A nurse is assessing a client who is 12hr postoperative following a…

QuestionA nurse is assessing a client who is 12hr postoperative following a…A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings shouldthe nurse report tothe surgeon?Heart rate 90/minAbsent bowel soundsHgb 8.2 g/dlGastric pH of 3.0  A nurse is caring for a client who has diabetes insipidus. Which of the following medications shouldthe nurse plan to administer?DesmopressinRegular insulinFurosemideLithium carbonate  A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for3 years. Which of the following test should the nurse monitor?Fasting blood glucoseStool for occultbloodUrine for whiteblood cellsSerum calcium  A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)Obtain a sputumsample for culturePrepare the clientfor a chest x-rayInitiate airborne precautionsAdminister ondansetron.  A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough pain.Which of the following prescriptions should the nurse anticipate?Transmucosal fentanyl Intramuscular meperidineOral acetaminophenIntravenous dexamethasone  A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction?PR intervalQRS durationT waveST segment  A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which ofthe following instructions should the nurse include?Pat the skin on the radiation site to dry itApply OTC moisturizer to the radiation siteCover the radiation site loosely with a gauzewrap before dressingUse a soft washcloth to clean the area aroundthe radiation site  A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugularveins. The nurseshould anticipate administering which of the following prescribed medications?DiphenhydramineAcetaminophenPantoprazoleFurosemide  A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findingsindicates effectiveness of the medication?Lungs clearApical pulse 82/minHyperactive bowel soundsBlood pressure 90/50mm Hg A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse should recognize these findings as indication of which of the following conditions?Metabolic acidosisMetabolic alkalosisCompensated respiratory alkalosisUncompensated respiratory acidosis  A nurse is caring for a clientwho has a deep partial thickness burns over 15% of her body which of the following labs should the nurseexpect during the first 24 hoursDecreased BUNHypoglycemiaHypoalbuminemiaDecreased Hematocrit  A nurse is caring for a clientwho has dumpingsyndrome following a gastrectomy, whichof the following actionsshould the nurse takes?Offer the clienthigh carbohydrate meal optionsProvide the clientwith four full meals a dayEncourage the clientto drink at least 360 ml of fluids with mealsHave the clientlie down for 30 minutes after meals  A nurse is teaching a group of young adult clients about risk factors for hearingloss.Which of the followingfactors should the nurse includein the teaching? SATABorn with a high weightChronic infections of the middle earUse a loop diuretic such as furosemideand antibiotics like aminoglycoside and gentamicinPerforation of the ear drumFrequent exposure to low volumenoise  A nurse is preparing to administer fresh frozen plasmato a client. Which of the following actions should the nursetake? Administer the plasma immediately after thawingTransfuse the plasma over 4 hoursHold the transfusion if the clientis actively bleedingAdminister the transfusion through a 24-gaugesaline lock  A nurse is assessing a client who reports numbnessand tingling of his toes and exhibitsa positive trousseau. Which of the following electrolyte imbalance should thenurse suspect?HyponatremiaHyperchloremiaHypermagnesemiaHypocalcemia  A home health nurse is teaching a client how to care for a peripherally central catheter in his right arm. Which of the following statements should the nurse include in the teaching?Change the transparent dressing over the insertion site every 48 hoursClean the insertion site with mild soap and waterMeasure your rightarm circumference once weeklyUse a 10milliliter syringe when flushing the catheter  A nurse is caring for a client who has a central venous access device. Which of the following assessment findings shouldthe nurse reportto the provider?RBC count of 4.7 million/mmBUN 22-mg/ dlWBC count of 16,000/ mmBlood glucose of 120 mg/dl  A nurse is providing dietary teaching to a client who has chronic kidney disease and a decreased glomerular filtration rate. Which of the following statements by the client indicates an understanding of the teaching?I will spread my proteinallowances over the entire dayI should increasemy intake of canned salmon tothree times per weekI will season my food with lemonpepper rather than saltI should limit my intakeof hard cheese to 3 ounces