Nokea
Medical History
Vital Signs
Nurses’ notes
Provider’s prescription
Type 2 diabetes mellitus
Hypertension
Hyperlipidemia
Peptic ulcer disease
A nurse is preparing to administer medications to a client. The nurse has reviewed the information above. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for due to the client's.
- A. Peptic ulcer disease
- B. Metformin
- C. Type 2 diabetes mellitus
- D. Ibuprofen
Correct Answer: D
Rationale: Ibuprofen can exacerbate peptic ulcer disease by irritating the stomach lining, so the nurse should clarify this prescription due to the client's condition.
You may also like to solve these questions
A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their ADLs. Which of the following statements should the nurse provide?
- A. Plan to hire a home care aid to perform all of your ADLs.
- B. You will not become fatigued when you use assistive devices.
- C. Install grab bars in your shower to assist with your balance.
- D. Place a towel in the shower to prevent slipping.
Correct Answer: C
Rationale: Installing grab bars enhances safety and supports independence in ADLs post-CVA, addressing balance issues.
Nurses' Notes
Vital Signs
Laboratory Results
Provider Prescriptions
Day 1, 1000:
The client reports mid abdominal pain. Client reports pain as 7 on a scale of 0 to 10. The client states, "I haven't had a bowel movement in 4 days." The client states, "I also have vomited once or twice."
Physical Exam:
General: uncomfortable, grimacing
HEENT: dry mucous membranes
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Gastrointestinal: tenderness to palpation, high-pitched bowel sounds
Skin: no jaundice noted
Social history: drinks 1 to 2 glasses of wine daily. Client reports no tobacco use.
A nurse is assisting with the care of the client Complete the following sentence by using the list of options. The nurse should first plan to.... followed by.....
- A. Determine if the nasogastric tube is in the correct position
- B. Provide oral care to the client
- C. Increase nasogastric tube suction
- D. Request a prescription for an antiemetic
- E. Document the client's pain level
- F. Monitor the client's electrolyte levels
Correct Answer: A,D
Rationale: The nurse should first ensure the nasogastric tube is correctly placed to address vomiting and obstruction, followed by requesting an antiemetic to manage nausea.
A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?
- A. Clamp the tube for 30 min every 8 hr.
- B. Pin the tubing to the client's bed sheets.
- C. Monitor for at least 150 mL of drainage every hour.
- D. Replace the unit when the drainage chamber is full.
Correct Answer: D
Rationale: Replacing the unit when the drainage chamber is full ensures proper function and prevents complications, such as obstruction or infection, in a closed-chest tube system.
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client brought to the emergency department (ED) following a fall that occurred while downhill skiing. Client states they fell when turning to avoid hitting another skier. Client reports feeling a severe, sudden pain of the right leg upon falling. Right leg was immobilized at the scene and the client transported to the ED.
Client states they were wearing a helmet while skiing. Client reports no headache or loss of consciousness.
Client reports pain as 10 on a scale of 0 to 10 to the right lower leg just below the knee and is unable to bear weight.
Right proximal tibia ecchymotic and swollen below the knee. Area is painful to touch. Open area noted on skin with bone visible. Right knee appears displaced. Left pedal pulses 3+, foot warm with intact movement and sensation. Right pedal pulses.
A nurse is assisting in the care of the client who is postoperative following a fasciotomy. Which of the following actions should the nurse take?
- A. Prepare to obtain a wound culture.
- B. Restrict fluid intake.
- C. Administer an analgesic
- D. Prepare to administer an antibiotic
- E. Initiate supplemental oxygen.
Correct Answer: A,C,D
Rationale: Wound culture assesses for infection, analgesics manage pain, and antibiotics treat potential infection post-fasciotomy; fluid restriction and oxygen are not indicated.
A nurse is assisting in the care of the client who is postoperative following a fasciotomy.
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client brought to the emergency department (ED) following a fall that occurred while downhill skiing. Client states they fell when turning to avoid hitting another skier. Client reports feeling a severe, sudden pain of right leg upon falling. Right leg was immobilized at the scene and client transported to the ED.
Client states they were wearing a helmet while skiing. Client reports no headache or loss of consciousness.
Client reports pain as 10 on a scale of 0 to 10 to the right lower leg just below the knee and is unable to bear weight.
Right proximal tibia ecchymotic and swollen below the knee. Area is painful to touch. Open area noted on skin with bone visible. Right knee appears displaced. Left pedal pulses 3+, foot warm with intact movement and sensation. Right pedal pulses.
Day 3, 2300:
Client is alert and oriented to person, place, and time. Bilateral breath sounds clear and present throughout. Right leg with splint in place. Incisional dressing dry and intact. Wound drain to negative-pressure vacuum, draining small amounts of serosanguinous fluid. Bilateral pedal pulses 3+. feet warm with intact movement and sensation. Client reports pain as a 4 on a scale of 0 to 10.
The nurse is reviewing the client's electronic medical record (EMR). Select statements in the EMR that indicate the client's condition is improving since implementing interventions.
- A. Temperature 37.8°C (100°F)
- B. Client is alert and oriented to person, place, and time
- C. Bilateral breath sounds clear and present throughout
- D. Feet warm with intact movement and sensation
- E. Heart rate 98/min
- F. Bilateral pedal pulses 3+
- G. Respiratory rate 20/min
Correct Answer: B,C,D
Rationale: Alertness, clear breath sounds, and warm feet with intact sensation indicate recovery from the initial injury and fasciotomy.