Patient with Asthma and on Nebulization, as nurse when do you do the Chest physiotherapy?

One nursing intervention for patient with asthma is to facilitate removal of secretions. This can be done by:

Hospitalized patient eats 20% of the meal and states being too tired to eat more what should the nurse do?

Patient is planning to have an elective surgical procedure to repair an umbilical hernia. The patient is 68 years old. Weighs 136 kg (300 lbs.) Has diabetes mellitus. Which of the following approaches would be the MOST beneficial in order to reduce the patients surgical risk?

A 26 year-old woman is receiving an intravenous infusion of 5% dextrose in 0.45% sodium chloride. The intravenous had been started one day prior and now the patient complains of tenderness at the site. On examination, the site is pink-coloured, swollen and tender to the touch what is the most appropriate initial action?

A patient with measles (rubella) is on airborne precautions. Which of the following precaution techniques would be essential to implement for non-immune persons entering the room ?

A 60 year-old diabetic man maintains a simple daily insulin regimen. He injects a mixed dose of regular insulin with intermediate-acting insulin before breakfast every morning at 07:00 hours and then goes for a walk. His lunch is at 12:00h and dinner at 18:30. He also eats a snack before he goes to bed at 21:30. He reports feeling confused, dizzy and faint during for a short time every day. Which blood-glucose levels are most likely during the symptoms?

What's the best time of nursing home care evaluation?

A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypo ventilating and has a respiratory rate of 10 breaths/min. The electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120 beats/min. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which of the following?

A patient schedule for a major surgery in one hour is very nervous and upset. Which of the following order medications would the nurse administer torelax this patient?

A patient with poor wound healing and poor appetite has an order to begin total parental nutrition (TPN). Waiting for the TPN solution to arrivefrom the pharmacy, the nurse shouldobtain:

A nurse is caring for a patient receiving total parenteral nutrition(TPN). The patient reports the sudden on set of feeling short of breath and anxious. The nurse hears crackles in bilateral lower lobes of the lungs and the patient’s O2 saturation is 90% on room air. The nurse must IMMEDIATELY:

A nurse has just started total parenteral nutrition (TPN) as prescribed for a patient with severe dysphagia lowpre albumin levels. In one to two hours, the nurse should anticipate assessing the patient’s:

The nurse is planning care for several children who were admitted during the shift. Daily weights should be the plan of care for the child who is receiving:

A nurse is caring for an 8-year-old male with cystic fibrosis. Based on the nurse’s understanding of the disease.What nursing intervention should the nurse expect to perform?

When conducting discharge teaching for the parent of achild newly diagnosed with cystic fibrosis. Which of the following statement by the parent indicates the need for further teaching?

While caring for a patient with an ileostomy, the nurse would expect the ostomy tobe located In Which Quadrant of the abdomen?

A patient has been assessed and found to have severe dysphagia and will need longterm nutritional support,which one of the following types of feeding would MOST likely to be beneficial for this patient?

A surgeon instructs a nurse to serve as a witness to an elderly patient’s informed consent for surgery. During the explanations to the patient, it becomes clear that the patient is confused and does not understand the procedure, but reluctantly sign the consent form. The nurse should:

The nurse is evaluating the patient with end stage chronic obstructive pulmonary disease (COPD).The patient has not achieved any of the goals in the plan of care.The spouse reports concerns about the patient’s mood and increased dependency .What action should the nurse take FIRST?

A home care patient with chronic obstructive pulmonary disease (COPD) reports an upset stomach. The patient is taking theophylline(Theo-Dur) and triamcinoloneacetonide (Azmacort) The nurse should instruct the patient to take:

When giving post operative discharge instructs a patient who had abdominal surgery,all of the following regarding wound healing are true EXCEPT:

A nurse giving post operative discharge instructs a patient who had abdominal surgery, when teaching the patient about wound healing all of the following are the true EXCEPT:

A 12-year-old child who has been diagnosed with insulin dependant mellitus (IDDM) since age3. Comes to the clinic for a routine visit. The patient has begun to self manage care with parental supervision. The patient injects 28 units of NPH insulin every morning and 8 units at bedtime. The patient checks blood sugar 4 times every day.The patient’s weight is stable and diet is unchanged. However, the patient reports several hypoglycemic reactions every week. The nurse knows the MOST likely cause is that:

While caring for a child with aventriculoperitoneal shuntrevision, the nurse find the patient lying with the head and feet flexed back. The nurse should call for help and prepare for a(n):

During surgery requiring general anesthesia, the patient heart’s stops and acarotid pulse is not palpated. How many compressions per minute should be administered?

