Which data indicate to the nurse the client who is one(1) day postoperative right total hip replacement is progressing as expected?
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Question 2 of 54
A nurse is preparing to administer a prn medication to a 6-year-old child for pruritus. Which order should the nurse question?
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Question 3 of 54
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
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Question 4 of 54
At the time of admission, the client is asked if he has a healthcare directive. The client reports that his daughter will be allowed to make health-related decisions if he becomes incapacitated. Based upon your knowledge, the client has a/n:
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Question 5 of 54
What data should the nurse report to the HCP immediately for a client with a fractured left tibia and fibula?
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Question 6 of 54
Which of the following statements are correct regarding glomus tumors?
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Question 7 of 54
What is the histology of the epidermis?
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Question 8 of 54
Which statement describes the advantage for the client diagnosed with acute herpes infection taking valacyclovir over acyclovir?
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Question 9 of 54
The client is diagnosed with a viral infection and the HCP has prescribed an antiviral medication to be administered by weight. The client weighs 220 pounds and the order reads 10 mg per kilogram per day to be administered in equally divided doses every six (6) hours. How many milligrams will be administered in one dose?
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Question 10 of 54
When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. What is the nurse's best action?
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Question 11 of 54
The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area?
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Question 12 of 54
The male client diagnosed with acquired immunodeficiency syndrome (AIDS) states that he has developed a purple-brown spot on his calf. Which action should the nurse do first?
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Question 13 of 54
Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?
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Question 14 of 54
Nurse Imee is implementing a teaching plan to a group of adolescents regarding the causes of acne. Which of the following is an appropriate nursing statement regarding the cause of this disorder?
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Question 15 of 54
A client with a hip fracture asks the nurse about Buck's (extension) traction that is being applied before surgery and what is involved. The nurse should provide which information to the client?
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Question 16 of 54
The nurse is caring for a patient with a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
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Question 17 of 54
A client with severe psoriasis has a nursing diagnosis of Chronic Low SelfEsteem. The nurse uses which therapeutic strategy when working with this client?
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Question 18 of 54
The nurse making the initial assessment of a burned patient in the emergency room observes that the entire right arm (anterior and posterior), right anterior leg, chest, and abdomen are covered with reddened skin and blisters. Using the Rule of Nines, the nurse estimates the percentage of burn to be
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Question 19 of 54
A client calls the emergency department and tells the nurse that he had been cleaning a wooden area in the backyard and came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. Which of the following is the appropriate nursing response?
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Question 20 of 54
A nurse in the emergency department (ED) is triaging a 5-year-old who has been brought to the ED by her parents for an outbreak of urticaria. What would be the most appropriate question to ask this patient and her family?
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Question 21 of 54
The nurse is orienting a new graduate. The nurse is reinforcing the importance of standard precautions. Which of the following observations by the nurse would require further education regarding standard precautions?
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Question 22 of 54
A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory results indicate that the blood urea nitrogen level is 45 mg/dL and the serum creatinine level is 2.2 mg/dL. On the basis of these findings, the nurse would anticipate that the client is at risk for which problem?
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Question 23 of 54
A nurse is caring for a patient who has suffered a hip fracture and who will require an extended hospital stay. The nurse should ensure that the patient does which of the following in order to prevent common complications associated with a hip fracture?
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Question 24 of 54
The client diagnosed with glaucoma is prescribed a miotic cholinergic medication. Which data indicate the medication has been effective?
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Question 25 of 54
The client diagnosed with a partial-thickness burn to the entire right leg who is being treated with silver sulfadiazine develops leukopenia. Which medication should the nurse expect the HCP to prescribe?
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Question 26 of 54
A nurse cares for a client with burn injuries from a house fire. The client is not consistently oriented and reports a headache. Which action should the nurse take?
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Question 27 of 54
A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patients chest. The nurse should ask what priority question regarding the presence of a reddened rash?
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Question 28 of 54
Which intervention should the nurse include for a client diagnosed with carpal tunnel syndrome?
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Question 29 of 54
The nurse is reviewing the functions and purpose of the skin with a group of high school students. From what source should the nurse explain that the epidermis receives its nourishment?
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Question 30 of 54
While providing care to the parents of a baby boy who has the chromosomal makeup of XXY, which of the following should be included in the teaching plan?
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Question 31 of 54
A nurse is planning the care of a patient with osteomyelitis that resulted from a diabetic foot ulcer. The patient requires a transmetatarsal amputation. When planning the patient's postoperative care, which of the following nursing diagnoses should the nurse most likely include in the plan of care?
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Question 32 of 54
A client has been diagnosed with latent syphilis. During the counseling session, the client asks about transmitting the disease to his spouse. What information should be provided to the client?
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Question 33 of 54
A community health nurse has provided fire safety instructions to a group of individuals who are part of a disaster response team. Which statement by a group member indicates a need for further instructions?
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Question 34 of 54
Which intervention should the nurse implement for a client diagnosed with atopic dermatitis (eczema) prescribed tacrolimus ointment?
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Question 35 of 54
The home health nurse is visiting an elderly client who shows the nurse an area of rough skin with a greasy feel and multiple papules. Which information should the nurse provide the client?
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Question 36 of 54
Which intervention is a secondary nursing intervention for osteoporosis?
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Question 37 of 54
A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for pressure ulcer development?
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Question 38 of 54
The nurse is evaluating a group of clients for referral to a home health agency. Each of the clients is on the Medicare program. Which client is most likely to qualify for home health services?
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Question 39 of 54
Which client wound is paired with the appropriate treatment?
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Question 40 of 54
A student is learning about cutaneous skin reactions. Which description is correct?
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Question 41 of 54
A nurse assesses the carbon monoxide level of a client following a burn injury and notes that the level is 8%. Based on this level, which finding would the nurse expect to note during the assessment of the client?
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Question 42 of 54
The nurse in a long-term care facility is teaching a group of new unlicensed assistive personnel. Which information regarding skin care should the nurse emphasize?
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Question 43 of 54
Which action by UAP warrants immediate intervention?
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Question 44 of 54
The nurse is evaluating care provided to a patient with burns during the emergent phase. Which data indicates that additional fluid resuscitation is required?
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Question 45 of 54
Coal tar preparations have:
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Question 46 of 54
The nurse notes that a patient has longitudinal red lines in the finger nails. What health problem should the nurse suspect is causing this problem?
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Question 47 of 54
The nurse is conducting a Weber test on the client who is suspected of having conductive hearing loss in the left ear. Where should the nurse place the tuning fork when conducting this test?
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Question 48 of 54
The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?
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Question 49 of 54
A patient with severe eczema is starting a coal tar derivative treatment. What should the nurse include in the teaching plan for the patient relative to this treatment?
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Question 50 of 54
The area of compression at the proximal end of the nail termed:
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Question 51 of 54
A female client exhibits a purplish bruise to the skin after a fall. The nurse would document this finding most accurately using which of the following terms?
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Question 52 of 54
An elderly individual from an assisted living facility presents with severe scald burns to the buttocks and back of the thighs. The caregiver from the ALF accompanies the patient to the emergency department and states that the bath water was too hot" and that the "patient sat in the water too long." What should the nurse do?"
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Question 53 of 54
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety?
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Question 54 of 54
The nurse instructs a patient on medications prescribed to treat psoriasis. Which patient statement indicates that additional teaching is required?
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