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Question 181/721
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
Correct Answer: A
Section: Questions Set D
Explanation:
(A) This answer is correct. The therapeutic range is 1.0-1.5 mEq/L in the acute phase. Maintenance control levels are 0.6-1.2 mEq/L. (B, C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. (D) This answer is incorrect. Toxic poisoning is usually at the 2.0 level or higher.
Explanation:
(A) This answer is correct. The therapeutic range is 1.0-1.5 mEq/L in the acute phase. Maintenance control levels are 0.6-1.2 mEq/L. (B, C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. (D) This answer is incorrect. Toxic poisoning is usually at the 2.0 level or higher.
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- Q302. Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension...
- Q303. A client has developed congestive heart failure secondary to his myocardial infarction. Di...
- Q304. A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and st...
- Q305. A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left...
- Q306. Prior to administering digoxin to a client with congestive heart failure, the nurse needs ...
- Q307. A laboratory technique specific for diagnosing Lyme disease is:...
- Q308. Primary nursing diagnoses for the antisocial client are:...
- Q309. The most commonly known vectors of Lyme disease are:...
- Q310. Discharge teaching was effective if the parents of a child with atopic dermatitis could st...
- Q311. One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lit...
- Q312. Provide the 1-minute Apgar score for an infant born with the following findings: Heart rat...
- Q313. A client has consented to have a central venous catheter placed. The best position in whic...
- Q314. A client has received preoperative teaching for the vertical partial laryngectomy that he ...
- Q315. A 55-year-old client is unconscious, and his physician has decided to begin tube feeding h...
- Q316. One of the most reliable assessment tools for adequacy of fluid resuscitation in burned ch...
- Q317. A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar ...
- Q318. A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is...
- Q319. A female client is anticipating a visit with her parents over the Thanksgiving holidays. S...
- Q320. The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as...
- Q321. Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin)...
- Q322. After a liver biopsy, the best position for the client is:...
- Q323. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...
- Q324. An 80-year-old widow is living with her son and daughter-in-law. The home health nurse has...
- Q325. Children often experience visual impairments. Refractive errors affect the child's visual ...
- Q326. A mother brings her 3-year-old child who is unconscious but breathing to the ER with an ap...
- Q327. A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor...
- Q328. A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment,...
- Q329. A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most thera...
- Q330. A successful executive left her job and became a housewife after her marriage to a plastic...
- Q331. Which of the following procedures is necessary to establish a definitive diagnosis of brea...
- Q332. A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being...
- Q333. A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to b...
- Q334. A client is taught to eat foods high in potassium. Which food choices would indicate that ...
- Q335. When a client arrives on the labor and delivery unit, she informs the nurse that she has b...
- Q336. The nurse is caring for a client who has diabetes insipidus. The nurse would describe this...
- Q337. The primary focus of nursing interventions for the child experiencing sickle cell crisis i...
- Q338. A female baby was born with talipes equinovarus. Her mother has requested that the nurse a...
- Q339. Which of the following would differentiate acute from chronic respiratory acidosis in the ...
- Q340. A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1...
- Q341. A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The re...
- Q342. A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1...
- Q343. A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety ...
- Q344. To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby...
- Q345. The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenyto...
- Q346. An 18-year-old client enters the emergency room complaining of coughing, chest tightness, ...
- Q347. A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse positi...
- Q348. An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discha...
- Q349. A laboratory technique specific for diagnosing Lyme disease is:...
- Q350. A male client is admitted to the psychiatric unit after experiencing severe depression. He...
- Q351. After instructing a female client on circumcision care, the nursery nurse asks her to rest...
- Q352. A baby is circumcised. Immediate postoperative care should include:...
- Q353. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of ora...
- Q354. A male client is admitted to the psychiatric unit after experiencing severe depression. He...
- Q355. A 65-year-old client who has a new colostomy is preparing for discharge from the hospital....
- Q356. After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client co...
