A new diabetic is learning to administer his insulin. He receives 10U of NPH and 12U of regular insulin each morning. Which of the following statements reflects understanding of the nurse's teaching?

A patient, age 54, seeks medical attention for low-grade afternoon fevers, night sweats, loss of appetite, and a productive cough. The practitioner suspects pulmonary tuberculosis (TB), especially after the patient remarks that his wife recently was diagnosed with TB. A positive acid-fast bacillus sputum culture confirms that the patient has TB. Which nursing diagnosis has the highest priority?

A client presents to the emergency department (ED) via ambulance with SOB for the past 3 days. After spending 4 hours in the ED, the client is admitted to the intensive care unit (ICU) with pulmonary edema requiring intubation and ventilation. The ED nurse reports to the ICU nurse that a Foley catheter was placed and that the client has had a total of 25 mL of urine output. The labs from the ED reveal (1) BG of 300, (2) BUN of 100, and (3) creatinine of 5.0. The client has a medical history of CAD, CHF, diabetes, COPD, and asthma. What is the most likely cause of the client's low urine output?

A client has just returned from an EGD, where the client was diagnosed with peptic ulcers. The client does not have a history of taking NSAIDs. During the procedure, biopsies and cultures were taken. What lab results can the nurse anticipate?

A patient's history reveals that he suffers from daytime symptoms of asthma that occur 3 to 6 days a week. How would his asthma severity be described?

A woman who has had asthma since she was a child and it is under control when the client takes her medication correctly and consistently is now pregnant for the first time. Which of the following client statements concerning asthma during pregnancy indicates the need for further instruction?

A client who receives total parenteral nutrition (TPN) will most likely require which medication on a routine basis?

Which parameter should the nurse monitor frequently while a patient receives pentamidine isethionate?

Which of the following post-operative diets is most appropriate for the client who has had a hemorroidectomy?

A 165-lb (75 kg) patient with a pulmonary embolus is ordered to receive 20 units/kg/hour of heparin by I.V. infusion. How many units of heparin should he receive each hour?

Lipid emulsions are part of total parenteral nutrition (TPN) and partial parenteral nutrition (PPN). What do lipid emulsions supply?

Which percentage of those with mental illness receive treatment in the health care system?

A nurse works in a clinic where the nurse is responsible for client education. Which principle is a factor in client education?

A client with a past medical history of ventricular septal defect repaired in infancy is seen at the prenatal clinic. She is complaining of dyspnea with exertion and being very tired. Her vital signs are 98, 80, 20, BP 116/72. She has +2 pedal edema and clear breath sounds. As the nurse plans this client's care, which of the following is her cardiac classification according to the New York Heart Association Cardiac Disease classification?

The nurse is reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt notification of the health care provider and a further plan of care?

One theory commonly used in family mental health nursing is Bowen's family systems theory. The central assumption in this theory is that chronic anxiety is the underlying basis for dysfunction. The theory consists of eight interlocking concepts that address anxiety and emotional processes. This includes:

Which is true regarding the administration of antacids?

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

Which of the following is considered identifiable health information?

An ampule of promethazine hydrochloride (Phenergan) is opened by the nurse. Why should the nurse choose to use a filter needle to draw this medication into the syringe?

A nurse is performing the Trendelenburg test for the client with multiple sclerosis. The nurse is aware that this test is used to measure:

The nurse assesses his client's dorsalis pedis and posterior tibial pulses. The nurse understands that this assessment is an important part of the physical exam because:

A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches?

The nurse is assessing an infant with Hirschsprung's disease. The nurse can expect the infant to:

A woman who has had asthma since she was a child and it is under control when the client takes her medication correctly and consistently is now pregnant for the first time. Which of the following client statements concerning asthma during pregnancy indicates the need for further instruction?

The nurse cares for a client who has a continuous passive motion (CPM) machine in place after a total knee replacement. The physician writes orders for the degree of flexion and hours per day of CPM use. Which intervention should the nurse perform?

A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

Instructions for a patient with systemic lupus erythematosus (SLE) should include information about which blood dyscrasia?

An 8-month-old infant has been diagnosed with iron deficiency anemia. What food should be added to the infant's diet?

Effective communication between members of the multidisciplinary health care team ensures which important aspect of a safe client care environment?

Which of the following is considered identifiable health information?

Which is the best example of a nurse preventing painful stimuli?

A 19-year-old nulligravid client visiting the clinic for a routine examination asks the nurse about cervical mucus changes that occur during the menstrual cycle. Which of the following statements would the nurse expect to include in the client's teaching plan?

The physician has ordered a minimal bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

The nurse changes a wet-to-dry dressing for a client who has a pressure ulcer with infected, necrotic tissue. The nurse knows the purpose of the wet-to-dry dressing is to:

The first exercise that should be performed by the client who had a mastectomy is:

The physician has ordered atropine sulfate 0.4mg IM before surgery. The medication is supplied in 0.8mg per milliliter. The nurse should administer how many milliliters of the medication?

A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which of the following client statements indicates effective teaching?

A client recovering from a thyroidectomy tells the nurse, "I feel numbness and my face is twitching." What is the nurse's best initial action?

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

A woman who has had asthma since she was a child and it is under control when the client takes her medication correctly and consistently is now pregnant for the first time. Which of the following client statements concerning asthma during pregnancy indicates the need for further instruction?

During which stage of illness should the nurse orient teaching to meet the client's family's needs?

Which of the following anticoagulants would the nurse expect to administer when caring for a primigravid client at 12 weeks' gestation who has class II cardiac disease due to mitral valve stenosis?

Which of the following anticoagulants would the nurse expect to administer when caring for a primigravid client at 12 weeks' gestation who has class II cardiac disease due to mitral valve stenosis?

