Say what? | The Client | Pain in the ... | You know this | Think about it |
5 | 5 | 5 | 5 | 5 |
10 | 10 | 10 | 10 | 10 |
15 | 15 | 15 | 15 | 15 |
20 | 20 | 20 | 20 | 20 |
25 | 25 | 25 | 25 | 25 |
Final Question |
. Which laboratory finding alerts you to the possibility of an acute bacterial infection? A. number and percentage of macrophages are not listed. B. total white blood cell count is 19,000/mm3. C. neutrophils outnumber the lymphocytes. D. monocytes are 2% of the total count.
total white blood cell count is 19,000/mm3.
For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care? A. Administering aspirin if the temperature exceeds 102° F (38.8° C) B. Inspecting the skin for petechiae and bleeding once every shift C. Providing for frequent rest periods D. Placing the client in strict isolation
For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care? A. Administering aspirin if the temperature exceeds 102° F (38.8° C) B. Inspecting the skin for petechiae and bleeding once every shift C. Providing for frequent rest periods D. Placing the client in strict isolation
Inspecting the skin for petechiae and bleeding once every shift
Mr. Y is isolated because he has pulmonary tuberculosis. The nurse notes that the client seems angry but knows this is a normal response to isolation. The best intervention is to: A. Provide a dark, quiet room to calm the client. B. Explain the isolation procedures and provide meaningful stimulation. C. Reduce the level of precautions to keep the client from becoming angry. D. Limit family and other caregiver visits to reduce the risk of spreading the infection.
Mr. Y is isolated because he has pulmonary tuberculosis. The nurse notes that the client seems angry but knows this is a normal response to isolation. The best intervention is to: A. Provide a dark, quiet room to calm the client. B. Explain the isolation procedures and provide meaningful stimulation. C. Reduce the level of precautions to keep the client from becoming angry. D. Limit family and other caregiver visits to reduce the risk of spreading the infection.
Explain the isolation procedures and provide meaningful stimulation.
For a female client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client? A. “Client will verbalize feelings of anxiety.” B. “Client will not guess at prognosis.” C. “Client will use any effective method to reduce tension.” D. “Client ill stop seeking information.”
For a female client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client? A. “Client will verbalize feelings of anxiety.” B. “Client will not guess at prognosis.” C. “Client will use any effective method to reduce tension.” D. “Client ill stop seeking information.”
“Client will verbalize feelings of anxiety.”
What question by you, the nurse, would best assess a client’s pain tolerance? A. “Do you take pain medication frequently?” B. “How intense is the pain you feel right now on a scale of 1 to 10?” C. “What activities help distract you so that you do not feel the need for medication?” D. “At what point, on a scale of 0 to 10, do you feel that you must have pain medication?”
What question by you, the nurse, would best assess a client’s pain tolerance? A. “Do you take pain medication frequently?” B. “How intense is the pain you feel right now on a scale of 1 to 10?” C. “What activities help distract you so that you do not feel the need for medication?” D. “At what point, on a scale of 0 to 10, do you feel that you must have pain medication?”
“At what point, on a scale of 0 to 10, do you feel that you must have pain medication?”
Mr. R., a 45 year-old client undergoing chemotherapy, telephones the clinic to complain of a nosebleed. His last treatment was 2 days ago. Select the most appropriate nursing diagnosis for Mr. R. A. altered nutrition less that body requirements B. high risk for injury related to low platelet count C. self-image disturbance related to effects of chemotherapy D. pain related to pressure from the cancerous tumor
Mr. R., a 45 year-old client undergoing chemotherapy, telephones the clinic to complain of a nosebleed. His last treatment was 2 days ago. Select the most appropriate nursing diagnosis for Mr. R. A. altered nutrition less that body requirements B. high risk for injury related to low platelet count C. self-image disturbance related to effects of chemotherapy D. pain related to pressure from the cancerous tumor
high risk for injury related to low platelet count
A client has a PCA (Patient Controlled analgesia) and is receiving morphine for postoperative pain control. When you enter the room, the client is complaining of pain. What should you do? A. Call the physician for further orders B. Speak to the client in a quiet tone of voice and reassure the client that the pain will ease C. Increase the amount of morphine administered to the client D. Assess the client and ask him to describe the pain
A client has a PCA (Patient Controlled analgesia) and is receiving morphine for postoperative pain control. When you enter the room, the client is complaining of pain. What should you do? A. Call the physician for further orders B. Speak to the client in a quiet tone of voice and reassure the client that the pain will ease C. Increase the amount of morphine administered to the client D. Assess the client and ask him to describe the pain
Assess the client and ask him to describe the pain
. If an analgesic is not administered promptly and pain is allowed to reach maximum intensity A. the client may find that the pain begins to decrease in intensity B. hypertension and bradycardia may be seen C. the analgesic will not be as effective as when it is given before the pain becomes intense D. the analgesic will be more effective if the client waits until he really needs it
. If an analgesic is not administered promptly and pain is allowed to reach maximum intensity A. the client may find that the pain begins to decrease in intensity B. hypertension and bradycardia may be seen C. the analgesic will not be as effective as when it is given before the pain becomes intense D. the analgesic will be more effective if the client waits until he really needs it
the analgesic will not be as effective as when it is given before the pain becomes intense
During an anaphylactic reaction, the nurse must: A. Check for contraindications of epinephrine prior to administration B. Administer high flow O2 and epinephrine IM C. First establish 2 IV lines at separate sites D. Immediately place patient on a cardiac monitor
Administer high flow O2 and epinephrine IM
Mrs. J has lupus (SLE). The nurse knows that autoimmune disorders… A. The immune system loses the ability to recognize “self” and turns on its own tissue B. The immune system is able to recognize itself and is capable of recognizing itself C. The immune system eventually recognizes itself over time and does not attack itself D. The immune system decreases the immunoglobulin IgA
Mrs. J has lupus (SLE). The nurse knows that autoimmune disorders… A. The immune system loses the ability to recognize “self” and turns on its own tissue B. The immune system is able to recognize itself and is capable of recognizing itself C. The immune system eventually recognizes itself over time and does not attack itself D. The immune system decreases the immunoglobulin IgA
The immune system loses the ability to recognize “self” and turns on its own tissue
What Would You Like To Risk?
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