•After a thoracentesis, the nurse should be alert for signs of a pneumothorax. This includes diminished breath sounds, retractions, dyspnea, increased respiratory rate, and cyanosis.
•A respiratory rate of 25 or expiratory wheezes can be indicative of many pathological or physiological processes, not just pneumothorax.
A 36-year-old patient who sustained a subarachnoid hemorrhage was placed on subarachnoid (aneurysm) precautions. Which of the following is most appropriate for this patient?
A patient is seen at the clinic for a routine physical examination. After the patient is assessed for evidence of peripheral vascular disease, the nurse explains that which of the following tests is typically used to assist in the diagnosis?
A nurse is caring for an adult patient with myasthenia gravis. Which of the following nursing diagnosis is a priority for the nurse?
The nurse is providing discharge instructions to a patient with congestive heart failure (CHF). Which of the following foods should the nurse tell the patient to avoid?
The nurse is educating a patient with myocarditis. The nurse explains to the patient that myocarditis affects the:
After a cerebrovascular accident, an 88-year-old patient with right-sided weakness ambulates with the aid of a walker. Which of the following is an age-related physiological change that will increase the risk of injury?
The nurse is reviewing the EKG strip of a patient with wide QRS complexes. The nurse understands that the QRS complex represents:
An 80-year-old patient with hemiplegia was transferred by the nurse aide from a sitting position on the bed to the wheelchair. Which of the following interventions needs correction by the home health nurse who was observing the aide?
A nurse knows that common cardiac problems or concerns precipitating Paroxysmal Atrial Tachycardia include which of the following?
A nurse is caring for a post-operative patient after a mitral valve replacement. The nurse should monitor the patient's pulmonary capillary wedge pressure in order to:
A 50-year-old man is scheduled for a lumbar puncture. Which of the following statements made by the patient indicates that he understands the procedure?
The nurse is administering medications to a patient with a duodenal ulcer. The patient asks about his medications and how they treat his disease. The nurse explains that duodenal ulcers are predominately caused by:
The nurse is knowledgeable about sinoatrial node dysrhythmias if she selects which of the following causes of sinus tachycardia?
The nurse is caring for a patient who requires skeletal traction after a back injury. Which of the following are appropriate nursing interventions?
The nurse is evaluating a 52-year-old male for risk factors for coronary artery disease (CAD). The patient is overweight,
The nurse is assessing a patient suspected of having carpal tunnel syndrome. Which assessment finding is indicative of carpal tunnel syndrome?
The nurse is educating a patient in Buck's traction. The nurse explains to the patient that Buck's traction is:
A patient with Raynaud's disease is admitted to the hospital. The nurse assesses the patient for which expected clinical manifestation?
The nurse is caring for a patient who sustained multiple fractures and a spinal injury from a motor vehicle accident. Which nursing intervention is most important when caring for this patient on bedrest?
What are the appropriate nursing actions to promote adequate gas exchange for a client with acute decompensated heart failure (ADHF) and unknown cardiac status?
A patient with acute back pain is admitted to the hospital. The physician orders magnetic resonance imaging (MRI) of the spine and a physical therapy consult for back strengthening. In what sequence should the nurse schedule the orders?
The nurse is instructing a patient about measures to control
A patient diagnosed with multiple myeloma was treated with cyclophosphamide. Which of the following interventions should be included in the nursing care plan?
The nurse is assessing a patient suspected of having a duodenal ulcer. The patient admits to having a family history of this disease. The nurse knows that another known risk factor for duodenal ulcers is which of the following blood types?
The nurse is caring for a patient diagnosed with mitral valve stenosis. The patient complains of a cough and difficulty breathing when lying down. Upon assessment, the nurse notices the presence of
The nurse is instructing a patient before her scheduled upper GI endoscopy. The nurse should include which of the following?
The nurse is educating a patient before a scheduled lumbar fusion. The nurse explains that after the surgery, the patient will have to maintain bedrest in which position?
The nurse is caring for a patient with a skeletal muscle disorder. The nurse reviews the patient's lab results and expects which creatine phosphokinase isoenzyme to be elevated?