When teaching a community class on cerebro vascular accidents (stroke), which of the following should participants of the class know at the completion of the class?

A community health carenurse visits a patient who had a cerebrovascular accident. The patient is at risk for deficient volume due to voluntary reduction intake fluid intake to avoid the use of the bathroom. The nurse educates the patient on the importance of drinking fluidsand maintaining hydration. Whichof the following indicates the efficacy of the nursing intervention?

A home health nurse isvisiting a patient following acerebrovascular accident(CVA). The patient is having trouble sleeping and is feeling sad. The patient’s spouse tells the nurse that the patient is not eating much and often cries when noone is watching. Which of the following would be the nurse’s MOST likely intervention?

A home health nurse is visiting a patient who recently suffered a Cerebro vascular accident(CVA). The nurse would MOST likely implement which of the following interventions to prevent muscle and ligament deformities?

A nurse is assigned to do a home visit for an 81-year-old patient. The patient lives at home with an adult caretaker and is completely bed-bound following a Cerebrovascular accident (CVA) 2 weeks ago. In planning caregiver education, The nurse should be prepared to instruct the caretaker in:

A home care nurse makes a follow-up visit to a patient who recently suffered acerebrovascular accident. The patient is mobile and able to perform activities of daily living. However, the patient has not sleeping and has lost weight due to lack of appetite. The patient also feels overwhelmed with sadness. Which of the following is the most appropriate evaluation?

A home health nurse has entered a home to complete an admission assessment on a patient who has a methicillin-resistant Staphylococcus aureus (MRSA) urinary tract infection. The patient will receive intravenous anti-infective via a peripherally inserted central catheter (PICC) for 3 weeks. Which of the following actions should the nurse take FIRST?

A patient had a craniotomy with resection of a nonmalignant neoplasm for the temporal lobe. The patient’s vital signs are within the base line normal range. The nurse observes that the patient has developed bilateral periorbital edema. Which of the following actions would be appropriate for the nurse to take?

A home health nurse visits a patient with diabetes and primary open-angle glaucoma. The patient takes metformin (Glucophage) 500 mg once a day for diabetes and timolol ophthalmic solution twice a day in each eye for glaucoma. Which of the following evaluations indicates that the patient is noncompliant with glaucoma management?

A patient is having difficulty with cognitive abilities after a stroke. What part of the brain was MOST likely affected?

A nurse plans to teach a group of 20 to 25-year-old women about oral contraceptives. The nurse should instruct that oral contraceptives may:

A patient who had abdominal surgery is in the post anesthesia care unit (PACU). Which of the following nursing diagnosis takes PRIORITY?

While caring for a patient in the post-anesthesia care unit (PACU), a nurse plans toKeep the patient warm. What is the MUST important reason for this action?

To minimize a toddler from scratching and picking at a healing skin graft site, the nurse should utilize?

A Patient complains of severe menstrual cramping. Bleeding is not un usually heavy and the patient has no uterine disorders. Which of the following interventions should the nurse anticipate the doctor will order promote comfort?

During Pre operative preparation of a patient for amputation of the left leg. The nurse has primary responsibility for:

A 52-years-old is admitted to the nursing unit from the physician’s office with a diagnosis of acute cholecystitis. Physician orders on admission include: monitor vital sign every 4 hours; IV of ringer’s lactate 125ml per hour; 1500 calorie, low-fat liquid diet, morphine sulfate 2mg IV every 2 hours as needed for pain, notify physician for sudden increase in frequency or intensity of pain, promethazine12.5 mg IV every 4 hours as needed for nausea or vomiting. Which of the following should the nurse plan to do FIRST?