each day A nurse is caring for a client who has a peripherally inserted central catheter. The client is receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse take?Administer 20 ml of 0.9 sodium chlorideafter each dose of medicationFlush the catheterusing a 5 ml syringeVerify the placement with an x-ray prior to the initialdoseChange the transparent membranes dressing daily  A nurse is teaching a client using a metered dose rescue inhaler. Which of the following statements should the nurse include in the teaching?Do not shakeyour inhaler beforeuse.Exhale fully beforebringing the inhalerto your lipsDepress the canisterafter you inhaleUse peroxide to clean the mouthpiece if your inhaler  A nurse is assessing the pain status of a group of clients. Which of the following findings indicatea client is experiencing referredpain?A client who has anginareports substernal chest painA client who has pancreatitis reports pain in the left shoulderA client who is postoperative reports incisional painA client who has peritonitis reports generalized abdominalpain  A nurse is caring for a clientwho has just returned from surgery with an externalfixator to the left tibia. Which of the following assessments findings requires immediate intervention by the nurse?The client reports a pain level of 7 on a scale from 0 -10 at the operative site.The client’s capillary refill in the left toe is 6The client has an oral temperature of 38.3 (100.9 F)The client has 100 ml of blood in the closed suctiondrained.  A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutritionfor the past 72 hours. Which of the followingfindings requires the nurse to intervene? Right upper quadrantpainCapillary blood glucoselevel of 164 mg/dlWBC counts 13,000/mm3Crackle in bilateral lower lobes  A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client?Reverse TrendelenburgSide LyingHigh FowlersFeet elevated    A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that her saliva has turned red-orange in color. Which of the following responses should the nurse make?”This finding may indicate possiblemedication toxicity””Your provider will prescribe a different medication regimen””This is an expected adverseeffect of this medication.””You will need to increaseyour fluid intaketo resolve this problem”  A nurse is preparing to administer a unit of packed RBCs for a clientwho is receiving a continuous IV infusion of 5% dextrose in water. Which of the following actions should the nurse take?Administer the unit through secondaryIV tubingVerify the bloodproduct with assistive personnelBegin an IV infusion of 0.9% sodiumchlorideInsert another 22-gaugeIV catheter  A nurse is planning care for a client who is 12 hr. postoperative following a kidney transplant. Which ofthe following actions should the nurse include in the plan of care?Check the client’sblood pressures every 8 hr.Administer opioids POAssess urine outputhourlyMonitor for hypokalemia as a manifestation of acute rejection A nurse is obtaining a medication history from a client who is to start therapy with naproxen for rheumatoid arthritis. Which of the following medications places the client at risk for bleeding?CaptoprilIbuprofenDigoxinPhenytoin  A nurse is assessing the extremities of a client who has Raynaud’s disease. Which of the followingfindings should the nurse expect?Blanching of the handsHyperactive reflexesCalf pain with foot dorsiflexionVitiligo on affectedextremities  A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?A client who has a peripherally insertedcentral catheter in the left armA client who has left-sided Bell’s palsyA client who has a right upperextremity arteriovenous fistulaA client who has right-sided weakness due to Parkinson’s disease  A nurse is providing teaching to a client who has DVT. Which of the following findings should the nurse identify as a risk factor for thedevelopment of DVTs?HypertensionCirrhosisNSAIDS useOral Contraceptive Use  A nurse is caring for client who has Cushing’sdisease. Which of the followingactions should the nurse take first? (Click Exhibit buttonfor additional information)Check the client’smedication administration recordfor antihypertensive medication. Verify the client’sunderstanding of sodiumrestriction.Auscultate the client’slung soundDetermine the need for furtherglucose monitoring.  A nurse is assessing a client who has nephrotic syndrome. Which of the findingsshould the nurseexpect?ProteinuriaFlank painHyperalbuminemiaHypotension  A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?OliguriaS3/S4 galloping heart soundsPoor skin turgorPitting edema  A nurse is caring for a client who has newly insertedchest tube. The nurse shouldclarify which of the following prescriptions with the provider?Notify the providerwhen tidaling ceases.Assisting the clientout of bed three timesdaily.Vigorously strip the chest tube twice daily.Administer morphine 2 mg IV bolus every 3 hr PRN for pain.  