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The nurse has attended a staff education program about caring for clients who are receiving positive pressure mechanical ventilation. Which of the following statements by the nurse would indicate a correct understanding of the teaching?
A primigravida patient is admitted to the labor and delivery area. Assessment reveals that she is in the early part of the first stage of labor (latent phase). Her pain is likely to be most intense:
A therapeutic milieu on an inpatient psychiatric unit is characterized by which of the following?
After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she:
A client with hepatitis C and cirrhosis has just returned from a liver biopsy. Hemorrhage can occur after liver biopsy, so the client is positioned on the right side to apply pressure over the biopsy site and help prevent bleeding. In which position will the nurse place the client?
The nurse is caring for a client following reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Which behavior should the nurse expect a 3-year-old child to be capable of doing?
The nurse is responsible for performing a neonatal assessment on a full-term infant. At 1 minute of age, the nurse could expect to find:
What is required for informed consent to be valid?
The nurse is preparing to admit a client who has pleuritic chest pain and is reporting a cough productive of yellow sputum for the past 1 week. The client has a pulse oximetry reading of 90% on room air. Which of the following infection control precautions should the nurse implement?
A client is transferred to the hospital unit as a direct admit. While the nurse is obtaining part of the admission history, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70 mmHg, heart rate of 130 beats/min, and respiratory rate of 24 breaths/min. The nurse suspects a leaking or ruptured abdominal aortic aneurysm. What is the nurse's best initial action?
A hypomanic patient tells you that she has been "picking up energy from my car engine and car CD player" while driving and has received five speeding tickets in the past 6 months. What would be one effective intervention to help her avoid fast driving?
As a perioperative nurse/circulator, which of the following is NOT one of your responsibilities (i.e., is instead the responsibility of the scrub nurse/scrub tech)?
A significant influence that allowed psychiatric treatment to move from the hospital to the community was:
A client is admitted to the intensive care unit after falling on an icy sidewalk and striking the right side of the head. An MRI reveals a right-sided epidural hematoma. Which physical force explains the location of the client's injury?
When evaluating a client's knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her?
The nurse caring for a client with a head injury would recognize which assessment finding as most indicative of increased intracranial pressure (ICP)?
A client has had surgery for removal of a prolactinoma (a type of pituitary tumor) via transsphenoidal approach. Which of the following interventions would be appropriate for this client?
The nurse is caring for a client with a diagnosis of cirrhosis who is experiencing pruritis (itching). Which of the following is an appropriate nursing intervention?
The nurse is counseling a client who wants to become pregnant. She tells the nurse that she has a 36-day menstrual cycle and that the first day of her last menstrual period was January 8. When will the client's next fertile period occur?