Reference no: EM133849976
Questions
1. A nurse is caring for a client who has paracentesis. Which of the following is an appropriate nursing intervention?
A. Monitoring the amount/ color of drainage
B. Checking a vital signs every 15 minutes
C. placing the client in a prone position
D. Monitoring of respiratory distress
E. Measuring abdominal girth
F. Monitoring for bleeding
2. A nurse is caring for a client who is receiving low-dose prednisone daily following an organ transplant. Which of the following actions should the nurse take?
A. Medicate the client with oral phosphate supplements
B. instruct the client to increase his intake of calcium
C. advise the client to stop the drug once infection develops
D. restrict client's fluid intake to half a liter per day
3. A nurse is monitoring a client who has acute pancreatitis. Which of the following findings should the nurse report immediately to the provider?
A. Jaundice
B. high grade fever
C. Chvotek's sign
D. Tachypnea
4. A charge nurse in the emergency department is assisting the novice nurse in caring for a client who had just come in with acute pancreatitis. Which of the following actions taken by the novice nurse would require the charge nurse to intervene?
A. Medicating the client with IV
B. Place in the client's head of bed to 15 degrees and extending his knees when lying flat
C. Maintaining the Klein on NPO status
D. Auscultating the client lung sounds and checking the client's oxygen saturation
5. A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone auscultating the client lung sounds and checking the client's oxygen saturation (SIADH). Which of the following findings should indicate to the nurse that the client is effectively responding to the treatment nursing interventions is of highest priority?
A. increase thirst
B. increase urine specific gravity
C. Decrease weight
D. Decrease serum sodium level
6. A nurse is caring for a client with a cytus. The nurse should plan to monitor the client for which of the following complications?
A. Difficulty of breathing
B. Hyperalbuminemia
C. Cholecystitis
D. Decreased abdominal girth