NCLEX-RN Exam Dumps | A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention

<< Prev Question Next Question >>

Question 676/859

A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

A. Stabilization of the cervical spine

B. Airway assessment and stabilization

C. Confirmation of spinal cord injury

D. Normalization of intravascular volume

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 676/859

LEAVE A REPLY

Download PDF File