Podcast
Questions and Answers
What should the nurse assess after noticing one leg is pale and cooler to the touch?
What should the nurse assess after noticing one leg is pale and cooler to the touch?
Palpate the client's pedal pulses bilaterally.
Which statement indicates that the client understands the management of their sliding hiatal hernia? (Select all that apply)
Which statement indicates that the client understands the management of their sliding hiatal hernia? (Select all that apply)
Which statement about carcinogenesis is accurate? (Select all that apply)
Which statement about carcinogenesis is accurate? (Select all that apply)
What action should the nurse take upon reviewing a urine osmolality of 1200 mOsm/L?
What action should the nurse take upon reviewing a urine osmolality of 1200 mOsm/L?
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What assessment finding would the nurse expect in a client with chronic pyelonephritis? (Select all that apply)
What assessment finding would the nurse expect in a client with chronic pyelonephritis? (Select all that apply)
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What drug therapy is expected for a client with acute glomerulonephritis caused by beta streptococcus?
What drug therapy is expected for a client with acute glomerulonephritis caused by beta streptococcus?
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Which instruction should the nurse provide to a client who just completed an upper GI radiographic series with oral barium contrast?
Which instruction should the nurse provide to a client who just completed an upper GI radiographic series with oral barium contrast?
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What is the first action for a postoperative client who has become very restless one hour after admission to the PACU?
What is the first action for a postoperative client who has become very restless one hour after admission to the PACU?
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Which statement will the nurse include when teaching a client being discharged with a PICC line?
Which statement will the nurse include when teaching a client being discharged with a PICC line?
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Which indication shows that the assistive personnel needs additional teaching regarding incontinence care?
Which indication shows that the assistive personnel needs additional teaching regarding incontinence care?
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What skin change should the nurse monitor for in an African American client with peripheral arterial disease?
What skin change should the nurse monitor for in an African American client with peripheral arterial disease?
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Which client will the nurse assess first for potential hyponatremia?
Which client will the nurse assess first for potential hyponatremia?
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What methodology is likely to be most effective in meeting a client's teaching/learning needs preoperatively?
What methodology is likely to be most effective in meeting a client's teaching/learning needs preoperatively?
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What statement indicates the need for additional teaching regarding dietary changes to reduce cancer risk?
What statement indicates the need for additional teaching regarding dietary changes to reduce cancer risk?
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What is the primary goal of preventing the entry of foreign material?
What is the primary goal of preventing the entry of foreign material?
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What instruction will the nurse provide to a client at risk for venous thromboembolism on low-molecular-weight heparin?
What instruction will the nurse provide to a client at risk for venous thromboembolism on low-molecular-weight heparin?
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When a client is transferred to the postanesthesia care unit (PACU), which action does the receiving nurse perform first?
When a client is transferred to the postanesthesia care unit (PACU), which action does the receiving nurse perform first?
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What is the nurse's priority action after a client undergoes surgical repair of a fractured ankle?
What is the nurse's priority action after a client undergoes surgical repair of a fractured ankle?
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What response by the nurse best addresses why older clients are at higher risk for infection despite normal white cell counts?
What response by the nurse best addresses why older clients are at higher risk for infection despite normal white cell counts?
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Which medication does the nurse anticipate teaching a client prescribed for severe GERD?
Which medication does the nurse anticipate teaching a client prescribed for severe GERD?
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When a client asks if eating only preservative- and dye-free foods will decrease cancer risk, what is the nurse's best response?
When a client asks if eating only preservative- and dye-free foods will decrease cancer risk, what is the nurse's best response?
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What is the most important action by the nurse for a client receiving chemotherapy through a peripheral IV line?
What is the most important action by the nurse for a client receiving chemotherapy through a peripheral IV line?
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Which nursing intervention does the nurse include in the plan of care for a client who has hemorrhoids?
Which nursing intervention does the nurse include in the plan of care for a client who has hemorrhoids?
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Which age-related change increases an older client's susceptibility to infection during chemotherapy?