When planning to teach an adolescent female patient about PID, which of the following statements should the nurse include?

Which action by the nurse indicates understanding of herpes zoster?

The first exercise that should be performed by the client who had a mastectomy is:

A new diabetic is learning to administer his insulin. He receives 10U of NPH and 12U of regular insulin each morning. Which of the following statements reflects understanding of the nurse's teaching?

After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination, which of the following client statements indicates that the teaching has been successful?

Which brain structures regulate sleep and wakefulness?

A new diabetic is learning to administer his insulin. He receives 10U of NPH and 12U of regular insulin each morning. Which of the following statements reflects understanding of the nurse's teaching?

A 30-year-old multigravid client at 8 weeks' gestation has a history of insulin-dependent diabetes since age 20. When explaining about the importance of blood glucose control during pregnancy, the nurse should tell the client that which of the following will occur regarding the client's insulin needs during the first trimester?

A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:

A client with a recent ACL reconstruction has just received education on crutch use and safety. Which statement best indicates that the client has a complete understanding of the education?

A nurse is performing the Trendelenburg test for the client with multiple sclerosis. The nurse is aware that this test is used to measure:

The nurse is teaching about irritable bowel syndrome (IBS). Which of the following would be most important?

Which client would most benefit from an integrative medicine health care strategy?

The nurse places an overweight client on a bedpan and notices that the plastic bedpan does not retain its shape under the client's weight. The bedpan flattens, spilling the contents into the client's bed, and necessitating an additional bed bath for the client. The nurse must place three bedpans together in order for the bedpan to be used effectively by the overweight client. What action by the nurse would demonstrate good resource management practice?

A male client asks the nurse about the use of withdrawal (coitus interruptus) as a method for birth control. The nurse advises the client:

A patient with thrombocytopenia secondary to leukemia develops epistaxis. What should the nurse instruct the patient to do?

A patient, age 52, is admitted with a diagnosis of Cushing's syndrome. When analyzing the patient's laboratory data, what would the nurse expect to find?

During a routine clinic visit, a 25-year-old multigravid client who initiated prenatal care at 10 weeks' gestation and is now in her third trimester states, "I've been having strange dreams about the baby. Last week I dreamed he was covered with hair." The nurse should tell the mother:

An 82-year-old male patient with Parkinson's disease experiences frequent urinary incontinence. The nurse should perform which intervention first?

The nurse assesses a client who is in an arm cast. The client complains of severe pain, decreased motion and sensation, and swelling in the fingers. Which action should the nurse take first?

After the nurse instructs a 20-year-old nulligravid client on how to perform a breast self-examination, which of the following client statements indicates that the teaching has been successful?

An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?

The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort lessens when he:

The nurse knows that a symptom of right-sided heart failure is:

The physician has ordered atropine sulfate 0.4mg IM before surgery. The medication is supplied in 0.8mg per milliliter. The nurse should administer how many milliliters of the medication?

When planning to teach an adolescent female patient about PID, which of the following statements should the nurse include?

The nurse is participating in discharge teaching for the postpartal client. The nurse is aware that an effective means of managing discomfort associated with an episiotomy after discharge is:

A client with cancer is to undergo an intravenous pyelogram. The nurse should:

What information should the nurse give a new mother regarding the introduction of solid foods for her infant?

A client has come to the physician's office complaining of recent constipation. The nurse takes a health history. Which statement made by the client suggests a likely cause of the constipation?

A medication is said to have inotropic, chronotropic, or dromotropic effects on cardiac tissue. The nurse knows medications that have a chronotropic effect can cause:

The nurse is caring for a client with a hip fracture who is being discharged with a prescription for alendronate (Fosamax). Which statement would indicate a need for further teaching?

During which stage of illness should the nurse orient teaching to meet the client's family's needs?

Which brain structures regulate sleep and wakefulness?

When performing Leopold's maneuvers, which of the following would the nurse ask the client to do to ensure optimal comfort and accuracy?

A client has come to the physician's office complaining of recent constipation. The nurse takes a health history. Which statement made by the client suggests a likely cause of the constipation?

A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

A 52-year-old patient reports weight gain and fatigue. On assessment, her vital signs are a blood pressure of 120/74 mm Hg, a pulse rate of 52 beats/minute, a respiratory rate of 20 breaths/minute, and a temperature of 98º F (36.7º C). Laboratory results show low T4 and T3 levels. The nurse knows these signs and symptoms are associated with which condition?

After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which of the following hormones is produced by the placenta?

The nurse assesses his client's dorsalis pedis and posterior tibial pulses. The nurse understands that this assessment is an important part of the physical exam because:

A patient with SLE who receives immunosuppressants develops a fever. The nurse should:

The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?

The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:

The client with an ileostomy is being discharged. Which teaching should be included in the plan of care?

A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches?

The nurse is reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt notification of the health care provider and a further plan of care?

A patient with SLE who receives immunosuppressants develops a fever. The nurse should:

The nurse places an overweight client on a bedpan and notices that the plastic bedpan does not retain its shape under the client's weight. The bedpan flattens, spilling the contents into the client's bed, and necessitating an additional bed bath for the client. The nurse must place three bedpans together in order for the bedpan to be used effectively by the overweight client. What action by the nurse would demonstrate good resource management practice?

A client at the clinic reports to the nurse, "I have trouble seeing signs at a distance, but no trouble seeing things close up." The nurse identifies the correct term for this vision problem as:

A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because:

The nurse knows that a symptom of right-sided heart failure is:

During a routine clinic visit, a 25-year-old multigravid client who initiated prenatal care at 10 weeks' gestation and is now in her third trimester states, "I've been having strange dreams about the baby. Last week I dreamed he was covered with hair." The nurse should tell the mother: