2023 KAPLAN DIAGNOSTIC A EXAM WITH ACCURATE QUESTIONS AND ANSWERS GRADED A+
The nurse cares for the client diagnosed with a severe head injury. In planning care for this client, the nurse understands that which priority is highest?
Turn the client every 2 hours
Maintain an intravenous intake of 125 mL per hour
Put all joints through a range of motion every 4 hours
Perform skincare every 2 hours
The client returns to the room after a subtotal thyroidectomy. The nurse is most concerned if a which observation is made?
The client is having difficulty speaking
There is a moderate amount of serosanguineous drainage on the neck dressing
The nasogastric (NG) tube attached to intermittent section is draining a moderate amount of translucent fluid
The client reports moderate pain at incision site
The 39 year old primipara come to the hospital at 29 weeks gestation and report symptoms of preterm labor. Which assessment by the nurse is most helpful in confirming this diagnosis?
Regular contractions are noted on a monitor tracing
The client says the water broke this morning
The presenting part is engaged
The client reports intermittent lower abdominal pain
To auscultate for breath sounds in the middle lobe of the long, the nurse places the stethoscope in which location? (picture)
4th or 5th intercostal place on the right side
The nurse cares for a woman diagnosed with toxic shock syndrome. Which action does the nurse take first?
X-a. Teaches the client to use pads rather than tampons during the menstrual period
b. Sits with the client and let her know that she is not alone
c. Administers ciprofloxacin 400 mg q 12 hours via IV infusion over 60 minutes
d. Administers 0.9% NaCl at hundred and 150 mL/hr into the clients right forearm
The client diagnosed with Alzheimer's disease wanders around the unit disturbing other clients. The clients gate is steady. Which action by the nurse is most appropriate?
Remind the client to stay in the room
Escort the client back to the clients room
Restraining the client in an armchair in the hall
Allow the client to assist the staff in distributing the clean linen
The nurse teaches the client how to perform self monitoring blood glucose (SMBG) by using a blood glucose monitor. Which action, if performed by the client, indicates the teaching was successful?
The client washes the hand in cool water before the procedure
The client elevates the hand on a pillow before the procedure
The client sticks the center of the proximal phalanx
The client allows a large drop of blood to touch the test strip
The t diagnosed with septic shock syndrome. nurse cares for the clien An initial nursing assessment of this client would most likely reveal which symptoms?
Dysrhythmias and edema
. Fever and hypotension
Increased urinary output and dehydration
Nystagmus and photophobia
The nurse cares for the client is experiencing third trimester bleeding, consisting of dark red spotting. The client is not reporting uterine pain and tenderness. The nurse realizes that these symptoms are indicative of which situation?
a. Abruptio placentae b. Placenta previa
c. Missed abortion
d. Hdatidiform mole
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