Cervical cancer

Note: There are two case studies , One Adina’s and Steve,, Work need to done on Adina’s case study.

Steve’s Case Study and Concept map given is an example ( will give you best idea -how to make concept map )

· In your concept map you must:

1) Interpret the patient’s risk factors (from the case-study scenario) and determine how these risk factors may lead to cell pathology (based on the patient’s diagnosis);

2) Explain the links between cellular pathology and the pathophysiology of the diagnosed disease;

3) Describe how the pathophysiology of the disease accounts for the patient’s clinical manifestations (described in the case-study scenario); and

4) Analyze and interpret evidence based research to suggest appropriate diagnostic assessments and treatment modalities for the patient’s diagnosis.

· In your 500 word written explanation you must:

1) Explain the links between the risk factors and aetiology to account for the disease’s pathophysiology.

2) Describe how the disease’s pathophysiology manifests through the patient’s signs and symptoms.

Cervical Cancer

Cervical cancer is one of the leading causes of cancer death in the world, particularly in developing countries.

Aetiology: Cervical cancer is strongly linked to 2 viruses: Herpes simplex 2 (HSV2) and human papillomavirus (HPV). Other risk factors include: multiple sexual partners, age (35-65) and smoking.

Pathophysiology: Early stages consists of dysplasia (starts mild), which occurs at the junction of columnar cells with squamous cells at the external os. The majority of cervical cancers arise from squamous cells. A pap smear test will reveal the signs of dysplasis before cancer has manifested. Invasive carcinomas appear as a protruding nodular mass or ulceration. As the carcinoma spreads into neighbouring tissues (including uterus and vagina), it may reach the connective tissue, bladder and rectum. Metastases to lymph or blood occurs rarely at late stages.

Clinical manifestations: Cervical cancer is asymptomatic in the early stages (but can be detected by a pap smear). Invasive cervical cancer may manifest as abnormal vaginal bleeding and discharge, as well as dyspareunia (painful intercourse) and postcoital bleeding.

Diagnosis: A clinical history, physical pelvic examination and pap smear can diagnose cervical cancer, along with a cervical biopsy. Pelvic CT or MRI may be used to assess the extent of spread.

Management: Management depends on the grading of the dysplastic changes. A loop electrosurgical excision procedure (LEEP) may be perform to diagnose and treat lesions. Surgery combined with radiation is the recommended treatment. Surgery ranges from: cryosurgery to hysterectomy. Radiation therapy may be external or internal (implants) depending on the invasiveness of the cancer. Prevention of cervical cancer can be achieved through HPV vaccination for girls before they become sexually active.

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Ethical Theories And Models

Ethical Theories Worksheet

Part One

Propose a solution to the following scenario using each of the five ethical theories presented in this module. Explain how your solution aligns with the major ideas within each theory.

Scenario: There is a pandemic of a contagious disease. In the United States, there is only enough of the vaccine to cover 70% of the population. How do you determine who gets the vaccine?

Part Two

Consider the same scenario, but explain what process you would need to add to your solution to protect the bioethics principles.

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Word document.

Overview.

Create a 2-page plan addressing the scholarship, service, and teaching elements of a specific nurse educator role in a specific context.

When we say we are nurse educators, the image that comes to mind for many is that of a nursing instructor in an undergraduate nursing program. The work that person is engaged in is teaching others how to be nurses. While that is certainly one aspect of the nurse educator role, the setting and the work may vary greatly. Some nurse educators, especially in university settings, will hold joint appointments as nursing faculty in a college of nursing and as clinicians in the university hospital. Other educators will work exclusively in a hospital or community setting, educating staff, patients, or community. Regardless of the setting, the role of educator encompasses more than teaching; there is also an expectation for scholarship and for service.

In this tripartite role, faculty in universities and colleges are expected to teach, participate in scholarly activities, and participate in service, which is defined as activities contributing to the good of the community, university, or profession beyond one’s defined job description. Many health care institutions will also have similar expectations for nurses in upper-level positions.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 2: Analyze the tripartite role of teaching, service, and scholarship.

. Describe a specific nurse educator role.

. Analyze the teaching, service, and scholarship expectations for a chosen nurse educator role.

· Competency 5: Articulate how nurse educators serve as change agents and leaders to help advance nursing education and nursing practice.

. Analyze qualifications in a chosen nurse educator role that facilitate being a change agent.

· Competency 6: Develop a plan for engaging in scholarship in an established area of expertise.

. Explain opportunities for scholarship related to a specific area of expertise.

· Competency 7: Establish a plan for pursuing continuous improvement in the nurse educator role.

. Generate a plan for meeting each aspect of the tripartite model.

· Competency 8: Communicate in a manner that is scholarly, professional, and consistent with the expectations for a nursing education professional.

. Write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.

Assessment Instructions

Create a short (approximately 2 pages) plan reflecting on how the three aspects of the tripartite model of teaching, service, and scholarship could be met for a particular nurse educator position in a context of interest to you.

In your plan, do the following:

· Describe the nurse educator role that your plan addresses, as well as any other pertinent details about that role. Be sure to give the role’s title and explain the context in which that role works.

· Analyze the teaching, service, and scholarship expectations for that role as you understand them, and how those expectations fit with the role.

· Identify publications, journals, and conferences that could be a fit for the scholarship conducted in this role. Explain the kinds of scholarship that would be a good fit for person in this role and with this expertise.

· Generate a plan that could be used by a person in this role for meeting each of the expectations you analyzed.

· Analyze additional qualifications that you believe are needed for this role (additional education, certifications, skills, and so on), explaining why they are necessary.

· Analyze the qualifications and areas of expertise related to this role that would facilitate serving as a change agent.

Additional Requirements

Your plan should meet the following requirements:

· Written communication: Written communication should be free of grammar and spelling errors that distract from the content.

· APA format: Use correct APA format, including running head, page numbers, and a title page. Citations and references (if used) are to be in correct APA format.

· Format: Submit your assessment as a Word document.

· Length: Approximately two double-spaced pages, not including the title page and references page.

· Font and font size: Times New Roman or Arial, 12 point.

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Politics And Government Assignment

Subsystem: Politics & Government

Assignment Instructions

· Review the following resources:

· Course textbook and/or other assigned readings

· Review social determinants of health

· Meet with Mayor Hill to get some information about city politics

· Enter Sentinel City® (SC) and begin the bus tour.

· As you tour your selected community, note signs that indicate political activity and community involvement in government at the local level or the lack thereof. Compare your selected SC community to SC in general.

· What did you observe that has a negative influence on the health of this community, which can be addressed by additions or changes in local government policies?

· Using an evidence-based approach, develop two policy recommendations to present to the mayor.

· For questions, contact your instructor.

Learning Objectives

· Identify signs of political involvement in a community

· Identify conditions in a community that can have a negative influence on health

· Describe the health impact of negative characteristics of a community that can be improved by political advocacy

· Create policy recommendations that address a social determinant of health

· Use current literature and data to provide rationale for policy recommendations

References

AACN Public Health Essentials

This assignment addresses the following AACN Public Health Essentials:

· Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety

· Apply systems theory to PHN practice with individuals, families, and groups.

