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Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

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  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Body temperature of 99°F or less

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Toes moved in active range of motion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Sensation reported when soles of feet are touched

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Side-lying with knees flexed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Knee-chest

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    High Fowler’s with knees flexed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Taking hourly blood pressures with mechanical cuff

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Encouraging fluid intake of at least 200mL per hour

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Position in high Fowler’s with knee gatch raised

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Steak

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Cottage cheese

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Popsicle

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Adjust the room temperature

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Give a bolus of IV fluids

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Start O2

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    A family vacation in the Rocky Mountains

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Chaperoning the local boys club on a snow-skiing trip

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Traveling by airplane for business trips

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Enlarged spleen

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Elevated blood pressure

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Bradycardia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Conjunctiva of the eye

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Soles of the feet

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Roof of the mouth

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    BP 146/88

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Respirations 28 shallow

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Weight gain of 10 pounds in six months

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “I will drink 500mL of fluid or less each day.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “I will wear support hose.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “I will check my blood pressure regularly.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client collects stamps as a hobby.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client recently lost his job as a postal worker.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The abdomen

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The thorax

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The earlobes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “Have you noticed a change in sleeping habits recently?”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “Have you had a respiratory infection in the last six months?”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “Have you lost weight recently?”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Oral mucous membrane, altered related to chemo-therapy

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Risk for injury related to thrombocytopenia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Fatigue related to the disease process

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Sexual dysfunction related to radiation therapy

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Anticipatory grieving related to terminal illness

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Tissue integrity related to prolonged bed rest

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Platelet count

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    White blood cell count

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Potassium levels

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Bleeding precautions

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Prevention of falls

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Oxygen therapy

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Place the client in Trendelenburg position for postural drainage.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Encourage coughing and deep breathing every two hours.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Elevate the head of the bed 30°.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Measure the urinary output.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Check the vital signs.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Encourage increased fluid intake.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Place the client in a sitting position.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Administer acetaminophen (Tylenol).

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Pinch the soft lower part of the nose.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The blood pressure

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The temperature

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The urinary output

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Glucometer readings as ordered

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Intake/output measurements

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Evaluating the sodium and potassium levels

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Obtain a crash cart.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Check the calcium level.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Assess the dressing for drainage.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Impaired physical mobility related to decreased endurance

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hypothermia r/t decreased metabolic rate

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Disturbed thought processes r/t interstitial edema

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Report muscle weakness to the physician.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Allow six months for the drug to take effect.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Take the medication with fruit juice.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Utilize an infusion pump.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Check the blood glucose level.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Place the client in Trendelenburg position.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Blood pressure of 126/80

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Blood glucose of 110mg/dL

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Heart rate of 60bpm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Replenish his supply every three months.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Take one every 15 minutes if pain occurs.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Leave the medication in the brown bottle.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Macaroni and cheese

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Shrimp with rice

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Turkey breast

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Feet

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Neck

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hands

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Phlebostatic axis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    PMI

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Erb’s point

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Question the order.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Administer the medications.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administer separately.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Weighing the client daily

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Measuring the extremity

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Measuring the intake and output

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Overnight stays by family members is against hospital policy.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    There is no need for him to stay because staffing is adequate.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    His wife will rest much better knowing that he is at home.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Split pea soup, mashed potatoes, pudding, milk

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Tomato soup, cheese toast, Jello, coffee

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    New parents need time to learn how to hold the baby.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The umbilical cord needs time to separate.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Newborn skin is easily traumatized by washing.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Create a synergistic effect that shortens treatment time

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Increase the number of circulating neutrophils

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hib titer

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Mumps vaccine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hepatitis B vaccine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    30 minutes before a meal

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    With each meal

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    In a single dose at bedtime

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Call security for assistance and prepare to sedate the client.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Tell the client that if he continues his behavior he will be punished.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Check the client for bladder distention.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Assess the blood pressure for hypotension.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Determine whether an oxytocic drug was given.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Pneumonia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Reaction to antiviral medication

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Tuberculosis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Diabetes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Prinzmetal’s angina

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cancer

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Pain on flexion of the hip and knee

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Nuchal rigidity on flexion of the neck

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Pain when the head is turned to the left side

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Agnosia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Apraxia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Anomia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Chronic fatigue syndrome

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Normal aging

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Sundowning

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “You know you had breakfast 30 minutes ago.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Urinary incontinence

