Author: Anonymous

Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the health care provider before giving the aspirin?

A client with disseminated intravascular coagulation has a nursing diagnosis of Ineffective Tissue Perfusion. Which action is inappropriate for this nursing diagnosis?

The nurse is assigned to monitor a patient receiving mannitol for increasing intracranial pressure (ICP). What measurement will determine whether the mannitol is effective?

The nurse working on a neurology unit has just received shift report. Which assigned client should the nurse assess first?

The unit manager has identified a nurse as having several codependent traits. Anytime overtime is needed, this nurse will work regardless of the shift or number of hours. What trait of codependency is being displayed here?

A school-age client with a history of multiple allergies is prescribed an epinephrine auto injector for prevention of anaphylactic shock. The client’s mother says to the nurse, “I thought shock only happens if a person is bleeding.” Which response by the nurse is the most appropriate?

The nurse is completing a preoperative checklist for a client one week prior to her bariatric surgery. Which finding should be brought to the surgeon’s attention before proceeding with further patient preparation?

All of these orders are received for a patient who has vomited 1500 mL of bright red blood after esophageal varices rupture. Which order will the nurse act on first?

The nurse is admitting a client with a medical diagnosis of Addison’s disease. What statement made by the client would support this medical condition?

What instruction should be given to a client who is taking baclofen?