Comprehensive Exam 133- Cyclobenzaprine(Flexeril)isprescribedtoaclientwithmultiplesclerosisforthetreatmentof musclespasms.Forwhichcommonsideeffectofthismedicationdoesthenursemonitortheclient? A. Diarrhea B. Drowsines C.
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Comprehensive Exam 133- Cyclobenzaprine(Flexeril)isprescribedtoaclientwithmultiplesclerosisforthetreatmentof musclespasms.Forwhichcommonsideeffectofthismedicationdoesthenursemonitortheclient? A. Diarrhea B. Drowsines C. Abdominalpain D. Increasedsalivation 134- Anurseadministersnitroglycerinsublingualytoaclientwithanginapectoriswhocomplainsof chestpain.Themedicationisineffective,sothenursepreparestoadministeraseconddose.Before administeringthenitroglycerin,whichactiondoesthenursemakeapriority? A. Checkingtheclient'sblo dpresure B. Obtainingblo dlevelsofcardiacenzymes C. Askingtheclientwhetherhehasaheadache D. Obtaininga12-leadelectrocardiogram (ECG) 135- Ciprofloxacinhydrochloride(Cipro)isprescribedtoaclientwithaurinarytractinfection.The nurse,providinginstructionabouthemedication,telstheclienthatitisbestotakethemedication: A. Withmilk B. Withanantacid C. 2hoursaftermeal D. Withaluminum hydroxide 136.- Anurseprovideshomecareinstructionstoaclientwithcoronaryarterydisease(CAD)whoisbeing dischargedfrom thehospital.Whichstatementbytheclientindicatesane dforfurtherinstruction? A. "Ine dtocarrymynitroglycerinwithmeataltimes." B. "Ine dtocheckmypulsebefore,during,andafterexercise." C. "Ine dtoavoidfo dswithsaturatedfatsandfo dshighincholesterol." D. "Ine dtoparticipateinaerobicandweightliftingexercisethre timesawek. 137-Anurseprovidesinformationtoaclientwhowilbeundergoingendoscopicretrograde cholangiopancreatography(ERCP).Thenursetelstheclienthat: A. Thereisnone dtofast(NPOstatus)beforetheprocedure B. Thegalblad eriseasilyremovedduringthisprocedureifgalstonesarefound C. Theprocedureisperformedspecificalytovisualizetheesophagus,stomach,and duodenum D. Dyemaybeinjectedduringtheproceduretopermitvisualizationofthepancreaticand biliaryduct 138ID:383713175 Aclientwhohasundergonekne-replacementsurgerywilbeself-administeringenoxaparinsodium (Lovenox)athome.Thenurseteachestheclientabouthemedicationandtelsthecliento: A. Storethemedicationintherefrigerator B. Liedowntoadministerthesubcutaneousinjection C. Injecthemedicationintheup erouteraspectofthearm D. Discardthemedicationifthesolutionap earspaleyelow 139ID:383703667 Anintravenousdoseofadenosine(Adenocard)isprescribedforaclientotreatWolff-Parkinson- Whitesyndrome.Whichpieceofequipmentdoesthenursemakeapriorityofobtainingbefore administeringthemedication? A. Pulseoximeter B. Cardiacmonito C. Blo d-presurecuff D. Suctioncatheterandsuctionmachine 140ID:383703619 Anurseprovidesinformationtoaclientwithcoronaryarterydisease(CAD)aboutsmoking-cesation measures.Whichstatementbytheclientindicatesane dforfurtherinformation? A. "Acommunitysup ortgroupwilhelpmequit." B. "Ishoulddrinkacupofcoffe ifIfe ltheurgetosmoke. C. "Relaxationexerciseswilhelpcontrolmyurgetosmoke." D. "Icantrychewinggum orsuckingonhardcandyifIfe ltheurgetosmoke." 141ID:383708584 Captopril(Capoten)isprescribedforahospitalizedclientwithheartfailure.Whichactionisapriority oncethenursehasadministeredthefirstdose? A. Checkingtheclient'sapicalheartrate B. Maintainingtheclientonbedrestfor3hour C. Monitoringtheclientforincreasedurineoutput D. Checkingtheclient'sbreathsoundsfordecreasedwhe zing 142ID:383706680 Aclientwithheartfailuresud enlyexperiencesprofounddyspnea,palor,audiblewhe zing,and cyanosis,andthenursesuspectspulmonaryedema.Thenursewouldfirst: A. Obtainapulseoximetryreading B. Raisetheheadoftheclient'sbed C. Administeradoseofmorphinesulfate D. Obtainaspecimenforanarterialblo dgasdetermination 143ID:383703665 Thenurseadministersintravenousmorphinesulfatetoaclientinpulmonaryedema.Forwhich intendedeffectofthemedicationdoesthenursemonitortheclient? A. Reliefofpain B. Reliefofanxiet C. Decreasedurineoutput D. Increasedblo dpresure 14 ID:383702944 Anurseisprovidinghomecareinstructionstoaclientwithcoronaryarterydisease(CAD)whowil bedischargedhomeandwilbetaking1aspirindaily.Thenursetelstheclient: A. Tostoptheaspirinifnauseaocur In B. Totaketheaspirinonanemptystomach C. Thatheaspirinisashort-term treatmentandwilprobablybediscontinuedin2 we ks 145ID:383713112 Aclientreceivingparenteralnutrition(PN)sud enlyexperienceschestpainanddyspnea,andthe nursesuspectsanairembolism.ThenurseimmediatelyplacestheclientinalateralTrendelenburg position,ontheleftside.Whatactiondoesthenursetakenext? A. Auscultatingheartsounds B. Clampingtheintravenouscathete C. Checkingtheclient'sblo dpresure D. Obtaininganarterialblo dgasspecimen 146ID:383711448 Anurseisteachingaclientwithleft-sideweaknes howtowalkwiththeuseofaquad-cane.The nurseensuresthat: A. Theclientplacesthecaneontheleftside B. Thetopofthecaneislevelwiththeclient'swaist C. 30-degre flexionoftheclient'selbowismaintainedwhentheclientisholdingthe cane D. Theclientleansonthecaneandplacesasmuchweightasposibleonthecane whenmovingitforward 147ID:383702961 Anurseispreparingthero m ofaclientinskeletaltractionwhowilbeadmitedtothenursingunit. Whichitem forusebytheclientdoesthenurseidentifyasthemostimportant? A. Telephone B. Television C. Trapezeba D. Bedsidecommode 148ID:383702975 Anursetakingthevitalsignsofaclientimmediatelyaftershehasdeliveredanewbornnotesthathe client'sheartrateis1 0beats/min.Thenursewouldfirst: A. Documenthefindings B. Offertheclientoralfluids C. Rechecktheheartratein1hour D. Checktheuterusandamountoflochiadischarge 149ID:383708504 Aclientisreceivinganintravenousinfusionofalteplase(tisueplasminogenactivator,recombinant; tPA).Forwhichadverseeffectofthemedicationdoesthenursemonitortheclientmostclosely? A. Ble ding B. Hearinglos C. Decreasedurineoutput D. Increasedblo dpresure 150ID:383708596 Viewvideo.Thenurseisperformingasterilechangeofanabdominaldresing.Oncethedresing hasbe nremovedanddiscardedinawaterpro fbag,whichactionshouldthenursetakenext? A. Asesingthewound B. Don ingsterilegloves C. Cleansingthewound D. Setingupthesterilefield 151ID:383706038 Anurseisprovidingmorningcaretoaclientwhohasundergonesurgerytorepairafracturedleft hip.Whichitem ismostimportantforthenursetouseinturningtheclientfrom sidetosidetochange thebedlinens? A. Trapezebar B. Slidingboard C. Ad uctiondevice D. AbductiondeviceCorrec 152ID:383710526 Anurseprovidesdietaryinstructionstoaclientwithosteoporosiswhohassustainedafractureabout fo dsthatwilpromotehealing.Thenursetelstheclienthatitisbestoconsumefo dsthatare highin: A. Fats B. VitaminC C. Carbohydrates D. Concentratedsugar 153ID:383710520 Anurseinaphysician'sofficeistalkingtoaclientwhounderwentmastectomyoftherightbreast2 weksago.Theclientsaystothenurse,"Ihatelokingathisincision.Ife lthatI'm notevenmyself anymore."Thenurseinterpretsthisstatementomeanthatheclientisexperiencingwhichproblem? A. Inabilitytocope B. Distortedbodyimage C. Inabilitytocareforself D. Inabilitytomaintainhealth 154ID:383703639 Anursediscoversthataclientreceivingheparinsodium bywayofcontinuousintravenous(IV) infusionhasremovedtheIVtubingfrom theinfusionpumptochangehishospitalgown.After asesingtheclientandplacingthetubingbackintheinfusionpump,whichmedicationdoesthe nursecheckforinthemedicationro m incaseaheparinoverdosehasocurred? A. Protaminesulfate B. Enoxaparin(Lovenox) C. Phytonadione(vitaminK) D. Aminocaproicacid(Amicar) 15 ID:383703663 Themotherofanewbornfoundtohaveacongenitaldiaphragmaticherniaasksthenursetoexplain thediagnosis.Thenursetelsthemotherthatinthiscondition: A. Theesophagusterminatesbeforeitreachesthestomach B. Gastriccontentsareregurgitatedbackintotheesophagus C. Abdominalcontentsherniatethroughanopeningofthediaphragm D. Aportionofthestomachprotrudesthroughtheesophagealhiatusofthediaphragm 156ID:383710522 Anurseisperforminganasesmentofanewbornwithadiagnosisofesophagealatresia(EA)and tracheoesophagealfistula(TEF).Whichfindingsdoesthenurseexpectonoteintheinfant?Select allthatapply. A. Dro ling B. Whe zing C. Hicuping D. Shortperiodsofapnea E. Excesiveoralsecretion F. Bowelsoundsoverthechest 157ID:383711493 Anurseisreviewingthemedicalrecordofaninfantinwhom hypertrophicpyloricstenosis(HPS)is suspected.Whichcharacteristicsasociatedwiththedisorderdoesthenurseexpectsse documentedintheinfant’smedicalrecord?Selectallthatapply. A. Weightlos B. Facialedema C. Metabolicacidosis D. Projectilevomiting E. Distendedup erabdomen 158ID:383703641 Aclientwithahistoryofanginapectoristelsthenursethathechestpainusualyocurswith moderatetoprolongedexertionandisgeneralyrelievedbynitroglycerinorest.Whichtypeof anginadoesthenurserecognizeintheclient’sdescription? A. Stable B. Variant C. Unstable D. Crescendo 159ID:383706082 Methylergonovine(Methergine)isprescribedforaclientocontrolpostpartum ble ding.Which actiondoesthenursetakebeforeadministeringthemedication? A. Checkingtheepisiotomysite B. Palpatingtheclient'sblad er C. Checkingtheclient'sblo dpresure D. Ensuringthatheuterusiscontracted 160ID:383706068 Anurseisteachingaclientwithanginapectoriswhoisbeingdischargedfrom thehospitalabout managingchestpainathome.Whichstatementbytheclientindicatesane dforfurtherteaching? A. "Ine dtoke pfreshnitroglycerinavailableincaseIne dit." B. "Ine dtochecktheexpirationdateonthenitroglycerinbotle." C. "IfIhaveanychestpain,Ine dtostopwhatIam doingandsitorliedown." D. "IfIgetchestpain,Ishouldput3nitroglycerintabletsundermytongueandthengoto theemergencydepartmentifthatdoesn’twork. 161ID:383707949 Anursedevelopsalistofhomecareinstructionsforaclientwhoiswearingahalofixationdevice aftersustainingacervicalfracture.Whichinstructionsshouldthenurseinclude?Selectallthat apply. A. Useastrawtodrink B. Avoidsexualactivitywhilethevestisinplace. C. Ap lypowderunderthevestopreventirritation. D. Usecautionwhenleaningforwardorbackward E. Wearsnugclothingtopreventhedevicefrom shifting. F. Donotdrive,becausefulrangeofvisionisimpairedwiththedevice 162ID:383710057 Anurseisasesingaclientwhoisexperiencingchestpain.Whichofthefolowingobservations indicatestothenursethathepainismostlikelyaresultofangina? A. Thepainisrelievedbyrestandnitroglycerin B. Thepainisrelievedbytheadministrationofanantacid. C. Thepainisrelievedbytheadministrationofanantinflammatorymedication. D. Thepainisrelievedwithanuprightsitingpositionandtheadministrationofan analgesic. 163ID:383706640 Anursehasprovidednutritioninstructionstoamotherofaninfant.Whichstatementbythemother indicatestothenursethathemotherequiresfurtherinstruction? A. "It’sbestousecow'smilk,aslongasit’swholemilkandnotskim. B. "WhenIstartfe dingsolidfo ds,Imightne dtoad watertothefo d." C. "Whenthebabystartstotakejuices,Ishouldn’twarm thejuice,becausethatwil destroythevitaminC." D. "ThebabywilgetherightnutritionifIfe dbreastmilkorstore-boughtformulathat’s be nfortifiedwithiron.” 164ID:383703671 Apediatricnurseiscaringforahospitalizedtod ler.Whichofthefolowingactivitiesdoesthenurse de m themostap ropriateforthetod ler? A. Singinggames B. Watchingvideos C. Simpleboardgames D. Largebuildingblock 165ID:383709206 Anurseinaphysician'sofficeisreviewingthemedicalrecordofachildwithadiagnosisoflactose intolerance.Whichofthefolowingfindingsdoesthenurseexpectose documentedinthechild's record? A. Fatystols B. Episodesofoul-smelingribonlikesto ls C. Episodesofprofusewaterydiarrheaandvomiting D. Episodesofcrampingabdominalpainandexcesiveflatu 16 ID:383712470 Anurseisprovidingdietaryinstructionstothemotherofachildwithceliacdisease.Thenursetels themotherthatitisaceptabletogivethechild: A. Boiledrice B. Cokedpasta C. Warm oatmeal D. Bakedmacaroniandche se 167ID:383713110 Anurseadmitinganewborntothenurserynotesthathephysicianhasdocumentedthathe newbornhasagastroschisis.Thenurseperformsanasesment,expectingtonotethatheviscera are: A. Insidetheabdominalcavityandundertheskin B. Insidetheabdominalcavityandunderthedermis C. Outsidetheabdominalcavity,notcoveredwithasa D. Outsidetheabdominalcavitybutinsideatranslucentsaccoveredwithperitoneum andamnioticmembrane 168ID:383707998 Anurseismonitoringachildwithintususceptionforsignsofperitonitis.Forwhichofthefolowing findings,indicativeofthiscomplication,doesthenursenotifythephysician? A. Increasedalertnes B. Increasedheartrate C. Asausage-shapedabdominalmas D. Diarrheaandthepasageofblo dymucoussto l 169ID:383713179 Thenurse,auscultatingthebreathsoundsofaclient,hearsthesesounds.Whatarethey? A. Rhonchi B. Crackles C. Whe ze D. Vesicular 170ID:383703631 Aregisterednurseisplan ingclientasisgnmentsfortheday.Thereisalicensedpracticalnurse andanursingasistantontheteam.Whichclientistheap ropriatechoiceforthenursingasistant? A. Aclientwithhemophiliawhone dsasistancewithshaving B. Aclientwithpneumoniawhorequiresfrequentoropharyngealsuctioning C. Aclientwithrheumatoidarthritiswhone dsasistancewithfe dingand ambulation D. Aclientwithheartfailurewhonedsdailyweightsandmonitoringofintakeandoutput 171ID:383706623 Anurseismonitoringaclientwithbronchogeniccarcinomaforsignsofsuperiorvenacava syndrome.Forwhichearlysignofthisoncologicalemergencydoesthenurseases theclient? A. Dyspnea B. Cyanosis C. Hypotension D. Stokessign 172ID:383704500 Anurseiscaringforaclientwhohasundergonetransphenoidalhypophysectomytoremovea microadenomaofthepituitarygland.Whichofthesefindingswouldbeofgreatestconcerntothe nurse? A. Urinaryspecificgravityislow B. Blo dpresureis138/80mm Hg. C. Theclientcomplainsofadrymouth. D. Theclientfrequentlyperformsde p-breathingexercises. 173ID:383703683 Thenursenotesthepresenceofdrainageonthemustachedresingofaclientwhohasundergone transphenoidalhypophysectomy.Theinitialnursingactionisto: A. Contacthesurgeon B. Changethedresing C. Documenthefindings D. Checkthedrainageforglucose 174ID:383706676 Anurseismonitoringaclientwhohasundergonesubtotalthyroidectomyforsignsofpostoperative complications.Whichofthefolowingfindingswouldbeamaterofconcernforthenurseasan indicationofhypocalcemia? A. Theclient'stemperatureis10 .6˚F. B. Theclient'svoiceishoarseandweak. C. Theclient'sheartrateis92beats/min. D. Theclientcomplainsofatinglingsensationaroundthemouth 175ID:383705065 Anurseismonitoringaclientwhowasbroughtotheemergencydepartmentinanunresponsive stateandisnowbeingtreatedforhyperglycemichyperosmolarnonketoticsyndrome(HHNS).Which ofthefolowingfindingsindicatestothenursethatfluidreplacementisinadequate? A. Increasedurineoutput B. Potasium levelof3.6mEq/L C. Blo dpresureof128/80mm Hg D. Levelofconsciousnes remainsunchanged 176-Anurseisreviewingthelaboratoryresultsofaclientintheemergencydepartmentwithdiabetic ketoacidosis(DKA).Whichlaboratoryresultwouldthenurseexpectonote? A. Creatinine1.0mg/dL B. Serum bicarbonateof12mEq/L C. Blodureanitrogen(BUN)of15mg/dL D. Negativeresultsonurinaryketonetesting 17 ID:383710513 Propylthiouracil(PTU)hasbenprescribedforaclientwithGravesdisease,andthenurseprovides instructionstotheclientabouthemedication.Forwhichofthefolowingocurencesdoesthenurse telstheclientocontacthephysician? A. Fatigue B. Diaphoresis C. Sorethroa D. Heatintolerance 178ID:383709215 Anurseisprovidinginformationtoaclientwithdiabetesinsipiduswhowilbetakingdesmopresin acetate(DDAVP)bywayofthenasalroute.Forwhichofthefolowingocurrencesdoesthenurse teltheclientocontacthephysician? A. Abdominalcramps B. Stuffyorunynose C. Headacheandnausea 179ID:383702948 Aclientwithdiabetesmelituscalstheclinicnurseandreportsthatshehasbe nvomitingduringthe nightandnowhasdiarrhea.Whichquestiondoesthenursemakeapriorityofaskingtheclient? A. "Doyouhaveafever?" B. "Didyoueatanybreakfast?" C. "Areyouurinatingfrequently?" D. "Haveyoutestedyourblo dglucose? 180ID:383708540 Anurseisprovidinginformationtoaclientwhowilbeself-administeringregularinsulinabout storageoftheinsulin.Thenursetelstheclient: A. Thatplacingthevialnearheatorinsunlightwilnotaffectheinsulin B. Tofrezeunopenedvialsandremoveavialfrom thefrezer24hoursbeforeopening it C. Thatinsulinstoredatro m temperaturecausesmorediscomfortoninjectionthan doescoldinsulin D. Thathevialincurentusemaybekeptatro m temperatureforaslongas1month withoutsignificantlos ofactivit 181ID:383704568 Anursereviewsthemedicalrecordofaclientwithhistoplasmosis.Whichclinicalmanifestationof thisinfectiondoesthenurseexpectose documented? A. Neurologicaldeficits B. Cardiacdysrhythmias C. Gastrointestinaldisturbances D. Flulikepulmonarysymptom 182ID:383704517 Aclientwithamedicalhistoryofdiabetesmelitusisfoundtohavesarcoidosis,andoralprednisone isprescribed.Thenurseprovidesinstructionstotheclientabouthemedicationandtelstheclient to: A. Eatfo dsthatarehighinsodium B. Decreasethedailydoseofinsulin C. Eatfo dsthatarelowinpotasium D. Closelymonitortheblo dglucoseleve 183ID:383711481 Aclientwithtuberculosiswilbetakingpyrazinamide(Pyrazinamide),andthenurseprovides instructionsaboutheadverseeffectsofthemedication.Forwhichofthefolowingocurencesdoes thenurseteltheclientocontacthephysician? A. Headache B. Yelowskin C. Difficultysle ping D. Nasalcongestion 184ID:383702946 Aclientwhowasinvolvedinahigh-spe dmotorvehiclecrashisbroughtotheemergency department.Whichofthefolowingfindingsindicatestothenursethatheclienthassustainedflail chest? A. Asymmetricalchestmovemen B. Complaintsofmildchestdiscomfort C. Increasedbreathsoundsonauscultation D. Deprespirations,18breaths/min 185ID:383708594 Aclientisfoundtohavehypoxemicrespiratoryfailure.Whichfindingdoesthenurseexpectonote onreviewoftheresultsoftheclient'sarterialblodgasanalysis? A. Pao2 of73mm Hg,Paco2 of62mm Hg B. Pao2 of58mm Hg,Paco2 of35mm Hg C. Pao2 of60mm Hg,Paco2 of45mm Hg D. Pao2 of49mm Hg,Paco2 of32mm Hg 186ID:383707958 Aclientwithacutegoutyarthritisisbeingstartedonmedicationtherapywithindomethacin(Indocin). Thenurse,providingmedicationinstructions,andtelstheclientotakethemedication: A. Atbedtime B. Withfo d C. 1hourbeforemeals D. Onanemptystomach 187ID:383705037 Anemergencydepartmentnurseismonitoringaclientwhosustainedasevereinhalationburninjury duringafireinwhichtheclientwastrap edinanenclosedspace.Thenurseauscultatestheclient's tracheaandnotesthathepreviouslyheardwhe zingsoundshavedisap eared.Thenurse mostapropriately: A. Continuesmonitoringtheclient B. Notifiestheemergencydepartmentphysician C. Documentstheclient'simprovementinthemedicalrecord D. Removestheoxygenmaskandfitstheclientwithanasalcan ula 18 ID:383703645 Anursereviewsarterialblo dgasvaluesandnotesapHof7.50andaPco2 of30mm Hg.The nurseinterpretsthesevaluesasindicativeof: A. Metabolicacidosis B. Metabolicalkalosis C. Respiratoryacidosis D. Respiratoryalkalosi 189ID:383702997 Anurseprovidesinformationtoaclientwithchronicobstructivepulmonarydisease(COPD)about methodsofaleviatingshortnes ofbreathwhiletheclientiseating.Whichstatementbytheclient indicatesane dforfurtherinstruction? A. "IshouldrestbeforeIeat." B. "Ishouldusemybronchodilator30minutesbeforeIeat." C. "Pursed-lipbreathingwilhelprelievemyshortnes ofbreath." D. "Ishouldeathre mealsaday,andthebig estmealshouldbeat supertime. 190ID:383712487 Apostoperativeclientwithde p-veinthrombosisisatriskforpulmonaryembolism.Forwhich characteristicsignorsymptom ofthiscomplicationdoesthenursemonitortheclient? A. Pleuriticchestpain B. Slowedheartrate C. Chilsandahighfever D. Decreasedrespiratoryrate 191ID:383710589 Anursecaringforaclient24hoursafteraradicalneckdisectionnotesthepresenceof serosanguineousdrainageintheportablewoundsuctiondeviceatachedtothesurgicalsite.Onthe basisofthisfinding,thenurseshould: A. Contacthephysician B. Documenthefinding C. Askthephysiciantoremovethedrains D. Increasethepresureonthewoundsuctiondevic 192-Althoughpreviouslywelcontroledwithglyburide(Diabeta),aclient’sfastingblo dglucosehas benrun ing180to20 mg/dL.Onreviewingtheclient'srecord,whichmedication,recentlyad ed totheclient'sregimen,doesthenurserecognizeasaposiblecontributortothehyperglycemia? A. Phenelzine(Nardil) B. Atenolol(Tenormin) C. Alopurinol(Zyloprim) D. Lithium carbonate(Lithobid 193ID:383704525 Anurseisperforminganasesmentofaclientwithsuspectedpheochromocytoma.Whichclinical manifestationdoesthenurseexpectonote? A. Weightgain B. Flushedface C. Clientcomplaintofdiarrhea D. Ablodpresurehigherthanthenormalrange 194ID:383712485 Thenurseisthefirstresponderathesceneofabuscrash.Afteraquickasesmentofthevictims, whichonedoesthenursecareforfirst? A. Avictim withatwistedankleandlegbruises B. Avictim withanopenfractureofthearm thatisble dingprofusel C. Avictim whoisanxiouslymovingamongthevictims,searchingforherhusband D. Avictim whoisunresponsive,withsevereswelingandbruisingaroundtheeyes,and isnotbreathing 195ID:383705057 AclientwithsuspectedHIVinfectionhaspositiveresultsonenzyme-linkedimmunosorbentasay (ELISA)andWesternblotests.TheplasmaHIVRNAlevelisasesed,andtheresultisreportedas 800copies/mL.ThenurseinterpretstheresultsoftheHIVRNAtestasindicatingthatheclient: A. IsatlowriskforAIDS B. IsathighriskforAIDS C. IsatriskforHIVinfection D. Requiresfurthertestingtoconfirm thepresenceofHIV 196ID:383703675 AnursedevelopingaplanofcareforaclientwithHIVinfectionidentifiesseveralconcerns.Listhem inorderofpriority,from highestolowest. 1. Posibleinfection 2. Decreasednutrition 3. Fatigue 4. Despair 197ID:383710518 Aclientisfoundtohaveiron-deficiencyanemia,andferoussulfate(Feosol)isprescribed.Thenurse telstheclienthatitisbestotakethemedicationwith: A. Milk B. Aplejuice C. Orangejuice D. Scrambledegs 198ID:383705086 Anurseismonitoringaclientwithpheochromocytomawhoisreceivinganintravenous(IV)infusion ofphentolamine.Whichvitalsigndoesthenursemonitormostcloselyduringtheinfusion? A. Apicalpulse B. Respirations C. Temperature D. Blo dpresure 19 ID:383711489 Oralprednisone5mg/dayhasbe nprescribedforaclientwithachronicrespiratorydisorder,and thenurseprovidesinstructionstotheclientabouthemedication.Thenursetelsthecliento: A. Takethemedicationonanemptystomach B. Takehalfofthedailydoseifweightgainocurs C. Stoptakingthemedicationiftheanklesbegintoswel D. Calthephysicianifafever,sorethroat,ormuscleachesdevelop 20 ID:383705035 Asanursepreparestoadministermedicationstoanasignedclient,theclientasks,"Whydon'tyou justleavemealone?"Whatisthebestresponsebythenurse? A. "Don'tyelatme." B. "Thesemedicationswilhelpyoufe lmuchbeter." C. "Whydoyouwantobeleftalone?I’m heretohelpyou." D. "Icanse thatyou’reupset.Wouldyouliketotalkaboutit? 201ID:383703635 Anurseisasesingaclientwithhepatitisforsignsofjaundice.Whichareadoesthenursecheck, knowingthatitwilprovidethebestdataregardingthepresenceofjaundice? A. Lips B. Soles C. Palms D. Mucousmembrane 202ID:383713181 Amothercalstheemergencydepartmentandtelsthenursethather3-year-oldchilddrank ammoniafrom abotlewhilethemotherwascleaninghouse.Thenursetelsthemotherto immediately: A. Inducevomiting B. Calthechild'sphysician C. Bringthechildtotheemergencydepartment D. Encouragethechildtodrinkwaterormilkinsmalamount 203ID:383703651 Calcium disodium edetate(EDTA)andBritishantilewisite(BAL,dimercaprol)isprescribedforachild withleadpoisoning.Whatdoesthenurseaskthechild'smotherbeforeadministeringthe medications? A. "Canyourchildswalowpils?" B. "Hasyourchildbe nruningafever?" C. "Doesyourchildhaveanalergytopeanuts? D. "Howlonghasyourchildbe nexposedtothelead?" 