A client comes to the clinic complaining of sensitivity to cold, weight gain, and dry skin. The nurse recognizes that the client may be suffering from:

A client received a radioisotope bone scan yesterday. The client had no adverse reactions to the radioisotope. This morning, the physician orders another bone scan using a radioisotope because the results from yesterday’s scan are inconclusive. The nurse calls the physician to question her order because:

The nurse cares for a client who experienced an endoscopic examination. Which is the least important nursing intervention post-endoscopy?

Which nursing diagnosis is most important for a client receiving enteral tube feedings?

The nurse working in an outpatient clinic cares for a client immediately after a sigmoidoscopy. Which sign and symptom should be most concerning to the nurse?

The nurse cares for a client with cervical cancer when the nurse notices the radium implant has been dislodged. Which action should the nurse take first?

The nurse inserts an indwelling urinary catheter in a client. Which nursing intervention is most likely to prevent a urinary tract infection?

A client developes stomatitis status postchemotherapeutic treatment. Which nursing action is most appropriate to reduce pain and irritation in the mouth?

The nurse assesses a client who is in an arm cast for compartment syndrome. Which is a late symptom of compartment syndrome?

The nurse assesses a client who is in an arm cast. The client complains of severe pain, decreased motion and sensation, and swelling in the fingers. Which action should the nurse take first?

The nurse provides discharge instructions to a client going home with furosemide (Lasix) and potassium (K-Dur). The client asks the nurse why potassium is indicated. Which statement by the nurse is most appropriate?

The nurse cares for a client in skin traction. The nurse knows to assess the client frequently for:

The nurse checks gastric residual prior to administering an intermittent tube feeding through a nasogastric tube. The nurse understands that this is necessary to:

A client expectorates pink-tinged sputum after returning from a bronchoscopy. Which action is most appropriate for the nurse to take?

A client presents to the emergency department complaining of large amounts of bright red blood in the stool. The client is currently in no apparent distress. Which intervention should be the nurse’s first action?

Which client is least likely to develop third spacing?

An elderly client complains of difficulty beginning a urine stream and sensing a full bladder even after urination. The physician performs a digital rectal exam and has the nurse draw blood for prostate specific antigen (PSA). The nurse knows the physician ordered a PSA because:

The nurse cares for a client following cardiac catheterization. The nurse assesses the insertion site and notices that the client is bleeding. What is the best action for the nurse to take?

The nurse cares for a client who returns from a cystoscopy. The nurse knows that which assessment finding is within normal limits for this client?

The nurse knows that a symptom of right-sided heart failure is:

The nurse cares for a client receiving a blood transfusion. The nurse notes that the client has become hypotensive and febrile since the transfusion began. Which is the most appropriate nursing action?

The nurse cares for a client with a chest tube. Which symptom would indicate to the nurse the presence of subcutaneous emphysema?

A client is to receive an intravenous injection of radiopaque dye for a diagnostic procedure. The nurse knows which action is most important to take before administering the dye?

The nurse cares for a client who has a chest tube that is connected to suction. Which interventions should the nurse perform?

The nurse provides education to a client after the client receives an initial external beam radiation treatment for melanoma. The nurse should instruct the client to:

A client is sent for a computerized tomography (CT) scan with dye injection. The nurse explains to the client:

The nurse cares for a client with chronic obstructive pulmonary disease (COPD). The physician orders oxygen via nasal cannula for this client. Which action should the nurse take?

The nurse cares for a client receiving bolus tube feedings through a Dobhoff tube. The bolus has just been completed. Which position is best for the client?

The nurse admits a client to the hospital who was involved in a motor vehicle accident. The client sustained a skull fracture. The nurses knows this client is at risk for increased intracranial pressure and therefore avoids placing the client in which position?

While the nurse performs nasopharyngeal suction, the client’s oxygen saturation measures 86%. Which action should the nurse take?