The nurse documents that the wound edges are approximated. When the edges of an incision are said to be approximated, this means edges are:

Which of the following would the nurse expect to assess when a patient experiences a greater breakdown of protein than that which is manufactured?

Which of the following is a nursing priority when caring for a male patient with a condom catheter?

The theorist who believes that adaptation and manipulation of stressors are needed to foster change is:

The gauge number in ET tubes determines:

When developing the plan of care for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter?

What is the flow rate of TPN?

Mrs. James has progressed to a full liquid diet. Which iters would the nurse expect to see on the patient's meal tray?

Why is insulin given in clients with Burns?

A diabetic client who is performing self-monitoring of blood glucose at home asks a clinic nurse why a glycosylated hemoglobin level needs to be measured. The nurse should plan to incorporate which of the following into a response.

Two-year-old Aang's mother states "Aang vomited 8 ounces of his formula this morning." This statement is an

Heat and cold applications should not exceed:

When preparing to teach Roku how to irrigate colostomy, you should plan to do the procedure:

When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if Roku:

To assess the client's dorsalis pedis pulse, the nurse should palpate the:

A hospitalized client who has a living will is being fed through a nasogastric tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take?

When assessing the client's wound for sign of infection, the nurse should look for the presence of which of the following?

Heat is an old remedy for aches and pain. People equate heat with comfort and relief.

The nurse is administering IV fluids to an infant. Infants receiving IV Therapy are particularly vulnerable to:

As Azula's nurse, what will you do AFTER the transfusion has started?

Initially in asthma, you are expecting that the client's acid base disturbance is:

The doctor ordered venoclysis of one liter of dextrose 5% in water KVO for 24 hours as a vehicle for IV medications. How many drops per minute should the fluid be regulated?

The physician has ordered 3 units of whole blood to be transfused to Azula following a repair of a dissecting aneurysm of the aorta. You are preparing the first unit of whole blood for transfusion. From the time you obtain it from the blood bank, how long should you infuse it?

The primary effect of oxygen therapy is to:

An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of prevention?

The nurse observes a slight increase in a patient's vital signs while he is sleeping during the night. According to the patient's stage of sleep, the nurse expects which of the following to be true?

In a client with diabetic ketoacidosis, Kussmaul's respiration is exhibited. This is evidence that there is the presence of:

The school nurse is planning a program for a group of teenagers on skin cancer prevention. Which of the following Instruction should the nurse emphasize in her talk?

If a client demonstrates psychoses, visual disturbance, ataxia, amnesia and confusion even after completion of resuscitation and the return of normal oxygenation, this will indicate that:

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. Given the above assessment data, the most immediate goal of the nurse would be which of the following?

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. The client asks the nurse, "WHEN is the best time to perform irrigation?" The nurse would answer:

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. Which of the following menu is appropriate for Princess Yue who requires a low sodium diet?

Data or information obtained from the assessment of a patient is primarily used by nurse to:

BLOOD TRANSFUSION In case Azula will experience an acute hemolytic reaction, what will be your PRIORITY intervention?

A patient performs rehabilitative exercises with resistance after a knee injury. The nurse interprets this type of exercise as which of the following?

You would know after teaching Roku that dietary instruction for him is effective when he states, "It is important that t eat:

A client with severe inflammatory bowel disease is receiving TPN. When administering TPN, the nurse must take care to maintain the prescribed flow rate because giving TPN too rapidly may cause:

When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following?

A client with deep wounds undergone hydrocolloid dressing. Which of the following is TRUE with regards to this dressing?

In clients with Diabetes Mellitus, the greatest complication that could occur is related to:

The nurse is teaching a patient how to use an incentive spirometer. The nurse should assist the patient to assume which position?

The purpose of the cuff in tracheostomy tube is to:

A nurse suctions a client who has an endotracheal tube in place. Following the procedure, which of the following would indicate to the nurse that the client is experiencing an adverse effect of this procedure?

A nurse finds a client in the bedroom, unconscious with pill bottle in hand. The pill bottle contained the SSRI Sertraline (Zoloft). The nurse immediately assesses the client's:

A client's hypertension has been recently diagnosed. The nurse would plan to do which of the following as the first step in teaching the client about the disorder?

The physician has ordered 3 units of whole blood to be transfused to Azula following a repair of a dissecting aneurysm of the aorta. What should you do FIRST before you administer blood transfusion?

Which of the following is the most important condition for a diabetic client to learn how to control their diet?

The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 45. Following the Philippine Cancer Society guidelines, the nurse should recommend that the women;

One hour after the IV was inserted, Nurse Katara found out that the 1 liter of D5NSS was empty. Patient Zuko was in severe respiratory distress with pinkish, frothy sputum. The most probable complication is:

The nurse observes some involuntary muscle jerking in a sleeping patient. The nurse determines that the patient is most likely in which stage of sleep?

While doing range-of-motion exercises with a patient who is bedridden, the nurse is aware of which of the following considerations?

Mrs. Young is receiving ATC medication for treatment of terminal cancer. She has recently reported several episodes of breakthrough pain. What treatment is most effective to manage these sudden flare-ups of pain?