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Headaches

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Confusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Document the finding.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Report the finding to the doctor.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Prepare the client for a C-section.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hodgkin’s lymphoma

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Cervical cancer

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Multiple myeloma

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Syphilis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Herpes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Gonorrhea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Venereal Disease Research Lab (VDRL)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Rapid plasma reagin (RPR)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Fluorescent treponemal antibody (FTA)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Elevated blood glucose

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Elevated platelet count

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Elevated creatinine clearance

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Magnesium sulfate 4gm (25%) IV

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Brethine 10mcg IV

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The infant is at low risk for congenital anomalies.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The infant is at high risk for intrauterine growth retardation.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The infant is at high risk for respiratory distress syndrome.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Crying

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Wakefulness

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Jitteriness

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Decreased urinary output

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hypersomnolence

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Absence of knee jerk reflex

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Place her in Trendelenburg position.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Decrease the rate of IV infusion.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administer oxygen per nasal cannula.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Alteration in nutrition

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Alteration in bowel elimination

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Alteration in skin integrity

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Severe anemia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Arteriosclerosis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Liver failure

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Alteration in cerebral tissue perfusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Fluid volume deficit

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Ineffective airway clearance

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Likes to play football

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Drinks carbonated drinks

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Has two sisters

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Allow the client to keep the fruit.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Place the fruit next to the bed for easy access by the client.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Offer to wash the fruit for the client.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Place the client in Trendelenburg position.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Increase the infusion of normal saline.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administer atropine intravenously.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Order a chest x-ray.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Reinsert the tube.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cover the insertion site with a Vaseline gauze.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Assess for signs of abnormal bleeding.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Anticipate an increase in the Coumadin dosage.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Instruct the client regarding the drug therapy.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    A granola bar

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A bran muffin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    A cup of yogurt

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The nurse performs a vaginal exam every 30 minutes.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The nurse places a padded tongue blade at the bedside.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The nurse inserts a Foley catheter.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    18 gauge

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    19 gauge

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    22 gauge

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hypovolemia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Laryngeal edema

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hypernatremia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client selects a balanced diet from the menu.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client can tell the nurse the normal blood glucose level.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client asks for brochures on the subject of diabetes.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Pain at the site

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Warm fingers

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Pulses rapid

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Avoid warm climates.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Refrain from taking herbals.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Avoid exercising.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The nurse wears goggles while performing a veno-puncture.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The nurse washes his hands after changing a dressing.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Apply a tourniquet to the client’s arm.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Administer an anticonvulsant medication.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Ask the client if he is allergic to shellfish.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Rectal itching

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Nausea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Oral ulcerations

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Treatment is not recommended for children less than 10 years of age.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Bed linens should be washed in hot water.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Medication therapy will continue for one year.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client with HIV

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client with a radium implant for cervical cancer

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client with RSV (respiratory synctial virus)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client with diabetes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client with pancreatitis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Negligence

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Tort

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Assault

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Feeding the client

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Bathing the client

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Obtaining a stool

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Tell the mother to wash the face with soap and apply powder.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Report the rash to the doctor immediately.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The LPN who is six months postpartum

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The RN who is pregnant

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The RN who is allergic to iodine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The facility fails to provide literature in both Spanish and English.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Call the Board of Nursing.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    File a formal reprimand.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Terminate the nurse.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client who is pregnant and the client with a broken arm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The age of the child

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The child’s weight

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The developmental level of the child

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “It is okay to give my child white grape juice for breakfast.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client is at risk for opportunistic diseases.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client is no longer communicable.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Administer the two medications together.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Administer the medications in two injections.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Altered nutrition

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Impaired communication

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Risk for injury/aspiration

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hypertension

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Lassitude

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Fatigue

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Ambulation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Oral airway assessment using a tongue blade

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Placing a blood pressure cuff on the arm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Slow pulse

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Anorexia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Bulging eyes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Whole-wheat toast

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Angel hair pasta

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Reuben on rye

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Elevate the head.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Recheck the O2 saturation in 30 minutes.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Apply oxygen by mask.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Dark yellow amniotic fluid

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Clear amniotic fluid

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Greenish amniotic fluid

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Avoid eating sweets.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Report changes in urinary pattern.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Allow three hours for onset.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Reposition the monitor.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Turn the client to her left side.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Ask the client to ambulate.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Are smooth in texture

