Chapter 21: Problem 97
The nursing assistant is cleaning the floor where a urinary spill has occurred. Which action by the nursing assistant indicates understanding of standard precautions? The nursing assistant obtains a solution of: A. Water B. Soap C. Bleach D. Peroxide
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The client is experiencing a decrease in the fetal heart tones beginning at the increment of the contraction and returning to baseline by the acme or end of each contraction. Between contractions the fetal heart tones are 130–140 beats per minute with good variability. Which action should be taken first? ? A. Prepare for delivery ? B. Perform a vaginal exam ? C. Ask the client to push with each contraction ? D. Call the doctor immediately
A 55-year-old female is admitted to the emergency room complaining of indigestion and back and shoulder pain. She tells the nurse that she has taken several antacids for the past two days without relief of her symptoms. Which action would be most appropriate at this time? A. Ask the client if she has a history of gastric ulcers B. Allow the client to rest undisturbed C. Take the client's vital signs and contact the physician D. Obtain a history to rule out a hiatal hernia
The client returns from surgery following a coronary artery bypass graft with a mitral valve replacement. Which medication will be ordered for the client who has a metal valve replacement? A. Chlorothiazide (Diuril) B. Clonidine \(\mathrm{HCl}\) (Catapres) C. Sodium warfarin (Coumadin) D. Propranolol (Inderal)
The client is admitted with Cushing's disease. Which symptoms support the diagnosis of Cushing's disease? A. Hypoglycemia and weight loss B. Increased lymphocytes and pale complexion C. Osteoporosis and a pendulous abdomen D. Decreased blood pressure and cyanosis
Which statement, if made by the client, would cause the nurse to suspect a sacular abdominal aortic aneurysm? A. "I sometimes have indigestion when I lie down." B. "I often have pulsating sensations in my abdomen." C. "I feel fatigue and shortness of breath with minimal exertion." D. "I have extreme pain radiating down my left arm."
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