100. The client complained of generalized pruritus. The following
are appropriate nursing interventions except

1 Answer

Answer :

B. Regulate the temperature to 25 degrees centigrade
or lower

Related questions

Description : Which of the following nursing interventions is appropriate when caring for the awake and oriented head injury patient? a) Supply oxygen therapy to keep blood gas values within normal range. ... rails and application of mitts are the appropriate interventions in the agitated head-injured patient.

Last Answer : a) Supply oxygen therapy to keep blood gas values within normal range. The goal is to keep blood gas values within normal range to ensure adequate cerebral circulation.

Description : The client complained of abdominal pain, nausea and vomiting with abdominal distention. The nurse anticipates which of the following priority management after referring to the surgeon? A. Gastric decompression B. Possible surgery C. Endoscopy D. Rectal tube insertion

Last Answer : A. Gastric decompression

Description : Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, ... and cold are most appropriate because these patients tend to have strong reactions to medications.

Last Answer : a) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient. No specific medical or surgical treatment is available for ... loss of strength and maintaining the physical, psychological and social well being of the patient.

Description : Which of the following statements reflect nursing interventions in the care of the patient with osteoarthritis? a) Encourage weight loss and an increase in aerobic activity. Weight loss and ... analgesics. Topical analgesics such as capsaicin and methylsalicylate may be used for pain management.

Last Answer : a) Encourage weight loss and an increase in aerobic activity. Weight loss and an increase in aerobic activity such as walking, with special attention to quadriceps strengthening are important approaches to pain management.

Description : If an indwelling catheter is necessary, nursing interventions that should be implemented to prevent infection include a) performing meticulous perineal care daily with soap and water. Cleanliness of the area ... it is clamped because it may cause backflow of urine from the tubing into the bladder.

Last Answer : a) performing meticulous perineal care daily with soap and water. Cleanliness of the area will reduce potential for infection.

Description : Which of the following methods to induce hemostasis after sheath removal post Percutaneous Transluminal Coronary Angioplasty is the least effective? a) Application of a sandbag to the area Several ... ) Application of a pneumatic compression device post PTCA has been demonstrated to be effective

Last Answer : a) Application of a sandbag to the area Several nursing interventions frequently used as part of the standard of care, such as applying a sandbag to the sheath insertion site, have not been shown to be effective in reducing the incidence of bleeding.

Description : The basic difference between nursing diagnoses and collaborative problems is that a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic ... or potential health problems that can be managed by independent nursing interventions.

Last Answer : a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic complications that nurses monitor to detect onset or changes and manage ... physician-prescribed and nursing-prescribed interventions to minimize the complications of events.

Description : During which step of the nursing process does the nurse analyze data related to the patient's health status? a) Assessment Analysis of data is included as part of the assessment. b) ... patient's responses to the nursing interventions and the extent to which the outcomes have been achieved.

Last Answer : a) Assessment Analysis of data is included as part of the assessment.

Description : Which of the following categories identifies the focus of community/public health nursing practice? a) Promoting and maintaining the health of populations and preventing and minimizing the progress of ... care delivery Hospice care delivery refers to the delivery of services to the terminally ill.

Last Answer : a) Promoting and maintaining the health of populations and preventing and minimizing the progress of disease Although nursing interventions used by public health nurses might involve individuals, ... , the central focus remains promoting health and preventing disease in the entire community.

Description : 68. The senior asked Marina to list nursing interventions for the nursing diagnosis “Ineffective tissue perfusion: peripheral”. From the following list, which intervention will the senior nurse consider to be contraindicated?

Last Answer : D. Maintain both extremities in a dependent position

Description : As the nurse monitors the client, she notices a bright red spot on the dressings which measures 4cm in diameter. The nurse should initially do which appropriate nursing intervention? A. Change the ... C. Notify the clients surgeon of a potential hemorrhage D. Assess the presence of a drain

Last Answer : D. Assess the presence of a drain

Description : 96. You planned the nursing care of the client together with the nursing student. You asked the nursing student to enumerate the clinical manifestations of a client with polycythemia vera. You expect the nursing student to enumerate the following manifestations except

Last Answer : B. Hepatomegaly

Description : 45. Aling Juana, 67, diabetic, complained of elevated blood glucose since she strained her back a week ago despite following her diet and drug prescription. Your best explanation would be

Last Answer : A. Physiologic and psychologic stress can elevate blood glucose level

Description : 66. From the nursing history obtained from the client, which information is most likely related to the development of gangrene on the client’s left toe?

Last Answer : D. Accidental cut in big toe while cutting toe nails

Description : The Code of Ethics states that the nurse's primary commitment is to the client whether an individual of family, group or community. Which nursing activity would best demonstrate the ethical ... is least considered D. The nurse's providing care to maximize health according to available resources

Last Answer : A. The nurse providing care on a “first come – first served” basis

Description : n assisting the client to do deep breathing, coughing and turning to the sides on the first post-operative day, which nursing action would be most helpful for the client? A. Restate ... the prescribed analgesic round the clock as prescribed D. Apply abdominal splint (pillow) while coughing

Last Answer : D. Apply abdominal splint (pillow) while coughing

Description : The nurse instructs the nursing attendant to perform cleansing enema until the return flow is clear. The nursing attendant understood the instruction when she says, I will A. Call you when the return flow is ... flow D. Put the client in left Sim's position to achieve the desired return flow.

