A nurse is assessing a 18 year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration. The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing which of the following conditions?
A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this client for:
An example of a process standard on a med-surg unit is:
A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?
An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?
A nurse is teaching a client newly diagnosed with Emphysema about the disease process. Which of the following statements best explains the problems associated with emphysema and could be adapted for use in the nurse’s discussion with the client?
A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?
A mother has just given birth to a baby who died soon after. The mother has been crying and states, “I can’t believe this has happened to me. I did everything right during this pregnancy.” How should the nurse respond to this mother?
A client admitted to the medical nursing unit has classic symptoms of tuberculosis (TB) and tests positive on the purified protein derivative (PPD) skin test. Several months later, the nurse who cared for the client also tests positive on an annual TB skin test for work. The most likely course of treatment if the chest X-ray (CXR) is negative is to:
A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient’s lower extremity. Which of the following is the most probable result of the fall?
A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?
When giving an intramuscular injection to an infant. Which of the following sites is preferred?
A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse’s immediate attention and phone call?
A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries torefocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping. Based on the assessment, the nurse documents that the client has:
A nurse is assessing a patient’s breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?