Which age-related change increases an older client's susceptibility to infection during chemotherapy?
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What conclusion does the nurse draw from the assessment of a bulge in a client's groin that disappears when lying down?
What conclusion does the nurse draw from the assessment of a bulge in a client's groin that disappears when lying down?
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Which assessment finding would alert the nurse to immediately contact the primary health provider for a client with polycystic kidney disease?
Which assessment finding would alert the nurse to immediately contact the primary health provider for a client with polycystic kidney disease?
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What assessment finding requires immediate intervention from the nurse caring for a client receiving an epidural infusion for pain management?
What assessment finding requires immediate intervention from the nurse caring for a client receiving an epidural infusion for pain management?
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Which foods should a nurse encourage a vegan client with B12 deficiency to include in their diet?
Which foods should a nurse encourage a vegan client with B12 deficiency to include in their diet?
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How does the nurse document a client's appendectomy incision that appears to be healing with no drainage?
How does the nurse document a client's appendectomy incision that appears to be healing with no drainage?
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Which finding leads the nurse to suspect appendicitis during an abdominal assessment?
Which finding leads the nurse to suspect appendicitis during an abdominal assessment?
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Which preoperative assessment finding should the nurse report to the surgeon for treatment?
Which preoperative assessment finding should the nurse report to the surgeon for treatment?
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What is the most important action for preventing infections in an older client?
What is the most important action for preventing infections in an older client?
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Which preoperative assessment finding should be reported to the surgeon?
Which preoperative assessment finding should be reported to the surgeon?
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If a client has a bluish tinge to the palms, soles, and conjunctivae, what should the nurse do next?
If a client has a bluish tinge to the palms, soles, and conjunctivae, what should the nurse do next?
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What action should the nurse take after noting both legs are pale pink, warm, and dry in a client on a continuous femoral nerve blockade?
What action should the nurse take after noting both legs are pale pink, warm, and dry in a client on a continuous femoral nerve blockade?
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Which drug does the nurse plan health teaching for a newly diagnosed client with osteoarthritis?
Which drug does the nurse plan health teaching for a newly diagnosed client with osteoarthritis?
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When a client has been taking naproxen (Naprosyn) for several months, which assessment question is important for the nurse to ask?
When a client has been taking naproxen (Naprosyn) for several months, which assessment question is important for the nurse to ask?
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What is the best response when a postmenopausal patient with recurrent bacterial urethritis asks why it is happening now?
What is the best response when a postmenopausal patient with recurrent bacterial urethritis asks why it is happening now?
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When assessing a client with glioblastoma, what assessment is most important?
When assessing a client with glioblastoma, what assessment is most important?
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Which assessment finding leads the nurse to check for an acquired umbilical hernia?
Which assessment finding leads the nurse to check for an acquired umbilical hernia?
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What action should the nurse take upon reviewing a client's urinalysis with glucose present?
What action should the nurse take upon reviewing a client's urinalysis with glucose present?
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What does the term 'apoptosis' mean?
What does the term 'apoptosis' mean?
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Which type of immunity is the longest acting?
Which type of immunity is the longest acting?
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Which client should the nurse assess most carefully for the development of gastroesophageal reflux disease (GERD)?
Which client should the nurse assess most carefully for the development of gastroesophageal reflux disease (GERD)?
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What is the single biggest risk factor for developing cancer?
What is the single biggest risk factor for developing cancer?
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When having difficulty withdrawing fluid from a client's NG tube, what is the nurse's priority action?
When having difficulty withdrawing fluid from a client's NG tube, what is the nurse's priority action?
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During an assessment for a client with right lower quadrant abdominal pain, which lab value should the nurse prioritize?
During an assessment for a client with right lower quadrant abdominal pain, which lab value should the nurse prioritize?
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When caring for a female client who is 5'7" and weighs 115 pounds, what should the nurse advise?
When caring for a female client who is 5'7" and weighs 115 pounds, what should the nurse advise?
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What priority instruction should the nurse include for a client with chronic venous stasis ulcers?
