The nurse is caring for a patient with diabetic ketoacidosis. As part of the treatment plan, which action should the nurse take first?
• Fluid replacement is a priority in order to prevent vascular collapse due to severe dehydration
• Insulin administration is important, but hydration is the priority
• Determining the cause or trigger is important, but fluid resuscitation is the priority
• Administering potassium may be needed after insulin therapy is initiated, but this is not a priority at this time. Insulin transports potassium into the cell, potentially causing hypokalemia
The nurse is educating a patient with hyperparathyroidism about diet modifications. Which of the following should the nurse emphasize?
The nurse is assessing a patient that fell from a ladder. To help assess for the presence of a fracture, the nurse asks the patient if the pain:
The nurse is treating a patient suffering from an Addisonian crisis. The nurse should avoid the administration of:
The nurse is providing discharge instructions to a patient who underwent a bilateral adrenalectomy. Which of the following should the nurse include?
A patient is admitted to the emergency department due to unexplained lethargy. The nurse notes that the patient's breath has a fruity odor and suspects:
A 39-year-old, premenopausal woman asks the nurse how much calcium is recommended. The nurse tells the woman to consume:
The nurse is caring for a patient who underwent a fasciotomy for the treatment of compartment syndrome. Which type of dressing should the nurse prepare to cover the site?
A patient came into the clinic due to an eye problem. Which of the following is a correct method to assess the function of the patient's cranial nerve II (optic nerve)?
The physician is preparing for cardioversion of a patient with a cardiac arrhythmia. The nurse places the conductive pads at:
A 60-year-old patient was examined by the nurse for possible increased intracranial pressure, papilledema, and headache. There was no history of trauma and the vital signs showed BP of 120/70 mmHg, HR 90 bpm, Temp 98.9˚ F, Respirations 20 bpm. With the assessment findings, the nurse thinks the patient may have:
The nurse is providing discharge instructions to a patient originally admitted with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which of the following patient statements is true regarding the prevention and management of HHNS?
A nurse is caring for a patient who suffered a right-sided CVA. Which of the following would the nurse expect to see? Please select all that apply.
The nurse is caring for a patient who recently underwent an abdominal aortic aneurysm repair. The nurse monitors the patient for which common complication?
While assessing a patient with aortic
During a health education session about risk factors for heart disease, the nurse is discussing the updated 2013 guidelines from the ACC/AHA, which include conventional risk factors, modifiable risk factors, and non-traditional risk factors. The nurse educator identifies which of the following as non-traditional cardiovascular risk factors?
A patient with osteoporosis is post-op day two in the hospital after a hip fracture. Which of the following would improve patient outcomes?
A patient with valvular heart disease comes to the emergency department with complaints of syncope and dyspnea on exertion. The nurse suspects:
A patient with a long leg cast and crutches is required to walk down a staircase at his home. When descending down a staircase, the patient should:
A patient with heart failure (HF) due to systolic dysfunction is being educated by the nurse on ACE inhibitors. The nurse correctly explains by saying:
The nurse is assessing a patient suspected of having hypoparathyroidism. Which of the following signs and symptoms should the nurse be alert for?
A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nurse expect to observe?
A post-operative patient has an IV of 0.9% NaCl D5W infusing. The nurse understands that the the type of maintenance IV fluid given is based on the type of fluid volume deficit. The nurse correctly identifies which of the following as categories of fluid volume deficits?
The nurse is assessing a patient who has been suffering from low back pain for the past three weeks. Which of the following suggests a herniated disc?
A client is admitted to ICU in diabetic ketoacidosis. Which interventions are used to manage the acidosis?
A home health nurse is caring for a patient with intermittent pruritus with no underlying pathological process. To reduce the severity of this problem, the nurse should instruct the patient to:
A nurse is reviewing a patient's chart and notes a Braden score of 14. The nurse understands that this score corresponds with what level of pressure ulcer risk?
The nurse is caring for a patient
The nurse is preparing a patient for a pericardiocentesis for the treatment of cardiac tamponade. How should the patient be positioned?