204ID:383706070 Achildisbroughtotheemergencydepartmentbyambulanceafterswalowingseveralcapsulesof acetaminophen(Tylenol).Whichmedicationdoesthenurseprepare,anticipatingthatitwilbe prescribedtotreathechild? A. Protaminesulfate B. Sucimer(Chemet) C. Phytonadione(vitaminK) D. Acetylcysteine(Mucomyst 205-Afemaleclientwithrheumatoidarthritisistaking3.6gofacetylsalicylicacid(aspirin)dailyina divideddose.Athephysician'soffice,theclientelsthenursethatshehasbenexperiencing ringingintheearsoverthepastfewdays.Thenursetelstheclienthat: A. Thisisexpectedandnothingtobeconcernedabout B. Itisimportantodrinkatleast10glasesofwateradaytopreventringingintheears C. Thisisasignoftoxicity,sotheaspirinwilbediscontinuedandreplacedwitha nonsteroidalantinflammatorymedication D. Thephysicianwilprobablywith oldtheaspirinuntilthesymptomshavesubsided,then resumetheaspirinatalowerdosage 206ID:383712468 Anurseiscaringforaclientwhosustainedburninjuriesontheanteriorlowerlegsandanterior thorax.Whatpercentageoftheclient’sbody,acordingtotheRuleofNines,hasbe naffected? A. 36% B. 42% C. 45% D. 31.5% 207ID:383706625 Aclientisbroughtotheemergencydepartmentaftersustainingsmokeinhalationinjuryduringafire intheclient'shome.Thenurseplanstofirst: A. CheckforapatentIVline B. Provideemotionalsuportotheclient C. Providetheclientwith10 % oxygenbymas D. Administerintravenous(IV)fluidsasprescribed 208ID:383702985 Aclientwithemphysemaisreceivingtheophyline(Theo-24).Whileprovidingdietaryinstructions,the nursetelstheclienthatitisaceptabletoconsume: A. Cola B. Coffe C. Hotcocoa D. Aplejuice 209-Testingoftheplasmatheophylinelevelinaclientwhoisreceivingacontinuousintravenous infusionoftheophylinerevealsalevelof20mcg/mL.Thenurseinterpretsthisresultas: A. Belowthetherapeuticrange B. Inexces ofthetherapeuticrange C. Athetopofthetherapeuticrange D. Inthemid leofthetherapeuticrange 210ID:383702967 Fluticasonepropionate(Advair)andalbuterol(VentolinHFA),administeredbyinhalationtwicedaily, areprescribedforaclientwithasthma.Thenurse,providinginformationtotheclientabout administrationofthemedication,telstheclientousethe: A. Fluticasonepropionateimmediatelyafterinhalingthealbuterol B. Albuterolimmediatelyafterinhalingthefluticasonepropionate C. Fluticasonepropionateseveralminutesbeforeinhalingthealbuterol D. Albuterolseveralminutesbeforeinhalingthefluticasonepropionate 21 ID:383702987 Anurseasesingthewoundofaclientwithastage3presureulcerandnotesthathewoundbed ispale.Thenurseinterpretsthisfindingasaposibleindicationthat: A. Thewoundishealthy B. Thewoundisimproving C. Necrotictisueispresent D. Theclient'shemoglobinlevelislow 212ID:383708555 Aclientcalstheemergencydepartmentandtelsthenursethathemayhavecomeincontactwith poisonivywhiletrimmingbushesinhisyard.Thenursetelstheclientoimmediately: A. Contacthephysician B. Reportotheemergencydepartmentfortreatment C. Getintotheshowerandrinsetheskinforatleast15minute D. Gotothedrugstore,purchaseanover-the-countertopicalcorticosteroid,andrubit intotheexposedskin 213-Anurseprovidesskincareinstructionstoaclientwithacnevulgaris.Whichstatementbythe clientindicatesanedforfurtherinstruction? A. "Ishoulduseoil-basedcosmetics. B. "Ishouldn'tleavemake-uponovernight." C. "Ishouldavoidrub ingmyfacevigorously." D. "Ishouldwashmyfacetwoorthre timesadaywithamildcleanser." 214ID:383710053 Oralcandidiasis(thrush)developsinaclientinfectedwithHIV,andthenurseprovidesinstructionto theclientaboutmeasurestorelievethediscomfort.Whichstatementbytheclientindicatesane d forfurtherinstruction? A. "Ishouldavoidspicyfo ds." B. "Ishouldeatfo dswithasoftexture." C. "Ishoulduseasoft-bristledtothbrush." D. "Ishouldputiceinmydrinkstohelpsothethediscomfort. 215ID:383710516 AclientwithHIVinfectionwhohasbe nfoundtohavehistoplasmosisisbeingtreatedwith intravenousamphotericinB(Fungizone).Whichparameterdoesthenursechecktodetecthemost commonadverseeffectofthismedication? A. Temperature B. Blo dpresure C. Peripheralpulses D. Intakeandoutpu 216ID:383713108 Ahospitalizedclientscheduledforsurgeryistoldbythephysicianthatsheisextremelyanemicand wilnedablo dtransfusion.Theclient,aJehovah'sWitnes,telsthenursethatsheisrefusingthe transfusion.Whatisthemostap ropriateinitialnursingaction? A. Sup ortingtheclient'sdecisiontorefusethetransfusion B. Teachingtheclientwaystoincreasedietaryintakeofiron C. Telingtheclientaboutheimportanceoftheblo dtransfusion D. Telingtheclienthatifsherefusestheblo dtransfusion,thesurgerywilhavetobe canceled 217ID:383706621 AnurseisperforminganasesmentofaclientwithMénièredisease.Whichquestiondoesthe nurseasktoelicitdataabouthemanifestationsofthisdisease? A. "Doyouhaveheadaches?" B. "Haveyouhadanylos ofap etite?" C. "Doyouhaveepisodesofdizines? D. "Haveyoube nhavinganydiarrhea?" 218ID:383704521 Aclientwithchronicbackpainasksanurseaboutheuseofcomplementaryandalternative therapiestotreathepain.Thenursewouldinitialy: A. Identifytheclient'streatmentgoal B. Sharecurrentresearchoutcomeswiththeclient C. Offeroptionsthatmaybebeneficialtotheclient D. Teltheclienthathephysiciandoesnotbelieveinthesetherapies 219ID:383704547 Aclienthasbenscheduledforanelectronystagmography(ENG),andthenurseprovides instructionstotheclientabouthetest.Whichstatementbytheclientelsthenursethatheclient understandstheinstructions? A. "Ine dtonotdrinkcoffe beforethetest. B. "I’lne dtoreceivesedationbeforethetest." C. "Iwon’tbeabletoeatfor24hoursafterthetest." D. "Icaneatalightbreakfastonthemorningofthetest." 2 0ID:383702952 Anemergencydepartmentnursehasaphysician'sprescriptiontoirrigateaclient'sears.Listinorder ofprioritythestepsthathenurseshouldtakeinperformingthisprocedure. 1. Useanotoscopetoensurethathetympanicmembraneisintact. 2. Warm tapwatertobodytemperature. 3. Filanirrigatingsyringewithwarm water. 4. Insertheirrigatingsolutionbydirectingthesolutiontowardthewaloftheearcanal. 5. Documenthecompletionoftheprocedureandhowtheclientoleratedit. 