Mang Sokka was rushed to the hospital after being unconscious inside an enclosed parking lot. Carbon monoxide polsoning is suspected. Which is a sign the nurse will expect to see on Mang Sokka?

Mr. Yow is refusing to eat. Which intervention would be most helpful in stimulating his appetite?

A patient asleep in the middle of conversation. The nurse should suspect what disorder?

A nurse has just been told by the physician that an order has been written to administer an iron injection to a client. The nurse plans to give the medication in the:

The nurse is correct in performing suctioning when she applies the suction intermittently during;

In teaching the sister of a diabetic client about the proper use of a glucometer in determining the blood sugar level of the client. The nurse is focusing in which domain of learning according to bloom?

TPN is delivered at a rate of 50-60 ml/hr during the first 12 hours. Why is this so?

Based on the nurse's knowledge of surgical wounds, simple surgical incisions heal by:

The component that should receive the highest priority before physical examination is the:

Which of the following is a frequently used dressing for pressure sores?

A client has a chest tubes attached to a pleural drainage system. When caring for this client, the nurse should:

If the nurse will auscultate the base of the lungs, it is expected that she will here:

How many cycles of sleep does a person typically go through each night?

Which is the most important action by the nurse after a patient has a thoracotomy?

The nurse is assessing a client who complains of abdominal pain, nausea and diarrhea. When examining the client's abdomen, which sequence should the nurse use?

Objective data are also known as?

In many situations, a patient has sufficient strength to walk if he or she can do which of the following?

The most abundant cation in the Intracellular fluid is:

A patient complains of abdominal pain that is difficult to localize. The nurse categorically interprets this as which type of pain?

When you prepare your teaching plan for a group of hypertensive clients, you first formulate your learning objectives. Which of the following steps in the nursing process corresponds to the writing of learning objectives?

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. During colostomy irrigation, the client complains of a cramping sensation with the fluid was introduced. Which of the following is a CORRECT nursing action?

Iroh is an elderly client who is immobile and sedentary Iroh is frequent complaining of dry skin. Which of the following is the BEST way to prevent dry skin?

Azula is undergoing blood transfusions of the first unit. The EARLIEST signs of allergic transfusion reactions are:

Which psychodynamic theorist believed that an Infant seeking pleasure through oral gratification is important to psychosocial growth?

A nurse formulating a plan of care for a client receiving enteral feeding. The nurse identifies which nursing diagnosis as the highest priority for this client?

You are aware that teaching about colostomy care is understood when Roku states, "I will contact my physician and report:

The theorist whose theory can be defined as the development of a science of humankind, incorporating the concepts of energy fields, openness, pattern and organization is:

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. How will you prevent ascending infection to Princess Yue who has an indwelling catheter?

The nurse is caring for a 16-year-old female client who isn't sexually active. The client asks if she needs a Papanicolau test (Pap test). The nurse should reply:

The body fluids move using the principle of osmosis and diffusion. This affects the isotonicity or concentration of the body in relation to its solutes and solvents. Which of the following is NOT an isotonic solution?

The nurse gives a resident in a nursing home a choice about which color shirt to wear. What level need, according to Maslow's Hierarchy of Needs, has the nurse just met?

Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning?

A nurse is planning to assist a diabetic client to perform self-monitoring of blood glucose level. The nurse should incorporate which of the following strategies to best help the client obtain an adequate capillary sample?

The nurse checks the client's gag reflex. The recommended technique for testing the gag reflex is to:

The nurse is evaluating a client's lung sounds. Which of the following breath sounds indicate inadequate ventilation when auscultated over the lung fields?

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. After Princess Yue went through an IVP, a renal stone was confirmed. Left nephrectomy was done. Her post operative order includes "daily urine specimen to be sent to the laboratory." Princess Yue has a foley catheter attached to a urinary drainage system. How will you collect the urine specimen?

Applying the gate control theory of pain, which of the following would be an effective nursing intervention for a patient with lower back pain?

Initially, in patient with suspected inhalation poisoning, the most important intervention at the scene of poisoning is:

A nurse is caring for a client admitted to the hospital for subclavian line replacement. Which psychosocial area of assessment should the nurse address with the client?

Princess Yue, 42 years old is admitted to the hospital with diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 degrees Celsius. Where would the nurse tape Princess Yue's indwelling catheter in order to reduce urethral irritation?

You are assisting Roku who recently went through colostomy surgery. You plan to teach Roku how to irrigate the colostomy when:

The site of choice for TPN by the use of the central veins, either via the subclavian or the femoral approach. If this procedure will use the femoral vein, the tip of the catheter Is placed in the:

After surgery, Ms. Young is having difficulty voiding. Which nursing action would most likely lead to an increased difficulty with voiding?

When inspecting a client's skin, the nurse finds a vesicle on the client's arm. Which description applies to a vesicle?

ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the OSTOMY CARE CLASS. When is the colostomy appliance best emptied?

Which of the following laboratory result is constantly checked in the client's undergoing treatment for carbon monoxide poisoning?

Which laboratory test result would the nurse interpret as indicating that a patient is at risk for poor nutritional status?

Mang Sokka was rushed to the hospital after being unconscious inside an enclosed parking lot. Carbon monoxide polsoning is suspected. The pulse oximetry reading of Mang Sokka is 100%. This suggests that: