The nurse is caring for a client with a seizure disorder.

Which information should the nurse include in

the teaching plan for the client prescribed phenytoin?

This poll is locked.

Doubling the next dose if a dose is skipped.

Encouraging increased fluid intake.

Monitoring urine output.

Recommending regular dental care visits.

The nurse assists a health care provider is inserting a pulmonary artery catheter. During the catheter
insertion, the nurse realizes which complication could likely occur?

This poll is locked.

cardiac arrhythmias

meningeal irritation

respiratory arrest

sepsis

The nurse discovers that an order for 1000 ml of 0.9% sodium chloride at 100 ml/hr was not
initiated when prescribed 12 hours ago. The client's urine output was 360 ml for the last 12 hours
and is currently dark amber in color. Which action should the nurse implement at this time?

This poll is locked.

Call the previous nurse to assess why the IV fluids werent administered.

Check the clients serum sodium level.

0
 Initiate the IV fluid as prescribed.

Notify the physician of the delay in therapy.

The nurse is instructing an unlicensed assistive personnel (UAP)

on the correct procedure for assessing blood pressure. Which
action by the UAP indicates appropriate technique?
This poll is locked.
Assists the client to a chair prior to assessing the blood pressure.
0

Lowers the air level at 1 mm Hg per second.

0

Palpates the brachial pulse after obtaining the reading.

0

Positions the client's arm at the level of his heart.

Answer D

A client is receiving furosemide intravenously for the treatment of heart failure. Which action is most
important for the nurse to implement?

This poll is locked.

Assess the client's blood pressure.

Dilute the medication with normal saline.

Inject at a rate no faster than 10 mg per minute.

Restrict the client's fluid intake

A client is receiving mannitol following a closed head injury with

increased intracranial pressure. Which assessment is priority for
the nurse to monitor while the client is receiving this therapy?
This poll is locked.
Blood pressure
0

BUN and creatinine levels

0
 Deep tendon reflexes
1

Serum electrolyte level

Answer- D

A 36-year-old client presenting at a health fair has a pulse rate of 116 beats per minute. Which action
should the nurse implement next?

This poll is locked.

Assess the apical and radial pulse at the same time.( atrial fibrillation)

Determine if there is a reason for him to have an elevated pulse rate.

Have the client rest for 20 minutes and reassess the pulse rate.

Take the client's blood pressure

A client whose wife is dying of cancer states "I don't want to live
without her." Which action should the nurse implement at this
time?
This poll is locked.
Ask the client if he has thoughts of killing himself.
1

Encourage the client to spend as much time as possible with his dying wife.
0

Refer the client to social services for support services.

0

Request and antidepressant from the client's health care provider

Ans- A

A client has been admitted to a burn unit with severe burns to his face requiring bandaging of his
entire face and eyes. Which action by the nurse will reduce the client's anxiety?

This poll is locked.

Encourage visits from his clergy.

0
 Speak to the client while in his presence.

Offer the client frequent analgesia.

Remove the mirrors from the room

A client is receiving garamycin (Gentamycin). The nurse realizes which condition indicates an adverse
effect of this medication?

This poll is locked.

BUN of 18 mg/dL and creatinine of 1.2 mg/dL

Fever of 100.6 three days after the initiation of the antibiotic

Stomatitis and diarrhea

Urine output of 240 mL in 4 hours

A nurse is assessing a client's abstract thinking. Which request best evaluates this type of thinking?

This poll is locked.

Asking the client the meaning of the proverb "A rolling stone gathers no moss."

Giving the client a puzzle to solve.

Having the client count back by seven from 100 to 0.

Showing the client three objects and then having the client recall the objects 15 minutes la

A client was admitted 72 hours ago to an inpatient unit with a fractured left tibia following a
motor vehicle crash. His blood alcohol level on admission was 0.08%. He is experiencing
restlessness, irritability, anxiety, and an irrational thought process. Which condition does the
nurse suspect this client is experiencing?

This poll is locked.

Alcohol withdrawal syndrome

Claustrophobia due to wearing a cast on his leg

Delirium tremens (DTs): After 48 hours it is DT. Before 48 hours it is alcohol withdrawal
syndrome

Elevated serum ammonia level

A client with hypercalcemia associated with multiple myeloma complains of right flank pain.
Which action by the nurse is appropriate at this time?

This poll is locked.

Administer vitamin D supplement.

Have the client maintain complete bed rest.

Reduce the client's intake of foods high in calcium.

Strain all urine.