BIOLOGY 100 Exam. 100% Correct Answers

A nurse is providing follow-up care for a client who sustained a compound fracture three weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of ...

A nurse is providing follow-up care for a client who sustained a compound fracture three weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent Airway which of the following interventions is the priority Where would you palpate to assess for an inguinal hernia A nurse is checking the ECG Rhythm strip for a client who has a temporary pacemaker the nurse notes a spike or a pacemaker artifact followed by a QRS complex. Which of the following actions should the nurse take A nurse is caring for a client who is eight hours post-operative following a total hip arthroplasty the client is unable to void on the bed pan Which of the following actions should the nurse take first A nurse is caring for a client who is receiving tpn a new bag is not available when the current infusion is nearly completed which of the following actions should the nurse take A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for Omeprazole. The nurse should instruct the client that the medication provides Relief by which of the following actions A nurse is providing discharge teaching to a client who is to self administer heparin subcutaneously. Which of the following responses by the client indicates an understanding of the teaching a nurse is caring for a client following excavation of her endotracheal tube 10 minutes ago. Which of the following findings should the nurse report to the provider immediately a nurse is caring for a client who had a nephrostomy tube inserted 12 hours ago. Which of the following findings should the nurse report to the provider A nurse is assessing a client while suctioning the clients tracheostomy tube which of the following findings should indicate to the nurse that the client is experiencing hypoxia A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish and ureterostomy. Which of the following statements should the nurse include in the teaching A nurse is teaching a client who has atrial fibrillation about the purpose of wearing a Holter monitor. Which of the following information should the nurse include in the teaching A nurse is providing discharge teaching to a client who has heart failure and a new prescription for potassium sparing diuretic which of the following information should the nurse include in the teaching A nurse is caring for a client who has chronic glomerulonephritis with oliguria which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis A nurses in an acute care facility is caring for a client who is at risk for seizures which of the following precautions should the nurse implement A nurse is caring for a client who has bilateral pneumonia and an spo2 of 88% the client is dyspneic and productive cough and is using accessory muscles to breathe which of the following actions should the nurse take first A nurse is caring for a client who has a new diagnosis of hyperthyroidism which of the following is the priority assessment finding that the nurse should report to the provider A nurse is reviewing the medication history of a client who is to undergo allergy testing the nurse should instruct the client to discontinue which of the following medications before testing A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take? A nurse is caring for a client who has a new prescription for tpn the client is to receive 2,000 kcalories per day the t-pn solution has 500 kcalories per liter the IV pump should be set at how many milliliters per hour A nurse is providing teaching to a client who has AIDS which of the following statements by the client indicates an understanding of the teaching A nurse is assessing a client who has peripheral artery disease which of the following findings should the nurse expect A nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management which of the following information should the nurse include in the teaching A nurse is planning care for a client who is scheduled for a thoracentesis which of the following interventions should the nurse include in the plan A nurse is caring for a client who has a prescription for Enalapril the nurse should identify which of the following findings as an adverse effect of the medication A charge nurse is instructing a newly licensed nurse about caring for a client who has MRSA which of the following statements by the newly licensed nurse indicates an understanding of the teaching A nurse is caring for a client who recently had a stroke of the right hemisphere which of the following manifestations should the nurse expect A nurse is caring for a client who is exhibiting manifestations of a febrile reaction while receiving a blood transfusion which of the following medications should the nurse administer A nurse is assessing a client who has hypokalemia which of the following manifestations should the nurse expect a nurse is caring for a client who is experiencing supraventricular tachycardia upon assessing the client the nurse observes the following findings heart rate 200 per minute blood pressure 78 over 40 and respiratory rate 30 per minute which of the following actions should the nurse take A nurse is providing dietary teaching to a client who is post-operative following a thyroidectomy with removal of the parathyroid glands the nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet A nurse is caring for a client who has dka which of the following findings should indicate to the nurse at the client's condition is improving A nurse is performing a dressing change for a client who is recovering from a hemicolectomy when removing the dressing with the nurse notes that a large part of the bowel is protruding through the abdomen which of the following actions should the