A 79-year-old female patient who has an indwelling catheter is receiving perineal care from a nursing assistant. During the procedure, the nurse will intervene when the nursing assistant is doing which of the following?
• Warm water according to body temperature is ideal to provide comfort and to avoid scald burns during perineal wash
• It is recommended to wash from the front to the back of the perineum
• Elderly patients should be covered as much as possible to prevent chills during the procedure
• Gently pat dry the patient after the procedure
A nurse is implementing fluid resuscitation on a patient with full-thickness burns. Vital signs show a blood pressure of 85/55,
The nurse is caring for a patient with AIDS who was prescribed nevirapine two weeks ago. While assessing the patient, the nurse should be alert for:
The nurse is caring for a client with type 1 diabetes suffering from nausea and vomiting. Which of the following interventions should the nurse perform?
The nurse is reviewing the complete blood count with differential of a patient with cytomegalovirus. The nurse should expect an elevation of:
A client is admitted to the hospital with exacerbation of Chronic Obstructive Pulmonary Disease. The nurse understands which pathological changes to be occurring?
A female patient complains of urinary frequency and burning. Unsure of the cause, the nurse assesses the patient to determine whether the problem is of renal origin. Which of the following pain locations is indicative of kidney problems?
A nurse is caring for a patient with a suspected diagnosis of tuberculosis. The nurse should expect the physician to order which of the following tests to confirm this diagnosis?
The nurse is assessing for brachial plexus compromise on a patient that underwent a left shoulder arthroplasty. To assess for median nerve integrity, the nurse:
A patient is seen in the clinic for a follow-up on his diabetes management. The patient complains that after he administers insulin and his blood sugar drops, it quickly increases soon after. What disorder would be considered?
The nurse is performing assessment of the client at risk of acute hypoparathyroidism and notes a positive Chvostek’s sign. What other indicators should the nurse assess for acute hypoparathyroidism?
The nurse is concerned about an impaired gas exchange in a patient with thoracic burns and an inhalation injury. The nurse should avoid which of the following interventions?
A patient returns to the surgical unit after a parathyroidectomy. The nurse would anticipate which postoperative order from the physician?
A patient with psoriasis is prescribed ultraviolet light therapy. After providing instructions, the nurse determines that the patient requires additional instruction based on which of these statements?
The nurse is instructing an American patient with AIDS on how to prevent foodborne illnesses. Due to the patient's immune-compromised state, nurse should instruct the patient to avoid:
The nurse is educating a patient scheduled for an inferior vena cava (IVC) filter placement. The patient has a history of multiple pulmonary emboli. The nurse explains to the patient that the purpose of an IVC filter is to:
The nurse is assisting the physician with the application of a cast to a 27-year-old with a fractured ankle. Which of the following instructions takes priority?