Category: Uncategorized

You are the RN educating a patient on diet changes to help avoid issues with their peptic ulcer which beverage would the nurse advise the patient to avoid? (Select all that apply.)

A client with a history of cholelithiasis (Gallstones) presents with nausea, vomiting, abdominal pain, and jaundice.  The nurse would assume that the precipitating physiologic event causing the jaundice was?

A 6-month-old infant presents to the clinic with failure to thrive, a history of frequent respiratory infections, and increasing exhaustion during feedings. On physical examination, a systolic murmur is detected, no central cyanosis, and chest radiography reveals cardiomegaly. An echocardiogram is done that shows left-to-right shunting. This assessment data is characteristic of what?

An infant has  Tetralogy of Fallot, the nurse notices the patient has clubbing of the fingers. In reviewing the record, what laboratory result should the nurse expect to be documented?

Which statement by the client will assist the nurse in determining whether she is in true labor as opposed to false labor?

What can be the result when a cardiac defect allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side?  

Your postpartum patient has been moved to the postpartum unit and after being there for an hour, calls out for the nurse complaining she has just felt a large gush. You find that she is lying in a pool of vaginal blood with heavy bleeding and clots.  After you immediately assess the fundus, you find it deviated right. You massage the fundus and call for help, what is the next priority action?

You are expecting a patient to be admitted with a gastric outlet obstruction as a result of an ulcer in the antrum. What orders would you expect from the admitting doctor? (Select all that apply.)

A patient with prolonged prelabor rupture of membranes has fluid that is greenish-yellow in color and foul smelling. Which initial nursing intervention is most appropriate?

Mrs. Quinn is admitted with acute pancreatitis and is experiencing respiratory alkalosis. Which clinical manifestation would be consistent with this acid-base imbalance? Arterial Blood Gas (ABG) results: pH 7.49, PaCO2 29 mmHg, HCO3 24 mEq/L, PaO2 85 mmHg. Select all that apply.