What priority instruction should the nurse include for a client with chronic venous stasis ulcers?
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What common assessment finding is associated with bladder cancer?
What common assessment finding is associated with bladder cancer?
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After teaching a client about dehydration rehydration, which statement indicates understanding?
After teaching a client about dehydration rehydration, which statement indicates understanding?
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What is the proper sequence of palpation during an abdominal assessment for a client with suspected cholecystitis?
What is the proper sequence of palpation during an abdominal assessment for a client with suspected cholecystitis?
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Which action demonstrates understanding of the purpose of the Rapid Response Team?
Which action demonstrates understanding of the purpose of the Rapid Response Team?
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When caring for an older adult client admitted with a fractured hip who is confused and tachypneic, what should the nurse's first action be?
When caring for an older adult client admitted with a fractured hip who is confused and tachypneic, what should the nurse's first action be?
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Upon auscultating the abdomen of a client who has just returned from abdominal surgery, what is the nurse's best action if no bowel sounds are heard?
Upon auscultating the abdomen of a client who has just returned from abdominal surgery, what is the nurse's best action if no bowel sounds are heard?
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Which results from a client's urinalysis would the nurse recognize as abnormal?
Which results from a client's urinalysis would the nurse recognize as abnormal?
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What statement by a client prescribed acetaminophen indicates a need for further teaching?
What statement by a client prescribed acetaminophen indicates a need for further teaching?
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When assessing a client with hypokalemia who has diminished handgrip strength, what action should the nurse take first?
When assessing a client with hypokalemia who has diminished handgrip strength, what action should the nurse take first?
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Which statement by the client indicates that additional teaching is needed regarding H.pylori and peptic ulcer disease?
Which statement by the client indicates that additional teaching is needed regarding H.pylori and peptic ulcer disease?
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Which statement during the preoperative interview alerts the nurse to an increased risk during surgery?
Which statement during the preoperative interview alerts the nurse to an increased risk during surgery?
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For a client with a Stage II inflammatory response leg wound, which sign or symptom should the nurse assess?
For a client with a Stage II inflammatory response leg wound, which sign or symptom should the nurse assess?
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Which racial/ethnic group is at the greatest risk for kidney disease as they age?
Which racial/ethnic group is at the greatest risk for kidney disease as they age?
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What instruction is most important for an older client concerned about developing new age spots?
What instruction is most important for an older client concerned about developing new age spots?
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In the emergent care of a client with a pelvic fracture, which complication must the nurse be especially alert for?
In the emergent care of a client with a pelvic fracture, which complication must the nurse be especially alert for?
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How does being overweight contribute to reflux according to the nurse?
How does being overweight contribute to reflux according to the nurse?
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What response by the nurse is most appropriate for a client expressing frustration at ongoing fatigue after radiation therapy?
What response by the nurse is most appropriate for a client expressing frustration at ongoing fatigue after radiation therapy?
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For a client with a crush injury reporting numbness and tingling, what should the nurse's first intervention be?
For a client with a crush injury reporting numbness and tingling, what should the nurse's first intervention be?
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What action is most appropriate for a client with a platelet count of 9800/mm3?
What action is most appropriate for a client with a platelet count of 9800/mm3?
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After an esophagogastroduodenoscopy (EGD), which action takes priority for the nurse?
After an esophagogastroduodenoscopy (EGD), which action takes priority for the nurse?
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How should the nurse manage pain for an older client with multiple fractures?
How should the nurse manage pain for an older client with multiple fractures?
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Which client's statement indicates a need for additional teaching regarding hypertension secondary to renal disease?
Which client's statement indicates a need for additional teaching regarding hypertension secondary to renal disease?
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What action by the nurse is most important for a client with nausea, flank pain, and muscle cramps during chemotherapy?
What action by the nurse is most important for a client with nausea, flank pain, and muscle cramps during chemotherapy?
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What is the nurse's priority action for an older client with Salmonella food poisoning?
What is the nurse's priority action for an older client with Salmonella food poisoning?
