RN Domain 4: Reduction of Risk Potential (Quiz 3)

A 58-year-old female is returning to the surgical unit after a total hysterectomy. The nurse knows that pelvic surgery puts the client at risk for several complications. Which of the following post-op preventive interventions will be MOST important?

When educating a client with asthma on how to use a peak flow meter, which of the following statements is correct?

A client with cancer has a routine CBC before receiving chemotherapy. Which of the following values should the nurse report to the provider?

A nurse working in the newborn nursery performs a heel stick on a neonate to screen for phenylketonuria (PKU). If the result is positive, all of the following are true EXCEPT

As the nurse prepares to instruct a client who has just been prescribed atorvastatin (Lipitor), which periodic laboratory test should the client have?

When a client is receiving a continuous intravenous infusion of heparin sodium, which of the following should be assessed by the nurse?

Each of the three Glasgow Coma Scale components has a certain number of steps, plus, a Non-testable (NT) option. Which of the following is the correct combination of steps?

A client presents to the Emergency Department, complaining of crushing chest pain that radiates down his left arm. He appears diaphoretic and short of breath. The nurse suspects these are clinical manifestations of

The nurse is instructing parents on how to care for their 3-year-old child with a new diagnosis of Wilms' tumor. One of the parents asks why they shouldn't press on the child's abdomen or be careful when bathing the child. What is the nurse's BEST response?

The nurse uses the Glasgow Coma Scale (GCS) to assess a client with a head injury. What total score will the nurse assign with the following observations: Eyes open when the client is spoken to; the client is disoriented, but can speak coherently; and the client exhibits abnormal flexion at the elbow.

After the nurse assists a provider with a PICC line insertion, which test must be performed FIRST?

While performing post-op ambulation, a client's chest tube is accidentally pulled out. What is the nurse's FIRST action?

The nurse is taking the medical history of a client being admitted for surgery. The client tells the nurse that they are worried about the possibility of malignant hyperthermia. The nurse knows that this complication of general anesthesia is caused by a/an

EMS transports a trauma victim who is exsanguinating. The provider orders rapid blood transfusions to treat hemorrhagic shock. A potential complication of this type of blood administration is

A 19-year-old female presents to the OB clinic for her first prenatal visit at 32 weeks' gestation. She is gravida 2, para 0, ab 1, with a history of drug and alcohol use and smoking 1 PPD. The ultrasound shows poor fetal growth. What is the likely cause for the abnormal result?

EMS transports a client who called 911 with complaints of chest pain. Which action should the nurse do FIRST?

Six weeks after starting a prescription for statin, a client returns to the clinic for a lipid panel. When the nurse reviews the test results, which finding should be reported to the health care provider (HCP) IMMEDIATELY?

The clinic nurse is reviewing the urinalysis results of a new client. Which of the following values should be reported to the primary health care provider (PHCP)?

A homeless person with a known history of alcohol abuse is transported to the Emergency Department after a police officer found the person wandering in a confused, disoriented manner. The nurse anticipates that the health care provider (HCP) will order which test?

Which of the following is the BEST test to measure kidney function and determine the stage of kidney disease?

A nurse is reviewing today's labs for a client with atrial fibrillation who is receiving warfarin. The nurse notes that the INR is 2.6. The normal level is 1.1 or below. What is the nurse's BEST action?

The nurse is providing pre-procedural education for a client scheduled for a lumbar puncture (LP). Which statement by the client indicates a need for further instruction?

A client with heart failure has been compliant with digoxin and furosemide prescriptions. Then the client complains of visual changes, abdominal pain, and confusion. The health care provider (HCP) orders an electrolyte panel. Which lab value will the nurse review FIRST?

A client with advanced prostate cancer tells his oncologist that he is experiencing recent back and hip pain. The oncologist orders a bone scan. When the nurse provides education for the client before the bone scan, which of the following instructions is NOT correct?

Before you administer medication through a nasogastric (NG) tube, what is the BEST way to confirm proper tube placement?