· Essential III: Essential III: Scholarship for Evidence-Based Practice

· Use epidemiologic data and the ecological perspective to identify health risks for a population.

· Essential V: Healthcare Policy, Finance, and Regulatory Environments

· Identify public health policies, laws and regulations relevant to PHN practice. Identify the impact of the system on individuals, families, and groups.

· Essential VII: Clinical Prevention and Population Health for Optimizing Health

· Practice evidence-based public health nursing to promote the health of individuals, families, and groups.

· Essential IX: Baccalaureate Generalist Nursing Practice

· Use basic descriptive epidemiological methods when conducting a health assessment for individuals, families, and groups.

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 Pneumonia Of Left Lung

Must use the sample template for your soap note,

Use APA format and must include minimum of 2 Scholarly Citations.

Turn it in Score must be less than 15% or will not be accepted for credit, must be your own work and in your own words.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient

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Eportfolio Power Point Presentation

Eportfolio Power Point Presentation

Eportfolio Power Point Presentation

The student will read the assigned readings pertaining to the e-portfolio, as well as research the topic. The student will define an e-portfolio for the graduate student and for an advanced practice nurse. The PowerPoint slide presentation will include discussion of the importance and purpose of developing and using an e-portfolio as a graduate student, then identify and discuss items that should be in included in an e-portfolio per the grading rubric. The student will provide five (5) examples of items that would be included in an e-portfolio. The presentation will conclude with a summary and recommendations on how the student will use the e-portfolio as a graduate student and as an advanced practice nurse (APN) in the future.

Preparing the Presentation

1. Must be a professional, scholarly prepared PowerPoint presentation of 8-10 slides including at least five scholarly references.
2. You should have at least 8-10 slides, not including the title slide and reference slides.
3. Speaker notes are present for each slide. It is important to note that if you could not give your presentation and someone would have to stand in for you, he or she would need to know what you were going to say. Use the speaker-notes section so that someone may step in for you and not miss a beat.
4. Maintain the 6x6x6 rule for a professional PowerPoint presentation. No more than 6 lines per slide, 6 words per line, and 6 slides without a graphic.
5. All aspects of the presentation must be in APA format as expressed in the 6th edition.
6. Ideas and information from professional sources must be cited correctly.
7. References may include one dictionary source, one textbook source, and four scholarly peer-reviewed journals published in the last 5 years. Total of six sources. No Wikipedia or CINAHL Nursing guide articles.
8. Grammar, spelling, punctuation, and citations are consistent with formal academic writing.

Category

Points

%

Description

Title slide has name, topic title, course, and date present

10

5

Title slide looks professional with the student’s name, title of presentation, course and date present

Define e-portfolio

30

15

Provides a definition for an e-portfolio for a graduate student and for an advanced practice nurse

Importance of developing and using an e-portfolio as a graduate student

30

15

Discusses the importance and purpose of developing and using an e-portfolio as a graduate student.

Identify and discuss items to be included in an e-portfolio as a graduate student and  as a professional

30

15

Identifies and discusses items to be included in an e-portfolio

Examples of what you would include in your e-portfolio

30

15

Identifies at least five (5) examples of items that the student would include in their e-portfolio.

Discuss challenges and issues associated with e-portfolios

20

10

Discusses at least two(2) challenges or issues associated with developing or using an e-portfolio

Conclusion slide with recommendations for the future present

20

10

Concludes presentation with recommendations on how they will use the e-portfolio as an APN in the future

Includes 6 references per the assignment guideline and slide count of 8-10 slides excluding title and reference slides.

10

5

Presentation may include on dictionary, one textbook, and four scholarly sources published in the last five (5) years as references. No Wikipedia or CINAHL nursing guide articles. Slide count = 8-10 excluding title and reference slides.

The slide presentation includes speaker notes.

10

5

The slide presentation includes speaker notes.

Grammar, spelling, punctuation, references, citations, and APA formatting

10

5

Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing and APA format as expressed in the 6th edition.

Total

 200

100

A quality assignment will meet or exceed all of the above requirements.