A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the following instructions should the nurse include for home management of heart failure?Obtain daily weight.Use of salt substitute.Monitor Intake and OutputLimit daily activity.  A nurse is providing dischargeteaching to a client who has a permanent pacemaker. Which of the following statements by the client indicatesan understanding of the teaching? I need to maintain pressure over the pacemakersite with an elastic bandage.I need to check my pulse rate every day for a full minute.The pacemaker will deliver shock if I develop a dysrhythmiaWhen a microwave oven is in use, I need tostay out of the room.  A nurse in a clinic is providing preventive teaching to an older adult client during well visit. The nurse should instruct the client that which of the followingimmunization are recommended for healthy adults after age 60? Select all the Apply.Herpes ZosterInfluenzaHPVMeningococcalPneumococcal Polysaccharide  A nurse is assessing a client who is 4hr postoperative followingarterial revascularization of the left femoral artery. Which of the following findings should the nurse reportimmediately?Bruising around the incision sitePallor in the affected extremityUrine output 150mLover 4hrTemperature of 37.9 (100.2)  A nurse is caring for an older adult client who has not been eating. Which of the following findings indicates dehydration?Crackles auscultated bilaterallyCapillary refill of 2 secondsDiminished peripheral pulsesEngorged neck veins  A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider?Increase intake of fiber rich foodsMay operate a motor vehiclewhen no longer taking analgesics Take tub baths instead of showersMay place a small pillowunder the head when sleeping   A nurse is assessing for elderly signs of compartment syndrome for a client who has a shortleg fiberglass cast. Which of the followingfindings should the nurseexpect?Bounding distal pulsesCapillary refill less than 2 secondsErythema of the toesIntense pain with movement    A nurse is caring for a client who is postoperative following coronary artery bypass surgery and reports shortnessof breath. The nurse administers oxygen at 3L/min and obtains arterial blood gases 60 min later. Which of the following lab findings indicates a positive response to the oxygen therapy?PaCO2 34 mmHgBicarbonate 20 mEq/LPaO2 90 mmHgph 7.32  A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear (VIII)?Loss of the peripheral visionDisequilibrium with movementDeviation of the tongue from midlineInability to smell  A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findingsshould be of greatest concern to the nurse?Glasgow coma scale score changes from 14 to 9Bilateral pupil diameterchanges from 4 to 2 mmPulse pressure changesfrom 30 to 20 mm HgWBC count changes from 9000 to 16,000mm3 A nurse is caring for a client who is taking furosemide. The client has a potassium level of 3.1 mEq/L. Which of the following shouldthe nurse assess first?Urine outputLevel of orientationCardiovascular statusMuscle weakness  A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse shouldplan to take which of the following actions?Instruct the clientto take deep breaths and hold them during the procedureAdminister a stool softener followingthe procedureAsk the clientto empty his bladder priorto the procedureAssist the clientinto the left lateral positionduring the procedure  A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of following electrolytes imbalances?HyperatremiaHypermagnesemiaHypokalemiaHypocalcemia  A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packedRBC’s. Which of the followingfindings is an indication of a hemolytic transfusion reaction?HypotensionBradypneaBradycardiaHypothermia  A nurse in an emergencydepartment is caring for a client who has sinus bradycardia. Whichof the following actions should the nurse take first?Prepare the clientfor temporary pacing.Initiate IV fluidtherapy for the client Measure the client’sblood pressureAdminister atropine to the client  A nurse is caring for a clientwho has a prescription to discontinue a peripherally inserted central catheter. Which ofthe following actionsshould the nurse take?Apply slight pressurewhen resistance is metMeasure the catheterafter removalRemove the catheterwith one continuous motionPlace a dry sterile dressingto the site after removal  A nurse is caring for a clientwho has a flail chest.Which of the following actionsshould the nursetake?Provide humidified