The nurse assessing the client diagnosed with pancreatitis notes the client has a bluish discoloration around the umbilicus. Which intervention should the nurse implement next?
Anonymous Quiz
33%
Assess the left flank for bruising.
31%
Check the chart for the latest hemoglobin
10%
Note the finding in the chart.
25%
Notify the HCP
Which statement by the female client indicates that the client understands factors that may precipitate seizure activity?
Anonymous Quiz
31%
“I should not take birth control pills to prevent pregnancy.”
20%
“I need to limit my intake of dairy products.”
29%
“I should not participate in any contact sports.”
20%
“My menstrual cycle may affect my seizure disorder.”
A nurse is caring for a client diagnosed with cystic fibrosis who is refusing to take a recommended nebulizer treatment. The client’s refusal of treatment is classified as which of the following?
Anonymous Quiz
12%
A moral obligation
27%
A legal obligation
40%
An ethical right
21%
A basic human right
A nurse assesses heavy bleeding with large clots for a postpartum client 2 hours after delivery of a 10-pound infant. Which action should the nurse take initially?
Anonymous Quiz
30%
Perform fundal massage
28%
Notify the primary health-care provider
30%
Start a dilute oxytocin infusion intravenously
12%
Offer a bedpan or assist the woman in ambulating to the bathroom
❤2
A nurse assesses that the pulse of a 2-year-old hospitalized toddler is 120 beats per minute (bpm). What should be the nurse’s priority based on this finding?
Anonymous Quiz
16%
Notify the physician
16%
Apply oxygen by face mask
30%
Document the toddler’s pulse
38%
Reassess the toddler’s vital signs in 15 minutes
🔥3❤1
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😁9
The nurse assisting with the sigmoidoscopy places the client in which position?
Anonymous Quiz
30%
Lithotomy
52%
Sims
13%
Orthopneic
6%
Fowler’s
❤4
Just before inserting the needle into the muscle for a Z-track injection, the nurse appropriately pulls the tissue at the injection site in what direction?
Anonymous Quiz
38%
Laterally
30%
Obliquely
20%
Proximally
13%
Superiorly
❤4🔥1
Which intervention should the nurse implement first when defibrillating a client who is in ventricular fibrillation?
Anonymous Quiz
20%
Defibrillate the client at 360 joules
35%
Remove the client's oxygen source
11%
Energize the defibrillator source
33%
Shout “all clear” prior to defibrillation
❤3❤🔥1
After the client undergoes a total hip replacement, how should the nurse position the affected hip?
Anonymous Quiz
17%
Adduct the hip
59%
Abduct the hip
14%
Flex the hip
10%
Extend the hip
❤3
Which finding documented in the client’s chart is the best evidence that the client is responding favorably to the administration of TPN?
Anonymous Quiz
40%
The client’s electrolytes are in balance
34%
The client is gaining weight.
15%
The client’s appetite is returning
11%
The client is voiding clear, yellow urine
❤4
As the nurse performs a head-to-toe physical assessment, which finding best indicates that the client’s ulcer has perforated?
Anonymous Quiz
26%
The client’s skin is ecchymotic.
57%
The client’s abdomen feels boardlike
10%
The client’s pupils are widely dilated
7%
The client’s respirations are rapid
❤1
Ear drops have been ordered for a 10-month-old child. How should the nurse teach the mother to pull the baby’s ear to straighten the ear canal?
Anonymous Quiz
45%
Down and back
31%
Down and forward
12%
Up and forward
12%
Up and back
❤3
The client is returned to the nursing unit after 6 hours of surgery. During the immediate postoperative assessment, the nurse notes that the client’s dressing is moist. Which action is most appropriate to take first?
Anonymous Quiz
31%
Change the dressing
31%
Reinforce the dressing
15%
Remove the dressing
24%
Document the findings.
❤4👍1
To assess the area where the permanent pacemaker battery has been implanted, the nurse knows to examine which area of the skin?
Anonymous Quiz
20%
Beneath the left nipple
26%
Near the brachial artery
33%
In the midsternal area
21%
Below the right clavicle
❤5
Ferrous sulfate has been prescribed for a woman who is pregnant. The nurse should advise her to take the medication at which time?
Anonymous Quiz
9%
Upon arising
45%
With meals
30%
Immediately following meals
17%
At bedtime
❤4