Questions 179

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RN Comprehensive Online Practice 2019 B with NGN Questions

Extract:


Question 1 of 5

A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report?

Correct Answer: C

Rationale: The time of the last pain medication dose is critical for managing post-pneumonectomy pain, ensuring continuity of care.

Question 2 of 5

A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Correct Answer: D

Rationale: A padded clamp occludes the chest tube during transport, preventing pneumothorax, unlike other equipment.

Question 3 of 5

A nurse is caring for a client during a follow up visit at a gastrointestinal clinic. Which of the following interventions should the nurse implement? Select all that apply.

Correct Answer: A,B,C

Rationale: For a client with sickle cell disease:
A) Hourly peripheral circulation checks detect vaso-occlusive crises.
B) Mouth assessments every 8 hours monitor for ulcers or infections.
C) Humidified oxygen and IV fluids prevent sickling and dehydration. D and E are incorrect as they may worsen circulation or are unnecessary.

Question 4 of 5

A nurse is assessing a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Morning stiffness, joint swelling, and fatigue are hallmark symptoms of rheumatoid arthritis due to autoimmune inflammation.

Question 5 of 5

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: Bright red urine with clots indicates potential hemorrhage post-TURP, requiring immediate reporting to the provider for intervention.

Similar Questions

A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg, and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?
A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?

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