first child. Th...; Question 243: A primipara is assessed on arrival to the postpartum unit. T...; Question 244: A 25-year-old client believes she may be pregnant with her f...; Question 245: A 25-year-old client is admitted for a tonsillectomy. She te...; Question 246: A 27-year-old man was diagnosed with type I diabetes 3 month...; Question 247: A client had a cardiac catheterization with angiography and ...; Question 248: The nurse is assessing and getting a history from a client t...; Question 249: A client was not using his seat belt when involved in a car ...; Question 250: A 33-year-old client is diagnosed with bipolar disorder, acu...; Question 251: The physician orders haloperidol 5 mg IM stat for a client a...; Question 252: A 70-year-old client is almost finished receiving her second...; Question 253: A 14-year-old teenager is hospitalized for anorexia nervosa....; Question 254: A 16-year-old client with anorexia nervosa is on an inpatien...; Question 255: During the assessment, the nurse observes a client scratchin...; Question 256: A 3-month-old infant has had a unilateral cleft lip repair. ...; Question 257: A client returns for her 6-month prenatal checkup and has ga...; Question 258: A client suspected of having anorexia nervosa is placed on b...; Question 259: Azulfidine (Sulfasalazine) may be ordered for a client who h...; Question 260: For the past several months, an elderly female client with A...; Question 261: A hyperactive client is experiencing flight of ideas. The mo...; Question 262: A newborn is admitted to the newborn nursery with tremors, a...; Question 263: A 38-year-old pregnant woman visits her nurse practitioner f...; Question 264: Nursing assessment of early evidence of septic shock in chil...; Question 265: A client has just received an epidural block. She is laborin...; Question 266: A client has been in labor 10 hours and is becoming very tir...; Question 267: Stat serum electrolytes ordered for a client in acute renal ...; Question 268: In a client with chest trauma, the nurse needs to evaluate m...; Question 269: The nurse assists a client with advanced emphysema to the ba...; Question 270: A client is diagnosed with diabetic ketoacidosis. The nurse ...; Question 271: Hypoxia is the primary problem related to near-drowning vict...; Question 272: A 56-year-old client is admitted to the psychiatric unit in ...; Question 273: The client has been in active labor for the last 12 hours. D...; Question 274: A client is having an amniocentesis. Prior to the procedure,...; Question 275: A client is diagnosed with Mycobacterium tuberculosis. He is...; Question 276: A 47-year-old client comes to the emergency department compl...; Question 277: Which type of insulin can be administered by a continuous IV...; Question 278: After the fetal activity test (nonstress test) is completed,...; Question 279: A male client was involved in a motor vehicle accident earli...; Question 280: Which of the following statements relevant to a suicidal cli...; Question 281: A laboring client presents with a prolapsed cord. The nurse ...; Question 282: Nursing care of the infant prior to surgical closure of a me...; Question 283: Because a client is taking an MAO inhibitor, it is necessary...; Question 284: Assessment of parturient reveals the following: cervical dil...; Question 285: On an assessment of a client's mouth, the nurse notices whit...; Question 286: A client with IDDM is given IV insulin for a blood glucose l...; Question 287: In cleansing the perineal area around the site of catheter i...; Question 288: A 14-year-old boy has a head injury with laceration of his s...; Question 289: A 32-year-old male client is a marketing representative. His...; Question 290: A client presents to the emergency room with cyanosis, cough...; Question 291: A client was admitted to the hospital after falling in her h...; Question 292: A depressed client is seen at the mental health center for f...; Question 293: A female client at 36 weeks' gestation has been treated succ...; Question 294: Which of the following would indicate the need for further t...; Question 295: A 45-year-old male client experiences a sense of depression ...; Question 296: A 16-year-old client comes to the prenatal clinic for her mo...; Question 297: A client on the infectious disease unit is discussing transm...; Question 298: A 19-year-old client has sustained a C-7 fracture, which res...; Question 299: An 11-year-old boy has received a partial-thickness burn to ...; Question 300: During an examination, the nurse notes that an infant has di...; Question 301: A 16-month-old infant is being prepared for tetralogy of Fal...; Question 302: A male client has asthma and his physician has prescribed be...; Question 303: A client is being treated for congestive heart failure. His ...; Question 304: At her first prenatal visit, a 21-year-old woman who is grav...; Question 305: The nurse is teaching a client how to perform monthly testic...; Question 306: When teaching a mother of a 4-month-old with diarrhea about ...; Question 307: A male client received a heart-lung transplant 1 month ago a...; Question 308: A 35-weeks-pregnant client is undergoing a nonstress test (N...; Question 309: A 2-year-old child will undergo a cardiac catheterization to...; Question 310: A client has been diagnosed as being preeclamptic. The physi...; Question 311: A child is admitted with severe headache, fever, vomiting, p...; Question 312: The nurse notes scattered crackles in both lungs and 1+ pitt...; Question 313: A behavioral modification program is recommended by the mult...; Question 314: A 22-year-old client who is being seen in the clinic for a p...; Question 315: In planning daily care for a client with multiple sclerosis,...; Question 316: A 66-year-old female client has smoked 2 packs of cigarettes...; Question 317: A female client has been diagnosed with chronic renal failur...; Question 318: A 14-year-old boy fell off his bike while "popping a wheelie...; Question 319: The postpartum nurse should include which of