- Q357. A 50-year-old male client is to receive chemotherapy. The physician's orders include antie...
- Q358. The following medications were noted on review of the client's home medication profile. Wh...
- Q359. A 32-year-old female client is being treated for Guillain-Barre syndrome. She complains of...
- Q360. The nurse would expect to include which of the following when planning the management of t...
- Q361. A client returned to the unit following a pneumonectomy. As the nurse is assessing her inc...
- Q362. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...
- Q363. A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Be...
- Q364. A couple is experiencing difficulties conceiving a baby. The nurse explains basal body tem...
- Q365. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...
- Q366. A client was admitted to the hospital after falling in her home. At the time of admission,...
- Q367. The nurse will be alert to the most potentially lifethreatening side effect associated wit...
- Q368. A client is being discharged and will continue enteral feedings at home. Which of the foll...
- Q369. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...
- Q370. A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threat...
- Q371. The most commonly known vectors of Lyme disease are:...
- Q372. The nurse would be concerned if a client exhibited which of the following symptoms during ...
- Q373. A client who was started on antipsychotic medication 2 weeks ago is preparing for discharg...
- Q374. The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following admi...
- Q375. A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpa...
- Q376. A client is dilated 8 cm and entering the transition phase of labor. Common behaviors of t...
- Q377. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...
- Q378. A 32-year-old male client is a marketing representative. His job requires him to have a tr...
- Q379. The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's si...
- Q380. A 16-year-old student has a long history of bronchial asthma and has experienced several s...
- Q381. A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of r...
- Q382. A client has been taking lithium 300 mg po bid for the past two weeks. This morning her li...
- Q383. On admission to the inpatient unit, a 34-year-old client is able to follow simple directio...
- Q384. A client is hyperactive and not sleeping. She will not remain at the table during mealtime...
- Q385. A 48-year-old client is being seen in her physician's office for complaints of indigestion...
- Q386. A 20-year-old female client delivers a stillborn infant. Following the delivery, an approp...
- Q387. A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior t...
- Q388. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...
- Q389. A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea...
- Q390. A 22-year-old client is 16 weeks pregnant. She and her husband are expecting their first b...
- Q391. The nurse working with a client who is out of control should follow a model of interventio...
- Q392. A 70-year-old client has pneumonia and has just had a respiratory arrest. He has just been...
- Q393. A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best respon...
- Q394. A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 2...
- Q395. Pregnant women with diabetes often have problems related to the effectiveness of insulin i...
- Q396. The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta pre...
- Q397. A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the...
- Q398. A long-term goal for the nurse in planning care for a depressed, suicidal client would be ...
- Q399. In the client with a diagnosis of coronary artery disease, the nurse would anticipate the ...
- Q400. A child with celiac disease is being discharged from the hospital. The mother demonstrates...
- Q401. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...
- Q402. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse s...
- Q403. Which of the following should be included in discharge teaching for a client with hepatiti...
- Q404. During an examination, the nurse notes that an infant has diaper rash on the convex surfac...
- Q405. The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It wo...
- Q406. The following medications were noted on review of the client's home medication profile. Wh...
- Q407. In performing the initial nursing assessment on a client at the prenatal clinic, the nurse...
- Q408. A client delivered her first-born son 4 hours ago. She asks the nurse what the white chees...
- Q409. A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several ye...
- Q410. Painless vaginal bleeding in the last trimester may be caused by:...
- Q411. A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the ...
- Q412. A male client is scheduled to have angiography of his left leg. The nurse needs to include...
- Q413. A female client has been diagnosed with chronic renal failure. She is a candidate for eith...
- Q414. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...
- Q415. A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician...
- Q416. A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fet...
- Q417. The nurse observes that a client has difficulty chewing and swallowing her food. A nursing...
- Q418. A client is hyperactive and not sleeping. She will not remain at the table during mealtime...
- Q419. A 52-year-old female client is admitted to the hospital in acute renal failure. She has be...
