•To prevent damage to the tracheal mucosa, the nurse should deflate the cuff or use the minimal leak technique.
•The patient's head of bed should be in semi-Fowler's position to decrease edema.
•Diet orders should be held due to edema and impaired swallowing.
•Suctioning the patient every 30 minutes is excessive and could cause damage to the airway. The patient should be encouraged to cough and deep breath.
The nurse is preparing for a wet-to-dry dressing change for a patient with a diabetic foot ulcer. What is the benefit of a wet-to-dry dressing for this patient?
The nurse is caring for a patient with hyperaldosteronism. The nurse notes some non-fatal cardiac rhythm changes on telemetry. What should the nurse do next?
A 13-year-old patient has been diagnosed with impetigo, caused by Staphylococcus aureus, for which he is receiving antibiotic treatment. While doing a physical assessment, the nurse would expect to find skin lesions on which of the following areas of the body?
A nurse is assessing a pressure ulcer on the heel of a 75-year-old male. She notes that the ulcer is deep, extending to the muscle and bone. How would the nurse stage this ulcer?
The nurse administers vitamin B12 to a patient with pernicious anemia. This patient has the inability to absorb vitamin B12 because of a deficiency in:
The nurse is providing discharge instructions to a patient that underwent a thyroidectomy. Which of the following should be included in the discharge instructions?
A patient is admitted to the hospital with signs and symptoms of systemic lupus erythematosus (SLE). Which test would confirm the diagnosis?
A patient with benign prostatic hypertrophy is admitted to the hospital for a scheduled surgery. Which of the following surgeries is the least invasive?
A patient who recently underwent a kidney transplant is visited by a home health nurse. The nurse assesses the patient for transplant rejection. Which of the following would be present?
A 70-year-old patient diagnosed with testicular cancer has had testicular surgery. On the day of discharge the nurse gave him instructions and told him correctly that:
The nurse conducts a home visit for a patient undergoing chemotherapy due to leukemia. The health care provider reports the patient's neutrophil count is 600/mm³. Which instruction should the nurse provide the patient?
A patient who is to be discharged after being diagnosed with multiple myeloma is given instructions by the nurse. It is very important for the nurse to remind the patient to:
A nurse is assessing a patient suspected of an upper GI bleed. Which test should be used first to evaluate the patient's GI bleed?
An 82-year-old patient is having trouble maintaining regular bowel movements. The nurse is providing instruction and tells the patient to avoid:
Following a spinal cord injury, a patient undergoing rehabilitation is receiving instructions about urinary management. Which of the following is the most important for the nurse to tell the patient?
A patient with peptic ulcers is admitted to the hospital for a suspected perforation. While assessing the patient, the nurse would expect which common symptom of this complication?
The nurse is creating a care plan for a patient with idiopathic thrombocytopenia purpura (ITP), an autoimmune condition. Which of the following nursing interventions should be included?
A nurse is assessing a patient with acute pancreatitis. The nurse should be aware of which assessment findings that support the diagnosis?
A 57-year-old is admitted to an inpatient unit due to Crohn's disease. Which of the following should not be in the care plan?
A nurse is caring for a client diagnosed with testicular cancer who is receiving cisplatin intravenously. The nurse monitors the client for drug-drug interaction if which among the following are administered?
The nurse is planning interventions to protect a patient with thrombocytopenia. Which of the following interventions should be included?
A patient is admitted to the hospital due to a myocardial infarction. Which of the following interventions or devices would increase coronary perfusion and decrease cardiac workload?
A hearing impaired patient was admitted to the hospital. Which of the following is the best way for the nurse to communicate effectively?
A 69-year-old patient is set to have a cerebral angiogram through the femoral artery. Which of the following would the nurse include in the teaching?