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When a client is getting out of bed into a chair for the first time after a hip replacement, what action is appropriate for the nurse?
When a client is getting out of bed into a chair for the first time after a hip replacement, what action is appropriate for the nurse?
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What is the best intervention for a client with dehydration-induced confusion?
What is the best intervention for a client with dehydration-induced confusion?
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What intervention should the nurse prepare for a client with peptic ulcer disease who vomits a large amount of undigested food?
What intervention should the nurse prepare for a client with peptic ulcer disease who vomits a large amount of undigested food?
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For a client with a urine specific gravity of 1.040, what action would the nurse take?
For a client with a urine specific gravity of 1.040, what action would the nurse take?
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What is the nurse's most appropriate action for a client with a chronic, nonhealing ulcer potentially needing negative-pressure wound therapy?
What is the nurse's most appropriate action for a client with a chronic, nonhealing ulcer potentially needing negative-pressure wound therapy?
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What information does a nurse need to know when learning the difference between normal cells and benign tumor cells?
What information does a nurse need to know when learning the difference between normal cells and benign tumor cells?
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What action should the nurse take first after a client is brought to the postanesthesia care unit (PACU)?
What action should the nurse take first after a client is brought to the postanesthesia care unit (PACU)?
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What is the nurse's priority action for a client started on total parenteral nutrition (TPN) who reports blurred vision and frequent urination?
What is the nurse's priority action for a client started on total parenteral nutrition (TPN) who reports blurred vision and frequent urination?
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During interprofessional rounds for a client with pneumonia and dementia, which question should the nurse ask the primary healthcare provider?
During interprofessional rounds for a client with pneumonia and dementia, which question should the nurse ask the primary healthcare provider?
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For an older client with very thin skin on the backs of the hands and arms, what is the client's priority problem?
For an older client with very thin skin on the backs of the hands and arms, what is the client's priority problem?
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With a complete fracture of the left radius, how is the bone described?
With a complete fracture of the left radius, how is the bone described?
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After a central venous access line is inserted, what action will the nurse take next?
After a central venous access line is inserted, what action will the nurse take next?
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Which statement by a client with stress incontinence indicates a need for further teaching?
Which statement by a client with stress incontinence indicates a need for further teaching?
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For a nurse assigned to a client receiving iodine-131 treatment, which action is best?
For a nurse assigned to a client receiving iodine-131 treatment, which action is best?
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Which assessment finding is of greatest concern for a client with an intraosseous catheter placed in the left leg?
Which assessment finding is of greatest concern for a client with an intraosseous catheter placed in the left leg?
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Which adult is at greatest risk for insensible water loss?
Which adult is at greatest risk for insensible water loss?
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What action by the nurse takes priority when caring for clients with alopecia from chemotherapy?
What action by the nurse takes priority when caring for clients with alopecia from chemotherapy?
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Which assessment will the nurse complete first for a client with a radial artery catheter?
Which assessment will the nurse complete first for a client with a radial artery catheter?
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Which statement by a client with early polycystic kidney disease (PKD) indicates correct understanding of nutritional therapy?
Which statement by a client with early polycystic kidney disease (PKD) indicates correct understanding of nutritional therapy?
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How should the nurse respond to a client who feels embarrassed discussing symptoms of pyelonephritis?
How should the nurse respond to a client who feels embarrassed discussing symptoms of pyelonephritis?
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Which laboratory finding indicates that a client with malnutrition is not receiving adequate iron supplementation?
Which laboratory finding indicates that a client with malnutrition is not receiving adequate iron supplementation?
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What condition has developed in a client two days post-accident with fractures who exhibits confusion and dyspnea?
What condition has developed in a client two days post-accident with fractures who exhibits confusion and dyspnea?
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What is the appropriate recommendation for a client with rheumatoid arthritis who wants to continue quilting?
What is the appropriate recommendation for a client with rheumatoid arthritis who wants to continue quilting?
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Which action by the nurse shows an understanding of the principle of self-determination?
Which action by the nurse shows an understanding of the principle of self-determination?