- Q420. A 50-year-old depressed client has recently lost his job. He has been reluctant to leave h...
- Q421. The nurse is assessing and getting a history from a client treated for depression with a m...
- Q422. A 6-year-old child is attending a pediatric clinic for a routine examination. What should ...
- Q423. What is the appropriate nursing action for a child with increased intracranial pressure?...
- Q424. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...
- Q425. When teaching a sex education class, the nurse identifies the most common STDs in the Unit...
- Q426. A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge o...
- Q427. A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who rep...
- Q428. A family is experiencing changes in their lifestyle in many ways. The invalid grandmother ...
- Q429. A client's renal calculi are identified as consisting of calcium phosphate. Which of the f...
- Q430. The nurse teaches a male client ways to reduce the risks associated with furosemide therap...
- Q431. A client at 6 months' gestation complains of tiredness and dizziness. Her hemoglobin level...
- Q432. A client is to be discharged from the hospital and is to continue taking warfarin 2.5 mg p...
- Q433. An elective saline abortion has been performed on a 3- week primigravida. Following the pr...
- Q434. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care ...
- Q435. A client who was started on antipsychotic medication 2 weeks ago is preparing for discharg...
- Q436. A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on iso...
- Q437. A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most thera...
- Q438. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postop...
- Q439. Clients receiving antipsychotic drug therapy will often exhibit extrapyramidal side effect...
- Q440. A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospita...
- Q441. A client has returned to the unit following a left femoral popliteal bypass graft. Six hou...
- Q442. A 19-year-old male client arrived via ambulance to the emergency room following a motorcyc...
- Q443. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior...
- Q444. When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal ...
- Q445. The primary reason for sending a burn client home with a pressure garment, such as a Jobst...
- Q446. The nurse would assess the client's correct understanding of the fertility awareness metho...
- Q447. A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is ches...
- Q448. The physician orders fluoxetine (Prozac) for a depressed client. Which of the following sh...
- Q449. A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symp...
- Q450. A physician's order reads: Administer furosemide oral solution 0.5 mL stat. The furosemide...
- Q451. A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His famil...
- Q452. The nurse is admitting an infant with bacterial meningitis and is prepared to manage the f...
- Q453. A physician tells the nurse that he wants to orally intubate a client with a No. 8 endotra...
- Q454. On the third postpartum day, the nurse would expect the lochia to be:...
- Q455. When teaching a class of nursing students, the nurse asks why the embryonic period (weeks ...
- Q456. A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm an...
- Q457. The mother of a client is apprehensive about taking home her 2 year old who was diagnosed ...
- Q458. A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospita...
- Q459. An elective saline abortion has been performed on a 3- week primigravida. Following the pr...
- Q460. A couple is experiencing difficulties conceiving a baby. The nurse explains basal body tem...
- Q461. Hematotympanum and otorrhea are associated with which of the following head injuries?...
- Q462. The nurse is teaching a client how to perform monthly testicular self-examination (TSE) an...
- Q463. As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign o...
- Q464. The nurse in the mental health center is instructing a depressed client about the dietary ...
- Q465. A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospit...
- Q466. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...
- Q467. To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should...
- Q468. A client is receiving peritoneal dialysis. He has been taught to warm the dialyzing fluid ...
- Q469. The nurse is developing a plan of care for a client with an electrolyte imbalance and iden...
- Q470. A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She ...
- Q471. A 45-year-old male client was admitted to a chemical dependency treatment center following...
- Q472. A neonate was admitted to the hospital with projectile vomiting. According to the parents,...
- Q473. The nurse needs to be aware that the most common early complication of a myocardial infarc...
- Q474. A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge o...
- Q475. A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, ...
- Q476. The nurse is assessing and getting a history from a client treated for depression with a m...
- Q477. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoure...
- Q478. A pregnant client comes to the office for her first prenatal examination at 10 weeks. She ...
- Q479. In working with mental health clients who are prescribed medication that must be taken on ...