oxygenImplement fluid restrictionAdminister antibiotic medicationAdminister acetaminophen orally  A nurse is teaching a group of newly licensednurses about acute respiratory failure.Which of the following manifestations should the nurse include in the teaching?HypoxemiaHyperventilationHypocarbiaHypervolemia  A nurse is caring for a clientwho is experiencing a seizure.Which of the following actionsshould the nurse take first?Obtain the client’svital signsClear items from the client’ssurrounding areaLoosen the client’srestrictive clothingLower the clientto the floor  A nurse is teaching a client who is receiving total parenteral nutrition at home through a central venous access device about transparent dressing changes. Which of the following instructions should the nurse includein the teaching? Change the dressingevery 48 hr.Replace the extension tubing with each dressing changeUse clean technique when changing the dressingWear a mask during dressingchange  A nurse is caring for a client in the emergency department who experienced a full- thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?Decreased respiratory rateHypotensionBradycardiaUrinary diuresis  A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Whichof the following is a priority finding?Spider angiomasPalmar erythemaMental confusionYellow Sclera  A nurse is providing instructions about foot care for a client who has a peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of theteaching?”I apply a lubricating lotion to the cracked areas on the soles of my feet every morning””I use my heatingpad on a low settingto keep my feet warm.””I soak my feet in hot water before trimming my toenails”I rest in my reclinerwith my feet elevated for about an hour every afternoon”  A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis. Which of the following instructions should the nurseinclude in the teaching?Swallow the medication with 120mL (4 oz) of waterTake the medication with a vitaminE supplementSit upright for 30 min after taking the medication Take the medication with lunch  A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?Initiate beta blockertherapyInsert a urinarycatheterPrepare the clientfor intravenous pyelogramAdminister IV fluidsto the client  A nurse is completing an assessment of an older adult client and notes redness areas over the bony prominences, but the client’s skin is intact. Which of the following interventions should the nurse includein the plan of care?Apply an occlusivedressingManage the rednessareas three times dailySupport bony prominences with pillowsTurn and reposition the client every4 hr.  A nurse is caring for a client who has completed 10 daily cycles of Total parenteral Nutrition (TPN). Which of the following findings indicates that the client is receiving adequate TPN supplementation.Improved MobilityWeight gain of 9.1 kilogramsto 20 poundsPotassium level of 2.5 meq/lBUN level of 15 mg/dLA nurse is providing teaching to a client who is post-operative following a partial glossectomy. Which of the following statements by the client indicates an understanding of the teaching?I will consume can soup whenever sores appear in my mouthI will drink orange juice toincrease my vitaminC intakeI will rinse my toothbrush with hydrogen peroxideand water aftereach useI will inspect my mouth once each week for sores. A nurse is performing ear irrigation for a client. Which of the following actions should the nurse take?Tilt the client’shead 45 degreesInsert the tip of the syringe to .5 centimeters 1 inch into theear canalPoint the tip of the syringe towardthe top of the ear canalUse cool fluidfor irrigation  A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resectionof the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first?Check the client’surine outputReposition the clientin bedIncrease the client’sfluid intakeAdminister PRN pain medication  A nurse is providing teaching for a client who has diabetes mellitus about the self- administration of insulin. The client has prescriptions for regular and NPH insulin. Which of the following statements by the clientindicates an understanding of the teaching?I will draw up regularinsulin into the syringe firstI will insert the needleat a 15-degree angleI will store prefilled syringesin the refrigerator with the needle pointingdownwardI will shake the NPH vial vigorously before drawing up the insulin  A nurse is caring for a client who is receiving Total parenteral Nutrition (TPN). Which of the followingnursing actions are appropriate? (Select all the apply)Obtain the client’sweight dailyIncrease the rate of infusion if Administration is delayedMonitor serum blood glucose duringinfusionIn to use 0.9% sodiumchloride if