2 1ID:383713148 Acommunityhealthnurseispreparingaposterforahealthfairthatwilincludeinformationabouthe waystopreventearinfectionoreartrauma.Whichpreventionmeasuresdoesthenurseincludeon theposter?Selectallthatapply. A. Alwayssnezewiththemouthclosed. B. Ocludeonenostrilwhenblowingthenose. C. Ke pthevolumeofheadphonesathelowestseting D. Avoidenvironmentalconditionsinvolvingrapidchangesinairpresure E. Cleantheexternalearandcanaldailyintheshowerorwhilewashingthehair F. Becautiouswhenusingcoton-tip edap licatorstocleantheexternalearcanal. 2 2ID:383708517 Anurseasignsanursingasistantocareforaclientwhoishearingimpairedandprovides instructionstothenursingasistantaboutheeffectivemethodsforcommunicatingwiththeclient. Whichstatementbythenursingasistantindicatesthatfurtherinstructionisne ded? A. "Ishouldspeakslowlyandclearlytotheclient." B. "IshouldstanddirectlyinfrontoftheclientwhenI’m talking." C. "Ishouldmakesurethathero m iswelitwhenI’m talkingtotheclient." D. "Ishouldraisethevolumeofmyvoiceandstandontheclient'saffectedsidewhenI’m talkingtohim. 2 3ID:383706084 ATensilontestisperformedonaclientwithsuspectedmyastheniagravis.Whichfindingconstitutes apositiveresult? A. Adecreaseinmusclestrength B. Nochangeinmusclestrength C. Anincreaseinmusclestrength D. Thepresenceoftremorsinpreviouslyweakenedmuscles 2 4ID:383706086 Aclientwithmyastheniagraviswhohasbe ntakingpyridostigminebromide(Mestinon)forthe treatmentofthedisordercomestotheemergencydepartmentcomplainingofseveremuscle weaknes,andcholinergiccrisisisdiagnosed.Whichmedicationdoesthenursepreparefor immediateuseintreatingthecrisis? A. Atropinesulfate B. Carisoprodol(Soma) C. Cyanocobalamin(vitaminB12) D. Cyclobenzaprinehydrochloride(Flexeril) 2 5ID:383702993 AnurseprovidesinformationaboutactivityandexercisetothewifeofaclientwithParkinson's disease.Whichstatementbythespouseindicatesanedforfurtherinstruction? A. "Hene dstohaveabroadbaseofsup ortwhenambulating." B. "Hene dstoavoidstayinginonepositionforaprolongedperiod." C. "Ishouldencouragehim toke phishandshangingathissidewhenhe walks. D. "Ishouldhelphim perform range-of-motionexercisesofhisjointsthre timesaday." 2 6ID:383704589 Anurseiscaringforaclientwhohashadastrokeandisexperiencinghemianopsia.Whichofthe folowingmeasuresdoesthenursetakeinthecareoftheclient? A. Ap roachingtheclientfrom thesideofnonintactvision B. Teachingtheclientomovetheheadfrom sidetoside(scan)wheneating C. Placingobjectsnededforself-carewithintheclient'snonintactvisualfield D. Positioningtheclientinthero m sothathisnonintactvisualfieldfacesthedor 2 7ID:383705063 Anursehasprovidedinformationaboutexercisetoaclientwithadiagnosisofdegenerativejoint disease(osteoarthritis).Whichofthefolowingtypesofexercisedoesthenursetelthecliento avoid? A. High-impactexercise B. Swimmingandwaterexercise C. Dailyrange-of-motionexercises D. Regularexercisewithwarm-upandco l-downsesions 2 8ID:383713173 Aclientwithschizophreniasaystothenurse,"Idecidednototakemymedicationbecauseitcan't help.Iam theonlyonewhocanhelpme."Whichnursingresponseistherapeuticinthissituation? A. "Onlyyoucanhelp?" B. "Youdecidednototakeyourmedication?" C. "Ifyoucanmakethatobservation,youprobablydon'tne dyourmedicationany longer." D. "Yourdoctorwantsyoutocontinuethismedicationbecauseit’shelpingyou.Doyou recalne dingtobehospitalizedbecauseyoustop edyourmedication? 2 9ID:383704539 Anursepreparestoadministerdigoxin(Lanoxin)toaclientwithcongestiveheartfailure.Whichvital signmustbecheckedbeforethemedicationisadministered? A. Temperature B. Respirations C. Apicalpulse D. Blo dpresure 230ID:383706058 Anursepreparingtoadministerdigoxin(Lanoxin)toaclientcalsthelaboratoryfortheresultofthe digoxinasayperformedonaspecimenthatwasdrawnat6a.m.Thelaboratoryreportsthathe resultwas2.4ng/mL.Onthebasisofthisresult,thenursewould: A. Contacthephysician B. Administerthedigoxin C. Waitforthephysiciantomakeroundsandreportheresult D. Checktheclient'sapicalheartrateandadministerthedigoxiniftherateisfasterthan 60beats/min 231ID:383706078 Anursetranscribingtheprescriptionsofaclientadmitedtothenursingunitnotesthatmetformin (Glucophage)850mg/dayhasbe nprescribed.Thenursemakesanoteintheclient'smedication recordthathemedicationshouldbeadministered: A. Atno n B. Withsup er C. Withthemorningmea D. Withthemidafterno nsnack 232ID:383708580 Thewifeofaclientwithdiabetesmelituscalsthenurseandreportsthatherhusband'sblo d glucoselevelis60mg/dLandthatherhusbandisawakebutgrog y.Thenursetelstheclient'swife toimmediately: A. Calthephysician B. Administerglucagonhydrochloride(Glucagon) C. Calanambulancetobringherhusbandtotheemergencydepartment D. Placesomehoneyinherhusband'smouth,betwe nhisgumsandche 23 ID:383706667 Aclientwithtype1diabetesmelitusisinstructedbythephysiciantoobtainglucagonhydrochloride (Glucagon)foremergencyhomeuse.Thenurseprovidesinformationtotheclient'swifeabouthe medication.Whichstatementbytheclient’swifeindicatesthatsheunderstandstheinformation? A. "Ine dtostorethismedicationinthefre zer." B. "Iknowthathisisusedtotreatepisodesofhighblo dsugar." C. "Icangivethismedicationinsteadofinsulinifhisinsulinrunsout." D. "Ine dtogivethisifhehassignsoflowblo dsugarandgoesintoacoma. 