- Q480. A family is experiencing changes in their lifestyle in many ways. The invalid grandmother ...
- Q481. A 72-year-old male client had the Foley catheter that was inserted during the transurethra...
- Q482. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of ora...
- Q483. A female client is exhibiting signs of respiratory distress. Which of the following signs ...
- Q484. Which of the following would differentiate acute from chronic respiratory acidosis in the ...
- Q485. Which of the following signs and symptoms indicates a tension pneumothorax as compared to ...
- Q486. A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over th...
- Q487. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...
- Q488. The nurse is admitting an infant with bacterial meningitis and is prepared to manage the f...
- Q489. At 12 hours postvaginal delivery, a female client is without complications. Which of the f...
- Q490. A pregnant client comes to the office for her first prenatal examination at 10 weeks. She ...
- Q491. A client presented herself to the mental health center, describing the following symptoms:...
- Q492. Which type of insulin can be administered by a continuous IV drip?...
- Q493. Before giving methergine postpartum, the nurse should assess the client for:...
- Q494. A 6-month-old infant has developmental delays. His weight falls below the 5th percentile w...
- Q495. A 9-month-old infant is being examined in the general pediatric clinic for a routine well-...
- Q496. A male client seeks counseling after his wife of 19 years threatened to divorce him. For m...
- Q497. Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of m...
- Q498. On a mother's 2nd postpartum day after having a vaginal delivery, the RN is preparing to a...
- Q499. A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive th...
- Q500. The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's si...
- Q501. A client has been in labor for 10 hours. Her contractions have become hypoactive and slowe...
- Q502. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagn...
- Q503. An obstructing stone in the renal pelvis or upper ureter causes:...
- Q504. A 35-year-old client has returned to her room following surgery on her right femur. She ha...
- Q505. A 55-year-old man has recently been diagnosed with hypertension. His physician orders a lo...
- Q506. A 24-hours' postpartum client complains of discomfort at the episiotomy site. On assessmen...
- Q507. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. ...
- Q508. A client is being discharged from the hospital today. The discharge teaching for care of h...
- Q509. A female client at 10 weeks' gestation complains to her physician of slight vaginal bleedi...
- Q510. A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her ...
- Q511. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...
- Q512. The client has been in active labor for the last 12 hours. During the last 3 hours, labor ...
- Q513. A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician...
- Q514. A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this ...
- Q515. An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teachin...
- Q516. A male client has experienced low back pain for several years. He is the primary support o...
- Q517. An 8-year-old boy has been diagnosed with hemophilia. Which of the following diagnostic bl...
- Q518. A client is experiencing visual problems at school. She has complained of difficulty seein...
- Q519. The nurse would be sure to instruct a client on the signs and symptoms of an eye infection...
- Q520. At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing meas...
- Q521. A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 2...
- Q522. A burn victim's immunization history is assessed by the nurse. Which immunization is of pr...
- Q523. Which of the following should the nurse anticipate receiving as an as-needed order for a p...
- Q524. The physician orders fluoxetine (Prozac) for a depressed client. Which of the following sh...
- Q525. A client is started on prednisone 2.5 mg po bid. Which of the following instructions shoul...
- Q526. A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse ba...
- Q527. A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect...
- Q528. A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the...
- Q529. Which type of insulin can be administered by a continuous IV drip?...
- Q530. A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for rout...
- Q531. The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenyto...
- Q532. Assessment of a newborn for Apgar scoring includes observation for:...
- Q533. The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following admi...
- Q534. When planning care for a 9-year-old client, the nurse uses which of the most effective mea...
- Q535. A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when ...
- Q536. On morning rounds, the nurse found a manic-depressive client who is taking lithium in a co...
- Q537. A 42-year-old male client has been treated at an alcoholic rehabilitation center for physi...
- Q538. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. ...
- Q539. The pediatric nurse charts that the parents of a 4-yearold child are very anxious. Which o...
- Q540. A client is pregnant with her second child. Her last menstrual period began on January 15....