the solution is not availableVerify the solutionwith another RN prior to infusion  A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following isthe priority intervention by the nurse? Check potassium levelsAdminister 0.9% sodium chlorideBegin bicarbonate continuous IV infusionInitiate continuous IV insulin infusiond  A nurse is reviewingthe laboratory resultsof a female client who asked about acupuncture treatmentfor chemotherapy-induced nausea and vomiting.Which of the following laboratory results contraindication to receiving acupuncture?Absolute neutrophil count 5000/mm3C-reactive protein 0.7 mg/dlPlatelets 160,000/mm3Hemoglobin 12g /dl  A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of6 on a Pain Scale of 0 to 10. Which of the following should the nurse take?Gently massage the area aroundthe client’s incisionPlace pillows under the client’skneeApply an ice pack to the client’skneePerform range of motion exercises to the client’sknee  A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the followingfindings indicates hypokalemia?HypertensionPositive Chvostek’s signMuscle weaknessOliguriaA nurse at a long-term care facility is assessing an older adult client. Which of the following findings should the nurse identify as an indication that the client has recall memory impairment?Inability to state what he has for dinner last nightInability to Name the membersof his familyInability to countbackwards from 10Inability to statehis current age A nurse on an intensive care unit is planning care for a client who has increased intracranial pressurefollowing a head injury. Which of the following IV medications shouldthe nurse plan to administer?ChlorpromazineDobutamineMannitolPropanol  A nurse on a medical unit is planningcare for a group ofclients. Which of the following clients should the nurse attend to First?A client who has thrombocytopenia and reports and nosebleedA client who has chronicobstruction pulmonary diseaseand oxygen saturationof 89%A client who has multiplesclerosis and Ataxiaand vertigoA client who has left-sided paralysis and slurred speechfrom a prior stroke  A home care nurse is planning to use non-pharmacological pain relief measures for an older client who has severe chronic back pain. Which of the following guidelines should the nurse use?Use imagery with clients who have difficulty with focus and concentrationPain relief from the use of heat and cold continues for several hours after removal of the stimulusDiscontinue opioids before trying non-pharmacological methods of pain reliefDistraction changes the client’s perception of pain but does not affect the cause  A nurse is caring for a clientwho has pneumothorax and a chest tube with closed waterseal drainage system. Which ofthe following actionsshould the nurse take?Strip or clear the chest tube every 8 hoursRefill the waterchamber if the fluid is lowEmpty the system at leastevery 8 hrChange the chest to site dressing every 24 hour. A nurse is in an emergency department is reviewing a client’s ECG reading. Which of the following findings should the nurse identify as an indication that the client has first-degree heart block?Prolonged PR intervalsMore p waves than QRS complexesNon-discernible p wavesNo correlation betweenp and QRS waves  A nurse is preparing to administer a unit of packed RBC’s to a client who is anemic. Identify the sequence of steps the nurse should follow.Obtain venous access using a 19-gauge needle3Obtain the unit of packed rbc’s from Blood Bank 1Verify blood compatibility with another nurse 2Initiate transfusion of the unit of packed rbc’s 4Remain with the client for the first 15 to 30 minutes of the infusion 5  A nurse is teaching a client who is to begin chemotherapy about peripherally inserted central catheter. Which of the following statements should the nurse include in the teaching?We will replacethe PICC every monthWe can draw blood samplesfrom the PICC for diagnostic testWe will change the dressingdailyWe can measureyour blood pressurein either arm  A nurse is assessing a client who has Pyelonephritis and reports flank pain. Which of the followingactions should the nurse take?Assist the clientto a sitting positionPercuss the side oftenderness firstAuscultate for a bruit over the coastalvertebral areaThump the area of tenderness directly with aclosed fist  A nurse is assessing a client who has acute kidney failure. Which of the following findings shouldthe nurse report to the provider?Peripheral pulses 2 + bilaterallyWeight gain 1.1 kilogram to 2.4 pound in 24-hour Urine specific gravity1.045Creatinine 0.8 milliliter  A nurse is caring for an older adult client who is 72 hr. postoperative following a total hip arthroplasty. The client