Cynthia, a night RPN, is caring for Mr. Baker, who was just admitted to the palliative care unit the previous day. On her rounds, she finds Mr. Baker is awake, and asks him if he would like her to stay with him for a while. He agrees, and they have a conversation...
A 68-year-old man presents for evaluation of progressive dyspnea. He has an extensive smoking history. Pulmonary function testing is consistent with severe airway obstruction. Resting arterial blood gas analysis demonstrates a partial pressure of oxygen of 54 m m H g...
This 19 y/o patient presents in your exam room for evaluation of this rash. It had a sudden onset and is painful that began 7 days ago. PMH reveals a history of rashes when he was an infant and they gradually improved however he still has dry skin. The correct...
Mr. Stevens has been admitted for a right knee replacement due to osteoarthritis. He is 76 years old, and has been a Type 2 Diabetic for the past 10 years. You are receiving Mr. Stevens to the surgical unit from the PACU. The client is on a PCA pump, which was...
Melissa R., a 25-year-old woman who was 6 months postpartum, visited her doctor with complaints of tiredness, always feeling cold, muscle weakness, menorrhagia, and weight gain. Her physician noted some facial edema and dry skin. Melissa’s CBC indicated mild...
The nurse is assigned the admission of a 65-year-old male with chronic severe Psoriasis. Which of the following actions is a priority? Question 20 options: Assessment of client including a description of the symptoms and previous treatment Demonstration of acceptance...
Mr. Smith has been admitted to the medicine unit with signs of increased pain and a sudden onset of agitation, confusion and hallucinations. He has prostate cancer with metastases to the bone and liver. He is being treated with MS Contin 120 mg orally q12h and...
Bill, a 70-year-old retired engineer, is caring for his wife Mary, who is dying from pancreatic cancer at home. The home care nurse arrives, and assesses both Mary and Bill for how they are coping with the situation. Bill tells the nurse that he does feel like he...
Michelle, a pain management NP, meets a new patient, Addison. Addison is 20 years old, recently moved to a Midwestern city from the rural area where they grew up, and has a low socioeconomic status (SES). How can Michelle best deliver care to Addison? a. Ignore...
The nurse is are caring for a 74-year-old male client with a diagnosis of essential Hypertension. The nurse has given him instructions about self-management and determine that the client requires further teaching when he states that: Question 36 options: Physical...
A 78-year-old female client has been admitted to the medical unit with a diagnosis of Pneumonia and Dehydration. The physician has ordered the client to receive IV solution for dehydration. The nurse will follow the rights of medication and IV administration. These...
64-year-old G3P3003 postmenopausal woman, presents to the office as a new patient to establish care and for an annual well woman exam after recently moving to the area. She does not have her records. She relates a history of regular and negative cervical cancer...