Quiz NUR 304/; COMPLETE SOLUTION OUT OF 100%

Quiz NUR 304 20 Questions 1. Your client is suspected of having a pulmonary embolus. The nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism? 2. ...

Quiz NUR 304 20 Questions 1. Your client is suspected of having a pulmonary embolus. The nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism? 2. A 75 year old client is recovering from bilateral hip replacement. Because the client is extremely weak and can’t produce an effective cough, the nurse should monitor closely for: 3. A dark skinned client with asthma seeks emergency care for acute respiratory distress. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the..... 4. A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient? 5. An 80 year old client presents with periorbital edema and crackles; the nurse would assess the client for. ? 6. The nurse finds a patient in bed unable to sleep due to shortness of breath. Which action by the nurse is most appropriate? 7. The nurse is performing an assessment of the client's head and neck. The client requests information about the assessment of her lymph nodes. Which is the best response? 8. What test is being performed by the nurse? 9. The nurse assesses the vision of an older adult client and finds he has no central vision but has peripheral vision. The nurse concludes that this is consistent with which disorder? 10. The following are classic sign/symptom of hypothyroidism. 11. The nurse is assessing a client's eyes during a comprehensive health assessment. The nurse knows that the client who demonstrates clinical manifestations of which condition will require immediate intervention 12. Assessment of the respiratory system includes all of the following EXCEPT A. Auscultation of lungs, adventitious lung sounds and SOB B. Capillary refill, posture and position C. Dyspnea, O2 saturation and color D. Peripheral pulses, temperature and edema in feet 13. The nurse is…… A. Assessing chest expansion B. Measuring Xiphoid process C. Assessing CVA tenderness D. Measuring peritoneum girth 14. The nurse is assessing a client who has been diagnosed with left-sided heart failure. The nurse correctly identifies the following signs and symptoms with this disease A. Decreased fluid volume B. Increased cardiac output C. Narrowing of jugular veins D. Crackles and dyspnea 15. A client is brought to the emergency department by ambulance after a syncopal accident by a family member. The nurse begins the assessment of the client. Which of the following findings would indicate, to the nurse, the need for a more detailed neurological assessment of this client A. Slurred speech, confusion and disorientation B. Grimacing with movement and low back pain C. Talking in a loud voice and thrashing D. Inability to urinate and distended bladder. 16. On auscultation, which finding suggests a right pneumothorax? A. Absence of breaths sound in the right thorax B. Inspiratory wheezes in the right thorax C. Increased stridor in the right thorax D. Bilateral inspiratory and expiratory crackles 17. This baby has ,,,,,,,, A. Strabismus: A misalignment of the eyes, inward or outward B. Nystagmus: A condition in which the eyes make repetitive, uncontrolled movements C. Hordeolum: A localized infection or inflammation of the eyelid margin involving hair follicles D. Chalazion: A benign, painless bump or nodule inside the upper or lower eyelid. Match the following 18. Stridor C A. Excess fluid that pleural cavity accumulates in the lungs 19. Pleural Effusion A B. Fever, night sweats, anorexia and rust colored sputum 20. Tuberculosis B C. Loud, high pitched sound produced by obstructed upper airway