The client is diagnosed with acute pancreatitis. Which health care provider’s admitting order should the nurse question?
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What prophylactic measures should the nurse administer in ea…
What prophylactic measures should the nurse administer in early HIV infection to prevent opportunistic and debilitating secondary problems?
Aspirin is ordered for a patient who is admitted with a poss…
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 patient who smokes a pack of cigarettes a day is admitted…
A patient who smokes a pack of cigarettes a day is admitted with chest pain and tells the nurse, “I am just not ready to quit smoking yet.” What is the most appropriate response by the nurse?
A client with disseminated intravascular coagulation has a n…
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 mannito…
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 shif…
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 co…
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…
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 clien…
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?