Exam Review
- A client reports to the nurse of recently visiting someone who has a shingles infection. The client believes that having had chickenpox as a child will be protective against shingles. How should the nurse respond? Select all that apply.(SATA)A)Ask the client to describe the type of shingles that her brother has.B)Affirm that a person with shingles has a history of chickenpox infection.C)Instruct the client to report the development of fatigue and low-grade fever.D)Explain that the risk of developing shingles decreases with age.E)Distinguish the difference between herpes varicella and herpes zoster.
- A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?A)Fewer fingerstick glucose checks.B)Increased oral fluid intake.C)Higher doses of insulin.D)Restriction of caloric intake.
- A client reports to the nurse of recently visiting someone who has a shingles infection. The client believes that having had chickenpox as a child will be protective against shingles. How should the nurse respond? Select all that apply.(SATA)A)Ask the client to describe the type of shingles that her brother has.B)Affirm that a person with shingles has a history of chickenpox infection.C)Instruct the client to report the development of fatigue and low-grade fever.D)Explain that the risk of developing shingles decreases with age.E)Distinguish the difference between herpes varicella and herpes zoster.
- A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?A)Fewer fingerstick glucose checks.B)Increased oral fluid intake.C)Higher doses of insulin.D)Restriction of caloric intake.
Exam Review
- The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?A)Dyspnea and sinus tachycardia.B)Reports of a bad taste in the mouth.C)Low, concentrated urine output.D)Productive cough and fever.
- A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?A)Encourage deep breathing and coughing exercises.B)Obtain vital signs every 2 hours during hospitalization.C)Provide an eye shield to be worn while sleeping.D)Teach a family member to administer eye drops.
- A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?A)Atelectasis.B)Outflow obstruction.C)Exit site infection.D)Peritonitis.
- The nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?A)Leg elevation.B)Structured exercise.C)Massage therapy.D)Calorie-dense diet.
Exam Review
- A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client's plan of care?A)Perform passive range of motion.B)Assess lung sounds every 4 hours.C)Continuous cardiac monitoring.D)Evaluate level of consciousness.
- A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?Reference Range Sodium (136 to 145 mEq/L)A)Serum sodium of 185 mEq/L (185 mmol/L).B)Polyuria and excessive thirst.C)Dry skin with inelastic turgor.D)Apical heart rate of 110 beats per minute.
- During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?A)An old friend with eczema came for a visit.B)A grandson and his new dog recently visited.C)Corticosteroid cream was applied to eczema.D)Recently received an influenza immunization.
- When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?A)Reduces the inflammatory process improving nerve transmission and function.B)Acts as an antiseizure medication reducing the tremors caused by the disease.C)Slows the scarring in the myelin sheath improving muscle tone and strength.D)Increases the amount of dopamine available for muscles to function correctly.
Exam Review
- A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?A)Obtain a prostate-specific antigen blood level test.B)Consume a high-protein diet.C)Take vitamin supplements.D)Increase physical activity.
- A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type of fluid limitation?A)Citrus fruit juices.B)Tea and hot chocolate.C)Overall fluid intake.D)Low-sodium soups.E)NoneF)None
- The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the best initial nursing action?A)Measure the client's intake and output.B)Increase the flow of the bladder irrigation.C)Provide additional oral fluid intake.D)Administer a PRN dose of an antispasmodic agent.
- A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?A)Platelet count.B)Serum electrolytes.C)Complete blood count.D)Liver enzymes.
Exam Review
- A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?A)Apply the client's home oxygen.B)Take the client to the emergency department (ED).C)Check for a thrill and bruit at the client's dialysis access site.D)Ensure that the client avoids salt intake for the rest of the day.
- A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800 mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?A)Replace dietary table salt with salt substitutes.B)Avoid the consumption of wine, beer, and coffee.C)Take prescribed pain medication after exercising joints.D)Encourage active range of motion to limit stiffness.
- A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?A)Observe the leg for swelling.B)Auscultate blood pressure.
- The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of carcinogens, which statement indicates an accurate understanding?A)Environmental factors such as sunlight and chemicals can cause cancer to spread.B)Substances that change a cell so that it becomes cancerous are potential sources of cancer.C)Carcinogens are substances that contain cancerous cells.D)Carcinogens are in the environment and cannot be avoided.
Exam Review
- of 60The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of carcinogens, which statement indicates an accurate understanding?A)Environmental factors such as sunlight and chemicals can cause cancer to spread.B)Substances that change a cell so that it becomes cancerous are potential sources of cancer.C)Carcinogens are substances that contain cancerous cells.D)Carcinogens are in the environment and cannot be avoided.
- The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results, which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?A)Acute pancreatitis.B)Biliary duct obstruction.C)Hepatorenal failure.D)Surgical site infection.
- The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?A)There are no bowel sounds in the left lower quadrant.B)The stoma mucosa is purple in color.C)The stoma has streaks of bright red blood.D)The fecal matter is brown and has a solid consistency.
- The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?A)Nasogastric tube (NG) insertion.B)Tracheostomy placement.C)Central line insertion.D)Pacemaker placement.