NACE EXAM LATEST 2024 ACTUAL EXAMS, Exams of Nursing

Download NACE EXAM LATEST 2024 ACTUAL EXAMS and more Exams Nursing in PDF only on Docsity! NACE EXAM LATEST 2024 ACTUAL EXAMS WITH CORRECT QUESTIONS AND VERIFIED ANSWERS ALREADY GRADED A+ 100% GUARANTEED PASS!!! A nurse is reinforcing instructions about breast self-examination with a premenopausal woman. Which of these statements, if made by the client, would indicate that she needs FURTHER instructions? -I will use a circular pattern when feeling for abnormalities of my breasts. -I will examine both of my breasts weekly while showering. -I will look in a mirror for changes in contour of my breasts. -I will gently compress the nipple of my breasts to check for discharge. I will examine both of my breasts weekly while showering. A nurse is reinforcing teaching with a client who is diagnosed with non-insulin-dependent diabetes mellitus. Which of these topics is most important for the nurse to emphasize? -Individualized prescription of diet, exercise, and medication. -Clinical manifestations of non-insulin-dependent diabetes. -Lifestyle modifications to reduce stress. -Personal hygiene measures. Individualized prescription of diet, exercise, and medication. A nurse should assess a client who has a thyroidectomy for signs of hypocalcemia, which include -gingival hypertrophy. -painful joints. -tetany. -toothaches. tetany A nurse should expect that a client who has open-angle glaucoma will report -difficulty seeing distant objects. -photophobia. -severe eye pain. -loss of peripheral vision. loss of peripheral vision A nurse should recognize that a client who has a perineal prostatectomy rather than a transurethral prostatectomy is more likely to develop which of these complications? -Ureteral stenosis. -Impotence. -Renal calculi. -Glomerulonephritis. impotence (ED) A nurse should teach a client who has diabetes mellitus & their family and friends to recognize early signs of a hypoglycemic reaction, which include -irritability. -fruity breath. -double vision. -hot, dry skin. irritability A client has an order for 1 gm of medication to be administered intramuscularly. The medication available is labeled 500 mg/mL. How many milliliters should a nurse administer? -0.5 mL -1.0 mL -2.0 mL -3.5 mL 2 mL. If 500 mg equals 1 mL, 1000 mg equals 2 mL A client who is receiving continuous bladder irrigation has an intake of 800 mL of intravenous fluid and 2,000 mL of irrigating solution. The urinary drainage bag contains 3,800 mL. The charted output should be -800 mL. -1,000 mL. -1,800 mL. -3,800 mL 1,800 mL A vial of medication contains 150 mg/2 mL. If a client is to receive 25 mg of the medication intramuscularly, how many milliliters should a nurse administer to them? -0.2 mL -0.3 mL -0.6 mL -1.0 mL 0.3 mL If 150 mg equals 2 mL, then 75 mg equals 1 mL, so 25 mg would equal 0.3 mL. When caring for a client during the immediate postoperative period after a sub-total thyroidectomy, it is important for a nurse to -ensure that the client remains in a supine position. -encourage the client to speak frequently. -provide the client with oral fluids. -monitor the client's respiratory status. -Maintaining bed rest. -Limiting potassium intake. straining all urine A nurse is reinforcing discharge instructions with a client who is on warfarin sodium (Coumadin) therapy. Which of these instructions should be emphasized? -Brush your teeth after meals with a firm toothbrush. -Use an electric razor for shaving. -Take aspirin (ASA) or other NSAID for all minor aches and pains. -Include plenty of green, leafy vegetables in your diet. Use an electric razor for shaving. Which of these measures should a nurse emphasize when feeding a client with left-sided facial paralysis who has difficulty swallowing? -Placing the food on the back of the client's tongue. -Placing the food in the unaffected side of the client's mouth. -Removing the client's dentures before feeding. -Mashing the food before feeding the client. Placing the food in the unaffected side of the client's mouth. Which of these actions should a nurse take to prevent the development of thrombophlebitis in a postoperative client? -Raise the knee gatch on the client's bed. -Ambulate the client. -Encourage the client to increase fluid intake. -Massage the client's legs. ambulate the client A client who is terminally ill with acquired immunodeficiency syndrome (AIDS) is admitted to