Leadership & Management Concepts Priority, Projectile Vomit Test Id: Question Id: 32076 () 4 of 20 A A A The nurse is managing assigned clients on the evening shift. Which client presentation is a priority? Unordered Options Ordered Response 1. Blunt head trauma with projectile vomiting 2. History of Alzheimer disease with agitation 3. History of carpal tunnel syndrome with hand numbness 4. History of third cranial nerve pathology with double vision You answered this questio...

Mental Health Concepts Abuse Test Id: QId: 35171 () 1 of 75 A A A 0 After listening to the parents' reports and seeing the following pediatric clients, the nurse knows that which client demonstrates signs of abuse that may necessitate mandatory reporting? 1. 1-year-old with dyspnea, drooling, and a swollen tongue after eating part of a houseplant [2%] 2. 2-year-old who is crying and has a large forehead hematoma after falling out of a chair [5%] 3. 3-year-old with second-degr...

During a thoracentesis, a needle is inserted into the pleural space to remove fluid for diagnostic or therapeutic purposes. Before the procedure, the nurse places the client in an upright sitting position on the side of the bed, leaning forward over the bedside table, with arms supported on pillows. This position ensures that the diaphragm is dependent, facilitates access to the pleural space through the intercostal spaces, and promotes client comfort. (Option 1) The fetal position is ap...

Spinal immobilization (NSAIDS) – THINGS THAT YOU CONSIDER BEFORE IMMOBILIZING SPINE* Neurological examination – check for focal deficits, numbness and decreased strength Significant Traumatic mechanism of injury Alertness Intoxication – if they’re intoxicated they might lack awareness of pain Distracting injury – another significant injury distracting them from spinal pain Spinal examination – tenderness of spine or neck, pain on movement Pathologic vertebral fractures are...

A nurse is administering a rituximab infusion to a client with lymphoma in an oncology clinic. Which client symptom would be a priority to report to the health care provider? 1. Dizziness and sudden diarrhea [1%] 2. Nausea and onset of vomiting [0%] 3. New-onset tachypnea and dyspnea [81%] 4. Temperature of 101 F (38.3 C) [17%] Correct Answered correctly 81% Time: 12 seconds Updated: 10/14/2017 Explanation: Rituximab (Rituxan) is a monoclonal antibody (end in -mab) that affe...

Mental Health Nursing Neurologic Coup-Contrecoup Injury Test Id: Question Id: 32261 () 1 of 13 A A A A speeding driver sustained a closed-head injury in an acceleration/deceleration accident from striking a tree front end first. Based on the coup-contrecoup phenomenon, which assessments are most likely to be affected related to the involved areas of the brain? Unordered Options Ordered Response 1. Expressive speech, vision 2. Light touch, hearing 3. Sense of position, graph...

Pediatric Nursing Respiratory Cystic Fibrosis - Pancreatic Enzymes Test Id: Question Id: 30371 () 1 of 36 A A A The mother of a 6-year-old child with cystic fibrosis (CF) has received instruction on the use of pancreatic enzymes. Which statement made by the mother indicates a need for further teaching? Unordered Options Ordered Response 1. "I need to monitor the total amount of this medication that I give to my child every day." 2. "I should give this medication with or ju...

PEDDIATRIA A A A The nurse planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long-term complication? 1. Heart valve injury [33%] 2. Intellectual disability [3%] 3. Joint destruction [54%] 4. Recurrent pneumonia [8%] Explanation: Hemophilia is a bleeding disorder caused by a deficiency in coagulation proteins. Clients with classic hemophilia, or hemophilia A, lack factor VIII. Clients with hemophilia B (Christmas di...

 Clozapine is an atypical antipsychotic medication used to treat schizophrenia that has not responded to standard, more traditional treatment. Clozapine is associated with a risk for agranulocytosis and is therefore used only in clients with treatment-resistant schizophrenia. must have their WBC and ANC monitored regularly throughout the course of therapy (initially once every week). the health care provider (HCP) immediately if fever or a sore throat develops, as this may indicate an...

U WORLD- NCLEX REVISION NOTES PHARMACOLOGY • Afib DRUGS ADHD DRUGS ALCOHOLISM DRUGS ALLERGY DRUGS ANTIBIOTICS ANTIDOTES ANTIEMETICS BREAST CANCER TREATMENTS CHEMOTHERAPY • Clostridium difficile DRUGS COUGH DRUGS COPD DRUGS DEPRESSION DRUGS DIABETIC DRUGS DIURETICS DYSRRARYTHMIA GERD HEART FAILURE Hepatic Encephalopathy DRUGS Hyperkalemia Hyperphosphatemia HYPOTENSION ICP HYPOTHYROIDISM TREATMENT LABOUR DRUGS Neuropathic Pain DRUGS BREASTFEEDING TECHNIQUES • Fet...