Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke.

which is an appropriate nursing action? Elevate HOB between 25-30 degrees

• Nurse is teaching about the use of an incentive spirometer. Which of the following

instructions should the nurse include in the teaching? Holds breaths about 305

seconds before exhaling

• Nurse is assessing a client who is 12 hr post op following a colon resection. Which of the

following findings should the nurse report to the surgeon Absent Bowel Sounds

• Nurse is caring for a client who has diabetes insidipidus. Which of the following meds

should the nurse plan to administer? Desmopressin

• Nurse is admitting a client who has arthritic pain and reports taking ibuprofen several

times daily for 3 years. Which of the following tests should the nurse monitor? Stool for

occult blood

• A nurse in the ED is assessing a client. Which of the following actions should the nurse

take first? Initiate Airborne Percautions

• A nurse is contacting the provider of a client who has cancer and is experiencing

breakthrough pain. Which of the following prescriptions should the nurse anticipate?

Fentanyl

• Nurse is admitting a client who reports chest pain and has been places on a telemetry

monitor. Which of the following should the nurse analyze to determine whether the client

is experiencing a MI? ST segment

• Nurse is teaching a client who has ovarian cancer about skin care following radiation

treatment. Which of the following should the nurse include? Pat the skin on the

radiation site to dry it

• A nurse is caring for a client receiving blood transfusion. Nurse observes client has

bounding peripheral pulse, HTN, distended jugular veins. The nurse should anticipate

admin which of the following meds? Furosemide

• A nurse is assessing a client who is getting Magnesium Sulfate IV for tx of

hypomagnesemia. Which of the following indicates effectiveness? Apical Pulse 82

• Lumbar puncture positioning: Cannonball position while on one side or by having the

client stretch over an overbid table is sitting is preferred **Its a picture just choose the

one that corresponds with the position I described** answer is C

• A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3: 21. Indication for which

of the following conditions? Uncompensated respiratory acidosis

• Nurse is preparing to administer daily meds to a client undergoing a procedure that

requires IV contrast dye. Which of the following meds should the nurse hold? Metformin

• Nurse is caring for a client who is experiencing seizures secondary to meningitis. What

should be included in the plan of care? SATA!! Have suction at bedside, Dim

overhead lights

• Nurse is caring for pt who has a pressure ulcer with necrotic tissue and requires wet-todamp dressing. Which of the following types of debridement should the nurse include in

the plan of care. Mechanical

• Nurse is caring for a female with toxic shock. Which finding should nurse expect?

Generalized Rash

• Nurse is preparing to administer a med for a client through a non-tunneled percutaneous

central catheter. Which of the following actions should the nurse take? Flush catheter

with 10mL of NS

• Nurse is caring for pt admitted with nausea, vomit, and possible bowel obstruction. NG

tube is placed and set to low intermittent suction. Which of the following findings should

the nurse report? Distended and firm

• Nurse is reviewing the MAR of a pt with DI. Which of the following finding should the

nurse expect? Urine specific gravity 1.001

• Nurse is caring for a pt who has hyperthyroidism and develops thyroid storm. Which of

the following instructions should the nurse give to the client regarding management of

thyroid storm? You will need a cooling blanket to lower your body temperature

• Nurse is reviewing the MAR of a client who has acute gout. The nurse should expect an

increase in which of the lab values? Uric Acid

• Nurse is preparing to administer peritoneal dialysis to a client. Which of the following