the hospital. Which of these precautions should be included in the client's plan of care? -Standard precautions. -Respiratory precautions. -Strict isolation. -Enteric precautions. standard precautions A nurse is caring for a client who had a right lower lobectomy and has a closed (water-sealed) chest drainage system in place. Which of these actions should a nurse include in the plan of care? -Keep the system below the level of the client's waist. -Change the system every 72 hours. -Empty the system every 4 hours. -Clamp the system when ambulating the client. Keep the system below the level of the client's waist. A nurse identifies all of these nursing diagnoses for a client. Which diagnosis should the nurse give the highest priority? -Altered comfort: pain. -Altered nutrition: less than body requirements. -Impaired skin integrity. -Impaired tissue perfusion. Impaired tissue perfusion. A nurse is helping an elderly client who has been on prolonged bed rest to get out of bed for the first time. The client should be encouraged to move slowly in order to prevent -sudden perfusion of the kidneys. -engorgement of the femoral veins. -postural hypotension. -increased cardiac output postural hypotension. A nurse obtains all of these laboratory results for a client prior to surgery. Which one should the nurse report to the physician? -Hemoglobin level of 11.5 gm/dL. -Prothrombin time of 32 seconds. -Platelet count of 250,000/mm. -White blood cell count of 9,000 cells/mm. Prothrombin time of 32 seconds. The results of a client's diagnostic tests show a high total cholesterol level. The client asks a nurse, "What should I do to reduce my cholesterol level?" The nurse should suggest that the client decrease the intake of which of these nutrients? -Vegetable fats. -Complex carbohydrates. -Simple sugars. -Animal fats. animal fats When cleaning a client's dentures, which of these measures should a nurse implement while wearing gloves? -Brushing the dentures in an emesis basin with tepid water. -Soaking the dentures for 20 minutes in a peroxide solution. -Applying an abrasive dentifrice to the dentures with a stiff brush. -Rinsing the dentures in the sink using hot tap water. Brushing the dentures in an emesis basin with tepid water. Which of these communication techniques should a nurse use with a client who frequently misinterprets the nurse's instructions? -Conveying acceptance of the client. -Listening attentively to the client. -Offering reassurance to the client. -Validating information with the client. Validating information with the client. Which of these nursing actions would be most effective in gaining the confidence of an adult client who is anxious? -Show interest in the client's point of view. -Relate experiences similar to those of the client. -Demonstrate a clear understanding of what the client can do to relieve the problem. -Tell the client about resources that are available. Show interest in the client's point of view A client who is terminally ill with cirrhosis says to a nurse, "I'm angry at God because he won't give me a new liver." Which of these responses would be most helpful? -"You're angry at God." -"I understand your anger toward God." -"I don't blame you for being angry at God. -"You really need to control your anger toward God. you're angry at god After preparing a liquid cough medication for a client, a nurse asks another nurse to administer the medication. Which of these actions should the second nurse take? -Administer the medication as requested. -Pour a new dose of the medication. -Chart the medication as a missed dose. -Question the medication order. pour a new dose of the medication It is now eight hours since a male client had minor surgery. He expresses a desire to void but is unable to do so. To assist him in passing urine, which of these actions should a nurse take first? -Apply gentle pressure over the bladder region. -Assist the client to a standing position at the bedside. -Insert a straight catheter into the bladder. -Increase the client's fluid intake. Assist the client to a standing position at the bedside. The evening before surgery, a client asks a nurse, "Could you pray with me?" The nurse's reply should be based on which of these understandings about the nurse's role in the client's care? -Meeting the client's need is within the nurse's province if the nurse's faith is the same as the client's. -The nurse should request