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Have irregular borders

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Are cool to touch

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Anticipate the need for a Caesarean section.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Apply an internal fetal monitor.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Place the client in Genu Pectoral position.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The cervix is closed.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The membranes are still intact.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The fetal heart tones are within normal limits.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Impaired gas exchange related to hyperventilation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Alteration in placental perfusion related to maternal position

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The baby is sleeping.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The umbilical cord is compressed.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    There is head compression.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Notify her doctor.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Start an IV.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Reposition the client.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    A fetal heart rate of 120–130bpm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A baseline variability of 6–10bpm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Accelerations in FHR with fetal movement

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Her level of consciousness is such that she is in a trancelike state.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The sensation of the bladder filling is diminished or lost.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Estrogen levels are low

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Lutenizing hormone is high

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The endometrial lining is thin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Age of the client

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Frequency of intercourse

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Regularity of the menses

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Intrauterine device

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Oral contraceptives

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Diaphragm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Painless vaginal bleeding

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Abdominal cramping

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Throbbing pain in the upper quadrant

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hamburger patty, green beans, French fries, and iced tea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Respiratory alkalosis without dehydration

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Metabolic acidosis with dehydration

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Respiratory acidosis without dehydration

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Elevated human chorionic gonadatropin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The presence of fetal heart tones

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Uterine enlargement

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hypoglycemic, small for gestational age

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hyperglycemic, large for gestational age

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hypoglycemic, large for gestational age

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Weight gain should be reported to the physician.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    An alternate method of birth control is needed when taking antibiotics.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Diabetes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    HIV

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hypertension

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Assess the fetal heart tones.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Check for cervical dilation.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Check for firmness of the uterus.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Her contractions are two minutes apart.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    She has back pain and a bloody discharge.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    She experiences abdominal pain and frequent urination.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Low birth weight

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Large for gestational age

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Preterm birth, but appropriate size for gestation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Within 72 hours of delivery

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Within one week of delivery

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Within two weeks of delivery

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Degree of cervical dilation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Fetal heart tones

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Client’s vital signs

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Active

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Latent

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Transition

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Teaching the mother to provide tactile stimulation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Wrapping the newborn snugly in a blanket

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Placing the newborn in the infant seat

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Checking for cervical dilation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Placing the client in a supine position

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Checking the client’s blood pressure

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Administer a prescribed antibiotic.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Wash her hands for two minutes before care.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Wear a mask when providing care.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Disalignment

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cool extremity

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Lack of exercise

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hormonal disturbances

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Lack of calcium

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The infant no longer complains of pain.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The buttocks are 15° off the bed.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The legs are suspended in the traction.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Uses a Steinman pin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Requires that both legs be secured

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Utilizes Kirschner wires

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Serum collection (Davol) drain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Client’s pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Nutritional status

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “I must check placement four times per day.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “I will report to the doctor any signs of indigestion.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Scant bleeding on the dressing

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Low-grade temperature

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hemoglobin of 7gm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client has traveled out of the country in the last six months.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client’s parents are skilled stained-glass artists.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client lives in a house built in 1990.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    High-seat commode

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Recliner

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    TENS unit

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Administer oxygen via nasal cannula.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Have narcan (naloxane) available.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Prepare to administer blood products.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    16-year-old female with scoliosis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    12-year-old male with a fractured femur

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    10-year-old male with sarcoma

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Take the medication with milk.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Report chest pain.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Remain upright after taking for 30 minutes.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Handles the cast with the fingertips

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Petals the cast

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Dries the cast with a hair dryer

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “It will be alright for your friends to autograph the cast.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “If they don’t use chalk to autograph, it is okay.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Assisting the LPN with opening sterile packages and peroxide

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Telling the LPN that clean gloves are allowed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Telling the LPN that the registered nurse should perform pin care

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Check the bowel sounds.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Assess the blood pressure.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Offer pain medication.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Russell’s traction

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Buck’s traction

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Halo traction

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “The CPM machine controls should be positioned distal to the site.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Palms rest lightly on the handles

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Elbows are flexed 0°

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Client walks to the front of the walker

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Attempt to replace the cord.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Place the client on her left side.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Elevate the client’s hips.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The tube will allow for equalization of the lung expansion.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Mother’s educational level

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Infant’s birth weight

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Size of the mother’s breast

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The presence of scant bloody discharge

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Frequent urination

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The presence of green-tinged amniotic fluid

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Maternal hypoglycemia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Fetal bradycardia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Maternal hyperreflexia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Insulin requirements moderate as the pregnancy progresses.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A decreased need for insulin occurs during the second trimester.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Providing a calm environment

