NCLEX NOTES π
The client with a femoral vein catheter
should not sit up more than 45 degrees or lean forward, because the catheter may kink and occlude.
QUICK NOTES π
Vasodilators cause orthostatic hypotension. Instruct the client about safety measures when taking these medications, such as when rising from a lying to a sitting or standing position slowly.
QUICK NOTES π
Instruct the client using nitroglycerin tablets to check the expiration date on the medication bottle, because expiration may occur within 6 months of obtaining the medication. The tablets will not relieve chest pain if they have expired.
QUICK NOTES π
A persistent dry cough is a common complaint for those taking an ACE inhibitor, but this often subsides after a few weeks. Instruct the client to contact the PHCP if this occurs and persists.
A hospitalized client with chronic kidney disease has returned to the nursing unit after a hemodialysis treatment. The nurse should check pre dialysis and post dialysis documentation of which parameters to determine the effectiveness of the procedure?
Nurse is providing home instructions to pt w/ Parkinsonβs about measures to control a right-sided hand tremor. What instrctn should nurse give to pt
Β
A Sleep on unaffected side
B Use L hand only to perform tasks
C Use R hand only to perform tasks
D Squeeze rubber ball w/ R hand
A client with chronic kidney disease returns to the nursing unit after receiving a second hemodialysis treatment; the nurse is monitoring the client closely for signs of disequilibrium syndrome. What is the sign of this syndrome?
The home care nurse is assessing a client who began using peritoneal dialysis 1 week ago. The nurse should suspect the onset of peritonitis of which finding is noted on assessment?
A client has been admitted to the hospital with a fractured pelvis sustained in a motor vehicle crash. The nurse monitors for complications and should assess the client closely for which finding in the early post trauma period?
QUICK NOTES π
The client with a peanut allergy should not take certain ipratropium products because they contain soy lecithin, which is in the same plant family as peanuts.
QUICK NOTES π
Theophylline toxicity is likely to occur when the serum level is higher than 20 mcg/mL (111 mcmol/L).
Early signs of toxicity include restlessness, nervousness, tremors, palpitations, and tachycardia.
The nurse is conducting a training session on CPR. The nurse should incorporate w/c guideline session?
A. Stop CPR once fatigue is felt
B. Look, listen, & feel for breathing
C.Give compression first, then airway & breathing
D. Det. cardiac arrest based on unresponsiveness only
QUICK NOTES π
An individual who has received a BCG vaccine will have a positive tuberculin skin test result and should be evaluated for tuberculosis with a chest x-ray.