the chaplain of the client's faith to visit. -Prayer is not a nursing function; the nurse should institute such measures as distraction and relaxation. -The nurse has a responsibility to see that the client's need is met -Determine the client's blood glucose level. -Compare the client's present weight to the weight after the last treatment. Compare the client's present weight to the weight after the last treatment. When an elderly client is having difficulty eating because of poorly fitting dentures, which of these diets should that client have? -Full liquid. -Bland. -Mechanical soft. -Pureed. mechanical soft When comparing a pre-term infant to a full-term infant, a nurse should recognize that the pre-term infant has which of these needs per kilogram of body weight? -Less fat and cholesterol. -More kilocalories and protein. -More sodium and potassium. -Less fluid and water-soluble vitamins. More kilocalories and protein. When discussing dietary modifications for a client who was recently diagnosed with a duodenal ulcer, a nurse should make which of these recommendations? -Eat a high-protein diet. -Drink whole milk at each meal. -Eliminate uncooked vegetables. -Eliminate the consumption of alcohol. Eliminate the consumption of alcohol. Which of these nutritional goals should a nurse plan for a client who has been diagnosed with nephrotic syndrome? -To prevent protein malnutrition. -To replace serum electrolytes. -To prevent loss of fatty tissue. -To provide adequate carbohydrates. To prevent protein malnutrition. A nurse is planning age-appropriate health promotion classes for a community. The nurse should recognize that Erikson's stages of growth and development designate that the task of middle age is -identity vs. role confusion. -intimacy vs. isolation. -generativity vs. stagnation. -integrity vs. despair. generativity vs. stagnation. A nurse is working with a postoperative client after throat surgery who has been reluctant to drink fluids due to pain. Which of these findings should the nurse recognize as the best indication that the client's hydration status has improved? -The patient's urine specific gravity is 1.025. -The patient's skin appears shinier. -The patient no longer reports feelings of thirst. -The patient no longer reports episodes of pain. The patient's urine specific gravity is 1.025. A nurse should observe a client who is in sickle cell crisis for which of these symptoms? -Nausea and vomiting. -Fatigue and pain not relieved by rest. -Bleeding and dizziness. -Immobility and bruising, especially over the lower extremities. fatigue and pain A nurse teaches a client who has been newly diagnosed with insulin-dependent diabetes mellitus about blood glucose monitoring. Which of these statements would indicate to the nurse that the client has a correct understanding of the teaching? -I will check my blood sugar if I feel lightheaded. -I will check my blood sugar after I exercise. -I will check my blood sugar only when I am unable to eat. -I will check my blood sugar before each meal and at bedtime. I will check my blood sugar before each meal and at bedtime. (typically check blood sugar 4 times a day) A client who is taking furosemide (Lasix) complains of feeling weak and tired and having no appetite. A nurse should recognize that these symptoms are most likely related to which of these conditions? -Hypocalcemia. -Hypernatremia. -Hypokalemia. -Hyperchloremia. Hypokalemia. Which of these actions should a nurse take first while a person is having a tonic-clonic seizure in the hallway? -Call a code. -Check the person's pupillary response. -Position the person on their left side. -Protecting the person's head. Protecting the person's head. Which of these measures should be included in the care plan for a postoperative client who has a Hemovac (low pressure suction system) in place? -Irrigating the tubing q 4h. -Emptying the device at least q 8h. -Ensuring gravity drainage with level of cannister below patient waist. -Pinning the tubing to the bed. Emptying the device at least q 8h. Which of these nursing interventions is appropriate for a client during the immediate period following a cardiac catheterization? -Keep the head of the bed in high-Fowler's position for six hours. -Monitor insertion site for bleeding and hematoma. -Perform range-of-motion exercises every hour. -Maintain NPO status until bowel sounds return. Monitor insertion site