234ID:383703615 Aclientwithhypoparathyroidism istakingcalcium gluconatetotreathypocalcemia.Theclientcals theclinicnurseandcomplainsofbecomingconstipatedsincestartingthemedication.Thenurse telsthecliento: A. Stopthemedication B. Contacthephysicianimmediately C. Increaseintakeofhigh-fiberfo d D. Ad ahalf-ounceofmineraloiltothedailydiet 235-Aclienthasaphysician'sap ointmentogetaprescriptionforsildenafil(Viagra).Thenurse obtainsthehealthhistoryfrom theclient.Whichfindingindicatesthathemedicationis contraindicated? A. Theclienthastype2diabetesmelitus. B. Theclienthasahistoryofrenalcalculi. C. Theclientistakingglargine(Lantus)insulin. D. Theclientakesisosorbidedinitrate(Isordil) 236ID:383708586 Vasopresin(Pitresin)isprescribedtoaclientwithdiabetesinsipidus.Forwhichsign,indicativeof anadverseeffectofthemedication,doesthenursemonitortheclient? A. Chestpain B. Constipation C. Los ofap etite D. Decreasedurineoutput 237.ID: 383703605 Desmopresin(DDAVP)isprescribedtoaclientwithdiabetesinsipidus.Whichparameterdoesthe nurseteltheclienthatitisimportantomonitorwhilesheistakingthemedication? A. Ap etite B. Pulserate C. Bowelpatern D. Intakeandoutpu 238ID:383706682 Warfarinsodium (Coumadin)isprescribedforahospitalizedclient.Whiletranscribingthephysician's prescription,thenursenotesthatheclientistakinglevothyroxine(Synthroid)totreathypothyroidism. Thenursecalsthephysiciantoconfirm theprescriptionforwarfarinsodium because: A. Warfarinsodium amplifiestheeffectoflevothyroxine B. Levothyroxineamplifiestheeffectofwarfarinsodium C. Warfarinsodium iscontraindicatedwiththeuseoflevothyroxine D. Aseverealergicreactionmayocurifwarfarinsodium isadministeredconcurrently withlevothyroxine 239ID:383706062 Iodinesolution(Lugolsolution)isprescribedtoaclientwhoisscheduledforsubtotalthyroidectomy. Theclientcalsthenurseatheclinicandcomplainsofaburningsensationinthemouthand sorenes ofthegumsandteth.Thenursemostap ropriatelytelstheclient: A. Tocontacthephysician B. Thatheseareexpectedsideeffectsofthemedication C. Thathesediscomfortswilresolvewithcontinuedtherapy D. Tostopthemedicationforthenext24hoursandthencontinueasprescribed 240ID:383712472 Levothyroxine(Synthroid)isprescribedtoaclientwithhypothyroidism.Onewe kafterbegin ingthe medication,theclientcalsthephysician'sofficeandtelsthenursethathemedicationhasnot helped.Thenursemostap ropriatelytelstheclienthat: A. Themedicationwilne dtobechanged B. Thefultherapeuticeffectmaytake4we k C. Anaditionalmedicationwilhavetobead edtotheregimen D. Theblodlevelsoftheclient’sthyroidhormoneswilne dtoberechecked 241ID:383713183 Anurseprovidesinstructionstoaclientwhowilbetakinglevothyroxine(Synthroid)for hypothyroidism.Thenursetelstheclienthatitisbestotakethemedication: A. Withmilk B. Atbedtime C. Withanantacid D. Inthemorning,beforebreakfas 242ID:383706615 Aclientisbroughtotheemergencydepartmentbyambulance,anddiabeticketoacidosisis suspected.Blo dsamplesaretaken,andthenurseobtainssup liesthatwilbene dedtotreathe client.Whichtypeofinsulindoesthenursetakefrom themedicationsup lyro m forintravenous (IV)administration? A. NPH(HumulinN) B. Lente(HumulinL) C. Regular(HumulinR D. NPH/regular50%/50% (Humulin50/50) 243ID:383711491 AhomecarenurseprefilssyringescontainingNPH(HumulinN)andregular(HumulinR)insulinfor aclientwithdiabetesmelituswhowilbeadministeringhisowninsulinbuthasdifficultyseingand acuratelypreparingdoses.Thenurseplacesthemedicationintheclient'srefrigeratorwiththe syringes: A. Lyingflat B. Inahorizontalposition C. Inaverticalpositionwiththene dlespointingup D. Inaverticalpositionwiththene dlespointingdown 24 ID:383713106 Tolbutamide(Orinase)isprescribedtoaclientwhosetype2diabetesmelitushasnotben controledwithdietandexercisealone.Thenurseprovidesinstructionstotheclientabouthe medication.Whichstatementbytheclientindicatesane dforfurtherinstruction? A. "Ine dtomaintainmyexerciseprogram." B. "Ine dtostayonmycalorie-restricteddiet." C. "Icantakethemedicationwithfo difitupsetsmystomach." D. "Icanhaveabe rorglas ofwineaslongasIstaywithinmydailydietary restrictions. 245ID:383703609 Anurseistranscribingaphysician'sprescriptionfororalprednisone5mg/daythatwaswriteninthe chartofaclientwithtype2diabetesmelituswhoisalreadytakinganoralhypoglycemicmedication. Thenursecontactsthephysiciantoaskaboutheprescriptionbecause: A. Prednisonecanlowertheblo dglucoselevel B. Prednisonecanincreasetheblo dglucoseleve C. Prednisoneiscontraindicatedwiththeuseoforalhypoglycemicmedications D. Forprednisonetobeeffectiveinaclientakinganoralhypoglycemicagent,ahigher dosageofprednisoneisrequired 246ID:383713104 Oralprednisone10mg/dayisprescribedforaclientwithanacuteexacerbationofrheumatoid arthritis.Thenurse,providinginformationtotheclientabouthemedication,telstheclienthatitis bestotakeit: A. Atbedtime B. Withlunch C. Intheevening,after9p.m. D. Inthemorning,before9:0 a.m 247ID:383709204 Achildwithgrowthhormonedeficiencywilbereceivingsomatropin(Humatrope).Thenurse providesinformationtothemotherabouthemedication.Whichofthefolowinglaboratoryvalues doesthenursetelthemotherwilrequiremonitoring? A. Creatinine B. Hemoglobin C. Blo dureanitrogen(BUN) D. Thyroid-stimulatinghormone(TSH 248ID:383708553 Laboratorystudiesareperformedonaclientwithsuspectedsickleceldisease,andelectrophoresis revealsalargepercentageofhemoglobinS(HbS).Whichad itionalaboratoryfindingwilthenurse expectonotethatisacharacteristicofthisdisease? A. Lowreticulocytecount B. Lowtotalbilirubinlevel C. Increasedhematocritcount D. Increasedwhiteblodcel(WBC)coun 249ID:383703647 Aclientbeingseninthecliniccomplainsofatigueandweaknes.Laboratorystudiesare performedbecausethephysiciansuspectsiron-deficiencyanemia.Whichfindingindicativeofthis typeofanemiadoesthenurseexpectofindonreviewingthelaboratoryresults? A. AnincreasedRBCcount B. Anincreasedhematocritlevel C. Anincreasedhemoglobinlevel D. Microcyticredblo dcels(RBCs 250ID:383708563 Alendronate(Fosamax)isprescribedforaclientwithpostmenopausalosteoporosis.Thenurse providesinformationonthemedicationtotheclient.Whendoesthenurseteltheclientotakethe alendronate? A. Atbedtime B. Withorangejuice,toenhanceabsorptionatnight C. Everymorningbeforebreakfast,withafulglas ofwate D. Everymorningafterbreakfast,afterwhichtheclientshouldliedownfor30minutes 251ID:383703629 Calcium carbonate(Os-Cal50)isprescribedforaclientwithmildhypocalcemia.Whatfo ddoes thenurseinstructheclientoavoidconsumingwhiletakingthismedication? A. Fish B. Milk