Rubric

NR512 W3: E-Portfolio PPT AssignmentNR512 W3: E-Portfolio PPT AssignmentCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeTitle slide has name, topic title, course, and date present10.0 ptsExceptionalAll elements are present9.0 ptsExceeds3 of four elements are present8.0 ptsCompetent2 of four elements are present4.0 ptsNeeds Improvement1 of four elements is present0.0 ptsUnsatisfactoryNo title slide or no elements are present on title slide or no name on presentation10.0 pts
This criterion is linked to a Learning OutcomeDefine e-portfolio for the graduate student in higher education and for the advanced practice nurse forto use in professional development.30.0 ptsExceptionalProvides a comprehensive definition for an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development26.0 ptsExceedsProvides a superficial definition for an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development24.0 ptsCompetentProvides a minimal definition for an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development11.0 ptsNeeds ImprovementProvides a definition for an e-portfolio for a graduate student in higher education or for an advanced practice nurse for professional development but not both0.0 ptsUnsatisfactoryDoes not meet criteria at all30.0 pts
This criterion is linked to a Learning OutcomeImportance of developing and using an e-portfolio as a graduate student in higher education and as a nursing professional (APN) for professional development.30.0 ptsExceptionalComprehensive discussion of the importance and purpose of developing and using an e-portfolio as a graduate student in higher education and as a nursing professional (APN) for professional development26.0 ptsExceedsSuperficial discussion of the importance and purpose of developing and using an e-portfolio as a graduate student in higher education and as a nursing professional (APN) for professional development24.0 ptsCompetentMinimal discussion of the importance and purpose of developing and using an e-portfolio as a graduate student in higher education and as a nursing professional (APN) for professional development11.0 ptsNeeds ImprovementDiscusses the importance and purpose of developing and using an e-portfolio as a graduate student in higher education or as a nursing professional (APN) for professional development but not both0.0 ptsUnsatisfactoryNo discussion of the importance and purpose of developing and using an e-portfolio as a graduate student in higher education or as a nursing professional (APN) for professional development30.0 pts
This criterion is linked to a Learning OutcomeIdentify and discuss items to be included in an e-portfolio as a graduate student in higher education and for an advanced practice nurse for professional development30.0 ptsExceptionalIdentifies and discusses 5 items to be included in an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development26.0 ptsExceedsIdentifies and discusses 4 items to be included in an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development24.0 ptsCompetentIdentifies and discusses 3 items to be included in an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development11.0 ptsNeeds ImprovementIdentifies and discusses 1-2 items to be included in an e-portfolio for a graduate student in higher education and for an advanced practice nurse for professional development or does not address both0.0 ptsUnsatisfactoryDoes not meet criteria at all30.0 pts
This criterion is linked to a Learning OutcomeExamples of what you would include in your e-portfolio as a graduate student in higher education (does not need to include the actual documentation in the presentation, just list and discuss each specific item)30.0 ptsExceptionalIdentifies at least 5 specific examples of items the student would include in their e-portfolio(i.e. CE activity for a specific topic, scholarly paper the student has written, etc.)26.0 ptsExceedsIdentifies at least 4 specific examples of items the student would include in their e-portfolio(i.e. CE activity for a specific topic, scholarly paper the student has written, etc.)24.0 ptsCompetentIdentifies at least 3 specific examples of items the student would include in their e-portfolio(i.e. CE activity for a specific topic, scholarly paper the student has written, etc.)11.0 ptsNeeds ImprovementIdentifies at least 1-2 specific examples of items the student would include in their e-portfolio(i.e. CE activity for a specific topic, scholarly paper the student has written, etc.)0.0 ptsUnsatisfactoryDoes not meet criteria at all30.0 pts
This criterion is linked to a Learning OutcomeDiscuss challenges and issues associated with e-portfolios20.0 ptsExceptionalDiscusses two challenges or issues associated with the development and use of e-portfolios16.0 ptsCompetentDiscusses one challenge or issue associated with the development and use of e-portfolios0.0 ptsUnsatisfactoryDoes not discuss any challenges or issues associated with the development and use of e-portfolios20.0 pts
This criterion is linked to a Learning OutcomeConclusion slide with recommendations for the future use of e-portfolio as a graduate student and as an APN20.0 ptsExceptionalConclusion slide contains a summary of the presentation and recommendations on how they will use the e-portfolio as a graduate student and as an APN in the future16.0 ptsCompetentConclusion slide contains a brief summary and/or brief recommendations for the future8.0 ptsNeeds ImprovementConclusion slide contains only a summary OR only future recommendations0.0 ptsUnsatisfactoryNo conclusion slide or future recommendations are present20.0 pts
This criterion is linked to a Learning OutcomeReferences may include one dictionary source, one textbook source, plus four scholarly peer-reviewed journals published in the last 5 years to equal six sources. No Wikipedia or CINAHL Nursing guide articles. Slide count of 8-10 slides is met.10.0 ptsExceptionalAll criteria is met4.0 ptsNeeds ImprovementReference criteria is met OR slide count is met but not both.0.0 ptsUnsatisfactoryCriteria is unmet10.0 pts
This criterion is linked to a Learning OutcomeThe slide presentation includes speaker notes.10.0 ptsExceptionalPresentation contains speaker notes for each slide.9.0 ptsExceedsPresentation contains speaker notes for 75% of slides8.0 ptsCompetentPresentation contains speaker notes for 50% of slides4.0 ptsNeeds ImprovementPresentation includes speaker notes for 25% of slides0.0 ptsUnsatisfactoryNo speaker notes present10.0 pts
This criterion is linked to a Learning OutcomeGrammar, spelling, punctuation, references, citations, and APA formatting10.0 ptsExceptional0-2 grammar, spelling, punctuation, reference, citation, or APA errors9.0 ptsExceeds3-4 total grammar, spelling, punctuation, reference, citation, or APA errors8.0 ptsCompetent5-6 total grammar, spelling, punctuation, reference, citation, or APA errors4.0 ptsNeeds Improvement7-8 total grammar, spelling, punctuation, reference, citation, or APA errors0.0 ptsUnsatisfactory9 or more total grammar, spelling, punctuation, reference, citation, or APA errors.10.0 pts
Total Points: 200.0

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Critical Reasoning Week 4 Discussion

Essentials Of Maternity

Essentials Of Maternity

Chapter 18: Nursing Management of the Newborn

1. As a postpartum nurse your next client is an LGA baby boy who was born at 37 weeks’ gestation. He had Apgar scores of 8 and 9. He was circumcised. The mother is breast-feeding. Your unit requires a full assessment, screenings, discharge instructions, and documentation. (Learning Objectives 4, 7, 8, and 10)

1. Describe what a normal head-to-toe assessment would be for an infant born at 37 weeks’ gestation. What test is used to determine this gestational age? What is the scale used to determine the Apgar score, and are this baby’s scores normal?
2. As the discharging nurse, you are responsible for what screenings in an infant in the first 24 to 48 hours? What immunizations would be required?
3. What discharge instructions would be pertinent to this mother? How would you educate her or the family?
4. How would you document your discharge teaching? Write a sample narrative of your teaching.

2. You are the newborn nursery nurse and have been called to the labor and delivery suite to attend the delivery of a G5P4 mother whose pregnancy was complicated by gestational diabetes. At 2032 a male infant weighing 8 pounds 2 ounces was delivered vaginally with the assistance of a vacuum extractor. You have assigned Apgar scores of 7 and 9. (Learning Objectives 2, 3, 5, 6, and 8)

1. Relate the assessments you need to carry out in this immediate postdelivery time period.
2. Describe the nursing interventions you will perform before the baby is taken to the newborn nursery.
3. After taking the baby to the newborn nursery, you notice that the baby has developed diffuse swelling and bruising on the occiput of his head from the vacuum extractor use. Discuss how you would differentiate between a cephalhematoma formation and caput succedaneum development. Which one is more serious?
4. When the baby is 6 hours old, you notice that he has become jittery and is cyanotic. You check a heel stick blood sugar and it reveals a blood glucose level of 30. Discuss the immediate nursing interventions you will implement and what additional interventions you can implement to prevent this from occurring again in the future.

Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications

1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1 and 2)

1. Why is Teresa’s pregnancy considered a high-risk pregnancy?
2. Discuss potential pregnancy-related complications for Teresa.
3. Discuss the potential risks to the babies.

2. Sarah is 19-year-old G1P0 at 36 weeks’ gestation. Sarah has been followed weekly in the clinic for mild–moderate preeclampsia. At her clinic appointment today, Sarah’s blood pressure reading was 188/104. She is admitted to the antepartum unit for management of her worsening preeclampsia. You perform her admission assessment and note that her reflexes are brisk, her heart rate is 94, she complains of having an intense headache, and is seeing spots before her eyes. You perform an abdominal assessment and note that she has significant epigastric tenderness. (Learning Objective 5)

1. Develop a plan of care for the woman experiencing preeclampsia, eclampsia, and HELLP syndrome.

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Chamberlain Program Outcome

Requirements: 

This assignment should be an entire document in either word or PDF format with a title page noting the assignment name, student name, course, etc. The assignment should also include a table of contents denoting what of the below documents are on which pages. APA format and writing at the graduate-level is expected.

Using work that you have completed during the MSN program here at Chamberlain University, gather your prior submissions and identify a minimum of 10 exemplars of your graduate work.

Use the worksheet below as a guide to copy your exemplar and to identify with Chamberlain Program Outcome, MSN Essential, and NONPF Competency that each exemplar meets.

You must include at least 10 exemplars, and as a group, each Chamberlain Program Outcome, MSN Essential, and NONPF Competency has to be addressed at least once.

If you do not have an exemplar that meets these criteria, you can write an exemplar in the area that is not represented by your prior work.

Identify at least 2 concepts from each exemplar and how they connect to the Chamberlain Program Outcome, MSN Essential, and NONPF Competency that you have identified.