for bleeding and hematoma. On the third postoperative day, a client who had a colon resection reports gas pain. Which of these measures would be most effective in relieving this discomfort? -Placing the client in a prone position. -Having the client drink a carbonated beverage. -Instructing the client to bear down. -Inserting a lubricated rectal tube into the client's rectum. Inserting a lubricated rectal tube into the client's rectum. An elderly client falls and sustains a left hip fracture. The client is initially placed in skin traction (Buck's extension) for which of these purposes? -To reduce the fracture. -To approximate the edges of the fracture. -To prevent edema around the fracture. -To immobilize the fractured extremity. To immobilize the fractured extremity. When a client is hospitalized for pneumonia, a nurse should plan to increase fluid intake for which of these primary purposes? -Maintain renal function. -Improve cardiac output. -Promote bowel function. -Improve airway clearance. Improve airway clearance. Which of these problems should a nurse monitor for in a client who is diagnosed with Parkinson's disease and has difficulty swallowing? -Gastritis. -Gingivitis. -Aspiration. -Sore throat. -The client inhales and exhales with equal volume through the mouthpiece. -The client breathes rapidly into the device for one full minute. The client takes a deep breath through the mouthpiece before exhaling. A nurse observes a client with impaired peripheral circulation sitting with crossed legs. The client should be encouraged to avoid this practice for which of these reasons? -Pressure from the patella may cause skin breakdown. -Obliteration of the pedal pulses may impede venous return. -Adduction of the lower extremity will contribute to development of vasospasm. -Compression of the popliteal vessels can promote thrombus formation. Compression of the popliteal vessels can promote thrombus formation. A client who appears cachectic is scheduled for emergency surgery. A preoperative nutritional assessment should be performed by a nurse for which of these reasons? -A malnourished client is prone to postoperative infection. -Poor nutrition predisposes a client to respiratory complications. -Poor nutrition increases the risk of postoperative hemorrhage in a client. -A malnourished client has increased metabolic needs. A malnourished client is prone to postoperative infection. A client's medication order reads: "Aspirin 650 mg po pc." A nurse should give the aspirin to the client at which of these times? -Before meals. -Between meals. -With meals. -After meals. after meals After discussing a client's weight-reduction dietary plan, a nurse finds the client eating candy that a visitor brought. Which of these approaches should the nurse take? -Tell the client's visitors not to bring candy. -Remove the candy because it is not allowed on the client's diet. -Remind the client that as an adult, he/she should demonstrate the self-control necessary to improve health. -Recognize that the client is ultimately responsible for making their own decisions. Recognize that the client is ultimately responsible for making their own decisions. An 84-year-old client is admitted to the hospital with a temperature of 100.8 F (38.2 C), dry oral mucous membranes, and urine specific gravity of 1.035. Which of these nursing diagnoses should be given priority? -Urinary retention. -Ineffective thermoregulation. -Fluid volume deficit. -Impaired skin integrity. fluid volume deficit To assess a person with dark skin for signs of cyanosis, a nurse should look at the client's -ankles. -conjunctiva. -wrists. -earlobes. conjunctiva While auscultating a client's lungs, a nurse hears a high-pitched musical sound over the bronchi on both inspiration and expiration, with the sound loudest on expiration. How should the nurse describe the auscultated sound? -Wheezing, pronounced on expiration. -Crackles bilaterally. -Bronchial rhonchi. -Inspiratory and expiratory rales. Wheezing, pronounced on expiration A nurse is instructing a client who has been diagnosed with diabetes mellitus about food exchanges. The client says that she is unable to eat "the greasy meat" served in the cafeteria. Which of these foods, assuming that they are available, would be an acceptable substitute for her meat exchange? -Bagels and cream cheese. -Baked potato and sour cream. -Macaroni and cheese. -Spaghetti and