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In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:
Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?
Support systems during the grieving process include all of the following except:
The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?
A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to:
When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing’s syndrome?
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:
Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1° F at 4 a.m. The nurse determines that this is most likely due to:
A client is assessed by the nurse as experiencing a crisis. The nurse plans to:
A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?
Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of:
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?
Which of the following needs immediate medical attention and emergency intervention? The client who:
The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
How many temporary teeth should the nurse expect to find in a 5-year-old client’s mouth?
A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except:
A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?
What is the primary theory that explains a family’s concept of health and illness?
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.” Select the nurse’s response that could help raise the client’s self-esteem.
Ethical and moral issues concerning restraints include all of the following except:
At what point in the nurse-client relationship should termination first be addressed?
In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client’s:
An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?
Which of the following motions is identified with the corresponding action?
(Action- Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)
A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?
Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?
A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?
A nurse is assessing a patient that has undergone a recent CABG. The nurse notices a mole with irregular edges with a bluish color. The nurse should:
If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?
Acyclovir (Zovirax) is the agent of choice for which of the following infections?
When giving an intramuscular injection to an infant. Which of the following sites is preferred?
A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?
During a well-baby check of a 6-month-old infant, the nurse notes abrasions and petechaie of the palate. The nurse should:
A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
A nurse is administering an antibiotic to a 4 year old girl, who does not have an identification bracelet. What action should the nurse take?
The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client’s wishes regarding organ donation:
The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:
Which of the following describes the stages of domestic violence in an intimate relationship?
Which physiologic mechanism best describes the function of the sodium-potassium pump?
A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?
When discussing the patterns of use of alcohol and other drugs, the nurse should include which piece of information?
Which of the following should not be included in the teaching for clients who take oral iron preparations?
Incidences of child abuse apperar to be higher in the African-American community and might be explained by:
When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?
Which of the following statements by an adult child of a client with late-stage Alzheimer’s disease indicates a need for further teaching by the nurse?
Which of the following procedures describes an opening between the colon and abdominal wall?
Which of the following strategies should the nurse include when planning care for children of migrant workers?
Which statement best describes electrolytes in intracellular and extracellular fluid?
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, “I need this surgery because nothing else I have done has helped me to lose weight.” Which response by the nurse is most appropriate?
Which of the following lab values is associated with a decreased risk of cardiovascular disease?
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client’s weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
TESTED 28 Apr 2024