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Obtaining a diet history

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administering an analgesic

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Down syndrome

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Respiratory distress syndrome

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Turner’s syndrome

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Magnesium sulfate

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Calcium gluconate

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Dinoprostone (Prostin E.)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Slow the infusion rate and turn the client on her left side.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    An affected newborn has unaffected parents.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    An affected newborn has one affected parent.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Because it is a state law

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    To detect cardiovascular defects

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Because of her age

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    An apical pulse of 100

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    An absence of tonus

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cyanosis of the feet and hands

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Supplemental oxygen

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Fluid restriction

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Blood transfusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Increasing fluid intake

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Limiting ambulation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administering an enema

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    14 pounds

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    16 pounds

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    18 pounds

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Determines the lung maturity of the fetus

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Measures the activity of the fetus

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Shows the effect of contractions on the fetal heart rate

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The urethral opening is absent

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The urethra opens on the top side of the penis

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The urethral opening is enlarged

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Alteration in coping related to pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Potential for injury related to precipitate delivery

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Alteration in elimination related to anesthesia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Antibiotics

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Antipyretics

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Antivirals

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Nitroglycerin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Ampicillin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Propranolol

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Avoid exercise because it fatigues the joints.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Take prescribed anti-inflammatory medications with meals.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Alternate hot and cold packs to affected joints.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Mylanta 30 ccs m 4 hours via NG

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cimetadine 300mg PO m.i.d.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hallucinogenic drugs induce a state of altered perception.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Depression and suicidal ideation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Tachycardia and diarrhea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Muscle cramping and abdominal pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Right breech presentation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Right occipital anterior presentation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Left sacral anterior presentation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Bronchiolar inflammation and dyspnea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hypersecretion of abnormally viscous mucus

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Infectious processes causing mucosal edema

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Serve high-calorie foods she can carry with her.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Encourage her appetite by sending out for her favorite foods.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Serve her small, attractively arranged portions.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The nurse covers the lesions with a sterile dressing.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The nurse wears gloves when providing care.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The nurse administers a prescribed antibiotic.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    15 minutes after the infusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    30 minutes before the fourth infusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    One hour after the infusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Refrain from keeping the diaphragm in longer than four hours

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Keep the diaphragm in a cool location

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Have the diaphragm resized if she gains five pounds

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “I’m wearing a support bra.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “I’m expressing milk from my breast.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Facial pain

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Absence of ability to smell

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Absence of eye movement

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Cause diarrhea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Change the color of her urine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cause mental confusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Check the calcium level.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Perform a pregnancy test.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Monitor apical pulse.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Limit the client’s activity.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Encourage a high-carbohydrate diet.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Use an incentive spirometer to improve respiratory function.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Pregnancy

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A titanium hip replacement

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Allergies to antibiotics

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Changes in vision

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Nausea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Urinary frequency

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client with hypertension being maintained on Lisinopril

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client with chest pain and a history of angina

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Once per day in the morning

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Three times per day with meals

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Once per day at bedtime

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The lens controls stimulation of the retina.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The lens orchestrates eye movement.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The lens focuses light rays on the retina.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Anesthetize the cornea

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Dilate the pupils

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Constrict the pupils

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Allow five minutes between the two medications.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The medications may be used together.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The medications should be separated by a cycloplegic drug.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Orange

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Violet

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Red

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Report ankle edema

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Check his blood pressure daily

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Refrain from using a microwave oven

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    1900

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    1200

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    1000

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Increase intake of meats.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Avoid citrus fruits.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Perform pericare with hydrogen peroxide.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Treat anemia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Create a synergistic effect

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Increase the number of white blood cells

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    TB skin test

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Rubella vaccine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    ELISA test

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    30 minutes before meals

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    With each meal

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    In a single dose at bedtime

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Is the opening on the client’s left side

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Is the opening on the distal end on the client’s left side

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Is the opening on the client’s right side

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Ask the client to void.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Assess the blood pressure for hypotension.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administer oxytocin.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The need for oxygen therapy

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A history of claustrophobia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    A permanent pacemaker

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Colorful crib mobile

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Hand-held electronic games

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Cars in a plastic container

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A schedule of strenuous exercise will improve muscle strength.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Rest periods should be scheduled throughout the day.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Dulcolax suppository

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Docusate sodium (Colace)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Methyergonovine maleate (Methergine)