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What is the nurse's priority action for a client admitted to the ED with upper GI bleeding?
What is the nurse's priority action for a client admitted to the ED with upper GI bleeding?
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Which action by the nurse is most appropriate when changing a dressing over a client's abdominal surgical incision?
Which action by the nurse is most appropriate when changing a dressing over a client's abdominal surgical incision?
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What does thin, pink-colored drainage from a client's dressing indicate?
What does thin, pink-colored drainage from a client's dressing indicate?
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Study Notes
Discharge Teaching for Peptic Ulcer Disease
- Client erroneously thinks treating heartburn means stopping medication.
- Correct understanding requires consistent medication use regardless of symptoms.
Preoperative Risk Assessment
- Daily aspirin use increases surgical complication risks.
- Other factors, such as dietary habits or past smoking, present lower risks.
Inflammatory Response Stage II
- Important to identify purulent drainage as a key symptom.
Racial/Ethnic Risk for Kidney Disease
- African Americans face the highest risk of developing kidney-related issues.
Age Spots in Older Adults
- Monitoring for color changes in spots is crucial for early detection of skin issues.
Complications in Emergent Pelvic Fracture Care
- Be alert for deep vein thrombosis, a common complication post-fracture.
Obesity and Reflux
- Excess weight contributes excess pressure on the stomach, leading to reflux.
Fatigue Post-Radiation Therapy
- It is normal for cancer patients to experience prolonged fatigue after treatment.
Crush Injury Assessment
- Initial intervention involves checking pedal pulses to assess blood flow.
Low Platelet Count Management
- Clients with extremely low platelet counts should be instructed to seek assistance for mobility.
Prioritizing Post-Procedure Care
- Assess the gag reflex first after an EGD to ensure safe recovery.
Pain Management in Older Adults
- Patient-controlled analgesia (PCA) is preferred for managing pain effectively.
Hypertension and Fluid Intake
- Clients should not restrict fluids if experiencing increased urination; this needs further education.
Chemotherapy Side Effects
- Monitor serum electrolytes when clients report nausea and other systemic symptoms.
Salmonella Food Poisoning Care
- Maintaining IV fluids is essential to prevent dehydration.
Post Hip Replacement Mobility
- Ensure adequate assistance for client transfers after hip replacement surgery.
Dehydration and Confusion in Older Adults
- Assess fall risk for confused clients potentially due to dehydration.
Management of Peptic Ulcer Symptoms
- In cases of vomiting undigested food, inserting an NG tube may be necessary.
Urine Specific Gravity and Hydration
- Urgent need to increase fluid intake for clients with a high urine specific gravity.
Negative-Pressure Wound Therapy
- Consultation with a wound care nurse is indicated for clients with chronic ulcers.
Benign Tumors Characteristics
- Benign tumors often grow inappropriately, unlike normal cells which respect tissue boundaries.
Post-Anesthesia Care Unit Monitoring
- Early actions should focus on increasing IV fluids to support the recovering patient.
Total Parenteral Nutrition Complications
- Assess blood sugar levels regularly in clients on TPN to monitor for potential hyperglycemia.
Urinary Catheter Management
- Discuss with healthcare provider the possibility of removing unnecessary indwelling catheters.
Skin Care in Older Adults
- Risk for injury is priority due to thin skin; extra care must be taken to prevent falls.
Assessment of Fractures
- A complete fracture indicates the bone is broken through its entire structure.
Central Venous Access Line Follow-Up
- Ensure confirmation of catheter placement via X-ray post-insertion.
Stress Incontinence Teaching
- Limiting total fluid intake is misleading; appropriate education should emphasize balanced hydration.
Iodine-131 Treatment Protocols
- Familiarize with handling radioactive waste to ensure safety in caring for treated clients.
Assessing Catheter Sites
- Coolness in the extremity suggests possible complications and requires immediate further assessment.
Insensible Water Loss Risk Factors
- Anxious clients displaying tachypnea are most prone to insensible fluid loss and require monitoring.