Reflect on how you have met the outcome, essential, and/or competency for each exemplar and how it has transformed you as a prospective masters-prepared advanced practice nurse.

Combine the 2 concepts from each exemplar and create a concept map on how these concepts interconnect and interrelate to each other in the framework of the NONPF Competencies.

All items are to be written as a formal APA paper. Do not use the worksheet table mentioned in #2 above in the body of your assignment. The purpose of the worksheet is to help you gather resources.

Exemplars are defined as a prior assignment you completed in the FNP program that you feel is a good reflection of the work you have accomplished while a graduate student. Typically, it’s an assignment that you may have enjoyed completing, learned something new from, or did well academically. Think of it as your “best work.” An exemplar should be considered for the portfolio if it:

Taught you something

Provided new understandings and/or changed your practice

Made you clearly see a difference being made

Made you notice something new

Opened up new ways of solving problems or new lines of inquiry

Changed the way you think about a clinical issue or problem

Was particularly demanding or memorable

Examples: a paper, SOAP note, notable discussion thread, etc.

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RN Comprehensive Predictor 2019 Form C

RN Comprehensive Predictor 2019 Form C

RN Comprehensive Predictor 2019 Form C

RN Comprehensive Predictor 2019 Form C

RN Comprehensive Predictor 2019 Form C

1. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client’s peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client’s condition every 15 minutes​2. A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care? a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first) b. Give cromolyn nebulizer solution every 6 hr (for asthma) c. Apply a warm compress to the operative site every 4 hr d.​ ​Administer analgesics on a scheduled basis for the first 24 hr 3. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has sinus arrhythmia and is receiving cardiac monitoring b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8% c. A client who has epidural analgesia and weakness in the lower extremities d.​ ​A client who has a hip fracture and a new onset of tachypnea 4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse tak e? a. Shave hairy areas of skin prior to application​ ​(apply to hairless, clean & dry areas to promote absorption; avoid oily or broken skin) b. Wear gloves to apply the patch to the client’s skin c. Apply the patch within 1 hr of removing it from the protective pouch (apply immediately) d. Remove the previous patch and place it in a tissue (fold patch in half with sticky sides pressed together) 5. A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? a.​ ​A client who was just given a glass of orange juice for a low blood glucose level b. A client who is schedule for a procedure in 1 hr (can wait) c. A client who has 100 mL fluid remaining in his IV bag (can wait) d. A client who received a pain medication 30 min ago for postoperative pain 6. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? a.​ ​A history of gastroesophageal reflux disease b. Receiving a high osmolarity formula c. Sitting in a high-Fowler’s position during the feeding d. A residual of 65 mL 1hr postprandial 7. A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should expect the client to have an increase​ ​in which of the following laboratory values? a.​ ​Serum glucose level- increased ​b. Serum calcium level-decreased c. Lymphocyte count- decreased immune system. d. Serum potassium level- decreased . 8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the ​magnesium sulfate after the client displaces toxicity.​ Which of the following actions should the nurse take? a. Position the client supine b. Prepare an IV bolus of dextrose 5% in water c. Administer methylergonovine IM d. Administer calcium gluconate IV​Calcium gluconate is given for magnesium sulfate toxicity. Always have an injectable form of calcium gluconate available when administering magnesium sulfate by IV. 9. A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence? a. Experiencing delusions b. Male gender c. ​ Previous violent behavior d. A history of being in prison Risk factors also include: past history of aggression, poor impulse control, and violence. Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders). Individual Assessment for Violence 10. A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field? a. Place the cap from the solution sterile side up on clean surface b. Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body’s first c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm (1-inch) border around any sterile drape or wrap that is considered contaminated. d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; should be ABOVE waist level 11. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. ​ Eat a light snack before bedtime b. Stay in bed at least 1 hr if unable to fall asleep c. Take a 1 hr nap during the day d. Perform exercises prior to bedtime 12. A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first? a. Educate the client about current medical diagnosis b. Refer the client to a meal delivery program c. ​Identify environmental hazards in the homed. Arrange for client transportation to follow-up appointments Rationale Priority: Assess first. 13. A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the nurse ask the client? a. “Can you tell me who visited you today?” b. “What high school did you graduate from c. “Can you list your current medications?” d. “What did you have for breakfast yesterday?” 14. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in the teaching a. HbA1c level greater than 8%- 6.5 – 8 is the target reference. > b. Blood glucose level greater than 200 mg/dL at bedtime c. Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPOGLYCEMIC d. ​HbA1c level less than 7% 15. A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures and has a new prescription for ​isoniazid ​and ​rifampin​. Which of the following should the nurse conclude if the client develops ataxia and incoordination? a. The client is experiencing an adverse reaction to rifampin b. The client’s seizure disorder is no longer under control c​. ​The client is showing evidence of phenytoin toxicity d. The client is having adverse effects due to combination antimicrobial therapy 16. A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the following manifestations requires immediate action by the nurse? a. ​Increase in frequency of swallowing​→ may indicate bleeding b. Moderate sanguineous drainage on the drip pad c. Bruising to the face→ side effect d. Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) Rationale “Requires immediate action” choose the worst possibility that could lead to. ABC 17. A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give scheduled doses of acetaminophen every 6 hr b. ​ Monitor the child’s cardiac status c. Administer antibiotics via intermittent IV bolus for 24 hr d. Provide stimulation with children of the same age in the playroom 18. A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential consequences of smoking is most likely to discourage adolescents from using tobacco? a. Use of tobacco might lead to alcohol and drug abuse b. Smoking in adolescence increases the risk of developing lung cancer later in life c. ​Use of tobacco decreases the level of athletic ability d. Smoking in adolescence increases the risk of lifelong addiction 19. A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory values should the nurse monitor for this client? a. Total bilirubinb. Urine ketones c. Serum potassium- diuretic that retains potassium= hyperkalemic risk d. Platelet count Rationale ATI PDF p: 146 Pharm Complications: hyperkalemia 20. A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role? a. ​ “I will let the client know that I am available as the interpreter.” b. “I will receive a small fee for interpreting for this client.” c. “I am glad I’m available today, but when I’m not, you can use a family member.” d. “I will let the client know that an interpreter is unavailable during the night shift.” 