requires a PRN medication prior to ambulation. Which of the following medications shouldthe nurse anticipate administering?IndomethacinMeperidineNaproxenOxycodone  A nurse is caring for a client who has Haemophilus Influenzae type B. which of the following types of isolation should the nurse implement?DropletContactAirborneProtective  A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include, as an indication the client is no longer infectious?Mantoux skin test reveals and induration of less than 1mmClient no longercoughing up blood tinged sputumPositive Quantiferon TBNegative sputum culturefor acid fast bacillusA nurse working in the emergency department is caring for a client who has a burn injury. After securing the client’s Airway which of the following interventions should the nurse take first?Cleanse the clientwoundAdminister Analgesic medicationIncrease the room temperatureStart an IV with a large bore needle A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client developsdyspnea and tachycardia. Which of the following actionsshould the nurse take first?Obtain ABG valuesPerform an ECGTurn the clientto his left sideClamp the catheter  A nurse is providing discharge teaching to a client who has impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?Wash your perinealarea 2 times each day with antimicrobial soapChange the water in your drinking glass every 4 hoursWash your toothbrush in the dishwasher once each monthChange your pet litter box daily  A nurse is caring for a client who has advanced liver disease. Which of the following laboratory resultsshould the nurse monitor when assessing the client?Serum AmmoniaGlucose levelPhosphate levelSerum troponin  A nurse is caring for a client who has admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report to the provider?The client reportsbeing extremely thirstywith a sore throatThe amount of drainage is gradually decreasingThe clients abdomenbecomes distended and firmThe drainage is bright green in color with brown fecal material  A nurse is caring for a client who takes Lisinopril for HTN. Which of the following client statements indicates an adverse effect of the medication?I have a heightened sense oftaste I have a nagging,dry coughI have to urinate frequentlyI seem to be bruising more easily  A nurse is caring for a client who has an endotracheal tube. Which of the following actions shouldthe nurse take toverify tube placement?Deflate the cuff to checkthe tube placementPlace the client’shead and neck in a flexed positionObserve for symmetry of chest expansionDocument the tube length where it passesthe chin  A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions shouldthe nurse includein the teaching?Take a laxative to preventconstipationsTake an antacid30 min before taking the medicationMonitor heart rate once dailyDrink 2 to 3 L of fluid daily  A nurse is caring for a client who presentsto the emergency department after experiencing a heat stroke. Which of the followingactions should the nurse take?Apply a coolingblanket.Assess axillary temperature every 15 min.Administer an antipyreticAdminister lactated Ringers.   A nurse is presenting an in-service program about Parkinson’s disease (PD). Which of the following statements should the nurse include in the teaching?PD cause clientsto have an increased sympathetic nervous systemresponsePD results in the development of neurofibrillary tangleswithin the client’sbrainPD results from a decreased amount of dopaminein the client’s brainPD   manifestations   worse   due   to   the          clients                       decreased          production                 of acetylcholine. A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findingsshould the nurse report to the provideras a contraindication to receivingheparin?ThrombocytopeniaThalassemiaRheumatoid arthritisCOPD  A nurse is assessing a client who has skeletaltraction for a femoral fracture. The nurse notes that the weights are testing on the floor.Which of the following actionsshould the nurse take?Pull the clientup in bedTie knots in the ropes near the pulleys to shorten themIncrease the elevation of the affectedextremityRemove one of the weights  A nurse is reviewing a medical record of a client who has acute gout. The nurse expects an increase in which of the following laboratory results?Intrinsic factorChloride levelUric acidCreatinine kinase  A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of thismedication?”I will check my pulse before I take this medication.””I’ll check my blood pressure so it doesn’tget too high.””I’m going to include more cantaloupe in my diet.””I will try to limit foods that containsalt.”Health ScienceScienceNursingNURS 1115Share Question