A parent brings a 10-month-old infant into the department saying, “my baby put a button in her mouth and now she is not breathing!” After the nurse determines the infant is not breathing. What should the nurse do NEXT?

An infant arrives in the emergency department not breathing and does have a pulse. When starting cardio pulmonary resuscitation (CPR), where is the correct place to assess for a pulse in this patient?

A 5 years old patient who under went abdominal surgery suffers from deficient fluid volume related to nothing by mouth (NPO) status; intravenous fluid therapy is given for hydration. Which of the following indicates that the treatment is effective?

A 7-years-old child is brought to the physician office due to sudden onset of bright redness on the cheeks. The nurse observes that the child has a temperature of 380 C (100.40 F) With chills the nurse suspects that the MOST like diagnosis would be:

A nurse instructs a community education class on breast health. Which statement BEST described understanding of the appropriate age to start screening mammograms is a woman of average risk?

A patient is taught how to perform a breast self-exam by a nurse. Which statement is BEST described as understanding of the proper procedure for doing a breast self-exam?

While caring for a child with in effective airway clearance related to increased mucus production, the nurse should encourage fluids to:

A 59-years old patient with lung cancer and meta stases to the bone is in the hospital for pain management. The patient rates the pain 10 on a scale of 0(no pain) to 10 (severe pain). The BEST goal for the nurse diagnosis of alteration is comfort is that the patient will:

A patient with advanced lung cancer is exhibiting cyanosis and edema of the head and upper extremities. Which of the following intervention would MOST likely provide an immediate benefit for this patient?

If a patient develops a complication during a blood transfusion, the nurse first should be to:

Which of the following types of health care services is an example of the primary level of care?

In planning for the care of a patient with Crohn’s disease, the nurse and patient discuss the interventions. Which of the following treatment modalities would MOST likely be considered a primary intervention for this disease?

A patient with acute crohn’s disease has been prescribed an elemental diet. The MOST likely rationale for this is to:

A patient has a 6-year history of inflammatory bowel disease that is resistant to medical therapy. The patient can BEST decreased the like hood of the disease progressing to

A home health nurse is setting up a medication administration schedule for an elderly patient. The patient is talking Oscal (calcium corbonate), Feosol (ferroussulfate), and Orazinc (Zinc sulfate). The patient eat meals at 8:00 AM, 12 noon, and6:00 PM. Which of the following medication administration times would the nurse MOST likely implement for this patient?

A Community Health nurse is administering tuberculin skin tests purified protein derivative (PPD), which of the following time frames should the nurse tell the patient to return to the clinic for the test to be read?

A patient who is scheduled for a tonsillectomy is in pre operative unit. The nurse notes an order for pre anesthetic medication to be given “on call to operation room”.The nurse should give this medication:

A patient recently under went coronary artery bypass graft surgery (CABG). The Nursing diagnosis includes sleep deprivation related to intensive care environment. The goal for this diagnosis would be that the patient:

The nurse is assisting a patient to ambulate in the hall. The patient a history of coronary artery disease(CAD), and had coronary artery bypass graft surgery(CABG) 3 days ago, the patient reports chest pain rated 3 on a scale of 0 (no pain)to 10 (severe pain) the nurse should FIRST:

A 35-years-old female has an inherited gene mutation for achondroplasia, anautosomal dominate genetic disorder. Her husband does not have genemutation. In planning genetic counseling for this patient, the nurse would be MOST correct in including which of the following statements regarding the risk of their children inherited the genetic mutation?

A patient is one day post operative repair of a large umbilical hernia. The patient complains of abdominal pain and described feeling the sutures give way. Upon assessment of the abdomen the nurse observes an evisceration. The nurse’s IMMEDIATE response should be to:

A 3-years old child is seen at the pediatrician’s office. The parents the child has had vomiting and diarrhea for the past 15 hours. The child’s is lethargic with the following vital signs: temperature 37.20 C (99.0 F), heart rate 145,respiration rate 25, and blood pressure level 95/55 mmHg. Which of the vital sign is abnormal?

A home health nurse is teaching a family member about the care of a patient’s peripherally inserted central catheter (PICC). Which of the following would be appropriate for the nurse to make?