- Q541. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...
- Q542. A baby is circumcised. Immediate postoperative care should include:...
- Q543. A 27-year-old healthy primigravida is brought to the labor and birthing room by her husban...
- Q544. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...
- Q545. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagn...
- Q546. An 80-year-old widow is living with her son and daughter- in-law. The home health nurse ha...
- Q547. A 16-year-old student has a long history of bronchial asthma and has experienced several s...
- Q548. The parents of a 2-year-old child are ready to begin toilet training activities with him. ...
- Q549. Chorioamnionitis is a maternal infection that is usually associated with:...
- Q550. When assessing a female child for Turner's syndrome, the nurse observes for which of the f...
- Q551. A client who is gravida 1 para 1 vaginally delivered a 7- lb girl. She received a midline ...
- Q552. A client is having episodes of hyperventilation related to her surgery that is scheduled t...
- Q553. As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that ...
- Q554. On admission to the inpatient unit, a 34-year-old client is able to follow simple directio...
- Q555. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior...
- Q556. A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheteri...
- Q557. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...
- Q558. A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of ar...
- Q559. Three weeks following discharge, a male client is readmitted to the psychiatric unit for d...
- Q560. The nurse would teach a male client ways to minimize the risk of infection after eye surge...
- Q561. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...
- Q562. A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms...
- Q563. A female client has experienced varying degrees of depression throughout her life. Now tha...
- Q564. Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no ...
- Q565. A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in ass...
- Q566. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become i...
- Q567. A client is placed on lithium therapy for her manicdepressive illness. When monitoring the...
- Q568. Hematotympanum and otorrhea are associated with which of the following head injuries?...
- Q569. A client has ascites, which is caused by:
- Q570. When interviewing parents who are suspected of child abuse, the nurse would use which of t...
- Q571. A female client was recently diagnosed with gastric cancer. She entered the hospital and h...
- Q572. When teaching a sex education class, the nurse identifies the most common STDs in the Unit...
- Q573. A female client has married recently. A month ago she visited her physician with complaint...
- Q574. A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6...
- Q575. A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitali...
- Q576. A client tells the nurse that she has had a history of urinary tract infections. The nurse...
- Q577. A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitali...
- Q578. A seventh grader lost consciousness after being hit in the head with a basketball. In the ...
- Q579. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...
- Q580. A client's membranes have just ruptured spontaneously. Which of the following nursing acti...
- Q581. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...
- Q582. A female client with major depression stated that "life is hopeless and not worth living."...
- Q583. A pregnant woman at 36 weeks' gestation is followed for PIH and develops proteinuria. To i...
- Q584. Discharge teaching was effective if the parents of a child with atopic dermatitis could st...
- Q585. In working with mental health clients who are prescribed medication that must be taken on ...
- Q586. The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medicati...
- Q587. In teaching the client about proper umbilical cord care, the nurse recommends that:...
- Q588. During his hospitalization, a 3-year-old child has become unusually aggressive in his play...
- Q589. To ensure proper client education, the nurse should teach the client taking SL nitroglycer...
- Q590. A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute exam...
- Q591. Which of the following findings would necessitate discontinuing an IV potassium infusion i...
- Q592. An infant with a congenital heart defect is being discharged with an order for the adminis...
- Q593. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...
- Q594. When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal ...
- Q595. At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her contracti...
- Q596. Plans for the care of a client with an ulcer caused by emotional problems need to take int...
- Q597. A 68-year-old client developed acute respiratory distress syndrome while hospitalized for ...
- Q598. A 22-year-old client is 16 weeks pregnant. She and her husband are expecting their first b...
- Q599. An 18-month-old child has been playing in the garage. His mother brings him to a nurse's h...
- Q600. A female client has been recently diagnosed as bipolar. She has taken lithium for the past...
- Q601. A client states to his nurse that "I was told by the doctor not to take one of my drugs be...
- Q602. A female client who has chronic obstructive pulmonary disease (COPD) has presented in the ...