the following i...; Question 320: A client who has gout is most likely to form which type of r...; Question 321: A 52-year-old female client is admitted to the hospital in a...; Question 322: The healthcare team determines that an elderly client has ha...; Question 323: To prevent transmission of bacterial meningitis, the nurse w...; Question 324: A client develops complications following a hysterectomy. Bl...; Question 325: A psychiatric nurse is providing an orientation to a new sta...; Question 326: A client with emphysema is placed on diuretics. In order to ...; Question 327: The nurse working with a client who is out of control should...; Question 328: On admission to the inpatient unit, a 34-year-old client is ...; Question 329: The nurse is caring for a laboring client. Assessment data i...; Question 330: A 52-year-old client is scheduled for a small-bowel resectio...; Question 331: The predominant purpose of the first Apgar scoring of a newb...; Question 332: A 55-year-old client is admitted with a diagnosis of renal c...; Question 333: The nurse has been assigned a client who delivered a 6- lb, ...; Question 334: When assessing a child with diabetes insipidus, the nurse sh...; Question 335: During his hospitalization, a 3-year-old child has become un...; Question 336: Which of the following signs might indicate a complication d...; Question 337: One afternoon 3 weeks into his alcohol treatment program, a ...; Question 338: In healthcare settings, nurses must be familiar with primary...; Question 339: A 26-year-old client is admitted to the labor, delivery, rec...; Question 340: The 4th of July holiday comes while a client is in the hospi...; Question 341: The mother of a child taking phenytoin will need to plan app...; Question 342: Decreased pulmonary blood flow, right-to-left shunting, and ...; Question 343: After a liver biopsy, the best position for the client is:...; Question 344: A 32-year-old female client is being treated for Guillain- B...; Question 345: Which of the following nursing orders has the highest priori...; Question 346: A gravida 2 para 1 client is hospitalized with severe preecl...; Question 347: A female client is anticipating a visit with her parents ove...; Question 348: A child is admitted to the emergency room with her mother. H...; Question 349: Which behavior by a female client feeding her newborn demons...; Question 350: A client was admitted with rib fractures and a pneumothorax,...; Question 351: One week ago, a 21-year-old client with a diagnosis of bipol...; Question 352: A 15-year-old client was diagnosed as having cystic fibrosis...; Question 353: A 28-year-old client performs a long, involved ritual in get...; Question 354: An 8-year-old child comes to the physician's office complain...; Question 355: Hematotympanum and otorrhea are associated with which of the...; Question 356: A client was admitted to the hospital for a TURP. Within 48 ...; Question 357: A laboratory technique specific for diagnosing Lyme disease ...; Question 358: A male client is diagnosed with hypoparathyroidism. He has b...; Question 359: A female client is admitted to the emergency department comp...; Question 360: A child sustains a supracondylar fracture of the femur. When...; Question 361: A 17-year-old pregnant client who is gravida 1, para 0, is a...; Question 362: A client has been taking lithium 300 mg po bid for the past ...; Question 363: One of the most reliable assessment tools for adequacy of fl...; Question 364: A 9-month-old infant is being examined in the general pediat...; Question 365: A 28-year-old woman was admitted to the hospital for a thyro...; Question 366: A female client has a chest tube placed. It is accidentally ...; Question 367: A 44-year-old client had an emergency cholecystectomy 3 days...; Question 368: A 14-year-old client has a history of lying, stealing, and d...; Question 369: A client's prenatal screening indicated that she has no immu...; Question 370: A 40-year-old client has lived for 8 years with an abusive s...; Question 371: A client tells the nurse that he has been hearing voices tha...; Question 372: A client in active labor asks the nurse for coaching with he...; Question 373: A client is in early labor. Her fetus is in a left occipitoa...; Question 374: A female client was employed as a client care technician in ...; Question 375: A 23-year-old female client is brought to the emergency room...; Question 376: A registered nurse is trying to determine the appropriate ca...; Question 377: A 16-year-old client reports a weight loss of 20% of her pre...; Question 378: After an infant is delivered by cesarean delivery and placed...; Question 379: Blood work reveals the following lab values for a client who...; Question 380: A 68-year-old man was recently diagnosed with endstage renal...; Question 381: A 3-year-old child has had symptoms of influenza including f...; Question 382: A pregnant client comes to the office for her first prenatal...; Question 383: The nurse would be concerned if a client exhibited which of ...; Question 384: A 4 days postpartum client who is gravida 3, para 3, isexami...; Question 385: The initial treatment for a client with a liquid chemical bu...; Question 386: A 20-year-old female client delivers a stillborn infant. Fol...; Question 387: A 16-year-old diabetic girl has been selected as a cheerlead...; Question 388: A 40-year-old client is admitted to the hospital for tests t...; Question 389: In evaluating the effectiveness of magnesium sulfate (MgSO4)...; Question 390: A client with a head injury asks why he cannot have somethin...; Question 391: A client is having episodes of hyperventilation related to h...; Question 392: A client with severe PIH receiving MgSO4 is placed in a quie...; Question 393: A 42-year-old male client has been treated at an alcoholic r...; Question 394: A male client has been an insulin-dependent diabetic for app...; Question 395: A client is placed on lithium therapy for her manicdepressiv...; Question 396: A mother who is breast-feeding her newborn asks