nurse take first A nurse is caring for a client who presents to a clinic for a one-week follow-up visit after hospitalization for heart failure based on the information in the clients chart which of the following findings should the nurse report to the provider A nurse is assessing for compartment syndrome in a client who has a short leg cast which of the following findings should the nurse identify as a manifestation of this condition A nurse is planning care for a client who is post-operative following a laparotomy and has a closed suction drain which of the following actions should the nurse take to manage the drain A pacu nurse is assessing a client who is post-operative following a right nephrectomy the client's initial vital signs for heart rate 80 permanent blood pressure 130 over 70 respiratory rate 16 and temperature 96.8 which of the following Vital sign changes should alert the nurse the client might be hemorrhaging A nurse is assessing a client following the completion of hemodialysis which of the following findings is the nurses priority to report to the provider A nurse is caring for a client who is having a seizure which of the following interventions is the nurses priority A nurse is obtaining a medication history from a client who is scheduled to undergo cataract surgery the nurse should recognize that which of the following client medications is a contraindication for the surgery and notify the provider A nurse is providing teaching to a female client who has a history of urinary tract infections which of the following information should the nurse include in the teaching A nurse is assessing a client who has had a suspected cerebrovascular accident the nurse should place the priority on which of the following findings A nurse is planning care for a client who is post-operative following a parathyroidectomy which of the following actions should the nurse identify as the priority A nurse is providing teaching to a client who has Type 1 diabetes mellitus and a new prescription for insulin lispro which of the following statements by the client indicates an understanding of the teaching A nurse is providing medication teaching to a group of clients who have seizure disorders which of the following information should the nurse include about phenytoin A nurse is providing discharge instructions to a client who has active tuberculosis which of the following information should the nurse include in the instructions A nurse is planning care for a client who was having a modified radical mastectomy of the right breast which of the following interventions should the nurse include in the plan of care And your sis reading teaching to a client who has hypertension and a new prescription for Verapamil. Which of the following juices should the nurse instruct the client to avoid A nurse is providing teaching to a client who has asthma about the use of a metered dose inhaler the nurse should identify that which of the following client actions indicates an understanding of the teaching A nurse is providing instructions to a client who has Type 2 diabetes mellitus and a new prescription for metformin which of the following statements by the client indicates an understanding of the teaching A nurse is providing teaching to a client who has irritable bowel syndrome which of the following instructions should the nurse include in teaching A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall during the assessment the client states last week I crashed my car because my vision suddenly became blurry which of the following actions is the nurses priority A nurse is providing teaching to a client who has a new prescription for psyllium which of the following information should the nurse include in the teaching A nurse on a medical-surgical unit is receiving change of shift report on four clients which of the following clients should the nurse identify as having the greatest risk for developing an infection A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity which of the following instructions should the nurse include in the plan of care A nurse in an emergency department is caring for a client who has full thickness Burns over 20% of his total body surface area after ensuring a patent Airway and administering oxygen which of the following items should the nurse prepared to administer first A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for Gentamicin which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider A nurse is reviewing the laboratory results of a client who has a new diagnosis of acute leukemia which of the following findings should the nurse identify as an expected finding A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy which of the following actions should the nurse take A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy to the nurse should recognize that which of the following complications is associated with long-term mechanical ventilation A nurse is providing discharge instructions to a client who has laryngeal cancer and received is receiving radiation treatment which of the following statements by the client indicates an understanding of the teaching A nurse is caring for a client who has a positive culture for Clostridium difficile which of the following actions should the nurse take A nurse in a provider's office is assessing a client who has migraine headaches and is taking Feverfew to prevent her headaches the nurse should identify that which of the following client medications interact with Feverfew A nurse in an emergency department is planning care for a client who has a flail chest on the right side following a motor vehicle crash which of the following actions should the nurse plan to take A nurse is preparing to assist with the insertion of a non tunneled percutaneous central venous catheter into a