A client is admitted to the labor and delivery unit in active labor. During the examination, Nurse Girly notes a papular lesion on the perineum. Which initial action is most appropriate?

When Nurse Lyka checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action Nurse Lyka should take is to:

During the assessment of a laboring client, Nurse Philip notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

Nurse Yeda Mae is assigned to look after an 85 year old patient who had an accidental fall while going to the bathroom without assistance. It appears the patient has sustained a bone fracture to the left leg. The leg's shape is deformed and the patient is unable to move it. The patient is alert and oriented but in pain. What will she do FIRST after confirming the patient is safe and stable?

Nurse Gemalyn's patient is 2 hours post-op from a cast placement on the right leg. The patient has family in the room. Which action by the significant other requires nurse Gemalyn to re-educate the patient and family about cast care?

Nurse Angelica is doing her assessment to a patient at the surgery ward. She should know that the drainage is normal 4 days after a sigmoid colostomy when the stool is:

A male client undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. Nurse Jodel first response is to:

A 57-year-old client with acute arterial occlusion of the left leg undergoes an emergency embolectomy. Six hours later, Nurse Sandrine isn’t able to obtain pulses in his left foot using Doppler ultrasound. She immediately notifies the physician, and asks her to prepare the client for surgery. As she enters the client’s room to prepare him, he states that he won’t have any more surgery. Which of the following is the best initial response by nurse Sandrine?

Lou undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, Nurse Naira should include which instruction?

On the third day after a partial thyroidectomy, The client exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a life threatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery?

A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?

In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says:

Nurse M is caring for a client who had a thyroidectomy 12 hours ago for treatment of Grave’s disease. The nurse would be most concerned if which of the following was observed?

Which of the following measures best determines that a patient who had a pneumothorax no longer needs a chest tube?

After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips?

On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest?

Which of the following techniques is correct for obtaining a wound culture specimen from a surgical site?

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority?

A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several clots. What is the primary nursing diagnosis for this patient?