Alopecia Nursing Priority
- Educate clients on scalp protection to prevent further injury during chemotherapy.
Radial Artery Catheter Evaluation
- Skin color and capillary refill assessments should be prioritized to monitor circulation status.
Nutritional Guidance for Polycystic Kidney Disease
- Increase in dietary fiber and fluid intake is vital for managing symptoms effectively.
Communication with Clients about Symptoms
- Foster an open dialogue, allowing clients to express discomfort surrounding sensitive topics.
Laboratory Values and Malnutrition
- A hematocrit of 31% indicates inadequate iron supplementation in malnourished clients.
Post-Injury Complications
- High fever and confusion two days post-accident may indicate fat embolism as an urgent complication.
Managing Chronic Conditions
- Applying paraffin wax dips before activities helps alleviate arthritis pain for clients.
Self-Determination in Patient Care
- Allowing patients to make minor clinical choices respects their autonomy in healthcare.
Upper GI Bleeding Priority Actions
- Ensuring the airway is patent is the immediate priority when dealing with upper GI bleeding.
Dressing Change Best Practices
- Use strict aseptic technique while changing dressings to prevent infections.
Surgical Drainage Color Assessment
- Documenting thin, pink drainage as serosanguineous indicates normal postoperative function.
Inflammation and Immunity Function
- The primary goal of inflammation and immunity is to provide maximum protection against infections.
Instruction for Low-Molecular-Weight Heparin Patients
- Awareness of symptoms such as tarry stools is crucial for clients on low-molecular-weight heparin therapy.
Post-Anesthesia Care Unit Procedures
- Prioritize participating in hand-off reports for continuity of care in nursing shifts.
Post-Surgical Vital Signs Assessment
- Conduct a thorough assessment of vital signs immediately after patient transfer from PACU.
Infection Risks in Older Adults
- Normal white cell counts can be misleading; older adults may have decreased immune response despite normal results.### Immunology and Aging
- Immunoglobulin production declines with age, affecting response to illness.
- Older adults experience a reduction in white blood cell activity, leading to decreased efficiency in immune responses.
Gastroesophageal Reflux Disease (GERD)
- Omeprazole (Prilosec) is a medication frequently used to treat severe GERD.
- Lifestyle choices, such as diet, may influence cancer risk; preservatives and dyes could be factors.
Chemotherapy and Patient Care
- Regular assessment of IV sites for blood return is crucial for patients receiving chemotherapy.
- Patients receiving treatment should be educated about potential side effects and encouraged to report symptoms.
Hemorrhoid Self-Care
- Moist wipes are recommended over traditional toilet paper to minimize irritation in hemorrhoid care.
Oncology and Infections
- Decreased immune function in older adults heightens susceptibility to infections during chemotherapy.
Hernia Assessment
- A bulge that appears when standing but disappears when lying down indicates a reducible inguinal hernia.
Polycystic Kidney Disease (PKD)
- Periorbital edema in patients with PKD warrants immediate medical attention.
Epidural Infusion Monitoring
- Reports of headache and stiff neck necessitate prompt intervention in patients receiving an epidural.
Nutritional Guidance for B12 Deficiency
- Recommended dietary inclusions for vegetarians with B12 deficiency include fortified cereals and tofu.
Wound Healing
- An incision that is approximated with no drainage is healing by primary intention.
Appendicitis Signs
- Severe, steady right lower quadrant (RLQ) pain is a key indicator of appendicitis.
Preoperative Concerns
- A potassium level of 3.0 mEq/L should be reported to the surgeon due to potential complications.
Infection Prevention in Older Adults
- Reviewing vaccination records is essential for preventing infections in older clients.
Sore Throat Reporting
- A sore throat should be reported during preoperative assessments for potential complications.
Cyanosis Assessment
- In clients with a bluish tinge to palms and conjunctivae, pulse oximetry should be assessed immediately.
Postoperative Nerve Block Assessment
- Lack of movement in a surgical foot with normal skin temperature calls for immediate surgical consultation.
