A patient is diagnosed with a right tension pneumothorax. The nurse would understand that the pneunothorax is worsening when which of the following is observed?
Tracheal deviation to the unaffected side is characteristic of a worsening tension pneumothorax.
Other signs would include asymmetry of thorax and breath sounds, worsening cyanosis, tachypnea and displacement of the point of maximal impulse (PMI)
Oxygen demands increased as there is less functional pulmonary capillary bed for diffusion.
Bradycardia and crackles are not symptoms of pneumothorax
A patient suspected of having human immunodeficiency virus (HIV) tests positive on an enzyme-linked immunosorbent assay (ELISA). The nurse understands that:
A patient with a history of Graves' disease is hypertensive, hyperpyrexic, and agitated. ECG indicates cardiac arrythmia. Based on the history and client's complaints, which of the following medications would the nurse expect to administer immediately?
The nurse is assessing a patient that underwent a unilateral adrenalectomy. To assess for hyperkalemia, the nurse should be alert for:
A patient received a bite wound from an animal and developed cellulitis as a result. The nurse explains to the patient that this infection is most likely caused by:
The nurse is caring for a patient diagnosed with pleurisy. Which of the following assessment findings is a characteristic of pleurisy?
A patient has been diagnosed with malignant melanoma. The patient asks the nurse about this type of skin cancer. The nurse provides information, knowing that which of the following is true:
A patient's biopsy results indicate the presence of squamous cell carcinoma. The nurse develops a care plan for this patient knowing that squamous cell carcinoma:
A patient with COPD is receiving discharge instructions from the nurse. The nurse should include which of the following to be avoided by the patient?
A nurse is caring for an intubated patient on a mechanical ventilator. The patient is in need of endotracheal suction, the nurse expects to see which of the following?
A patient with full-thickness circumferential burns to the left arm is in need of an escharotomy. The nurse understands that the desired outcome of this procedure is:
A patient with asthma is undergoing pulmonary function tests to determine the severity of his disease. In order to interpret the results, the nurse should be familiar with terminiology associated with this diagnostic test. Which of the following refers to the volume of air that can be forcibly exhaled after full inspiration?
To promote primary prevention of cervical cancer, a nurse created a poster for a booth at a health fair. Which of the following recommendations should the nurse include on the poster?
A patient is admitted to the hospital for respiratory distress. The nurse suspects pneunomia because of the presence of which of the following?
The nurse is caring for a patient with chronic renal failure. The nurse would recognize which of the following as common complications of the disease?
The nurse is preparing to administer an enema to a patient. The nurse should insert the enema at a depth of:
The nurse is caring for a patient who underwent a gastric bypass surgery. Knowing that this patient is at risk for dumping syndrome, the nurse assesses the patient for which of the following?
The nurse is administering an influenza vaccine to a patient. Before administration, the nurse warns the patient of which common side effect?
A patient recently diagnosed with celiac disease wants to know more about what foods he should avoid. Which of the following should be included in the discharge instructions as a food to avoid?
The nurse is educating adolescents on the best ways to reduce cancer risks. Which of the following factors should be included?
A patient with chronic hepatitis is admitted to the hospital due to his declining status. The nurse assesses the patient and will most likely note which of the following?
The nurse is preparing discharge instructions for a patient who underwent a coronary artery bypass graft (CABG). Which of the following common symptoms that
A patient is admitted to the hospital with a diagnosis of acute hepatitis B. The nurse would expect a rise in which of the following serum labs?
The nurse is caring for a patient that suddenly goes into uncontrolled atrial fibrillation. To determine if the patient has an inadequate stroke volume, the nurse would assess for:
A 50-year-old was just diagnosed with Parkinson's Disease. The nurse would want to educate the family and increase their awareness about which of the following symptoms? Select all that apply.
A nurse is caring for a client with moderate acute decompensated heart failure. The nurse should include which nursing intervention in the care plan?
The nurse is educating a patient with scoliosis about the potential complications associated with this disease. Which complications should the nurse discuss with the patient?
The nurse is discharging a patient after undergoing a left knee arthroscopy. The patient understands the discharge instructions if he states the need to:
During the health education of a patient with Parkinson's disease, one family member verbalized a statement that needs further education. Which of the following statements should the nurse correct?
An ICU nurse is providing continuing health education to new nurses in the unit. Which statements made by the nurse are correct?