tomato sauce. mac n cheese A nurse should monitor a client who is receiving long-term antibiotic therapy for which of these nutritional consequences? -Inhibition of intestinal synthesis of vitamin K. -Acceleration of the excretion of niacin. -Binding of ascorbic acid. -Reduction of the absorption of folacin. Inhibition of intestinal synthesis of vitamin K. A nurse should monitor the blood glucose levels of a client who is receiving total parenteral nutrition for which of these reasons? -The increased blood volume leads to a drop in serum glucose. -The glucose content of the solution may lead to hyperglycemia. -The pancreas fails to function adequately in the absence of gastric stimulation. -The peripheral tissues develop an increased resistance to insulin. The glucose content of the solution may lead to hyperglycemia. The assessment of a client who has a diagnosis of stomach cancer reveals protein and calorie malnutrition. Considering the diagnosis and nutritional status, a nurse should plan to use which of these nutritional interventions to improve the client's nutritional status after surgery? -Total parenteral nutrition via a central line. -High-density formula via gastrostomy feedings. -Vitamin-enriched, high-protein liquid via oral feeding. -Elemental formula via nasogastric tube. Total parenteral nutrition via a central line. The laboratory test results of a 30-year-old client reveal the following values: Total cholesterol 200 mg/dL Triglycerides 85 mg/dL; LDL Cholesterol 185 mg/dL; HDL Cholesterol 45 mg/dL. The above findings suggest an excess of which of these types of cholesterol? -HDL cholesterol. -Total cholesterol. -LDL cholesterol. -Triglycerides. LDL cholesterol Which of these dietary modifications should a nurse anticipate for a client who has a diagnosis of cirrhosis of the liver? -Restriction of carbohydrates. -Supplements of potassium. -Supplements of vitamin E. -Restriction of protein. Restriction of protein. Which of these dietary modifications should a nurse initiate to help increase the oral intake of a client who has dysphagia? -Low-residue foods. -Thickened liquids -Bland foods. -Clear liquids. thickened liquids Which of these food selections, if made by a client on a 500 mg-sodium diet, should indicate to a nurse the need for ADDITIONAL instruction? -One raw apple. -One tablespoon of corn oil. -One cup of milk. -One half cup of boiled rice. One cup of milk. Which of these laboratory findings should indicate to a nurse that a client who has been diagnosed with acquired immunodeficiency syndrome (AIDS) has a compromised nutritional status? -Run the tap water while the client is on the toilet -Tell the client to call whenever there is the urge to void. Run the tap water while the client is on the toilet. A client who is jaundiced reports itching. To relieve the itching, which of these measures would be most helpful? -Having the client wear clothing made from synthetic fibers -Giving the client sponge baths with tepid water several times a day -Rubbing the client's skin with diluted alcohol -Exposing the client to the direct rays of the sun. Giving the client sponge baths with tepid water several times a day. A nurse is assigned to care for a client who has pulmonary tuberculosis and is coughing. Which of these protective devices should the nurse put on before entering the client's room to give an oral medication? -Mask -Gloves -Gown -Eye shield. mask A nurse is instructing a client on how to limit saturated fat intake and increase intake of foods high in polyunsaturated fat. Which of these fats is highest in polyunsaturated fatty acids? -Corn oil -Vegetable shortening -Olive oil -Butter. corn oil A nurse obtains a tympanic electronic thermometer reading of 97F (36.1C) on a client who is flushed and warm to touch. Which of these actions should the nurse take next? -Return the electronic unit and connect it to the source to recharge the batteries -Report the reading to the nurse-in-charge -Recheck the temperature with another thermometer -Recheck the temperature in a half-hour. Recheck the temperature with another thermometer A nurse who is caring for a client with a nursing diagnosis of impaired physical mobility repositions the client every two hours. Which of these steps of the nursing process does the nurse demonstrate? -Planning -Assessing -Analyzing -Implementing. implementing Before nurses obtain information about a client's