Exam 1: Changes in Health

A nurse received four messages while she was out of the clinic. The nurse would call which of the following clients first?

A physician orders ceftizoxime sodium, 1 mg in 50 ml normal saline to be infused over 30 minutes. The drop factor is 15 drops per ml. A nurse prepares the flow rate at how many drops per minute?

A nurse is caring for an eighty-year-old client who is visually impaired. The nurse would take which of the following actions to reduce sensory deprivation?

After the arterial blood gas test results are reviewed, a client with signs of diabetic ketoacidosis is diagnosed with metabolic acidosis. The nurse caring for the client expects to note which of the following laboratory results in the client's chart?

A nurse is alerted when she finds a 10-year-old child having seizures. Which of the following nursing actions is most appropriate?

A three-day-old full-term infant is observed with yellowish skin and sclera. Laboratory examination reveals a total serum bilirubin level of 15 mg/dl. The nurse determines that these symptoms suggest:

A nurse is assessing a six-month-old child. On assessment, noting of which of the following findings should alert the nurse to a possible problem?

A nurse is caring for Elaine, a 5-year-old child who was admitted due to a suspected case of brain tumor. Diagnostic tests reveal that the child has a brain tumor involving the cerebellum. A surgery is ordered. During the pre-operative period, which of the following is the most important nursing intervention for the client?

Which of the following should alert the labour nurse that her client has begun the second stage of labour?

A male client with an obsessive-compulsive behavior is admitted to the mental health facility. He is unable to finish schoolbecause his repetitive behavior caused him to missmost of his classes. The nurse understands that the client's behavior is mainly caused by which of the following:

Nikki, a female client who had an abdominal surgery a week ago, demonstrates separation of the wound edges at the suture line. Increased drainage and appearance of underlying tissues through the wound are noted. Which of the following is the most appropriate initial nursing intervention for the client?

A physician orders a medication to a client with fluid volume deficit. The medication is ordered to be administered through the intravenous route. Which of the following actions by the nurse is the least appropriate when inserting an intravenous line?

A client comes to the emergency department complaining of abrupt onset of midepigastric pain with radiation to the back. Cullen's sign, Turner's sign, abdominal guarding, decreased bowel sounds, and nausea and vomiting are documented. The client is diagnosed with acute pancreatitis. Which of the following medications is a physician most likely to prescibe to this client in order to relieve pain?

A nurse is applying a compression bandage around the client's leg. Which of the following describes the appropriate application of a compression bandage?

A female client has just been admitted with a diagnosis of major depression. Which of the following is the most appropriate question for the nurse to ask at this time?

Rachel, a G1P0 female at 30 weeks' gestation, was admitted to the facility due to persistent headaches. On physical assessment, a blood pressure of 180/130 mm Hg was noted. Laboratory tests were conducted, revealing proteinuria of more than 5 grams in a 24-hour collection. History reveals that Rachel was diagnosed with pre-eclampsia. Her physician orders the administration of magnesium sulfate IV to prevent convulsions. The nurse who is tasked with preparing and administering the drug ensures that which of the following medications is readily available as an antidote for magnesium sulfate toxicity?

A nurse is obtaining the vital signs of a client with increased intracranial pressure. The nurse determines that which of the following findings suggest an increase of ICP?

Celine, a 45-year-old client, complains of sense of a curtain being drawn in her vision. Flashes of light, floaters, and blurred vision are also reported. Based on these details of information, the client is most likely diagnosed with:

Which of these clients should the nurse assess first?

A nurse is caring for Mrs. Thomas, an adult female who sustained second-to-third-degree burn injuries in the anterior and posterior thorax. A physician orders silver sulfadiazine during wound dressing. The nurse recognizes the client's susceptibility to infection. Which of the following is the best action to prevent wound infection during cleaning and dressing?