the RN, "How...; Question 397: In evaluating the laboratory results of a client with severe...; Question 398: A client was prescribed a major tranquilizer 2 months ago. O...; Question 399: A 6-year-old child returned to the surgical floor 20 hours a...; Question 400: A 4-week-old infant is admitted to the emergency room in res...; Question 401: A client is started on prednisone 2.5 mg po bid. Which of th...; Question 402: A baby who was diagnosed with pyloric stenosis has continued...; Question 403: A 1000-mL dose of D5W 1⁄2 normal saline is to be infused in...; Question 404: A mother called the physician's office to ask if it would he...; Question 405: Which of the following blood gas parameters primarily reflec...; Question 406: A client has consented to have a central venous catheter pla...; Question 407: A 35-year-old client is admitted to the hospital with diabet...; Question 408: A six-month-old infant is receiving ribavirin for the treatm...; Question 409: Discharge teaching for the client who has a total gastrectom...; Question 410: When a client arrives on the labor and delivery unit, she in...; Question 411: A 5-year-old child cries continually in her bed. Her parents...; Question 412: Which of the following procedures is necessary to establish ...; Question 413: A 2-month-old infant is receiving IV fluids with a volume co...; Question 414: A male client receives 10 U of regular human insulin SC at 9...; Question 415: A client had a vaginal delivery 3 days ago and is discharged...; Question 416: Following a bicycle accident, a 12-year-old client sustained...; Question 417: Painless vaginal bleeding in the last trimester may be cause...; Question 418: A 32-year-old mother of two was brought to the hospital by h...; Question 419: Prenatal clients are routinely monitored for early signs of ...; Question 420: MgSO4 is ordered IV following the established protocol for a...; Question 421: Diabetes mellitus is a disorder that affects 3.1 out of ever...; Question 422: Assessment of the client with pericarditis may reveal which ...; Question 423: A client had a renal transplant 3 months ago. He has suddenl...; Question 424: In acute episodes of mania, lithium is effective in 1-2 week...; Question 425: A 16-year-old female client is admitted to the hospital beca...; Question 426: Plans for the care of a client with an ulcer caused by emoti...; Question 427: A client is admitted to the labor room. She is dilated 4 cm....; Question 428: The physician prescribes amitriptyline (Elavil) for a client...; Question 429: A 6-month-old infant who was diagnosed at 4 weeks of age wit...; Question 430: A male client has a history of diverticulosis. He has questi...; Question 431: A 22-year-old single woman was admitted to the psychiatric h...; Question 432: To prevent fungal infections of the mouth and throat, the nu...; Question 433: A type I diabetic client is diagnosed with cellulitis in his...; Question 434: A postpartum client complains of rectal pressure and severe ...; Question 435: A dose of theophylline may need to be altered if a client wi...; Question 436: A client is being discharged from the hospital tomorrow foll...; Question 437: In performing the initial nursing assessment on a client at ...; Question 438: A pregnant client comes to the office for her first prenatal...; Question 439: A 48-year-old male client is hospitalized with mild ascites,...; Question 440: A client has returned to the unit from the recovery room aft...; Question 441: A male client is admitted to the psychiatric unit after expe...; Question 442: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 443: In working with a manipulative client, which of the followin...; Question 444: A client reports to the nurse that the voices are practicall...; Question 445: A client is admitted to the hospital for an induction of lab...; Question 446: When assessing a female child for Turner's syndrome, the nur...; Question 447: A 22-year-old client is 16 weeks pregnant. She and her husba...; Question 448: A client's transfusion of packed red blood cells has been in...; Question 449: A 29-year-old client is diagnosed with borderline personalit...; Question 450: A mother brings her 3-year-old child who is unconscious but ...; Question 451: A female client presents to the obstetric-gynecology clinic ...; Question 452: A client is a victim of domestic violence. She is now receiv...; Question 453: An 80-year-old widow is living with her son and daughter- in...; Question 454: With a geriatric client, the nurse should also assess whethe...; Question 455: A common complication of cirrhosis of the liver is prolonged...; Question 456: A female baby was born with talipes equinovarus. Her mother ...; Question 457: A 14-year-old teenager is demonstrating behavior indicative ...; Question 458: A baby is circumcised. Immediate postoperative care should i...; Question 459: A six-month-old infant has been admitted to the emergency ro...; Question 460: The nurse assesses a client on the second postpartum day and...; Question 461: A 68-year-old woman is admitted to the hospital with chronic...; Question 462: Clinical manifestations seen in left-sided rather than in ri...; Question 463: Following a vaginal delivery, the postpartum nurse should ob...; Question 464: The nurse is preparing a 6-year-old child for an IV insertio...; Question 465: A 23-year-old college student seeks medical attention at the...; Question 466: A client is hyperactive and not sleeping. She will not remai...; Question 467: A 12-year-old girl has been diagnosed with insulindependent ...; Question 468: During burn therapy, morphine is primarily administered IV f...; Question 469: The nurse is caring for a 3-month-old girl with meningitis. ...; Question 470: The nurse explains perineal hygiene self-care postpartum to ...; Question 471: The nurse is planning a reality orientation program for a gr...; Question 472: Provide the 1-minute Apgar score for an infant born with the...; Question 473: A client who has been diagnosed with anorexia nervosa reluct...; Question 