Exam Review
- A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?A)Alcohol.B)Caffeine.C)Cocaine.D)Inhalants.
- A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?A)Take this medication with a full glass of water or fruit juice.B)Take this medication with high-protein foods.C)Take this medication before a meal or several hours after a meal.D)Take this medication during your morning meal.
- A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient's spouse asks the Registered Nurse which symptoms characterize this disorder. Which are the most appropriate responses by the Registered Nurse? (Select all that apply.)(SATA)A)Taut, dry skin.B)Slow heart rate.C)Elevated BUN and creatinine.D)Elevated blood glucose.E)Decreased Osmolality.
- A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated.”. The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?A)Potassium.B)Bicarbonate.C)Ammonia.D)Glucose.
Exam Review
- A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?A)Brudzinski's sign.B)Kernig's sign.C)Babinski's sign.D)Chvostek's sign.
- A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?A)Restrict protein intake to 2 servings per day.B)Apply a cold compress to the client's flank area.C)Discourage ambulation.D)Encourage intake of at least 3 L of fluids per day.
- Which nursing interventions should the Registered Nurse implement when providing care for a patient with ascites related to Cirrhosis of the liver? (Select all that apply.)(SATA)A)Administer furosemide as prescribed.B)Ambulate in the hallway three times daily.C)Maintain strict intake and output.D)Prepare the patient for a paracentesis.E)Encourage an increase in oral fluids.
- Which symptoms reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the registered nurse? Select the two findings that require immediate follow-up.(SATA)A)Increased appetite.B)Hand tremors.C)Foot cramps.D)Dizziness.E)Earache.
Exam Review
- A nurse is caring for a male client who has a urinary tract infection. Which of the following conditions is the client most likely to develop as a result of the urinary tract infection?A)Erectile dysfunction.B)Prostatitis.C)Chlamydia.D)Benign prostatic hypertrophy.
- A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?A)"The last time I voided it was painful and red-tinged.”.B)"I drink at least 2 quarts of fluid every day.”.C)"My period ended 2 days ago.”.D)"I don't eat shellfish because it gives me hives.
- A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?A)Avoid foods high in fat.B)Avoid foods high in sodium.C)Include foods high in fiber.D)Include foods high in starch and proteins.
- A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?A)Constipation.B)Drowsiness.C)Insomnia.D)Hypoactive deep-tendon reflexes.
Exam Review
- A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?A)Amylase.B)Magnesium.C)Red blood cell count.D)Calcium.
- A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?A)Diuretic use.B)Family history.C)Body mass index less than 25.D)Hypocalcemia.
- A patient newly diagnosed with hyperthyroidism has a fever of 101.3 degrees Fahrenheit. Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.A)Heart rate 140 beats per minute.B)Diarrhea lasting four days.C)Recent tooth extraction.D)Hypoventilation.E)Periorbital edema.
- A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?A)Regular insulin.B)Insulin detemir.C)Insulin glargine.D)NPH insulin.
Exam Review
- The nurse is assessing an adult patient with Type 1 diabetes mellitus. Which lab result should be reported to the physician immediately? Select the three findings that require immediate follow-up.A)Positive ketones in the urine.B)Creatinine 2.5 milligrams per deciliter.C)Blood glucose 112 milligrams per deciliter.D)Microalbuminuria 40 milligrams per 24 hours.E)Hemoglobin A1C 6.0 percent.F)Hemoglobin 10.2 grams per deciliter.