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- The nurse is assessing a client recently diagnosed with leukemia . Which of the following assessment findings would support the diagnosis ? a) Blood in urine b ) Blood in stool C)Cough or hoarseness d )Petechiae or ecchymosisBefore initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a history of which condition?a) Hypertensionb) Liver diseasec) Pancreatitisd) AsthmaThe nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?
- For a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the dayWhich technique would be most appropriate to use when the nurse is teaching a patient with a language barrier?a )Obtain an interpreter who can speak in the patient’s native tongue for teaching sessions.b) Use detailed explanations, speaking slowly and clearly.c) Assume that the patient understands the information presented if the patient has no questions.d )Provide only written instructions.If extravasation of an antineopastic medication occurs, which intervention wi the nurse perform first?a )Appy cod compresses to the site whie eevating the arm.b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.c )Stop the infusion immediatey whie eaving the catheter in pace.d )Inject the appropriate antidote through the IV catheter
- A patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowingWhat is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decisionThe first priority of providing CPR or first aid is which: a) Control any bleeding immediately with a clean dressing b) Ensure that there are no immediate hazards/dangers to the rescuer before approaching the patient c) Ensure that EMS ( ambulance ) has been called d) Ensure the patient has an open airway , is breathing, and has signs of circulation.
- The nurse is giving medications to a newly admitted patient who is to receive nothing by mouth (NPO status) and finds an order written as follows: “Digoxin, 250 mcg stat.” Which action is appropriate? a )Give the medication immediately (stat) by mouth because the patient has no intravenous (IV) access at this time. b )Clarify the order with the prescribing physician before giving the drug. c) Ask the charge nurse what route the physician meant to use. d )Start an IV line, then give the medication IV so that it will work faster, because the patient’s status is NPO at this timeThe nurse is administering lidocaine and considers which condition, if present in the patient, a caution for the use of this drug? a )Tachycardiab) Hypertensionc) Ventricular dysrhythmiasd )Renal dysfunctionWhich of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calm