Osteoarthritis Education
- Health teaching for osteoarthritis often includes acetaminophen as a management option.
Long-term Effects of Naproxen
- Assessing for stomach pain or indigestion is critical after prolonged use of naproxen.
Urinary Tract Infections in Postmenopausal Women
- Low estrogen can increase susceptibility to urinary infections in postmenopausal clients.
Neurological Assessments in Glioblastoma
- A comprehensive neurological examination is of utmost importance in assessing patients with glioblastoma.
Umbilical Hernia
- A high BMI is a common indicator prompting investigation for umbilical hernia.
Urinalysis Findings
- Presence of glucose in urinalysis requires immediate blood glucose assessment.
Apoptosis Definition
- Apoptosis refers to programmed cell death, a vital process in cellular regulation.
Types of Immunity
- Natural active immunity is characterized as the longest-lasting type of immunity.
Risk Factors for GERD
- Postoperative patients with nasogastric tubes are at a higher risk for developing GERD.
Major Cancer Risk Factor
- Advancing age is identified as the single biggest risk factor for developing cancer.
NG Tube Precautions
- If an NG tube cannot withdraw fluid, confirming placement with a chest X-ray is the priority.
Abdominal Pain Assessment
- Elevated white blood cell count is a critical finding requiring immediate provider contact in cases of abdominal pain.
BMI and Weight Management
- A BMI indicating underweight status should prompt reassurance rather than recommendations for weight loss.
Chronic Venous Stasis Ulcers
- Education should emphasize the importance of applying compression stockings to combat venous insufficiency.
Bladder Cancer Symptoms
- Painless hematuria is a common symptoms associated with bladder cancer.
Fluid Management Post-Dehydration
- Clients recovering from dehydration should weigh themselves daily for accurate monitoring of hydration status.
Cholecystitis Assessment
- Abdominal palpation should be conducted with careful attention to the upper quadrants last.
Rapid Response Team
- Notifying medical personnel of significant changes, such as a drastic drop in blood pressure, exemplifies the purpose of Rapid Response Teams.
Restlessness in PACU
- Assessing oxygen saturation levels is the first step in addressing patient restlessness in the post-anesthesia care unit.
PICC Line Care
- Clients should avoid heavy lifting or carrying objects with the arm where a central catheter is located.
Incontinence Management Training
- Assisting personnel should be guided on effective habits to manage incontinence, ensuring proper scheduling for toileting.### Client Care and Monitoring
- Encourage adequate fluid intake to prevent dehydration and promote health.
- Document occurrences of incontinence to assess patterns and interventions needed.
- Change incontinence briefs promptly when wet to maintain skin integrity and comfort.
Skin Assessment in Peripheral Arterial Disease
- Monitor for skin changes such as cyanosis, particularly in the nail beds, indicating compromised circulation.
- Assess for other signs like pitting edema or loss of toenails, though these may not be as significant in PAD.
Assessing for Hyponatremia
- Prioritize assessment of clients at higher risk for hyponatremia, such as a 34-year-old NPO patient receiving rapid IV D5W infusions.
- Consider fluid and electrolyte imbalances as critical factors in patient care, especially in those undergoing significant medical interventions.
Teaching and Learning Needs
- Optimize patient education by involving both the client and their family in the teaching process to ensure comprehensive understanding.
- Use a variety of teaching methods rather than relying exclusively on verbal or written instructions for better retention.
Dietary Guidance for Cancer Prevention
- Clients should understand the importance of incorporating foods high in vitamins A and C while minimizing high-fat and processed meats.
- Look for indicators of misunderstanding dietary recommendations, such as excessive enthusiasm for high-fat meats like steak, which may need further discussion on cancer risks.
- Emphasize consumption of vegetables, fruits, and high-fiber grains, highlighting their role in reducing cancer risk.
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Description
This quiz assesses understanding of discharge teaching for clients with peptic ulcer disease related to H.pylori infections. It focuses on the correct patient responses and indicates when additional education is needed. Test your knowledge of effective patient education regarding dietary and medication adherence.
