Category: Nursing

  • Diabetic nephropathy

    Diabetic nephropathy results from an elevation of blood pressure, increasing the workload of the glomeruli. The glomeruli thicken and allow serum albumin to pass into the urine. Which signs and symptoms indicate diabetic nephropathy?

  • Surgery-related stress

    Which physiological response is often associated with surgery-related stress?

  • Bronchoscopic procedure

    To prepare a patient on the unit for a bronchoscopic procedure, a medical-surgical nurse administers the IV sedative. The medical-surgical nurse then instructs the licensed practical nurse to:

  • Methicillin-resistant

    An 80-year-old patient is placed in isolation when infected with methicillin-resistant Staphylococcus aureus. The patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple directions. The medical-surgical nurse recognizes that the changes in the patient’s mental status are related to:

  • Head injury

    During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse’s initial action is to:

  • Heart disease

    A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient’s spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to:

  • Abdominal surgery

    The most common, preventable complication of abdominal surgery is:.

  • Prolonged use of phenytoin sodium (Dilantin)

    To prevent a common, adverse effect of prolonged use of phenytoin sodium (Dilantin), patients taking the drug are instructed to:

  • Spinal anesthesia

    A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after one and a half hours, now reports severe incisional pain. The patient’s blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99oF (37.2oC), and respirations are 30 breaths/min. The patient’s skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to:

  • Nursing diagnoses

    Nursing diagnoses mostly differ from medical diagnoses in that they are