The nurse receives report that a client's pH level is 7.4 . Which nursing action would be most appropriate?
A) Call the physician with the report.
B) Encourage the client to deep breath.
C) Complete a head-to-toe assessment.
D) Obtain an ECG.
C
Feedback:
The nurse realizes that a pH level of 7.4 is within normal limits. No additional measures need obtained and the nurse would perform a usual head-to-toe assessment.
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The nurse is providing care to a client whose last menstrual period was 6 weeks ago. The client believes she is pregnant. Which diagnostic test does the nurse anticipate in order to confirm the pregnancy?
A) Serum or urine human chorionic gonadotropin (hCG) B) Fetal heartbeat by Doppler C) Fetal heartbeat by fetoscope D) Fetal movement
What is the priority safety measure for the nurse to implement when a patient has been started on carbamazepine (Tegretol)?
a. Ask the patient about symptoms of nausea and vomiting. b. Monitor for and manage seizure activity. c. Assist the patient when getting out of bed. d. Always give this drug with food.
Which of the following is an early sign of compartment syndrome?
a. a red streak in the forearm b. loss of sensation in the involved body part(s) c. swelling of one side of the body d. sudden inability of the medications to relieve pain
A client is prescribed leuprolide (Lupron) for the treatment of prostate cancer. The nurse describes possible side effects of this medication, including:
Standard Text: Select all that apply. 1. Erectile dysfunction. 2. Low sperm count. 3. Decreased libido. 4. Loss of motivation. 5. Euphoria.