21. A nurse is performing assessments on newborns in the nursery. Which of the following findings should the nurse report to the provider? ​a. A two day old newborn who has a respiratory rate of 70​ ​–> 30 – 60 is normal b. A 16 hour old new newborn who has yet to pass meconium- you got 24 hours to pass stool c, A 2 day old newborn who has a small amount of blood tinged vaginal discharge d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 – 60 is normal 22. A nurse on an acute unit has received change of shift report for 4 clients which of the following clients should the nurse assess first? ​Pain pallor pulselessness paresthesia a. A client who is 1 hr postoperative and has hypoactive bowel sounds b. A client who has fractured left tibia and pallor in the affected extremity c. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses d. A client who has a elevated AST level following administration of azithromycin 23. A nurse is providing discharge instructions to a client who has a new prescription for haloperidol which of the following adverse effects should the nurse instruct the client to report to the provider? a. Weight gain b. Dry mouth→ anticholinergic effects c. Sedation ​→ s/s neuroleptic malignant syndrome??>> life threatening d. Shuffling gait →A/E EPS: ​is an indication of parkinsonism and should be reported to t 24. A nurse is planning discharge teaching about cord care for the parents of a newborn which of the following instructions should the nurse plan to include in the teaching? ​P . 177 ch 26 a. Clean the base of the cord with hydrogen peroxide daily- only with tub and sponge baths b. The cord stump will fall off in 5 days- about 10 – 14 days c. Contact the provider if the cord stump turns black d. Keep the cord stump dry until it falls off Rationale:​ cord usually falls out within 7 to 10 days. Clean with soap and water. Cord is expected to turn black and dry.25. A nurse is teaching dietary guidelines to a client who has celiac disease which of the following food choices is appropriate for the client? a. White flour tortillas b. Potato pancakes c. Wheat crackers d. Canned barley soup 26. A nurse is working in acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings should the nurse expect? a. All or nothing thinking b. Euphoric mood c. Disorganized speech d. Hypochondriasis ( anxiety disorder) 27. A nurse is caring for a client who is immobile which of the following interventions is appropriate to prevent contracture? a. Align a trochanter wedge between the clients legs b. Place a towel roll under the clients neck c. Apply an orthotic to the clients foot d. Position a pillow under the client’s knees 28. A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take? a.​ ​Provide anticipatory guidance classes to parents through public schools b. Have a nurse from the outside the community provide health lectures at the county hospital c. Encourage rural residents to focus health spending on tertiary health interventions d. Launch a media campaign to increase awareness about industrial pollution 29. A nurse in the emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? a​. ​ ​Below the knee amputation​ → ESI Level 1 b. 10cm (4 in) laceration → ESI Level 4 c. Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity dislocation then level 1. d. 95% full thickness body burn → 30. A nurse is preparing a change of shift report for an adult female client who is postoperative. Which of the following client information should the nurse include in the report?​CONFIRMED a. Hgb 12.8 g/dl – 12- 16 b. Potassium 4.2 meq/l 3.5 – 5.0 meq c. RBC 4.4 million/mm3 d. Platelets 100,000/mm3 – 150,000 – 300,000 risk for bleeding 31. A nurse is admitting a client who has anorexia nervosa. Which of the following is an expected finding? a. Iron 90 mcg/dl b. Prealbumin 10 mcg/dl ​(normal: 16-40) c. Serum creatinine 0.8 mg/dld. Calcium 9.5 mg/dl 32. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN? a. A client who is postoperative following a bowel resection with an NGT set to continuous suction b. A client who has fractured a femur yesterday and is expecting SOB c. A client who sustained a concussion and has unequal pupils d. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs 33. A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin for labor induction. The nurse notes ​early deceleration ​on the fetal heart rate monitor . Which of the following nursing actions should the nurse take ? ​ p . 88 ch 13 maternity a. Continue the monitor the fetal heart rate- – Not a problem- absent or late are a problem however CONFIRMED b. Stop the oxytocin infusion c. Perform a vaginal examination d. Initiate an amnioinfusion 34. A nurse is conducting an initial assessment of a client and noticed a discrepancy between the clients current IV infusion and the information received during the shift report. Which of the following actions should the nurse take? a. Complete an incident report and place it in the client’s medical record. b. Compare the current infusion with the prescription in the client’s medication record. c. Contact the charge nurse to see if the prescription was changed. d. Submit a written warning for the nurse involved in the incident. 35. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine ? a. WBC count 2,900 /mm3 – AGRANULOCYTOSIS – 4,800- 15,000 is normal range b. FAsting blood glucose 100 mg/dl c. Hgb 14 g/Dl d. Heart rate 58/min ATI PHARM 116 Complications 36. A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C. The client asks the nurse if she will be able to breastfeed. Which of the following responses by the nurse is appropriate? a. You may breastfeed unless your nipples are cracked or bleeding. b. You must use a breast pump to provide breast milk. c. You must use nipple shield when breastfeeding. d. You may breastfeed after your baby develops his antibiotics.37. A nurse is caring for a client who has returned to the medical-surgical unit following a transurethral resection of the prostate. Which of the following should the nurse identify as priority nursing assessment after reviewing the clients information? Exhibit. a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to the brain ? b. Skin turgor c. Deep-tendon reflexes d. Bowel sounds 38. A nurse is caring for a client who has hyperthermia .Which of the following actions for the nurse to take ? a. Submerge the adolescent feet in ice water b. Cover the adolescent with a thermal blanket → if hypothermia. c. Administer oral acetaminophen d. Initiate seizure precautions 39. A nurse manager is updating protocols for belt restraints. Which of the following guidelines should the nurse include. a. Document the client’s conditions every 15 minutes b. Attach the restraints to the beds side rails c. Request a PRN restraints prescription for clients who are aggressive d. Remove the client restraints every 4 hours 40. A nurse in emergency department is caring for a client who has full thickness burn of the thorax and upper torso. After securing the client’s airway, which of the following is the nurse’s priority intervention? P. 482 ch 75 CONFIRMED a. Providing pain management b. Offering emotional support c. Preventing infection d. Initiating IV fluid resuscitation ​ – they are at risk for hypovolemic shock d/t 3rd spacing 41. A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me about dying.” which of the following responses by the nurse is appropriate? (SATA) A. Hospice will take good care of your mom, so I wouldn’t worry about that. B. Let’s talk about your mom’s cancer and how things will progress from here. C. Tell me how you are feeling about your mom dying. D. Tell her not to worry. She still has plenty of time left.E. You sound like you have questions about your mom dying. Let’s talk about it. Rationale: ​Therapeutic communication 42. A nurse is reviewing the medical records of four clients. The nurse should identify that which of the following client findings follow up care? a. A client who is taking bumetanide and has potassium level of 3.6 mEq/L (normal) b. A client who is scheduled for colonoscopy and taking sodium phosphate c. A client who received a Mantoux test 48 hours ago and has induration d. A client who is taking warfarin and has INR of 1.8 (normal if taking warfarin) 43. A community health nurse receives a referral for a family home visit. Which of the following tasks should the nurse perform first? a. Clarify the source of the referral b. Implement the nursing process c. Schedule a time for the home visit d. Contact the family by phone ! 