- Q603. On admission to the postpartal unit, the nurse's assessment identifies the client's fundus...
- Q604. Based on your knowledge of genetic inheritance, which of these statements is true for auto...
- Q605. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become i...
- Q606. A 52-year-old client is scheduled for a small-bowel resection in the morning. In conjuncti...
- Q607. A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is cur...
- Q608. A 40-year-old client has been admitted to the hospital with severe substernal chest pain r...
- Q609. The 4th of July holiday comes while a client is in the hospital being treated for schizoph...
- Q610. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care ...
- Q611. A client has just received an epidural block. She is laboring on her right side. The nurse...
- Q612. A child sustains a supracondylar fracture of the femur. When assessing for vascular injury...
- Q613. A 70-year-old client is almost finished receiving her second unit of packed red blood cell...
- Q614. A 32-year-old female client is being treated for Guillain- Barre syndrome. She complains o...
- Q615. A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun...
- Q616. In assessing the nature of the stool of a client who has cystic fibrosis, what would the n...
- Q617. A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the ...
- Q618. A child has a nursing diagnosis of fluid volume excess related to compromised regulatory m...
- Q619. A parent told the public health nurse that her 6-year-old son has been taking tetracycline...
- Q620. A client is a depressed, 48-year-old salesman. A serious concern for the nurse working wit...
- Q621. When giving discharge instructions to a 24-year-old client who had a short-arm cast applie...
- Q622. Which of the following nursing care goals has the highest priority for a child with epiglo...
- Q623. A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the ...
- Q624. A female client at 30 weeks' gestation is brought into the emergency department after fall...
- Q625. Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of m...
- Q626. A 23-year-old college student seeks medical attention at the college infirmary for complai...
- Q627. A 52-year-old client is scheduled for a small-bowel resection in the morning. In conjuncti...
- Q628. A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). ...
- Q629. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...
- Q630. The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupu...
- Q631. A client is experiencing muscle weakness and lethargy. His serum K+ is 3.2. What other sym...
- Q632. Which of the following ECG changes would be seen as a positive myocardial stress test resp...
- Q633. At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing tec...
- Q634. A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puff...
- Q635. A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurs...
- Q636. A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Whic...
- Q637. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...
- Q638. Which of the following medications requires close observation for bronchospasm in the clie...
- Q639. An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insul...
- Q640. A client had a hemicolectomy performed 2 days ago. Today, when the nurse assesses the inci...
- Q641. After the fetal activity test (nonstress test) is completed, the RN is looking at the test...
- Q642. A 40-year-old client is admitted to the coronary care unit with chest pain and shortness o...
- Q643. A client was not using his seat belt when involved in a car accident. He fractured ribs 5,...
- Q644. A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardi...
- Q645. A chronic alcoholic client's condition deteriorates, and he begins to exhibit signs of hep...
- Q646. Which of the following blood values would require further nursing action in a newborn who ...
- Q647. A client is pregnant with her second child. Her last menstrual period began on January 15....
- Q648. A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, an...
- Q649. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...
- Q650. A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. Th...
- Q651. When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extrava...
- Q652. A 19-month-old child is admitted to the hospital for surgical repair of patent ductus arte...
- Q653. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...
- Q654. Following a vaginal delivery, the postpartum nurse should observe for:...
- Q655. A 35-year-old client is receiving psychopharmacological treatment of his major depression ...
- Q656. Children often experience visual impairments. Refractive errors affect the child's visual ...
- Q657. In caring at home for a child who just ingested a caustic alkali, the nurse would immediat...
- Q658. During a client's first postpartum day, the nurse assessed that the fundus was located lat...
- Q659. A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessme...
- Q660. A female client is exhibiting signs of respiratory distress. Which of the following signs ...
- Q661. A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal ...
- Q662. In an interview for suspected child abuse, the child's mother openly discusses her feeling...