Last Answer : A. Call you when the return flow is clear”

Description : Pre-operatively, the nurse identified the nursing dagnosis, Knowledge Deficit: Post-operative communication strategies . Which of the following is a relevant nursing intervention? A. ... uses an alternative form of verbal communication D. Illustrate means of communicating post- operatively

Last Answer : D. Illustrate means of communicating post- operatively

Description : Which of the following interventions is the single most important aspect for the patient at risk for anaphylaxis? a) Prevention People who have experienced food, medication, idiopathic, or ... alert bracelet will assist those rendering aid to the patient who has experienced an anaphylactic reaction

Last Answer : a) Prevention People who have experienced food, medication, idiopathic, or exerciseinduced anaphylactic reactions should always carry an emergency kit containing epinephrine for injection to prevent the onset of the reaction upon exposure.

Description : Which skill needed by the nurse to think critically involves identification of patient problems indicated by data? a) Analysis Analysis is used to identify patient problems indicated by data. b) ... or interventions used to address patient problems and to help a patient move toward desired outcomes.

Last Answer : a) Analysis Analysis is used to identify patient problems indicated by data.

Description : 70. The senior nurse observes that Marina occasionally does not follow agreed upon interventions. The senior nurse reports that Marina should improve in which of the following?

Last Answer : C. Compliance to standards

Description : In order to help prevent the development of an external rotation deformity of the hip in a patient who must remain in bed for any period of time, the most appropriate nursing action would be ... hip replacement surgery. d) a footboard. A footboard will not prevent the hips from rotating externally.

Last Answer : a) a trochanter roll extending from the crest of the ilium to the midthigh. A trochanter roll, properly placed, provides resistance to the external rotation of the hip.

Description : While making your PM shift endorsement, you saw the nursing attendant receiving a package from a patient's watcher. Your appropriate action would be A. Reprimand the nursing attendant right away ... with the nursing attendant the hospital policy D. Endorse to the incoming shift for proper action

Last Answer : D. Endorse to the incoming shift for proper action

Description : 98. Phlebotomy was ordered as part of the therapy. You instructed the client and emphasized that the procedure can be repeated. The client inquired, “What is the primary aim of the procedure?” Your appropriate response is

Last Answer : D. “It keeps the hematocrit within normal range.”

Description : 73. When the client returns to the unit after surgery, which technique is most appropriate to monitor bleeding from the incision?

Last Answer : B. Assess for dampness at the back of the client’s neck

Description : 63. A hypertensive client is taking herbal supplement for his hypertension. He was prescribed antihypertensive medication. The client wants to continue taking his herbal medication to lower his blood pressure. The nurse’s most appropriate action is to

Last Answer : B. Tell the client that herbal supplements have no proven therapeutic effects

Description : 55. The nurse wants to know if the client is aware of the side effects of NSAID. What would be the most appropriate question of the nurse?

Last Answer : B. “Have you ever vomited blood or noticed very black stools?”

Description : 38. A nurse encounters a client who refuses to take a prescribed medication. What is the appropriate action of the nurse?

Last Answer : C. Explore the possible reason why the client refuses the prescribed medication

Description : When the intern-in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdrew the catheter from the vagina. What is your appropriate and ... . Offer to change the catheter C. Alcoholize the tip of the catheter before reinserting the catheter

Last Answer : B. Offer to change the catheter

Description : The nurse notes that the patient demonstrates generalized pallor and recognizes that this finding may be indicative of a) anemia. In the light-skinned individual, generalized pallor is a ... . d) local arterial insufficiency. Local arterial insufficiency is characterized by marked localized pallor.

Last Answer : a) anemia. In the light-skinned individual, generalized pallor is a manifestation of anemia. In brown- and black-skinned individuals, anemia is demonstrated as a dull skin appearance.

Description : Fibromyalgia is a common condition that a) involves chronic fatigue, generalized muscle aching and stiffness. Fibromyalgia, is a common condition that involves chronic fatigue, generalized muscle aching, and ... very typical for patients to have endured their symptoms for a long period of time.

Last Answer : a) involves chronic fatigue, generalized muscle aching and stiffness. Fibromyalgia, is a common condition that involves chronic fatigue, generalized muscle aching, and stiffness.

Description : Celiac sprue is an example of which category of malabsorption? a) Mucosal disorders causing generalized malabsorption In addition to celiac sprue, regional enteritis and radiation ... malabsorption Postoperative gastric or intestinal resection can result in development of malabsorption syndromes.

Last Answer : a) Mucosal disorders causing generalized malabsorption In addition to celiac sprue, regional enteritis and radiation enteritis are examples of mucosal disorders.

