A client with chronic low back pain receives injections of meperidine hydrochloride (Demerol) every other day for 4 weeks. Which symptom exhibited by this patient could be an adverse reaction caused by this medication?

The nurse is teaching an obstetrical client regarding the appearance of edema in the last trimester. Which statement by the client indicates a need for further teaching?

A hospitalized patient needs a central I.V. catheter inserted. The physician places the catheter in the subclavian vein. Shortly afterward, the patient develops shortness of breath and appears restless. Which action should the nurse perform first?

Which of the following statements by the nurse would be most appropriate when responding to a primigravid client who asks, "What should I do about this brown discoloration across my nose and cheeks?"

Which of the following symptoms is associated with exacerbation of multiple sclerosis?

An important intervention in monitoring the dietary compliance of a client with bulimia is:

Which of the following are external factors that subject the skin to injury?

A patient with ARDS is intubated and placed on mechanical ventilation. His Pao2 is 60 mm Hg on 1.0 Fio2. To improve his Pao2 without raising the Fio2, the patient will most likely be placed on:

When the nurse is gathering information for the assessment, the patient states, "My stomach hurts about 2 hours after I eat." Based upon this information, the nurse knows the patient likely has a:

A patient, age 64, is ready for discharge after hospitalization for an exacerbation of COPD. Which statement by the patient would indicate that he understands his discharge instructions?

The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

The nurse is caring for a client in the intensive care unit with acute cardiopulmonary problems. The client is receiving mechanical ventilation for cardiopulmonary support. How often is a chest x-ray indicated for clients receiving mechanical ventilation?

The treatment protocol for a client with acute lymphocytic leukemia includes prednisone, methotrexate, and cimetidine. The purpose of the cimetidine is to:

The physician prescribes an enema for a patient with suspected appendicitis. Which action should the nurse take?

The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client:

At 38 weeks' gestation, a primigravid client with poorly controlled diabetes and severe preeclampsia is admitted for a cesarean delivery. The nurse explains to the client that delivery helps to prevent which of the following?

A client is admitted with hypothyroidism. Which clinical manifestation would the nurse expect the client to exhibit?

A client reports a diminished ability to visually focus on close objects and has also noticed a need for a well lit environment to enhance vision. The nurse is aware that:

A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:

Which sedation is typically achieved by administering a single, non-IV dose of a long-acting agent?

Which patient is at greatest risk for impaired wound healing after surgery?

A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks' gestation undergoes a nonstress test, the results of which are documented as reactive. The nurse should tell the client that the test results indicate which of the following?

After assessing a patient's pressure ulcer, you note that subcutaneous fat is visible but that bone, tendon, and muscle are not exposed. You observe slough, but it does not obscure the depth of tissue loss. You also note some undermining and tunneling. What stage pressure ulcer is this?

The nurse cares for a client with a pulmonary embolism. The nurse's care should focus on which intervention?