44. A nurse is caring for a client who will undergo a procedure. The client states he does not want the provider to discuss the results with his partner. Which of the following is an appropriate response for the nurse to make? a. You have the right to decide who receives information​ – b. Your partner can be a great source of support for you at this time c. Is there a reason you don’t want your partner to know about your procedure? d. The provider will be tactful when talking to your partner 45. A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an original weight of 9o.7 (200 lb). The nurse should identify the weight of the following total percentage? a. 7.5% b. 15% c. 8.1% d. 13.3% 46. A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should the nurse implement? a. Perform fundal massage ( massage if fundus is boggy) b. Pour water from a squeeze bottle over the client’s perineal area. c. Insert an indwelling urinary catheter. d. Apply cold therapy to the client’s perineal area.( warm) 47. A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg /hr transdermal patch. Which of the following instructions should the nurse include in the teaching? a. Avoid hot tub while wearing the patch b. Apply patch to your forearm c. Avoid high-fiber foods while taking this medication d. Remove the patch for 8 hours every day to reduce the risk for tolerance.48. A nurse working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of non-blanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? ​a. Teach the client to shift his weight every 15 min while sitting (cannot do this because he is paraplegic) b. Place the client upright on a donut-shaped cushion c. Assess pressure points every 24 hr.- must assess d. Turn and reposition the client every 3 hrs. while in bed. – must be q 2 hours in bed, 1 hour in chair. 49. A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? a. We should discuss resources to implement in your daily life b. Let me show you simple relaxation exercises to manage stress. c. Let’s talk about how you can change your response to stress d. We should establish our roles in the initial session. 50. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? a. Avocados b. Whole grain bread c. Pepperoni pizza d. Smoked salmon ????? 51. A nurse enters a client’s room and sees a small fire in the client’s bathroom. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps) a. Transport the client to another area of the nursing unit (1) b. Activate the facility’s fire alarm system (2) c. Close all nearby windows and doors (3) d. Use the unit’s fire extinguisher to attempt to put out the fire (4) 52. A nurse is caring for a client who is experiencing ​mild anxiety​. Which of the following findings should the nurse expect? a. Heightened perceptual field b. Rapid speech -severe c. Feelings of dread d. Purposeless activity 53. A nurse is caring for a client who has type 1 diabetes mellitus. The client reports that she is not feeling well. Which of the following findings should indicate to the nurse that the client is hypoglycemic​? (Select all that apply.) a. Tremors b. Polydipsia = hyperglycemia c. Acetone Breath odor = DKA d. Diaphoresis e. Inability to concentrate54. A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding? a. Upper extremity hypotension b. Increased intracranial pressure c. Frequent nosebleeds d. Weak femoral pulses 55. A community health nurse is planning primary prevention activities to reduce the occurrence of abuse. Which of the following strategies should the nurse include in the plan? a. Instruct healthcare professionals to identify abusive situations (screening=secondary prevention) b. Locate financial support to open a shelter for abuse survivors (3rd) c. Teach parenting skills to families at risk for abuse d. Connect abuse survivors with legal counsel (3rd) 56​. A nurse and an assistive personnel (AP) are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate to the AP? a. Documenting the report of pain for a client who is postoperative b. Administering oral fluids to a client who has dysphagiac. Applying a condom catheter for a client who has a spinal cord injury d. Reviewing active range-of-motion exercise with a client who had a stroke 57. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? a. “I will take sucralfate with meals three times per day” b. “I will avoid food and beverages that contain caffeine” c. “I will decrease my daily protein intake to 15 grams per day” d. “I will use ibuprofen as needed to control abdominal pain” 58. A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse? a. Offer the client saltine crackers between meals b. Suggest rinsing his mouth with an alcohol-based mouthwash c. Provide humidification of the room air d. Instruct the client on the use of esophageal speech 59. A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel? a. Assess effectiveness of antiemetic medicationb. Perform chest compressions during cardiac resuscitation​- c. Perform a dressing change for a new amputeed. Apply a transdermal nicotine patch- *60. A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender? a. The client takes vitamin C daily b. The client has a history of alcohol use disorder c. The client has a history of asthma d. The client takes furosemide twice daily61. A nurse is caring for a client who has major depressive disorder and a new prescription for amitriptyline​. The nurse should monitor for which of the following adverse effects? a. Increased salivation- dry it will cause – anticholinergic effects b. Weight loss c. Urinary retention​- d. Hypertension- orthostatic hypotension it will cause instead 62. A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use? a. Asthma b. Hypertension c. Fibromyalgia d. Fibrocystic breast condition 63. A nurse is preparing to witness a client’s signature on a consent form for a colon resection. The nurse should recognize that which of the following information should be provided to the client by the provider before signing the form? (SATA) a. Explain the procedure b. Expected outcome of the procedure c. Potential complications d. Possible alternative treatments e. Cost of the procedure 64. A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan. Which of the following statements is appropriate to include in the teaching? a. “You should not have this procedure if you are allergic to iodine.” b. “You should not have this procedure if you have a tattoo.” c. “The nurse will ask you to wear protective eyewear during this procedure.” d. “The nurse will ask you to remove any transdermal patches prior to the procedure.” 65​. A nurse in a provider’s office is reviewing a female client’s medical record during a routine visit. The nurse should recommend increasing dietary intake of which of the following vitamins? (Exhibit) –only tab shown is Tab 3: H&P: postmenopausal, hx DVT and iron deficiency anemia, works indoors, consumes 1-2 alcoholic beverages per week a. Vitamin D b. Vitamin K c. Vitamin A d. Vitamin B12 66. A nurse is caring for a child who has sickle cell anemia and experiencing vaso-constrictive crisis. Which of the following actions should the nurse include in the plan of care? a. Initiate IV fluid replacementb. Start a 24-hr urine collection- not the priority c. Give aspirin to reduce pain- acetaminophen or ibuprofen. Asa might lead to reye’s disease d. Encourage ambulation- we want to promote rest to decrease 02 consumption 67. A nurse is teaching a parent about safety securing her 3-month-old infant in a car seat. Which of the following images indicates that the parent understands the teaching? ​B a. B​. C and D not shown 68​. A nurse is caring for an adult client who has chronic anemia and is scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the following actions should the nurse take? ​P. 249​ med surg pdf a. Check the client’s vital signs from the previous shift prior to the initiation of the transfusionassess prior to infusion then be with them for first 15 – 30 minutes. b. Set the IV infusion pump to administer the blood over 6 hr c. Flush the blood administration tubing with 0.9% sodium chloride prior to the transfusion-​d. Administer the blood via a 21-gauge IV needle 69. A nurse is caring for a client who is dissatisfied with the care from the provider and decides to leave the facility against medical advice. After notifying the provider, which of the following actions is appropriate for the nurse to take? a. Summon a security guard b. Explain the risks of leaving c. Complete an incident report d. Notify a social worker Rationale: 70. A nurse is making an initial postpartum home visit. Which of the following client statements should the nurse identify as a manifestation of increased risk for child abuse? a. “I try to respond to the baby quickly .” b. “​I think the baby should be sleeping through the night by now. c. “I have several friends who come by to help out with the baby.” d. “I want to meet other parents to see if they are going through the same thing.”71. A nurse is caring for an infant who has gastroenteritis. Which of the following assessments should the nurse report to the provider? a. Temperature 38 C(100.4 F) and pulse rate 124/min p b. Decreased appetite and irritability c. Pale and 24-hour fluid deficit of 30 mL d. Sunken fontanels and dry mucous membranes 72. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding, The nurse does not speak the same language as the client . The client partner and a 10 year old child are accompanying her. Which of the following actions should the nurse take to gather the clients information? Request a female translator interpreter through the facility a. Ask a student nurse who speaks the same language to translate b. Have the child translate c. Allow the clients partner to translate 73. A nurse is caring for a client who has ​pernicious ​anemia, Which of the following laboratory values should the nurse evaluate effectiveness of the treatment ? A. Folate level B. INR level C. Vitamin b12 level D. Creatinine level 74. A nurse is assigning tasks to assistive personnel(AP). Which of the following tasks should the nurse assign to the AP? a. Suction a new tracheostomy b. Remove an NG tube c. Perform post mortem care d. Change the dressing on an implanted central venous access device 75. A nurse is caring for a client who is postpartum and reports difficulty voiding. Which of the following findings should indicate to the nurse that the client’s ability to eliminate urine from the bladder is restored? a. Two voids of 150 mL each over the past 2 hours= 2 x 30 = 60 mls b. Fundus 2 fingerbreadths above the umbilicus( needs to be below or at the umbilicus) c. Uterine atony( fundus not firm which means possible hemorrhage) d. Fundus firm and to the right of the abdominal midline( fundus not midline, bladder may cause shifting if patient not voiding properly) 76. A nurse is caring for a client who has​ acute glomerulonephritis ​.Which of the following should the nurse expect ? a. Polyuria- oliguriab. Hypotension- hypertension c. Hematuria ​- urinalysis will show red blood cells and protein, also reddish brown col colored urine d. Weight loss – weight gain 77. A nurse is providing teaching to a client about the adverse effects of ​sertraline​. Which of the following effects should the nurse include ​? p. 50 ch 7 pharm pdf ​ SSRI for social anxiety , PTSD, A. Excessive sweating B. Increased urinary frequency C. Dry cough D. Metallic taste in mouth 78. A nurse is providing teaching to the parents of a newborn about genetic screening. Which of the following statements should the nurse include in the teaching? a. your baby will be given 2 ounces of water to drink prior to the test b. this test will be repeated when your baby is 2 months old c. a nurse will draw blood from your baby’s inner elbow d. this test should be performed after you baby is 24 hours old 79. a nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? a. perform the procedure prior to meals : AVOID Before or AFTER meals b. perform the procedure twice a day c. administer a bronchodilator after the procedured. hold hand flat to perform percussions on the child- 80. a nurse is preparing an inservice for a group of nurses about ​malpractice​ issues in nursing. Which of the following examples should the nurse include in the teaching? a. placing a yellow bracelet on a client who is at risk for falls→ ​correct approach; yellow bracelet indicates fall risk b. administering potassium via IV bolus c. documenting communication with a provider in the progress notes of the client’s medical record d. leaving a nasogastric tube clamped after administering oral medication → 81. A nurse in a clinic is assessing a client who reports frequent headaches. Identify the area the nurse should palpate to check the client’s​ maxillary sinus​ for tenderness.R: p147 ati funds Palpate the maxillary sinuses by pressing upward at the skin crevices that run from the sides of the nose to the corner of the mouth. 82. A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage? a. Take pancrelipase b. Complete oral hygiene c. Eat a meal d. Use an albuterol inhaler 83. A nurse is caring for a client following a cardiac catheterization through the left groin. Which of the following actions should the nurse take? ​P . 164 ch 27 medsurge a. Monitor the dorsalis pedis pulse every 15 minutes →​ circulation b. Maintain strict bedrest for first 12 hr- only for prescribed time, older adults usally are up to 4 hours. c. Keep the client NPO for 24 hr- doesn’t say anything about restrictions AFTER the procedure , and npo b4 the procedure is uP to 8 hours. d. Place the client in Fowler’s position- supine they must be 84. A nurse is caring for a client who has depression and is experiencing loss of appetite. Which of the following actions should the nurse take? a. Offer high-calorie, high protein snacks to the client b. Recommend the family provide the client privacy during meals c. Weigh the client once each day d. Encourage the client to eat foods selected by the dietitian 85. A nurse is caring for a client who requests to ambulate in the hallway with his own clothing. The nurse is demonstrating which of the following ethical principles when respecting the client’s decision to wear his own clothing ? a. Non maleficence b. Veracity c. Autonomyd. Justice R: p47 ati leadership Autonomy: The ability of the client to make personal decisions, even when those decisions might not be in the client’s own best interest 86. A nurse in an emergency department is caring for a toddler who has burns following a house fire. Which of the following actions should the nurse take first ? A. Check the mouth for smooth and smoky breath​ – ​airway obstruction via foreign body B. Calculate the fluid replacement based on vital signs and urinary output C. Determine the location and depth of burns D. Administer antibiotics to prevent sepsis. 87. A nurse is assessing a client who had heart failure is taking furosemide. Which of the following findings should the nurse monitor ? a. Hyponatremia​- ​loop diuretic (Lasix)​ ​- wherever water goes sodium and potassium will follow b. Hyperkalemiac. Hypercalcemia d. hypoglycemia 88​. a nurse Is caring for a client who weighs 75 kg. the client has a prescription from a dietician to decrease calorie intake by 500 cal/day for 25 weeks produce a weight loss of 1 pound per week. What is the expected goal weight for the client in pounds at the end of the 25 weeks? (round the answer to the nearest whole number. Use leading zero if it applies. No trailing Zero) _____140??(not sure)_______ pounds 1 lb per week x 25 week= 25 lbs 75 x 2.2= 165 lbs 165 lbs-25 lbs=140 lbs​ or 63.6 kg (64 kg) 89. a nurse is providing discharge teaching about circumcision care to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? a. I will change my baby’s diaper at least every 4 hours b. I will apply an ice pack to my baby’s penis twice daily to decrease swelling c. I will wash the penis with soap and warm water until the circumcision has healed d. I will apply topical lidocaine following each diaper change Teach the parents to keep the area clean. 90​. a home health nurse is caring for an adult client who reports, “I keep coughing when I try to swallow my food, but not at other times.” Which of the following actions should the nurse take? a. encourage the client to increase fluid intake b. initiate a consultation with a speech→​ language pathologist; swallow evalc. instruct the client that this is due to increased salivary flow that occurs with aging d. recommend an antitussive 30 minutes prior to each meal R: p56 AMS Refer to speech language therapist for dysarthria and dysphagia. 91​. A nurse is caring for a client who is ​insulin dependent​ and is undergoing tests to determine if his blood glucose is being adequately controlled. The nurse should identify that which of the following laboratory values is the ​best indicator of adequate blood glucose control? A. Postprandial blood glucose 190 mg/dl B. Fasting blood glucose 60 mg/dl C. HbA1c 6.5% D. Hct 42% 92. A nurse is planning to administer ​Atenolol​ to a client. Which of the following should the nurse ​assess prior​ to administering the medication? A. BUN B. Blood pressure C. Respiratory rate D. aPTT 93.