client's subclavian vein the nurse should plan to place the client in which of the following positions A nurse is teaching an older adult client about osteoporosis prevention the nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis A nurse is teaching a client who has end-stage kidney disease about organ donation which of the following information should the nurse include in the teaching A client is admitted to the ER with anxiety loss of muscle coordination and skin is hot and dry the client had been working on the yard prior to coming to the hospital which of the following actions should the nurse anticipate taking first A nurse is caring for a client who has an arteriovenous fistula for dialysis which of the following requires intervention by the nurse a nurse is caring for a client who had an open thoracotomy with chest tube insertion which of the following actions should the nurse take A nurse is providing instruction about traveling for a client who has a new diagnosis of type 1 diabetes mellitus and is planning a trip by airplane which of the following should the nurse A nurse is providing teaching to a client who has hypothyroidism and is receiving Levothyroxine the nurse should instruct the client that which of the following could interfere with the absorption of the medication A nurse is caring for a client with a history of congestive heart failure at risk for development of fluid volume excess. The nurse should monitor for which of the following that is a manifestation of left sided heart failure? Which client problem should receive highest priority when a client is admitted with an acute exacerbation of rheumatoid arthritis? A nurse is caring for a client with hypoparathyroidism. Because of the potential electrolyte disturbance associated with this diagnosis, the nurse should observe the client for evidence of which of the following? A client with glaucoma is admitted for surgery the following day. The client is to continue treating the glaucoma with pilocarpine (Pilocar) 2% 1 drop 4 times a day. While instilling this medication, an appropriate nursing action is which of the following? A client has sprained an ankle while playing soccer. For the first 24 hr following the injury, the nurse should instruct the client to do which of the following? A nurse is assisting with the discharge of a client newly diagnosed with diabetes. When reviewing information about proper foot care, which of the following would be appropriate to include? Following a transient ischemic attack (TIA), a client is alert, slightly confused, and has a blood pressure of 204/102 mm Hg. The client is also incontinent of urine. When contributing to the client's plan of care, which nursing action would be appropriate? A nurse is reinforcing teaching to a client recently diagnosed with systemic lupus erythematosus (SLE). Which statement made by the client indicates to the nurse an accurate understanding of the home management of SLE? A nurse is caring for a client who has undergone a hip arthroplasty. The nurse reminds the client that the purpose of an abduction pillow following arthroplasty is to do which of the following? A client who is admitted to the hospital after experiencing a tonic clonic seizure is scheduled for a routine electroencephalogram (EEG). In preparing the client for the EEG, the nurse should explain that the client will undergo which of the following? A client is experiencing stomatitis as a result of chemotherapy and radiation therapy. Which statement made by the client indicates to the nurse that reinforcement of teaching is necessary? A client is returning from surgery with a radium implant for the treatment of endometrial cancer. In planning this client's care, which action would be consistent with the client's diagnosis? A client who works in carpentry is seen by the triage nurse. The client complains of severe right eye pain with a gritty sensation. When obtaining a history from this client, which question has the highest priority? A client who had a craniotomy is sitting in a chair with the nurse present in the room. While the client is sitting, he begins to experience a grand mal seizure. At this time, the most important nursing intervention is which of the following? Lower the client to the floor. A client has a platelet count of 18,000 cells/mL. An appropriate nursing intervention is to do which of the following? A nurse asks a client who is diagnosed with asthma about the pathophysiology of the disorder. Further reinforcement of teaching is indicated when the client states that the cause of airway obstruction is due to which of the following? A client diagnosed with viral encephalitis secondary to West Nile Virus is admitted to the hospital for treatment. When assisting in the development of a nursing care plan, which interventions are consistent with the client's diagnosis? (Select all that apply.) Placing the client on respiratory isolation is incorrect. While reviewing an admission assessment for a client with an exacerbation of asthma, the nurse learns the client has several food allergies. The most important nursing action in promoting this client's safety is to do which of the following? A client who had a traumatic amputation of the arm at the elbow is reporting pain in the hand of the amputated limb. The client has dressing changes prescribed twice daily, hydrocodone (Vicodin) and gabapentin (Neurontin) PRN, and cefuroxime sodium (Ceftin) 750 mg 3 times daily IV. Which of the following actions by the nurse is appropriate? A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for benign prostatic hypertrophy (BPH). The client's bladder is continuously irrigated with saline via a three-way catheter PRN. Which of the following findings should be reported immediately to the provider? A nurse is caring for a client with arteriosclerosis. When