C. Spinach D. Watermelon 252ID:383705078 Anemergencydepartmentnurseiscaringforaclientinhypovolemicshock,aresultofexternal hemorrhagecausedbyagunshotwound.Whichnursinginterventionsshouldthenursetake?Select allthatapply. A. MaintainingtheclientinahighFowler’sposition B. Checkingtheclient'svitalsignseveryhouruntilstable C. Ensuringthatdirectpresureisap liedtotheexternalhemorrhagesite D. Ensuringapatentairwayandsup lyingoxygentotheclientasprescribed E. Insertinganintravenous(IV)catheterandadministeringfluidsasprescribed F. Ensuringthathecalbelisinplacefortheclient'susewhenthenurseisoutofthe ro m 253ID:383706658 AchildwithadiagnosisofWilms’tumorisbeingadmitedtothepediatricunit.Thenurseprepares thero m forthechildandplacesasignathechild'sbedsidethatelsstafftoavoid: A. Palpatingtheabdomen B. Takingtemperaturesrectaly C. Turningthechildtotherightside D. Measuringblo dpresureintherightarm 254ID:383713102 Aclientwithmultiplesclerosishasbe nstartedonbaclofen(Lioresal)formusclespasms.Theclient calsthephysician'soffice1wekafterbegin ingthemedicationandtelsthenursethatshefels extremelydrowsy.Thenursemostap ropriatelytelstheclient: A. Thatshewilne dtobesenbythephysician B. Thathemedicationwilne dtobediscontinued C. Thatdrowsines usualydiminisheswithcontinuedtherap D. Tostopthemedicationfor2daysandthenresumeitatheprescribeddosage 25 ID:383703673 Alprazolam (Xanax)isprescribedforaclientotreatananxietydisorder.Whichsideeffectdoesthe nursewarntheclientof? A. Headache B. Urineretention C. Lightheadednes D. Increasedsalivation 256ID:383710530 Viewvideo.Thenurseispreparingtoadministeratubefe dingbywayofanasogastrictube.Which actiondoesthenursecarryoutasaprioritybeforestartingtheflowofthesolution? A. Flushingthetubewith30mLoftapwater B. Checkingurineoutputintheprevious24hours C. Scrubingtheportwithpovidone-iodine(Betadine)solution D. Checkingforgastricresidualvolumeandasesingtubeplacemen 257ID:383703655 Anurseiscaringforaclientwhohashadacastapliedtotheleftlegandisatriskforacute compartmentsyndrome.Forwhichearlysignofthiscomplicationdoesthenursemonitortheclient? A. Paresthesia B. Cold,bluishtoes C. Weakpedalpulse D. Severepainrelievedbymedication 258ID:383710048 Aphysicianwritesaprescriptionfor10 0mLof0.9% normalsalinesolutiontobeadministered intravenously(IV)toaclientover10hours.Thedropfactorfortheinfusionsetis15gt/mL.Atwhat dripratedoesthenursesetheinfusion? Typeanswerintheboxprovided. gt/min 259ID:383704549 Anurseisperforminganasesmentofaclientbeingadmitedtothehospitalwithadiagnosisof multiplesclerosis.Theclientelsthenursethatsheto kbaclofen(Lioresal)forthepast9months butcompletelystop edthemedication2daysagobecauseitwasmakingherfelweak.Onthe basisofthisinformation,thenursenotesintheplanofcarethatheclientshouldbemonitoredmost closelyfor: A. Spasticity B. Drowsines C. Musclespasms D. Seizureactivit 260ID:383707951 Anurseiscaringforaclientwhoisimmobilizedinskeletaltractionaftersustainingalegfractureina motorvehiclecrash.Thenursenotesthatheclientisrestles,andtheclientcomplainsofbeing bored.Whichproblem doesthenurseidentifyonthebasisofthisinformation? A. Lackofcontrol B. Lackofphysicalmobility C. Lackofadequatediversionalactivit D. Lackofenergytobatheandfe dself 261ID:383708590 Aclientisfoundtohavepostraumaticstres disorder(PTSD)afterwitnesingaterroristatackthat causedthedeathsofhundredsofpeople.Thenurse,developingaplanofcarefortheclient, identifiespostraumasyndromeasaconcernandidentifiesaclientoutcomethatstates,"Theclient wilcopeeffectivelywiththoughtsandfe lingsoftheevent."Whichnursinginterventionswilasist theclientinachievingthisoutcome?Selectallthatapply. A. Beinghonest,nonjudgmental,andempatheti B. Asesingtheimmediatepostraumaticreaction C. Encouragingtheclientoke pajournalfocusedonthetrauma D. Askingtheclientaboutheuseofalcoholanddrugsbeforeandsincethe even E. Promotingdiscusionofthereasonstheclientwasresponsibleforthetraumaticevent F. Discouragingtheuseofsuportgroupsuntiltheclientisabletouseeffectivecoping techniques 262ID:383703681 Anursereviewstheresultsofatotalserum calcium determinationinaclientwithrenalfailure.The resultsindicatealevelof12.0mg/dL.Inlightofthisresult,whichfindingdoesthenurseexpecto noteduringasesment? A. Decreasedurineoutput B. Hyperactivebowelsounds C. Bounding,fulperipheralpulse D. Hyperactivede ptendonreflexes 263ID:383706662 Anurseispreparingtoprovideinformationtoaclientwhohasbe nfoundtohavestableangina. Thenurseplanstoteltheclienthathistypeofangina: A. Requiressurgicaltreatment B. Canbecuredwithmedication C. Wileventualyne dtobetreatedwithacoronaryarterybypas graft D. Isoftenmanagedmedicalywithmedicationssuchascalcium chan elblockersand beta-blockingmedication 264ID:383702963 Whilebeingsenbyaphysician,aclientcomplainsofpersistentfever,malaise,andnightsweats. Onphysicalexamination,thephysicianpalpatesenlargedlymphnodes,andtheclientstatesthathe nodesarepainles.Hodgkin'slymphomaissuspected,andseveraldiagnosticstudiesare performed.Whichcharacteristicofthistypeoflymphomadoesthenurseexpectonotewhile reviewingtheresultsofthediagnosticstudies? A. Blastcelsinthebonemarrow B. Epstein-Barrvirusintheblod C. Increasedblo dureanitrogen(BUN) D. Re d-Sternbergcelsonbiopsyofalymphnode 265ID:383711422 Anurseispreparingmedicationinstructionsforaclientwhowilbetakingadailyoraldoseofdigoxin (Lanoxin)0.25mginthetreatmentofcongestiveheartfailure(CHF).Whichinstructionsshouldthe nurseincludeonthelist?Selectallthatapply. A. Takeyourpulsebeforetakingeachdose B. Avoideatingfo dsthatcontainpotasium C. Takethedigoxinathesametimeeachday D. Takethedigoxinwithachewableantacidtopreventnausea. E. Ifyouforgetotakeyourdailydose,doublethedoseonthenextday. F. Notifythephysicianifyouexperiencelos ofap etite,muscleweaknes,orvisual disturbances
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