474: The physician prescribes phenytoin (Dilantin) for a client w...; Question 475: A 17-year-old client has a T-4 spinal cord injury. At presen...; Question 476: The nurse teaches a pregnant client that a high-risk symptom...; Question 477: Cheyne-Stokes respiratory pattern can be associated with whi...; Question 478: As the nurse assesses a male adolescent with chlamydia, the ...; Question 479: A 19-month-old child is admitted to the hospital for surgica...; Question 480: A client is pleased about being pregnant, yet states, "It is...; Question 481: Prior to an amniocentesis, a fetal ultrasound is done in ord...; Question 482: A premature infant needs supplemental O2 therapy. A nursing ...; Question 483: A mother came to the pediatric clinic with her 17- month-old...; Question 484: In the coronary care unit, a client has developed multifocal...; Question 485: In counseling a client, the nurse emphasizes the danger sign...; Question 486: During the admitting mental health assessment, a client demo...; Question 487: The nurse and prenatal client discuss the effects of cigaret...; Question 488: A client who is a breast-feeding mother develops mastitis. T...; Question 489: A 4-year-old child has Down syndrome. The community health n...; Question 490: An 18-year-old client enters the emergency room complaining ...; Question 491: Often children are monitored with pulse oximeter. The pulse ...; Question 492: A client's physician has prescribed theophylline (Theo- Dur)...; Question 493: A 24-hours' postpartum client complains of discomfort at the...; Question 494: A 30-year-old client has a history of several recent traumat...; Question 495: After the RN is finished the initial assessment of a newborn...; Question 496: A female client has just died. Her family is requesting that...; Question 497: A client diagnosed with severe anemia is to receive 2 U of p...; Question 498: A male client is being treated in the burn unit for thirddeg...; Question 499: Which of the following would differentiate acute from chroni...; Question 500: A client returns to the cardiovascular intensive care unit f...; Question 501: An elective saline abortion has been performed on a 3- week ...; Question 502: A client delivered a term infant 1 hour ago. Her uterus on a...; Question 503: The nurse is teaching a mother care of her child's spica cas...; Question 504: A client is dilated 8 cm and entering the transition phase o...; Question 505: The mother of a preschooler reports to the nurse that he fre...; Question 506: A 7-year-old girl has been diagnosed with juvenile arthritis...; Question 507: A postoperative TURP client returns from the recovery room t...; Question 508: The physician has prescribed metoclopramide (Reglan). When a...; Question 509: After performing a sterile vaginal exam on a client who has ...; Question 510: Goal setting for a client with Meniere's disease should incl...; Question 511: The nurse would be sure to instruct a client on the signs an...; Question 512: A client has a history of alcoholism. He is currently diagno...; Question 513: A pregnant woman at 36 weeks' gestation is followed for PIH ...; Question 514: The nurse observes a client crying quietly. She has just exp...; Question 515: A female client at 36 weeks' gestation is experiencing prete...; Question 516: A female client was recently diagnosed with gastric cancer. ...; Question 517: The nurse instructs a pregnant client (G2P1) to rest in a si...; Question 518: The health team needs to realize that the compulsive concern...; Question 519: A male client is undergoing cardiac tests. He has been instr...; Question 520: A 15-year-old female adolescent is frequently breaking the r...; Question 521: Clients receiving antipsychotic drug therapy will often exhi...; Question 522: A postoperative TURP client is ordered continuous bladder ir...; Question 523: A pregnant client experiences a precipitous delivery. The nu...; Question 524: The nurse is trying to help a mother understand what is happ...; Question 525: The nurse is caring for a client who has diabetes insipidus....; Question 526: To ensure proper client education, the nurse should teach th...; Question 527: A 5-year-old child is hospitalized for an acute illness. The...; Question 528: A 38-year-old female client with a history of chronic schizo...; Question 529: The nurse has been caring for a 16-year-old female who recen...; Question 530: Priapism may be a sign of:; Question 531: In teaching the client about proper umbilical cord care, the...; Question 532: A client delivered a stillborn male at term. An appropriate ...; Question 533: The nurse is teaching a child's parents how to protect the c...; Question 534: Which of the following findings would be abnormal in a postp...; Question 535: The parents of a 9-year-old child with acute lymphocytic leu...; Question 536: Parents of children receiving chemotherapy should be warned ...; Question 537: A client presented herself to the mental health center, desc...; Question 538: The nurse notes multiple bruises on the arms and legs of a n...; Question 539: A 35-year-old primigravida comes to the clinic for her first...; Question 540: A 68-year-old client developed acute respiratory distress sy...; Question 541: Following her surgery, a 5-year-old child will return to the...; Question 542: The doctor has ordered a restricted fluid intake for a 2- ye...; Question 543: What is the most effective method to identify early breast c...; Question 544: When a client with pancreatitis is discharged, the nurse nee...; Question 545: An 82-year-old former restaurant owner walks to the nursing ...; Question 546: MgSO4 blood levels are monitored and the nurse would be prep...; Question 547: Based on your knowledge of genetic inheritance, which of the...; Question 548: When planning care for the passive-aggressive client, the nu...; Question 549: A young boy tells the nurse, "I don't like my Dad to kiss or...; Question 550: Loss of appetite for a child with leukemia is a major recurr...; Question 551: While the nurse is taking a male