A client with suspected myasthenias gravis has been administered the drug edrophonium chloride (Tensilon). Which effect would the nurse expect the client to exhibit after administration?

When teaching a patient how to prevent the recurrence of acute glomerulonephritis, which instruction should the nurse include?

A patient, age 34, is scheduled for discharge after undergoing a modified retroperitoneal lymph node dissection for testicular cancer. He seems quiet and depressed, and the nurse asks if he has anything on his mind. “Now that I’m ready to go home,” he says, “I keep thinking about the practitioner telling me I’ll be sterile. I’m worried about how my wife will react, even though we didn’t plan to have children.” What would be the nurse’s best response?

The physician has prescribed Xanax (alprazolam) for a client with acute anxiety. The nurse should teach the client to avoid:

A 22-year-old nulligravid client tells the nurse that she and her husband have been considering using condoms for family planning. Which of the following instructions should the nurse include about the use of condoms as a method for family planning?

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 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

A client has a history of positive HIV with onset of acquired immunodeficiency syndrome (AIDS). The client receives 2 units of whole blood. Which transfusion reaction is this client most likely to have?

A client has pinpoint, pink-to-purple, nonblanching macular lesions 1 to 3 mm in diameter. Which term best describes the lesions?

Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

For the client who is receiving intravenous magnesium sulfate for severe preeclampsia, which of the following assessment findings would alert the nurse to suspect hypermagnesemia?

Which disease process is characterized by anxiety about and avoidance of places or situations in which the ability to escape is limited or embarrassing?

A 6-year-old female client is in need of an intravenous line and fluid infusion. Which over-the-needle intravenous catheter is an appropriate size for this client?

The nurse is assessing a client with gastroenteritis for hypovolemia. Which laboratory result would help the nurse in confirming a volume deficit?

Fetal heart tones can be heard using a fetoscope as early as:

A client arrives in the emergency department after a motor vehicle accident. The client has sinus tachycardia, is hypotensive, and has muffled heart sounds. There is no apparent sign of hemorrhage. Which condition does the nurse suspect?

A patient is ordered to receive 1,000 mL of 0.45% normal saline with 20 mEq of potassium chloride over 6 hours. The infusion set administers 15 gtt/mL. At how many gtt/minute should the nurse set the flow rate?

Which nurse should be assigned to care for the postpartal client with preeclampsia? The nurse with:

The nurse has reinforced teaching to a client who is on isoniazid (INH). Which diet selection would let the nurse know that the teaching has been ineffective?

Sodium and water retention in a patient with Cushing’s syndrome contribute to which commonly seen disorders?

Pain control is an important aspect of client care. Which theory most accurately addresses a client’s pain?

The client with a joint replacement is scheduled to receive Lovenox (enoxaparin). Which lab value should be reported to the doctor?

A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following?

A client taking Dilantin (phenytoin) for tonic-clonic seizures is preparing for discharge. Which information should be included in the client’s discharge care plan?