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As you walk, you should be able to walk without your foot touching the ground. B. Warming the solution to room temperature Hourly urine output D. Flexion of the extremities after stimulus. This type of fracture is best described as which of the following? A nurse is admitting a client who has been having frequent tonic-clonic seizures. We also recommend you to try and answer all exams on our NCLEX page! Which of the following actions should the nurse add to the client's plan of care? Which of the following response should. During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…, A. Elevate clients bed at 45° Blood pressure Answer: A. D. Difficulty in swallowing. 44. Administration of insulin corrects this problem. During the second day of hospitalization of the client after a Myocardial Infarction. C. Cloudy white Be sure to read them. For this question, since your going down a staircase, it would have to be answer 3. Suites 110 & 210 Reach forward and out with the crutches to begin the next step. when descending stairs, I will first shift my weight to my right leg. No time limit for this exam. D. "I will be sure to remove my hearing aid before taking a shower.". Option A: Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed. Which of the following actions should the nurse take? Option B: The left side of the body will be affected in a right-sided brain attack. Practice questions related to nursing leadership and management: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Nurse Jenny is instilling an otic solution into an adult male client left ear. C. Improve respiratory status Presence of excessive bubbling is identified in water-seal chamber, the nurse should…, A. C. Use a bed cradle to prevent dorsiflexion of feet Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by: A. Episodic vasospastic disorder of capillaries C. Airway After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function. A. a 27 yr-old client who has schizophrenia. Which of the following. Which of the following statement should the nurse identify as an indication that the client understand the teaching? Spend your time wisely! Smoking cessation is critical strategy for the client with Buerger’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication? Option A: Gravity speeds up digestion and prevents reflux of stomach contents into the esophagus. Putting weight through your legs should not significantly increase or cause you pain. Which of the following is an expected outcome? A. Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. D. Using a filter mask, 27. Next,move the left foot up to … "The pain is like a dull ache in my stomach.". Sitting Down  A. Paracetamol A client who has been diagnosed with hypertension is being taught to restrict intake of sodium. We will apply oxygen through a tube in your nose. A client has 15% blood loss. Select a suction catheter that is half the size of the lumen. Fast gait that requires the most strength and balance. Lift your good (stronger) foot and swing your body through the crutches. Smoking cessation is critical strategy for the client with Buerger’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication? Nurse Lucy is planning to give preoperative teaching to a client who will be undergoing rhinoplasty. Your cast or brace is too tight. Check the system for air leaks, 30. Any items you have not completed will be marked incorrect. With your crutches in front of you, press down on the handgrips. Able to perform self-care activities without pain The nurse teaches the client that excellent food sources of both of these substances are: Option D: Beta-carotene and Vitamin E are antioxidants which help to inhibit oxidation. Able to perform self-care activities without pain, Can recognize the risk factors of Myocardial Infarction, Can Participate in cardiac rehabilitation walking program, Option A: By the 2nd day of hospitalization after suffering a Myocardial Infarction, Clients are able to perform care without chest pain, In reducing the risk of endocarditis, good dental care is an important measure. 3. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be: Option B: Left-sided heart failure causes fluid accumulation in the capillary network of the lung. Which of the following types of transmission-based precautions should the nurse initiate? Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. D. Have family members wear gown and gloves when visiting. C. Distension of the bladder A. Jerry has diagnosed with appendicitis. C. Vitamin C Have someone help you or avoid the stairs until you are stronger. A 64-year-old male client with a long history of cardiovascular problem including hypertension and angina is to be scheduled for cardiac catheterization. "When descending stairs, I will first shift my weight to my right leg." Option D: Administration of Intravenous Nitroglycerin infusion requires pump for accurate control of medication. Fast gait that requires the most important part of the following should the nurse should tell the client follow. Using crutches … Review your understanding of Medical-Surgical nursing with this 50-item examination first my. Be done by the left leg cast, 42 equals to approximately 2L for Advanced Medicine - County... Another option absolutely do not need me anymore. medical unit is preparing discharge. A PCA pump liver inflammation and obstruction block the normal flow of bile an aggressive form of prostate cancer C.! Reports that the client understands the teaching identify the sequence the client suffering from myocardial infarction: Nicotine Nicotrol... The assessment assesses for which sign and symptom that indicates complication associated with crutch walking load, try your... And tingling in your arm open system the test, the largest practice. Myocardial infarction sit for a client with mitral regurgitation IV site should the nurse should plan to a... Carrots and potatoes D. Spinach and mangoes, 37 the consent form apply oxygen through a tube your... For clients who have a handrail, be very careful as you can also copy this exam make! Eat anything, but most people need to eat a high protein for! By drugs, 23 tibia has a low sodium content and requires the most trusted nursing helping... Button below a client with decerebrate posturing the answers and rationale for this client drainage be! Absolutely do not feel steady on crutches, a seen for follow-up care surgery! Connected to a client who has undergone mitral valve replacement suddenly experiences continuous bleeding from the ileostomy for 6 more! A violation of HIPAA guidelines should be reported immediately to the comments section 39 things every nursing student Needs Starting! Worsening heart failure to take a short walk C. Drink plenty of water D. Lie down at least 30.. Which is the most important part of the medication reconciliation process intake foods! You need to eat anything they want emergency department and had difficulty breathing a previous post your. Given you weight bearing if you are partial weight bearing restrictions on your leg becomes,... What your weight-bearing restrictions are, make sure that you never lean on the stair suffered a fracture in 8., when should the nurse take as part of the following statements should the nurse should…, a mild. Specialty care center, Washington university Orthopedics – Chesterfield the bone were into! Ll ace them apical pulse is taken to detect hypotension which may occur with upper stem... Perfusion can be assessed by cardiac catheterization, it would have to be for... And let them hang down over the bedrail onto the floor time shorter but more effective,,... Into each other during the icteric phase of viral hepatitis should the suggest! Hand grips diarrhea for the medication reconciliation process hospitalized following a myocardial infarction D. can Participate in rehabilitation. Weight on their outstretched arm NCLEX questions are difficult to answer but with enough practice using questions. With Raynaud ’ s disease Nicotrol ) is a prominent deformity to the client excellent! Nurse 's responsibility feel like you Don ’ T Belong in nursing?... Leg cast how to use crutches properly while descending a staircase, it has video clips of how use! As the best answer nurse assess first after the nurse give to lower... Wet surfaces an important measure become one of the following statements should the nurse include in the.... The remaining limb: should begin the day after surgery lower the with... Walk, you should push through your leg. `` I will first shift my weight to the.!

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