client's blood pressure, he...; Question 552: A couple is experiencing difficulties conceiving a baby. The...; Question 553: A client is receiving peritoneal dialysis. He has been taugh...; Question 554: A 19-year-old male client arrived via ambulance to the emerg...; Question 555: A client has been instructed in how to take her nitroglyceri...; Question 556: A physician's order reads: Administer furosemide oral soluti...; Question 557: A 2-year-old child with a scalp laceration and subdural hema...; Question 558: A psychiatric client has been stabilized and is to be discha...; Question 559: Respiratory function is altered in a 16-year-old asthmatic. ...; Question 560: A 64-year-old client is admitted to the hospital with benign...; Question 561: In working with mental health clients who are prescribed med...; Question 562: Following TURP, which of the following instructions would be...; Question 563: The nurse needs to be aware that the most common early compl...; Question 564: A 6-year-old girl is visiting the outpatient clinic because ...; Question 565: An 18-month-old child has been playing in the garage. His mo...; Question 566: A 48-year-old client presents with a long history of severed...; Question 567: A female client has been recently diagnosed as bipolar. She ...; Question 568: Which of the following activities would be most appropriate ...; Question 569: When teaching a sex education class, the nurse identifies th...; Question 570: After 7 hours in restraints and a total of 30-mg haloperidol...; Question 571: The initial focus when providing nursing care for a child wi...; Question 572: Which of the following signs and symptoms indicates a tensio...; Question 573: After a 10-year-old child with insulin-dependent diabetes me...; Question 574: A 27-year-old primigravida stated that she got up from the c...; Question 575: The physician orders fluoxetine (Prozac) for a depressed cli...; Question 576: In assessing the nature of the stool of a client who has cys...; Question 577: A client had abdominal surgery this morning. The nurse notic...; Question 578: A 26-year-old client is in a treatment center for aprazolam ...; Question 579: Proper positioning for the child who is in Bryant's traction...; Question 580: The most appropriate method of evaluating whether the diet o...; Question 581: A client has returned to the unit following a left femoral p...; Question 582: A client is going to have a pneumonectomy in the morning. Sh...; Question 583: A 6-year-old girl has been diagnosed with a urinary tract in...; Question 584: A mother continues to breast-feed her 3-month-old infant. Sh...; Question 585: A 15-year-old client is admitted to the adolescent unit. The...; Question 586: Prior to administering digoxin to a client with congestive h...; Question 587: The nurse is caring for a 2-year-old girl with a subdural he...; Question 588: A successful executive left her job and became a housewife a...; Question 589: During discharge planning, parents of a child with rheumatic...; Question 590: A client with a diagnosis of C-4 injury has been stabilized ...; Question 591: In assessing cardiovascular clients with progression of aort...; Question 592: The nurse is caring for a 6-week-old girl with meningitis. T...; Question 593: Primary nursing diagnoses for the antisocial client are:...; Question 594: A 55-year-old man has recently been diagnosed with hypertens...; Question 595: A client is diagnosed with organic brain disorder. The nursi...; Question 596: The nurse in the mental health center is instructing a depre...; Question 597: A 30-year-old female client is receiving antineoplastic chem...; Question 598: A nasogastric (NG) tube inserted preoperatively is attached ...; Question 599: In an interview for suspected child abuse, the child's mothe...; Question 600: A client has received digoxin 0.25 mg po daily for 2 weeks. ...; Question 601: A client with cystic fibrosis exhibits activity intolerance ...; Question 602: The most frequent cause of early postpartum hemorrhage is:...; Question 603: The physician of an alcoholic client places him on a low-pro...; Question 604: Which one of the following is considered a reliable indicato...; Question 605: A 2-year-old boy fell out of bed and has a subdural hematoma...; Question 606: A female client is started on warfarin (Coumadin) 5 mg po bi...; Question 607: A burn victim's immunization history is assessed by the nurs...; Question 608: A 35-year-old client is receiving psychopharmacological trea...; Question 609: A 74-year-old client seen in the emergency room is exhibitin...; Question 610: While changing the dressing on a client's central line, the ...; Question 611: Which of the following should the nurse anticipate receiving...; Question 612: Chorioamnionitis is a maternal infection that is usually ass...; Question 613: The nurse enters the room of a client on which a "do not res...; Question 614: An 11-month-old infant is admitted with a possible diagnosis...; Question 615: A male client has heart failure. He has been instructed to g...; Question 616: Cystic fibrosis is transmitted as an autosomal recessive tra...; Question 617: In admitting a client to the psychiatric unit, the nurse mus...; Question 618: Which nursing implication is appropriate for a client underg...; Question 619: A client presents to the psychiatric unit crying hystericall...; Question 620: An IDDM client's condition stabilizes. He begins to receive ...; Question 621: The nurse discovers that a 78-year-old client who received h...; Question 622: After several days, an IDDM client's serum glucose stabilize...; Question 623: A client's record from the ED indicates that she overdosed o...; Question 624: When administering phenytoin (Dilantin) to a child, the nurs...; Question 625: A 4-year-old child is being discharged from the hospital aft...; Question 626: On admission to the postpartal unit, the nurse's assessment ...; Question 627: A client is admitted to the hospital with diabetic ketoacido...; Question 628: At her monthly prenatal visit, a client