While Obtaining the pre operative history of a patient schedules for cosmetic surgery, the most valuable skill at the nurse disposal is:

A community health nurse screens a group of high risk adults for tuberculosis. Which gauage needle should the nurse use for an intradermal injection on the ventral surface of the fore arm?

A patient hospitalized with tuberculosis (TB) has a productive cough and hemoptysis. Which of the following types of isolation room would be the best choice for the patient?

A patient diagnosed with tuberculosis is prescribed isoniazid (Isoniazid), Rifampin (Rifadin), pyrazinamide (Rifamate), ethambutol HCL (Myambuton), one month later the patient comes to the physician office with hepatitis. Which drug is the MOST likely cause?

A Patient with tuberculosis can transmit the disease to another individual Through:

A patient recently under went joint replacement surgery, which of the following nursing diagnosis takes PRIORITY?

The parents are anxious after the doctor tells that their child needs surgery. The assess parents’ ability to cope with this anxiety, which of the following questions should the nurse ask

A 4-year-old child brought to the community health clinic for scheduled immunizations. The child should receive:

The nurse is conducted a community-based educational program about Diabetes mellitus. Which of the following statements by a participant would indicate correct understanding of the teaching?

A child is treated for superficial (first-degree) thermal burns to the thigh. The child is in great discomfort and does not eat. Which of the following diagnosis should receive PRIORITY?

The nurse calls together an inter disciplinary team with members from medicine, social services, the clergy, and nutritional services to care for a patient with aterminal illness. Which of the following types of care would the team MOST likely is providing?

A nurse makes a home visit to a patient recently diagnosed with chronic obstructive pulmonary disease (COPD), which of the following should the nurse teach the patient about managing COPD?

A patient with chronic obstructive pulmonary disease (COPD) experiencing frequent dyspnoea which of the following exercise would teach the patient how to BETTER control breathing?

In evaluating the appropriateness of various exercises enjoyed by a patient with osteoporosis, the nurse would recommend:

A patient present to the clinic with“pins and needles” sensations of the left foot and complains that objects appear “ Shimmering”.The patient is diagnosed with opticneuritis and referred for further testing. The patient is MOST likely to be tested for:

A 3-years-old has returned to the clinic 4 days after being diagnosed with gastroenteritis and dehydration. A parent reports that the vomiting has stopped, and the child is tolerating liquids, rice, apple sauce, and bananas. The diarrhea persists, but seems to be decreasing in volume. When evaluating for signs of dehydration, the nurse will assess the patient’s skin turgor by:

When administering albuterol to a child with asthma, the nurse should observe for sign of what major side effect to this medication?

A child with asthma is experiencing thick respiratory secretions resulting in increased work of breathing. The best nursing intervention is to:

What would be the long-term goal for a child with asthma?

A nurse administers an albuterol nebulizer on a child with asthma exacerbation. Which of following indicates effectiveness of the treatment?

A Child is diagnosed with asthma exacerbation. Which of the following nursing diagnoses should be the FIRST priority?

The nurse is visiting the asthmatic patient at home to reinforce the importance of eliminating environmental allergens and to assess the patient’s response to the environmental changes. This type of implementation is called:

A patient finds their 2-weeks-old infant unresponsive. The infant is limp, cyanotic and pale. There is no respiration, while the skin is cold to the touch. The parent begins resuscitation, and the infant is transferred to the hospital where the infant expires. The MOST likely diagnosis is:

A neonatal nurse performs Apgar assessment at 1 minute of birth to evaluate the physical condition of the newborn and immediate need for resuscitation. At 1 minute, Apgar score is 7. At 5 minutes Apgar score is to the progression of scores suggests:

The nurse is caring for full-term newborn who was delivered vaginally 5minutes ago. The infant’s APGAR Score was 8 at one minute and 10 at 5 minutes. Which of the following has the highest priority?

Which of the following can be use to determine if a prescribed pain management therapy is effective for a non verbal patient?

While caring for a neonate with a meningocele, the nurse should AVOID positioning the child on the:

A patient with exacerbation of congestive heart failure has a nursing diagnosis of excess fluid volume. The nurse monitors fluids intake and output and administers furosemide, as ordered. Which of the following indicates the efficacy of the intervention?