Blog

 Which nursing intervention is the highest priority during the first twenty-four (24)  hours postoperatively for the client who had a total laryngectomy due to cancer of the larynx?                                            

A client reports that he has received the Bacilli- Calmette- Guerin (BCG) vaccination.  Which of the following is the best method to determine the client’s  tuberculosis (TB) status?              

The nurse observes a constant bubbling in the water-seal column of a water-seal chest drainage system.   The nurse’s best priority intervention would be to:                                                                                       

A nurse is caring for a client with a pulmonary embolism who is receiving IV fluids.  Which finding by the nurse primarily supports the nurse’s assessment that the IV has infiltrated?    

The nurse caring for a patient with impaired immunity knows when her patient’s white blood cell count is 20,000 cell/mm 3, the assessment finding requiring priority intervention is:     

 A client who has severe rheumatoid arthritis has been receiving maintenance therapy of prednisolone: 10mg/day for the past six (6) weeks. A priority patient teaching point for the nurse to stress with this client  is to instruct the client to immediately report symptoms of:              

Which of the following individuals has the highest priority for receiving seasonal influenza vaccination?    

A patient who has been newly diagnosed with HIV has many questions about the effectiveness of drug therapy.  After a teaching session, which statement by the patient reflects a need for more education?

A client with COPD and the comorbidity of Type I Diabetes. The client is being treated with prednisolone. The following are the client’s blood gas results:              pH: 7.30  PaCO2: 35   HCO: 18.     The nurse knows that these results are interpreted as:                                  

The nurse is providing preoperative teaching for the patient/client who is to undergo a total laryngectomy in the morning.  Which nursing intervention is most important at this time in the patient/client’s management of care?