Author: Anonymous

A nurse in a provider’s office is assessing a client who has acquired immunodeficiency syndrome (AIDS). The nurse notes that the client has multiple and widespread raised, purplish-brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions?

A nurse is caring for a client who has just undergone a radical neck dissection. Which of the following assessments is the priority for this client?

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a manifestation of early increased intracranial pressure (ICP)?  

A nurse is planning care for a client who has a platelet count of 25,000. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client on total parenteral nutrition. The client’s plan of care should include nursing actions relevant to what potential complications? Select all that apply.

A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take?

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP) receiving continuous bladder irrigation (CBI). The nurse notes that the client’s indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A nurse is caring for a client with a tracheostomy. The client’s partner has been taught to   perform suctioning. Which of the following actions by the partner should indicate to the   nurse a readiness for the client’s discharge?

A nurse is instructing a client who is schedule led for a transurethral resection of the prostate(TURP) about  the postoperative care. Which of the following information should the nurse include in the teaching?

A nurse is assessing a client who has end stage kidney disease that is receiving hemodialysis. Which of the following  findings should the nurse identify an an indication that the cline is experiencing fluid overload ? Select all that apply