sexual health status as part of the admission assessment, it would be most important for nurses to assess their own -interviewing techniques -gender role identity -knowledge of sexual reproduction -personal attitudes about sexuality. personal attitudes about sexuality A nurse is caring for a client whose laboratory reports indicate hypernatremia. Which of these measures should be included in this client's plan of care? -Inserting an indwelling catheter -Increasing fluid intake -Elevating the lower extremities -Monitoring respiratory rate. increasing fluid intake A nurse is teaching a client how to maintain a low-fat diet when dining out in restaurants. During the interview, the client gazes out the window without comment or question. The nurse should take which of these actions? -Say nothing more until the client makes a verbal response -Use visual aids to get the client's attention -Say, "You don't seem very interested in this discussion -"Ask, "Why are you behaving in this hostile manner?" Say nothing more until the client makes a verbal response A nurse prepares to teach a client how to self-administer injections. The nurse has planned to teach the client about the medication during this session. The client says repeatedly, "You mean I have to stick myself with a needle?" Which of these responses would be most supportive of the learning process? -I see that you're upset, but let's start by discussing what the drug can do for you -Many people have this same concern, but it won't be as hard as you expect -You're bothered by the thought of injecting yourself -I wonder if you're reacting to the feelings that people have about illegal drug use. You're bothered by the thought of injecting yourself A client has an order for psyllium hydrophilic mucilloid (Metamucil) 1 packet po qd. Which of these actions is essential when a nurse is preparing to administer this medication? -Prepare the medication with four ounces of juice -Provide special mouth care after medication administration. -Administer the medication after it stops effervescing. -Monitor bowel sounds before administration. Monitor bowel sounds before administration. A client who is three days postoperative is refusing to deep breathe and cough because of incisional discomfort. Which of these nursing diagnoses should receive priority in this client's care plan? -Noncompliance -Impaired gas exchange. -Impaired physical mobility. -Pain. pain While preparing a client for surgery, a nurse discovers that the client does not understand the surgical procedure. A signed surgical consent is on the chart. Which of these actions should the nurse take? -Reassure the client. -Send the client to surgery. -Explain the operative procedure. -Notify the physician notify the physician A 31-year-old client is receiving medical treatment for ulcerative colitis. The treatment includes antibiotics and prednisone. A nurse should plan to monitor the client for which of these nutritional consequences of this treatment? -Hypercalcemia. -Hyperglycemia. -Hyponatremia. -Hypolipidemia. hyperglycemia After ten months on dialysis, a client undergoes a renal transplant and is receiving immunosuppressive therapy. Which of these nutritional consequences should a nurse anticipate? -A decreased synthesis of bile acids will occur. -An increased intake of simple carbohydrates will be necessary. -The client's protein requirements will be significantly higher. -The client's need for fat-soluble vitamins will be greater. The client's protein requirements will be significantly higher. Assuming that all of these foods are available, which sandwich selection would be appropriate for a client who is on a bland diet of 50 grams of fat? -Peanut butter and jelly on whole wheat bread. -Creamy chicken salad and tomato on rye bread. -Flaked white tuna and lettuce on white bread. -Bologna and American cheese with maynonnaise on white bread. Flaked white tuna and lettuce on white bread Following a partial gastrectomy, a client loses the ability to synthesize intrinsic factor. As a result, a nurse should expect that the patient will be unable to absorb which of these nutrients? -Vitamin B12. -Copper. How to remove a wound dressing? From clean area to contaminated area How to draw up urine sample from catheter? swab collection port of catheter with antiseptic swab. Insert needle and aspirate urine in syringe. Which insulin can be given IV: Humulin R