Description : Nurse Fely did her admission. She understands that the pain is characterized as A. Tenderness that is generalized in the upper epigastric area B. Pain in the left upper quadrant radiating to the ... to the back D. Tenderness and rigidity at the upper right abdomen radiating to the midsternal area

Last Answer : D. Tenderness and rigidity at the upper right abdomen radiating to the midsternal area

Description : Histamine causes all the following except (A) Stimulation of gastric secretion (B) Vasoconstriction (C) Pruritus (D) Increase in capillary permeability

Last Answer : Answer : B

Description : A research intends to explore the effect of possible factors for the organization of effective mid-day meal interventions. Which research method will be most appropriate for this study? (A) Historical method (B) Descriptive survey method (C) Experimental method (D) Ex-post-facto method

Last Answer : (D) Ex-post-facto method 

Description : Is pediatric nursing a good job?

Last Answer : We had only one nurse on here and she is not active any more. I know that all kinds of nurses are in high demand; so I would think there are plenty of jobs for pediatric nurses. The question ... can handle the emotions. Why don't you see how you feel after you do the pediatric clinical rotation?

Description : Does it seem fair that nursing mothers should get a tax break, but parents who bottle feed don't?

Last Answer : answer:It is using tax policy to encourage breastfeeding over formula feeding. It is beneficial for the child, and promotes overall good health, and therefore lowers society’s overall health care cost burdens. Yes, it is fair.

Description : Where should I get nursing scrubs?

Last Answer : answer:Walmart, in-store or walmart.com: Fair quality, dirt cheap Veterinary Apparel Company is my favorite. You can get just basics, appropriate for any clinical setting (not just vet offices) very high quality and decent prices.

Description : Any advice on preparing for the A2 Nursing entrance exam?

Last Answer : answer:I'm not familiar with that exam, but when I applied for nursing school, I had to take a NLN (National League of Nursing) exam. I bought a study guide and took many practice exams. ... , and science (biology, chemistry, and anatomy & physiology). Good luck on your exam and nursing school!

Description : What is the highest paying job in nursing?

Last Answer : Nursing is not a high paying job at all. I suppose head nurse is the highest position. How did we get from Doctor to nurse so quickly on this?

Description : What types of masters degrees are available for Nursing graduates?

Last Answer : Here is a Canadian site that answers this question.

Description : Nursing or social work?

Last Answer : A nursing degree with a masters in social work would be a fantastic combination. Since you need a masters for social work anyway, you might consider that route. Social workers many times manager the ... are other choices. Be sure to talk to some nurses to get a realstic view of things.

Description : Has anyone been through a nursing school program in California?

Last Answer : answer:

Description : Which of the following statements reflect the nursing management of the patient with a white phosphorus chemical burn? a) Do not apply water to the burn. Water should not be applied to burns from ... from lye or white phosphorus because of the potential for an explosion or deepening of the burn.

Last Answer : a) Do not apply water to the burn. Water should not be applied to burns from lye or white phosphorus because of the potential for an explosion or deepening of the burn.

Description : Which of the following statements reflect the nursing management of pulmonary anthrax (B. anthracis)? a) Prophylaxis with fluoroquinone is suggested after exposure. Treatment is with ciprofloxacin or ... effects include respiratory failure, shock, and death within 24-36 hours after exposure.

Last Answer : a) Prophylaxis with fluoroquinone is suggested after exposure. Treatment is with ciprofloxacin or doxycycline.

Description : Which of the following statements reflects the nursing management of the patient with West Nile Virus infection? There is no treatment for West Nile Virus infection. Patients are supported by fluid replacement ... the virus to animals and humans. There is no human-to-human transmission of virus.

Last Answer : a) The incubation period is three to five days. The incubation period (from mosquito bite until onset of symptoms) is between 5–15 days.

Description : Nursing management of the patient with new variant Creutzfeldt-Jakob Disease (nvCJD) includes a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to ... B is used in the treatment of fungal encephalitis; no treatment is available for nvCJD.

Last Answer : a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to the fatal outcome of nvCJD, nursing care is primarily supportive.

Description : Which of the following reflects basic nursing measures in the care of the patient with viral encephalitis? a) Providing comfort measures Providing comfort measures directed at the headache, include ... output to alert the nurse to the presence of renal complications related to acyclovir therapy.

Last Answer : a) Providing comfort measures Providing comfort measures directed at the headache, include dimmed lights, limited noise, and analgesics are the basic nursing measures in the care of the patient with a viral encephalitis.

Description : Which of the following statements reflect nursing management of the patient with expressive aphasia? a) Encourage the patient to repeat sounds of the alphabet. Nursing management of the patient with ... such as memory loss, includes frequently reorienting the patient to time, place, and situation.

Last Answer : a) Encourage the patient to repeat sounds of the alphabet. Nursing management of the patient with expressive aphasia includes encouraging the patient to repeat sounds of the alphabet.

Description : Nursing management of the patient with acute symptoms of benign paroxysmal positional vertigo includes which of the following? a) Bed rest Bed rest is recommended for patients with acute symptoms. ... -Hallpike procedure. The Dix-Hallpike test is an assessment test used to evaluate for BPPV.

Last Answer : a) Bed rest Bed rest is recommended for patients with acute symptoms. Canalith repositioning procedures (CRP) may be used to provide resolution of vertigo, and patients with acute vertigo may be medicated with meclizine for 1-2 weeks.