​ A nurse is orienting a newly licensed nurse while caring for clients who are in ​labor. ​Which of the following ​pain management strategies​ by the newly licensed nurse ​requires intervention? A. Encouraging the client to use jet therapy on her lower back for 1 hr B. Placing a transcutaneous electrical nerve stimulation (TENS) unit on a client’s abdomen C. Using effleurage on a client’s lower abdomen D. Instructing a client’s partner how to apply counterpressure to the client’s sacral spine for 30 min 94​. A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the ​sequence of step​s the nurse should follow when delegating tasks to the​ APs. A. Review the skill level of and qualifications of each AP ​1 B. Communicate appropriate tasks to the APs with specific expectations ​2 C. Monitor progress of task completion with each AP ​3 D. Evaluate the APs’ performance of each task ​4 95.​ A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching? A. “I should take antibiotics when I have a virus.” B. “I should wash my hands for 10 seconds with hot water after working in the garden.” C. “I can clean my cat’s litter box during my pregnancy.” D. “​I can visit my nephew who has chickenpox 5 days after the sores have crusted​.” 96.​ A nurse I caring for a school-age child who is 2 hr postoperative following a ​cardiac catheterization.​ The nurse observes blood on the child’s dressing. Which of the following actions should the nurse take? A. Apply intermittent pressure 2.5 cm (1 in) below the percutaneous skin site.B. Apply continuous pressure 2.5 cm (1 in) below the percutaneous skin site. C. ​Apply ​continuous ​pressure 2.5 cm (1 in) ​above ​the percutaneous skin site. D. Apply intermittent pressure 2.5 cm (1 in) above the percutaneous skin site. 97.​ A nurse is reviewing the medical record of a client who has a prescription for ​intermittent heat therapy ​for a foot injury. Which if the following findings should the nurse identify as a contraindication ​for heat therapy? A. Phlebitis B. Abdominal aortic aneurysm C. Osteoarthritis D​. Peripheral neuropathy 98.​ A nurse is providing teaching to a client who is to undergo a cardiac catheterization. Which of the following findings is expected during the procedure? A. ​Sensation of skin warmth B. Headache C. Increased salivation D. Numbness and tingling of the extremities 99.​ A nurse is transcribing new medication prescriptions for a group of clients. For which of the following prescriptions should the nurse contact the provider for ​clarification? A. Lorazepam .5 mg PO one tablet daily B. Hydrochlorothiazide 12.5 mg PO BID C. Triamcinolone acetonide 100 mcg/inhalation two puffs TID D. Zolpidem 10 mg PO one tablet at bedtime 100​. A nurse is providing teaching to a client who is at ​14 weeks of gestation ​about findings to report to the provider.​ Which of the following findings should the nurse include in the teaching? A​. Swelling of the face B. Urinary frequency C. Faintness upon rising D. Bleeding gums 101. ​A nurse is providing care for a client who has esophageal cancer and has received ​radiation therapy. ​Which of the following finding should the nurse identify as the ​priority? A. Excoriation of the skin on the neck and chest B. Dysphagi​a C. Client reports a pain level of 6 on scale from 0-10 D. Xerostomia 102.​ A nurse is assessing a client who is ​2 hrs postpartum​ for ​uterine atony​. Which of the following action should the nurse take? A. Monitor the client’s urinary output B. Check the client VS C. Evaluate the client’s pain level D. Palpate the client’s fundus103. ​A school nurse is teaching a parent about ​absence seizures.​ Which of the following information should the nurse include? A. “This type of seizure can be mistaken for daydreaming” B. “The child usually has an aura prior to onset” C. This type of seizure last 30-60 sec” D. “This type of seizure has a gradual onset” 104. A nurse in a surgical suite is planning care for a client who requires surgery and has a ​latex sensitivity.​ Which of the following is ​appropriate ​for this client? A. Disinfect and powder any latex products before use B. Tape stockinet over monitoring device and cords C. Schedule the client as the last surgery of the day D. Remove poopsocks from the IV 105​. A nurse is reviewing the medical record of a client. The nurse should identify that the client is at risk for which of the following complication.​A Dumping syndrome B ​Ketoacidosis C Hepatotoxicity D Thyroid storm 106.​ A nurse is caring for a client who has lung cancer and has a sealed radiation implant. Which of the following action should nurse take? (SATA) A. Place the client in a semi-private room B. Wear a lead apron when providing care C. Limit visitors to 30 mins D. Instruct visitors who are pregnant to remain 3 ft from the client E. Close the door to the client’s room 107.​ A CN (charge nurse) is providing teaching for group of newly licensed nurse about grieving process. Which of the following information should the CN include in the teaching? A. Client can expect to have feeling of hopelessness B. Client might feel guilt over some aspect of their loss C. Client will experience anhedonia D. Client will experience low self-esteem 108. ​A client who is pregnant voice her concern that her 3y/o son will feel left out one the newborn arrives. Which of the following statements by the nurse is appropriate? A. Offer your son a gift when the baby receives one B. Move your son to a toddler bed when the baby arrives C. Tell your son to kiss the baby D. Teach your son to change the baby diapers​ ​- not the answer109.​ A nurse is obtaining a nutritional health hx on a client who reports problems with constipation. Which of the following should the nurse identify as a ​cause of constipation? A. Following high-fiber diet B. Currently taking probioticsC. New prescription for an iron supplement D. Intolerance to lactose 110.​ A nurse is assessing a newborn who has ​patent ductus arteriosus​. Which of the following findings should the nurse except? A. Increase PaO2 B. Hypoglycemia C. Board-like abdomen D. Bounding pulse 111.​ A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan? a. Measure the client’s urine output every hour. – monitor for toxicity. b. Restrict the client’s total fluid intake to 250ml/hr. c. Monitor the FHR via Doppler every 30 min d. Give the client protamine if sign of magnesium sulfate toxicity occur. . 112.​ A nurse is caring for a client who has end stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure? a. Hypertension b. Primary glaucoma c. Osteoarthritis d. Amputation 113.​ A nurse is caring for a client who has COPD and is 5kg (11lb) below her ideal body weight. The client experiences shortness of breath when eating. Which of the following actions should the nurse take? a. Administer a bronchodilator following meals. b. Request non gas forming foods from the dietary department c. Limit the client’s food consumption between meals. d. Arrange for a low protein diet. HIGH PROTEIN. 114.​ A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infectious disease that should be reported to the state health department? a. Candidiasis b. Herpes simplex virus c. Human papillomavirus d. Chlamydia115​.​ ​A nurse is reviewing the laboratory findings of a client who is receiving IV infusion of insulin. The client’s lab findings reveal a ​potassium level of 5.5​ mEq/L, BUN of 15 mg/dL, and a creatinine level of 1 mg/dL. Which of the following interventions is appropriate for the nurse to take? a. Place a cardiac monitor on the client b. Stop the IV infusion of insulin c. Administer oral potassium to the client- potassium is already high d. Initiate a 24 hr urine collection . 116.​ A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching? a. I can go jogging after 2 weeks. -Avoid vigorous activities. b. I can lift objects that are less than 10 seconds. -avoid lifting more than 5pounds. c. I can resume activities, such as sewing. d. I should bend at the waist when putting on my shoes. -Avoid bending at the waist level. 117.​ A nurse is planning to administer vancomycin IV to a client. Which of the following actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin? a. Give the dose over 60 min

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