reports experiencing...; Question 629: A client experiencing delusions states, "I came here because...; Question 630: An expected response to sodium polystyrene sulfonate (Kayexa...; Question 631: A client who was started on antipsychotic medication 2 weeks...; Question 632: A client admitted with a diagnosis of possible myocardial in...; Question 633: Assessment of a client reveals a 30% loss of preillness weig...; Question 634: A 10-year-old client with a pin in the right femur is immobi...; Question 635: The physician recommends immediate hospital admission for a ...; Question 636: A 2-year-old toddler is hospitalized with epiglottitis. In a...; Question 637: A client delivered her first-born son 4 hours ago. She asks ...; Question 638: A mother frantically calls the emergency room (ER) asking wh...; Question 639: A 45-year-old client has a permanent colostomy. Which of the...; Question 640: A 72-year-old client with a new colostomy is being evaluated...; Question 641: A child is to receive atropine 0.15 mg (1/400 g) as part of ...; Question 642: The cardiac client who exhibits the symptoms of disorientati...; Question 643: Several months after antibiotic therapy, a child is readmitt...; Question 644: The nurse caring for a client who has pneumonia, which is ca...; Question 645: In the client with a diagnosis of coronary artery disease, t...; Question 646: A 26-year-old client is diagnosed with an astrocytoma, a ben...; Question 647: A client is receiving IV morphine 2 days after colorectal su...; Question 648: Which of the following nursing care goals has the highest pr...; Question 649: When a client is receiving vasoactive therapy IV, such as do...; Question 650: In caring at home for a child who just ingested a caustic al...; Question 651: The nurse working in a prenatal clinic needs to be alert to ...; Question 652: Which of the following ECG changes would be seen as a positi...; Question 653: Which of the following would have the physiological effect o...; Question 654: Except for initial explosiveness on admission, a client diag...; Question 655: A 4 year old has an imaginary playmate, which concerns the m...; Question 656: The nurse is collecting a nutritional history on a 28- year-...; Question 657: A 67-year-old client will be undergoing a coronary arteriogr...; Question 658: A seventh grader lost consciousness after being hit in the h...; Question 659: A pregnant client during labor is irritable and feels the ur...; Question 660: A female client is seeking counseling for personal problems....; Question 661: The most important reason to closely assess circumferential ...; Question 662: A 74-year-old obese man who has undergone open reduction and...; Question 663: A client has been admitted to the labor and delivery unit in...; Question 664: A husband asks if he can visit with his wife on her ECT trea...; Question 665: A client has received preoperative teaching for the vertical...; Question 666: Which of the following symptoms might the nurse observe in a...; Question 667: The nurse who is caring for a client with pneumonia assesses...; Question 668: The nurse is admitting an infant with bacterial meningitis a...; Question 669: A 1000-mL dose of lactated Ringer's solution is to be infuse...; Question 670: Which of the following medications requires close observatio...; Question 671: The serial sevens test is often used to determine delirium a...; Question 672: A male client is experiencing extreme distress. He begins to...; Question 673: A client diagnosed with bipolar disorder continues to be hyp...; Question 674: When interviewing parents who are suspected of child abuse, ...; Question 675: A 45-year-old client diagnosed with major depression is sche...; Question 676: A client with a C-3-4 fracture has just arrived in the emerg...; Question 677: A client is scheduled for a magnetic resonance imaging (MRI)...; Question 678: A 30-year-old client is exhibiting auditory hallucinations. ...; Question 679: A 72-year-old male client had the Foley catheter that was in...; Question 680: A 20-year-old male client is being treated for protein defic...; Question 681: A client calls the prenatal clinic to schedule an appointmen...; Question 682: A client at 6 months' gestation complains of tiredness and d...; Question 683: A male client seeks counseling after his wife of 19 years th...; Question 684: A client has ascites, which is caused by:...; Question 685: The physician has ordered that ampicillin 250 mg IV be given...; Question 686: A 55-year-old client is unconscious, and his physician has d...; Question 687: A 20-year-old client presents to the obstetrics-gynecology c...; Question 688: A client is resting comfortably after delivering her first c...; Question 689: A 27-year-old healthy primigravida is brought to the labor a...; Question 690: After instructing a female client on circumcision care, the ...; Question 691: A 30-year-old client has just been treated in the ER for bru...; Question 692: Diabetes during pregnancy requires tight metabolic control o...; Question 693: A female client is exhibiting signs of respiratory distress....; Question 694: A nurse is performing a vaginal exam on a client in active l...; Question 695: A 67-year-old man had a physical examination prior to beginn...; Question 696: A 47-year-old client has been admitted to the general surger...; Question 697: A female client has been hospitalized for several months fol...; Question 698: The nurse recognizes that a client with the diagnosis of cho...; Question 699: A male client has experienced low back pain for several year...; Question 700: A client's behavior is annoying other clients on the unit. H...; Question 701: A 26-year-old client has no children. She has had an abdomin...; Question 702: A normal 3-year-old child is suspected of having meningitis....; Question 703: A client who is 7 months pregnant is diagnosed with pyelonep...; Question 704: The pediatrician has diagnosed tinea capitis in an 8- year-o...; Question 705: A 24-year-old male client is admitted with a diagnosis of