*NURSING > QUESTIONS & ANSWERS > HESI MED SURG V1 2017-2020 EXIT EXAM MOSTLY TESTED QUESTIONS WITH CORRECT ANSWERS SOLUTION Version 1 (All)

HESI MED SURG V1 2017-2020 EXIT EXAM MOSTLY TESTED QUESTIONS WITH CORRECT ANSWERS SOLUTION Version 1. 1. a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. Which intervention should the nurse implement 2. During spring break, a young adult presents at the urgent care clinic and report headache. Which intervention is most important for the nurse to implement? 3. After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 4. Which nursing problem has the highest priority when planning care for a client with osteomalacia? 5. A client who took a camping vacation two weeks ago in a country with a tropical climate comes symptoms and diarrhea for the past week. Which finding is most important for the nurse report? 6. a client admitted to a surgical unit is being evaluated for an intestinal obstruction . the healthcare prescribed nasogatric tube(NGT) to be inserted and placed to intermittent low wall suction. Which intervention –to facilitate proper tube placement? 7. when explaining dietary quidelines to a client with acute glomerulonepheritis (AGN) , which instruction should the nurse include in the dietary teaching ? 8. a client with chronic kidney disease is started on hemodialysis, during the first treatment the client’s blood pressure 150/90 mm hg to 80/30 mm hg. Which action should the nurse take first? 9. a client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse spostoperative discharge instruction? 10. a client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood notifying the healthcare provider, what information should the nurse provide first using the SBAR (situation, background, assessment, and recommendation ) communication process? 11. Intermittent claudiation with leg pain… 12. Three months after Dx of T2DM pt and nocompliance to Tx regimen….. 13. Client with SIADH complains of dry mouth and thirsty…. 14. Client with emphysema with CT drain change from green to clear liquid. 15. Pt with multiple transplant reaction to report to HCP (healthcare prosional) 16. Fracture of left femur + fixation complain of pain. 17. Nursing care goal for preop client. 18. Iron deficiency anemia client selected food requiring further teaching. 19. CVA client with expressive aphasia frustrated. 20. 2hrs Post op laparoscopy client demanding for food. 21. Nurse assisting PD client ambulate in hallway. 22. Xenograft for a Jewish clent with burn. 23. Laryngectomy and tracheostomy expectorate copious purulent secretion. 24. Client with emphysema and HF has edema, coughing and SOB. BNP is elevated. 25. Client with Blood glucose of 50mg/dl, before action. 26: Med order = 0.1875 mg; Available= 0.3mg per 1.2 ml 27. Heparin infusion order= 900 Unit per hr; Available= 25,000 Unit per 250 ml 28. Nurse calling HCP for client complaining of pain, SBAR report pattern. 29. Nursing care with higher priority when giving care. . 30. Bone cancer client with constipation complain of pain of 8 on 1-10 scale. 31. Pt with potassium level of 6.0, med to give. 32. In teaching a client newly diagnosed with multiple sclerosis (MS), which approach should the nurse emphasize as most likely to prevent an exacerbation of symptoms? 33. While assessing a client in a supine position, the nurse observes jugular vein distention. The client’s vital signs are: heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 160/88. What should the nurse take? 34. A client is recovering from a transurethral prostectomy. Which activity should be limited until after the first postoperative visit with his healthcare provider/; 35. a client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse? 36. after a computer tomography (CT) scan with intravenous medium, a client returns to the room complaining of shortness of breath and itching. Which intervention should the nurse implement? 37. a client with newly diagnosed crohn’s disease asks the nurse about dietary restrictions. How should the nurse respond? 38. A female college student comes to the school’s health clinic complaining of urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first? 39. when preparing a teaching plan for a client newly diagnosed with diabetes mellitus, the nurse should describe which situation as requiring the most immediate action by the client or family? 40. Client is about to go to physical therapy but before that is having a wound debridement(whirlpool therapy)? What should the nurse do? Give analgesic. 41. Patient taking ferrous sulfate 42. Patient complaining of pain in the back/sacrum area 43. Patient complaining of leg pain 44. Emesis basin of coffee-ground vomit 45. Dosage calculation/Heparin Drip: 46. Dosage calculation: 47. Patient complaining of abdominal pain 48. Pt with eczema how will you know the medication is working 49. COPD patient with ABGs and elevated CO2 51) After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 52) SIADH : Give hard candy for thrist 53) Emotional prepareness before surgery

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Comprehensive Exam mostly tested exam questions and answers solution 2020 133- Cyclobenzaprine(Flexeril)isprescribedtoaclientwithmultiplesclerosisforthetreatmentof musclespasms.Forwhichcommons... ideeffectofthismedicationdoesthenursemonitortheclient? 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 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. Abductiondevice152ID: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 Correct 16 ID:383712470 Anurseisprovidingdietaryinstructionstothemotherofachildwithceliacdisease.Thenursetels themotherthatitisaceptabletogivethechild: A. BoiledriceCorrect 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. Ablodpresurehigherthanthenormalrang 194ID:383712485 Thenurseisthefirstresponderathesceneofabuscrash.Afteraquickasesmentofthevictims, whichonedoesthenursecareforfirst? A. Avictim withatwistedankleandlegbruises B. Avictim withanopenfractureofthearm thatisble dingprofuse 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. 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. Correct 2 1ID:383713148 Acommunityhealthnurseispreparingaposterforahealthfairthatwilincludeinformationabouthe waystopreventearinfectionoreartrauma.Whichpreventionmeasuresdoesthenurseincludeon theposter?Selectallthatapply. A. Alwayssnezewiththemouthclosed. B. Ocludeonenostrilwhenblowingthenose. C. Ke pthevolumeofheadphonesathelowestseting D. Avoidenvironmentalconditionsinvolvingrapidchangesinairpresure E. CleantheexternalearandcanaldailyintheshowerorwhilewashingthehairCor 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. Checkingforgastricresidualvolumeandasesingtubeplaceme 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 [Show More]

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