reviewing the client's chart, which of the following factors should the nurse realize is associated with the development of arteriosclerosis? At the start of the night shift, an assistive personnel (AP) brings the nurse a list of client reports. Which client does the nurse need to check first? A client in a community clinic tests positive on a Mantoux skin test but does not demonstrate active lesions on a chest x-ray. When assisting with the development of the plan of care for this client, the nurse should reinforce that isoniazid (INH) therapy will have to be taken for which of the following time frames? Supportive therapy provided by the nurse for a client during a sickle cell crisis would include which of the following? The client's arterial blood gas (ABG) levels are pH 7.5, pCO2 32, bicarbonate (HCO3) 24. The nurse interprets that the client is in which of the following? A client is brought to the emergency department following a fall. The nurse, suspecting a basilar skull fracture, should check the client for which of the following signs specific to a basilar skull fracture? A client with chronic renal failure is undergoing peritoneal dialysis. Which nursing measure will be helpful in promoting outflow drainage of the dialyzing solution? A nurse is completing the evening observations on a client in balanced skeletal traction admitted the previous evening for a fractured left femur. Which observation should the nurse report to the charge nurse? In preparation for a sigmoid colon resection, the nurse is reinforcing information about the colostomy that will be performed. Which statement by the client will require further clarification? A client is diagnosed with endocarditis following rheumatic heart disease. Which comment made by the client indicates to the nurse that she understands discharge teaching in relation to endocarditis? A nurse is caring for a client in acute renal failure. Which of the following manifestations should the nurse expect the client to exhibit? A client with type 1 diabetes mellitus has a capillary blood glucose reading of 48 mg/dL. Which of the following should the nurse expect to find? A middle-adult assistive personnel (AP) is assigned to give a bath to a client with herpes zoster (shingles). The AP asks if this disease is contagious because there is an isolation sign on the client's door. Which response by the nurse would be appropriate at this time? When reinforcing health teaching to a group of clients, it is important for the nurse to emphasize that melanoma is characterized by lesions that have which of the following appearances? Following a total gastrectomy, which medication should the nurse anticipate that the client will need to take for the rest of the client's life? A client is diagnosed with active pulmonary tuberculosis and begins a treatment regimen of rifampin (Rifadin) and ethambutol (Myambutol). The nurse should reinforce with the client the need to report which of the following adverse effects to the provider? When a nurse brings a hospitalized client with AIDS (acquired immune deficiency syndrome) the morning dose of zalcitabine (Hivid), the client states, "I have this awful burning sensation in my fingers and toes. They are numb and tingling." What response by the nurse is appropriate at this time A nurse is preparing to administer an intramuscular injection. The most important action by the nurse to prevent direct injection of the medication into the venous system is to do which of the following? An assistive personnel (AP) discovers a fire in the utility room. Which action by the AP would require the nurse to intervene? A client diagnosed with emphysema is being prepared for discharge. Which instruction reinforced by the nurse would be beneficial for improving the client's gas exchange? A client questions the nurse concerning the usual course of multiple sclerosis (MS). Which of the following is an appropriate response by the nurse? A client has just received a cardiac pacemaker. Which statement by the client demonstrates to the nurse an understanding of the pacemaker's purpose? A client returns to the nursing unit post-thoracotomy with two chest tubes in place connected to a drainage device. The client's spouse asks the nurse the reason for having two chest tubes. The nurse's response is based on the knowledge that the lower chest tube is placed to do which of the following? A nurse is caring for a client admitted with a diagnosis of hyperthyroidism caused by an adenoma of the thyroid gland. Twelve hours following the thyroidectomy, which of the following findings should the nurse report to the charge nurse? (Select all that apply.) Which nursing action is appropriate when trying to control epistaxis? A provider prescribes a confused and combative client to be placed in a jacket restraint and wrist restraints. To prevent injury to the client, the most important nursing action is which of the following? A nurse making rounds finds a client in the waiting room who is confused, has clammy skin, and his hands are tremoring. The nurse should do which of the following? A nursing assistant asks the nurse what type of precautions are necessary when caring for a client newly diagnosed with tuberculosis. The nurse instructs the nursing assistant to do which of the following? (Select all that apply.) Giving the client an impermeable paper bag for used tissues is correct. A paper bag that is impermeable to leakage of its contents should be used for tissues that contain sputum. A nurse is assisting in admitting a client to the burn treatment center following the client's rescue from a house fire. Which observation takes the highest priority? A provider is planning to remove a client's chest tube. Which instruction should the nurse give the client to ensure understanding regarding the removal procedure?