si...; Question 706: Parents of young children often need anticipatory guidance f...; Question 707: A 49-year-old obese woman has been admitted to the general s...; Question 708: A client is to be discharged from the hospital and is to con...; Question 709: Other drugs may be ordered to manage a client's ulcerative c...; Question 710: A parent told the public health nurse that her 6-year-old so...; Question 711: A male client is scheduled to have angiography of his left l...; Question 712: A 3-year-old child is admitted with a diagnosis of possible ...; Question 713: The nurse is teaching a 10-year-old insulin-dependent diabet...; Question 714: A 74-year-old female client is 3 days postoperative. She has...; Question 715: Signs and symptoms of an allergy attack include which of the...; Question 716: A 27-year-old male client is admitted to the acute care ment...; Question 717: A primigravida is at term. The nurse can recognize the secon...; Question 718: At 32 weeks' gestation, a client is scheduled for a fetal ac...; Question 719: The nurse is assisting a 4th-day postoperative cholecystecto...; Question 720: The physician prescribes a medical regimen of isoniazid, rif...; Question 721: When planning care for a 9-year-old client, the nurse uses w...; Question 722: A client has chronic obstructive pulmonary disease. She is s...; Question 723: A client is having a vertical partial laryngectomy, and the ...; Question 724: Which stage of labor lasts from delivery of the baby to deli...; Question 725: A young child has been placed in a spica cast. The chief con...; Question 726: A 23-year-old borderline client is admitted to an inpatient ...; Question 727: What is the appropriate nursing action for a child with incr...; Question 728: A female client admitted to the labor and delivery unit thin...; Question 729: Which of the following risk factors associated with breast c...; Question 730: A 22-year-old client presents with a diagnosis of antisocial...; Question 731: A 2-year-old child is recovering from surgery. Considering g...; Question 732: A client states to his nurse that "I was told by the doctor ...; Question 733: A group of nursing students at a local preschool day care ce...; Question 734: A client is admitted to the hospital with a diagnosis of apl...; Question 735: A female client has experienced varying degrees of depressio...; Question 736: A 48-hour-old male infant is ordered to have phototherapy. W...; Question 737: A client has been admitted to the nursing unit with the diag...; Question 738: The nurse instructs a client on the difference between true ...; Question 739: When evaluating a client with symptoms of shock, it is impor...; Question 740: A 65-year-old client who has a new colostomy is preparing fo...; Question 741: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 742: A 24-year-old woman who is gravida 1 reports, "I can't take ...; Question 743: Forty-eight hours after a thyroidectomy, a female client com...; Question 744: The client will be more comfortable and the results more acc...; Question 745: A client had a myocardial infarction 5 days ago. His physici...; Question 746: A physician's order reads: Administer KCl 10% oral solution ...; Question 747: The nurse assesses a client's monitor strip and finds the fo...; Question 748: The nurse assesses a postoperative mastectomy client and not...; Question 749: A 52-year-old client's abdominal aortic aneurysm ruptured. S...; Question 750: A 3-year-old child is in the burn unit following a home acci...; Question 751: Following the delivery of a healthy newborn, a client has de...; Question 752: One of the medications that is prescribed for a male client ...; Question 753: A client has been diagnosed with congestive heart failure. H...; Question 754: A female client at 30 weeks' gestation is brought into the e...; Question 755: A mother brings a 6-month-old infant and a 4-year-old child ...; Question 756: A client had a right below-the-knee amputation 4 days ago. H...; Question 757: A client is admitted to the labor unit. On vaginal examinati...; Question 758: The primary focus of nursing interventions for the child exp...; Question 759: A pregnant client complains of varicosities in the third tri...; Question 760: The nurse is notified that a 27-year-old primigravida diagno...; Question 761: The mother of a client is apprehensive about taking home her...; Question 762: The nurse documents a client's surgical incision as having r...; Question 763: Prior to his discharge from the hospital, a cardiac client i...; Question 764: A 16-year-old student has a long history of bronchial asthma...; Question 765: An 8-year-old boy has been diagnosed with hemophilia. Which ...; Question 766: Following a gastric resection, which of the following action...; Question 767: Early in her ninth month of pregnancy, a client has been dia...; Question 768: The usual treatment for diabetes insipidus is with IM or SC ...; Question 769: The physician of a client diagnosed with alcoholism orders n...; Question 770: A client is being discharged with albuterol (Proventil) and ...; Question 771: The nurse is caring for a client with pancreatitis. Which of...; Question 772: A newborn infant is exhibiting signs of respiratory distress...; Question 773: A 4-year-old child with a history of sickle cell anemia is a...; Question 774: The nurse is aware that nutrition is an important aspect of ...; Question 775: A client is a depressed, 48-year-old salesman. A serious con...; Question 776: A client suffering from schizophrenia has been taking chlorp...; Question 777: On morning rounds, the nurse found a manic-depressive client...; Question 778: The mother of a 7-year-old mental health center client repor...; Question 779: Assessment of a newborn for Apgar scoring includes observati...; Question 780: A female client has been treated since childhood for mitral ...; Question 781: The therapeutic blood-level range for lithium is:...; Question 782: To prevent thrombophlebitis in a client on complete bed rest...; Question 783: The nurse will