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client’s knowledge of the signs of preterm labor

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client’s feelings about the pregnancy

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Whether the client was using a method of birth control

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    .45 normal saline

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Dextrose 1% in water

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Lactated Ringer’s

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Assess the client for allergies.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Bolus the client with IV fluid.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Tell the client he will be asleep.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Provide immunity against Rh isoenzymes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Prevent the formation of Rh antibodies

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Eliminate circulating Rh antibodies

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Application of a short inclusive spica cast

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Stabilization with a plaster-of-Paris cast

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Surgery with Kirschner wire implantation

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Strain his urine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Increase his fluid intake

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Report urinary frequency

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Antivirals

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Antibiotics

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Immunosuppressants

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Mydriatics to facilitate removal

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Miotic medications such as Timoptic

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    A laser to smooth and reshape the lens

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Placing mirrors in several locations in the home

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Placing a picture of herself in her bedroom

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Prevent the need for dressing changes

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Reduce edema at the incision

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Provide for wound drainage

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Mongolian spots

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Scrotal rugae

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Head lag

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Hematuria

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Muscle spasms

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Dizziness

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client is experiencing an auditory hallucination.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The client is having a delusion of grandeur.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The client is experiencing paranoid delusions.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Obtain a new bottle and label it with the date and time of first use.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Ask the ward secretary when the solution was requested.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The baby is hypothermic.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    The baby is experiencing bradycardia.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The baby’s hands and feet are blue.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Lessen the amount of cellular damage

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Prevent the formation of blisters

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Promote movement

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Passing water through a dialyzing membrane

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Eliminating plasma proteins from the blood

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Lowering the pH by removing nonvolatile acids

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Administer an antibiotic.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Contact the physician for an order for immune globulin.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administer an antiviral.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    The client should be placed in a room with negative pressure.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Infection requires close contact; therefore, the door may remain open.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    “The pain will go away in a few days.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    “The pain is psychological because your foot is no longer there.”

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Head of the pancreas

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Proximal third section of the small intestines

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Stomach and duodenum

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Fruits

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Salt

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Pepper

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Have a Protime done monthly.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Eat more fruits and vegetables.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Drink more liquids.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Turn his head to the left side and hyperextend the neck

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Take slow, deep breaths as the catheter is removed

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Allergies to pineapples and bananas

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A history of streptococcal infections

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Prior therapy with phenytoin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Using oil- or cream-based soaps

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Flossing between the teeth

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    The intake of salt

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Apply the new tie before removing the old one.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Have a helper present.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Turning the client to the left side

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Milking the tube to ensure patency

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Slowing the intravenous infusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Digoxin

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Epinephrine

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Aminophyline

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Tire easily

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Grow normally

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Need more calories

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Determine lung maturity

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Measure the fetal activity

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Show the effect of contractions on fetal heart rate

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Instruct the client to push.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Perform a vaginal exam.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Turn off the Pitocin infusion.

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Atrial flutter

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A sinus rhythm

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Ventricular tachycardia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Be injected into the deltoid muscle

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Be injected into the abdomen

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Aspirate after the injection

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Administer the medications together in one syringe

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Administer the medication separately

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Douche after intercourse

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Void every three hours

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Obtain a urinalysis monthly

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Placing the client in seclusion

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Emptying the Foley catheter of the preeclamptic client

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Feeding the client with dementia

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    A tracheotomy set

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    A padded tongue blade

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    An endotracheal tube

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    A.

    Cats

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    B.

    Dogs

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    C.

    Turtles

    Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit quizlet?

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit?

    Which of the following questions would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit? Answer: "What brings you into the hospital today?" 36. The nurse is reviewing the assessment data of a client diagnosed with a mental illness.

    What should the nurse do prior to performing an initial assessment on a newly admitted client?

    Before conducting a health assessment on a client, what should the nurse do first? Introduce herself to the client. The night shift RN is caring for a hospitalized adult client who reports being unable to sleep.
    Validate the data. The nurse is conducting an interview on a newly admitted client. Which of the following is recommended when conducting a client/nurse interview? Focus full attention on the client.
    Which is the most important reason for psychiatric nurses to understand law, legislation, and legal processes that relate to professional nursing practice? Because doing so gives the nurse the ability to provide quality care that will safeguard the rights and safety of clients.

    question helpful beginning initial assessment interview client admitted psychiatric inpatient unit quizlet

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