- Q663. A female client at 36 weeks' gestation is experiencing preterm labor. Her physician has pr...
- Q664. The day following his admission, the nurse sits down by a male client on the sofa in the d...
- Q665. A six-month-old infant is receiving ribavirin for the treatment of respiratory syncytial v...
- Q666. Iron dextran (Imferon) is a parenteral iron preparation. The nurse should know that it:...
- Q667. A neonate was admitted to the hospital with projectile vomiting. According to the parents,...
- Q668. Painless vaginal bleeding in the last trimester may be caused by:...
- Q669. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...
- Q670. A client was admitted with rib fractures and a pneumothorax, which were sustained as a res...
- Q671. The nurse assesses a client on the second postpartum day and finds a dark red discharge on...
- Q672. Which behavior by a female client feeding her newborn demonstrates that she needs more tea...
- Q673. Following the delivery of a healthy newborn, a client has developed thrombophlebitis and i...
- Q674. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...
- Q675. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...
- Q676. A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had...
- Q677. The nurse is caring for a client who has diabetes insipidus. The nurse would describe this...
- Q678. Which of the following statements relevant to a suicidal client is correct?...
- Q679. The nurse is caring for a client who has had a tracheostomy for 7 years. The client is sta...
- Q680. A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety ...
- Q681. A client presents to the psychiatric unit crying hysterically. She is diagnosed with sever...
- Q682. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...
- Q683. When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic...
- Q684. A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of ar...
- Q685. A client returns to the cardiovascular intensive care unit following his coronary artery b...
- Q686. A female client has just died. Her family is requesting that all nursing staff leave the r...
- Q687. A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first ...
- Q688. A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an ...
- Q689. A 20-year-old female client delivers a stillborn infant. Following the delivery, an approp...
- Q690. A 72-year-old client with a new colostomy is being evaluated at the clinic today for const...
- Q691. A client takes warfarin (Coumadin) 15 mg po daily. To evaluate the medication's effectiven...
- Q692. A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her art...
- Q693. The nurse recognizes that a client with the diagnosis of cholecystitis and cholelithiasis ...
- Q694. Proper positioning for the child who is in Bryant's traction is:...
- Q695. A 50-year-old depressed client has recently lost his job. He has been reluctant to leave h...
- Q696. Before completing a nursing diagnosis, the nurse must first:...
- Q697. A client is having episodes of hyperventilation related to her surgery that is scheduled t...
- Q698. A 26-year-old male client is brought by his wife to the emergency department (ED) unconsci...
- Q699. A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on...
- Q700. Two hours after the second injection of haloperidol, a client complains to the nurse of a ...
- Q701. The nurse is caring for a client who has diabetes insipidus. The nurse would describe this...
- Q702. The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the do...
- Q703. A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is...
- Q704. For the past several months, an elderly female client with Alzheimer's disease has experie...
- Q705. One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, "It'...
- Q706. Which of the following nursing actions is essential to prevent drug-resistant tuberculosis...
- Q707. Following a fracture of the left femur, a client develops symptoms of osteomyelitis. Durin...
- Q708. MgSO4 is ordered IV following the established protocol for a client with severe PIH. The a...
- Q709. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...
- Q710. A client has returned to the unit from the recovery room after having a thyroidectomy. The...
- Q711. A child with celiac disease is being discharged from the hospital. The mother demonstrates...
- Q712. A client is admitted to the labor unit. On vaginal examination, the presenting part in a c...
- Q713. An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain ...
- Q714. A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal ...
- Q715. A 30-year-old client has a history of several recent traumatic experiences. She presents a...
- Q716. The nurse assists a client with advanced emphysema to the bathroom. The client becomes ext...
- Q717. A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in ...
- Q718. A client is dilated 8 cm and entering the transition phase of labor. Common behaviors of t...
- Q719. Which of the following menu choices would indicate that a client with pressure ulcers unde...
- Q720. At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her physician...
- Q721. A female client has been hospitalized for several months following major abdominal surgery...