Enoxaparin (Lovenox)- anticoagulant Gas forming foods legumes Cleansing an ulcer Cleanse from the innermost point then outwards What should the nurse do if they give the wrong medication to a pt? Notify PCP Trough the lowest level of a drug in the blood Medication is given once a day, when should the nurse check trough levels? just before the next she gives the next dose Pt refused medication what should the nurse do first? listen to why the patient refuses the medicine. [one quizlet said document, that was not an option] What should the nurse do if their pt has trouble falling asleep? -warm bath -routine schedule Exercise before bed Clinical manifestations for sleep apnea snore loudly with apneic periods up to 60 sec, occurring at least 30 times a night, day time somnolence, headache, depression, increase weight. Where is the apical pulse located? 5th intercostal space, left mid-clavicular line Where to palpate the brachial pulse? Just below the bend of the elbow (AC), medial aspect. Where is the vastus lateralis located? Anterior thigh, lateral aspect PC vs AC PC: after meals AC: before meals OD vs OS OD: oculus dexter- right eye OS: oculus sinister- left eye How to check NG placement fluoroscopy IM needle -gauge -length -max dose 18-25 gauge 1''-3'' inches 2mL Subcu needle -gauge -length -max dose 25-27 1/4''-5/8'' 1mL Intradermal needle -gauge -length -max dose 25-28 1/4''-5/8'' 1mL or less AD vs AS AD: auris dextra- right ear AS: auris sinister- left ear [AU means both] How is Hepatitis A transmitted? fecal oral route. [fecal contamination of food or water] How is Hepatits B transmitted? body fluids-blood, semen How is Hepatitis C transmitted? body fluids-blood, semen HS: at bedtime What to do if a client is unable to void? assess the client's bladder Explaining steps of a throat culture: "While depressing your tongue, I will swab the back of your throat" How to prevent skin breakdown for a diaphoretic patient: change bed linens frequently idiosyncratic drug effect: adverse effects that cannot be explained. Administering ear drops for adults: pull auricle up and back Interventions for constipation: encourage high fiber foods, increase fluid 2,000mL/day, ambulation Removing PPE gloves, goggles/ face shield, gown, mask Foods to avoid while on Warfarin: spinach and salads UAP is feeding a patient, when should the nurse intervene? UAP providing large frequent bites Pt has gastric ulcers. Which response by the pt requires a need for more teaching? "I can drink coffee with meals and between meals" The nurse is which link on the chain of infection? mode of transmission The pt is 24 hours post procedure and the nurse notices some redness and mild swelling of the incision? What should the nurse do? Document and continue monitoring the wound Pt has pneumonia. Which order should the nurse do first? Encourage deep breathing and cough Pt is having a procedure in the morning. What should the night shift nurse report to the surgeon? allergy to shellfish Pt comes in having a MI. Complains of mid sternal chest pain, diaphoretic, shaky. What should the nurse addess first? acute pain How to document drainage from a wound? -two 4x4 saturated When to take alendronate? before eating. What traits to observe for when a person has addictive behaviors? -antisocial post prandial blood sugar test for glucose in blood, two hours after a meal Pt on digitalis k value 3.0 what food? Asparagus Weak rapid pulse Give iv fluids OSA -sleep apnea Spo2 90% Pt refused meds nurse understands this shows what Fidelity Cholesterol test Don't eat or drink 12 hrs before test Z track 1 in needle 23 gauge Pt need 7u of insulin for type 1 diabetes Use insulin syringe Furosemide diet Chicken and beans Soiled wound dressing Saturate with NS What to avoid with hemophilia Ibuprofen Intervention for urinary incontinence Anticholiergics Pt has NG tube what should be reported to PCP Abdominal cramping Why avoid sitting with knees crossed Popliteal artery Nurse gave med with no consent Malpractice Physiological of elderly Sensory acuity ineffective peripheral tissue perfusion Diminished pulse stress urinary incontinence Pee when cough/sneezes Pt gets Hep c from what Iv drug use Diabetic Ketoacidosis (DKA) Potassium level Ph level Kussmal respirations constipation Hypoactive bowel sounds Pt has diarrhea Hypokalemia fetal alcohol syndrome Heart murmur Pt has renal disease what med do they need to avoid Motrin