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The patient has a nursing diagnosis of altered cerebral tissue perfusion related to cerebral edema. An appropriate nursing intervention for this problem is to:
A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery eyes at various times of the year. To teach the patient to control these symptoms the nurse advises the patient to:
An elderly patient is admitted to the hospital with swollen ankles. The best way to limit edema of the feet is for the nurse to:
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
To maintain the airway and promote respiratory function, the best position for the nurse to place the unconscious patient in the Post Anesthesia Care Unit (PACU) is:
A 65-year-old patient is admitted with ischemic stroke. Which of the following would be initially assessed by the nurse to determine the patient’s level of consciousness?
What two behaviors are important when documenting the depth of the patient’s depression?
The administration of which of the following types of parenteral fluids would result in a lowering of the osmotic pressure and cause the fluid to move into the cells?
A young patient is extremely irritable due to meningitis. It would be most important for the nurse to:
The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?
A construction worker was brought to the emergency department and admitted with the diagnosis of heat stroke due to strenuous physical activity during hot weather conditions. Which action should the nurse take?
A patient who sustained a chest injury has a chest tube inserted which is connected to an under water seal drainage system. When caring for this patient the nurse will:
As a part of the treatment given to a child with leukemia the child is placed on reverse barrier isolation to:
The nurse manager has just prepared a medication for a patient and she asked you to give the medication. Which of the following is the best response to the nurse manager's request?
You have started work on a new ward. One of the patient's allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:
A medication was ordered by a physician. The nurse believes the medication dose is incorrect. What should the nurse do next?
Nursing management of a patient with pulmonary embolism would focus on which of the following actions?
A patient who presents with acute weight loss, dry skin and mucous membranes and decreased urine output is most likely be suffering from:
The nurse notes that there are no physician's orders regarding Fatima's post operative daily insulin dose. The most appropriate action by the nurse is to:
The correct way to trim the toe nails of a patient with diabetes is to:
An 84-year-old man has arthritis and is admitted for a severely edematous knee. The physician orders heat packs every 2 hours and you feel this order may worsen the tissue congestion. An appropriate nursing action would be:
After application of a cast in the upper extremity, the patient complains of severe pain in the affected site. Which of the following would the nurse initiate?