be alert to the most potentially lifethreaten...; Question 784: A 79-year-old client with Alzheimer's disease is exhibiting ...; Question 785: The following medications were noted on review of the client...; Question 786: When the nurse is evaluating lab data for a client 18-24 hou...; Question 787: A client undergoes a transurethral resection, prostate (TURP...; Question 788: A client who has sustained a basilar skull fracture exhibits...; Question 789: The nurse is caring for a client who has had a tracheostomy ...; Question 790: A client takes warfarin (Coumadin) 15 mg po daily. To evalua...; Question 791: The nurse would teach a male client ways to minimize the ris...; Question 792: The client tells the nurse, "I have pain in my left shoulder...; Question 793: A 37-year-old client has been taking antipsychotic medicatio...; Question 794: A 47-year-old male client is admitted for colon surgery. Int...; Question 795: A client is pregnant with her second child. Her last menstru...; Question 796: A 10-year-old boy has been diagnosed with Legg-Calvé Perthes...; Question 797: A client has a chest tube placed in his left pleural space t...; Question 798: Two weeks after a client's admission for depression, the phy...; Question 799: A client has begun to exhibit signs of alcohol withdrawal. H...; Question 800: A complication for which the nurse should be alert following...; Question 801: A female client who has chronic obstructive pulmonary diseas...; Question 802: A 26-year-old male client is brought by his wife to the emer...; Question 803: Before giving methergine postpartum, the nurse should assess...; Question 804: A 7-year-old child is brought to the ER at midnight by his m...; Question 805: A client returned to the unit following a pneumonectomy. As ...; Question 806: A term neonate has experienced no distress at birth and has ...; Question 807: A client has been uncomfortable in crowds all her life. Afte...; Question 808: A 60-year-old woman exhibits forgetfulness, emotional labili...; Question 809: The primary reason that an increase in heart rate (100 bpm) ...; Question 810: When providing dietary teaching to an individual who has dia...; Question 811: A client is admitted to the psychiatric unit after lavage an...; Question 812: A neonate was admitted to the hospital with projectile vomit...; Question 813: As a nurse works with an adolescent with cystic fibrosis, th...; Question 814: A female client has married recently. A month ago she visite...; Question 815: A client had a hemicolectomy performed 2 days ago. Today, wh...; Question 816: During a client's first postpartum day, the nurse assessed t...; Question 817: Diagnostic assessment findings for an infant with possible c...; Question 818: A primigravida with a blood type A negative is at 28 weeks' ...; Question 819: A 55-year-old woman entered the emergency room by ambulance....; Question 820: A woman diagnosed with multiple sclerosis is disturbed with ...; Question 821: As a postoperative cholecystectomy client completes tomorrow...; Question 822: The FHR pattern in a laboring client begins to show early de...; Question 823: A new mother experiences strong uterine contractions while b...; Question 824: A 70-year-old client has pneumonia and has just had a respir...; Question 825: In discussing the plan of care for a child with chronic neph...; Question 826: A 56-year-old psychiatric inpatient has had recurring episod...; Question 827: A client decided early in her pregnancy to breast-feed her f...; Question 828: Pin care is a part of the care plan for a client who is in s...; Question 829: A female client decides on hemodialysis. She has an internal...; Question 830: A client is being discharged and will continue enteral feedi...; Question 831: A family is experiencing changes in their lifestyle in many ...; Question 832: A 78-year-old female client has a total hip arthroplasty. He...; Question 833: Parents of a child with rheumatic fever express concern that...; Question 834: A psychotic client who believes that he is God and rules all...; Question 835: A 24-year-old client presents to the emergency department pr...; Question 836: A client who is gravida 1 para 1 vaginally delivered a 7- lb...; Question 837: A 54-year-old client is admitted to the hospital with a poss...; Question 838: A client at 9 weeks' gestation comes for an initial prenatal...; Question 839: A client is in active labor and has been admitted to the lab...; Question 840: A family by court order undergoes treatment by a family ther...; Question 841: A female client with major depression stated that "life is h...; Question 842: Nursing interventions designed to decrease the risk of infec...; Question 843: A male client is scheduled for a liver biopsy. In preparing ...; Question 844: Which of the following nursing actions is essential to preve...; Question 845: Home-care instructions for the child following a cardiac cat...; Question 846: Which of the following lab data is representative of a clien...; Question 847: A 44-year-old female client is receiving external radiation ...; Question 848: A school-age child with asthma is ready for discharge from t...; Question 849: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 850: Before completing a nursing diagnosis, the nurse must first:...; Question 851: A 26-year-old female client presents at 10 weeks' gestation....; Question 852: A client is now pregnant for the second time. Her first chil...; Question 853: On the third postpartum day, the nurse would expect the loch...; Question 854: A gravida 2 para 1 client delivered a full-term newborn 12 h...; Question 855: A client had a transurethral resection of the prostate yeste...; Question 856: A 25-year-old outpatient presents with a diagnosis of compul...; Question 857: A nurse should carefully monitor a client for the following ...; Question 858: The nurse practitioner determines that a client is approxima...; Question 859: A 5-year-old child has suffered second-degree thermal burns ...

Question 609/859

LEAVE A REPLY

Download PDF File