MC You are ambulating a client down the hall 7 days after surgery when he suddenly coughs and dehiscence occurs. Your first action is to
A. Place him in a supine position.
B. Call the doctor.
C. Obtain vital signs.
D. Cover the wound with a sterile dressing.
A
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A client with acute renal failure has jugular vein distention, lower extremity edema, and elevated blood pressure. Based on this data, which nursing diagnosis is the most appropriate?
A) Ineffective Renal Tissue Perfusion B) Excess Fluid Volume C) Risk for Altered Cardiac Perfusion D) Risk for Infection
A nurse provides teaching to a group of nursing students about the risks and benefits of hormone therapy (HT), including estrogen therapy (ET) and combination estrogen/progestin therapy (EPT)
Which statement by a student indicates understanding of the teaching? a. "ET can provide protection against coro-nary heart disease and reverse osteoporo-sis." b. "EPT is generally safer than ET, especially in women who have undergone hysterectomies." c. "In women with established coronary heart disease, EPT can protect against myocardial infarction." d. "Principle benefits of ET are suppression of menopausal symptoms and prevention of bone loss."
During interleukin drug therapy, a patient is
showing signs of severe fluid retention, with increasing dyspnea and severe peripheral edema. The next dose of the interleukin is due now. Which action will the nurse take next? a. Hold the drug, and notify the prescriber. b. Give the drug, and notify the prescriber. c. Give the drug along with acetaminophen and diphenhydramine (Benadryl). d. Monitor the patient for 2 hours, and then give the drug if the patient's condition improves.
After teaching a new mother about bathing her newborn, the nurse determines that the teaching is successful when the client states that she will do which of the following?
A) Use alkaline soap B) Use perfumed lotions C) Bathe the baby in a warm location D) Use medicated soap