Adaptive Quizzing Foundations of Nursing

The nurse recognizes which clinical manifestation as an early finding that indicates that a client is hypertensive?

A diastolic blood pressure that remains greater than 90 mm Hg

Which information would the nurse include in explaining glaucoma to a client?

There is an increase in the pressure within the eyeball.

Which clinical finding would the nurse expect the client with the diagnosis of chronic heart failure to experience?

Dependent edema in the evening

Which statement describing dysmenorrhea would a nurse recall when caring for a 37-year-old client with endometriosis visiting the women's health care clinic because of dysmenorrhea and dyspareunia?

Pain with menses

Which condition is caused by a decrease in elasticity of the client's lens?

Presbyopia

Which intervention would be included in the care of an 8-month-old infant with tetralogy of fallot?

Prevention of increased respiratory effort to promote oxygenation.

Which enzyme is responsible for retaining milk in an infant's stomach for digestion?

Rennin

Which clinical manifestation is an early sign of inguinal hernia strangulation?

Sharp abdominal pain

Which medical emergency would the nurse continually monitor for in a client who sustained a transection of the spinal cord?

autonomic hyperreflexia

A nurse is caring for a client who has a 20 year history of type 2 diabetes?

Blurry, spotty, or hazy vision

The nurse expects to hear which lung sounds in a client who is admitted with the diagnosis of mild chronic heart failure?

Crackles

Which sign would the nurse expect if right ventricular failure occurs in a client?

Neck vein distention

Which action does the Schilling test for pernicious anemia determine?

Absorbing vitamin B12

Which would an Apgar recording 5 minutes after birth help the nurse evaluate?

Adequacy of the transition to extrauterine life

Which information is important for the nurse to include concerning insulin administration when counseling an adolescent recently diagnosed with type 1 diabetes?

Insulin will be required throughout life.

The nurse knows that in a client with peripheral artery disease, walking the sometimes results in severe pain in the calf muscles is best documented using which medical term?

Intermittent claudication

Which condition does the nurse consider as the most likely cause of the clients report that their legs hurt after walking for a short time, and the pain goes away with rest but returns when walking is resumed?

Intermittent claudication

A child who is experiencing a sickle cell pain episode is admitted to the child health unit. Which is the most appropriate nursing intervention during this acute period?

Administering prescribed analgesics

After performing a vaginal examination on a client in labor, the nurse determines that the client's cervix is dilated 2 cm and 80% effaced and that the presenting part is at 0 station. What is the location of the presenting part?

At the level of the ischial spines

What is an important nursing intervention in the care of a hospitalized toddler with cystic fibrosis?

Performing postural drainage

Which would the nurse identify as the primary cause of the pain experienced by a client with a coronary occlusion?

Heart muscle ischemia