AHT Exam 3

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, what findings should the nurse expect to observe first? A. Change in temperature of the toes B. Pallor of the toes C. Edema of the toes D. Inability to move toes

B. Pallor of the toes

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Drinks one alcoholic beverage per day B. Smokes 1 pack of cigarettes per day C. Large body stature D. History of bone fracture during childhood

B. Smokes 1 pack of cigarettes per day

A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis? A. Anticoagulants B. NSAIDs C. Cardiac glycosides D. Thyroid hormones

Thyroid hormones

A nurse is providing breast self-examination teaching to a client who is menopausal. Which of the following statements should the nurse identify as an indication that the teaching was effective? Select all that apply a. "I don't have to lie down to check my breasts. I can stand in the shower." b. "If I feel a firm ridge in the lower curve of my breasts I should report this immediately." c. "It is important to use pressure when feeling my breasts to detect changes." d. "Since I no longer have periods, I can perform an examination at any time of the month." e. "I will make sure to feel for changes in my underarm area."

acde

A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include what information in the teaching? A. Buck's extension traction will reduce the fracture B. Buck's extension traction will relieve muscle spasms C. Buck's extension traction will maintain alignment of the pins D. Buck's extension traction will allow supported movement of the extremity

b

a nurse assessing a client who has multiple fractures in his left leg notes increasing edema. because this is often the first sign of a serious complication of fractures, the nurse should suspect which of the following? a) fat embolism syndrome b) acute compartment syndrome c) pulmonary embolism d) osteomyelitis

b

a nurse is caring for a client who has an indwelling catheter. which of the following actions should the nurse take to prevent infection? A. replace the catheter every 3 days B. Check the catheter tubing for kinks or twisting C. Irrigate the catheter once a shift D. Clean the perineal area with an antiseptic solution daily

b

A nurse assessing a client notes that the client has a constant leakage of small amount of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence? A. stress incontinence B. urge incontinence C. overflow incontinence D. reflex incontinence

c

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect which of the following findings? A. Urge incontinence B. Critically elevated prostate-specific antigen (PSA) level C. Difficulty starting the flow of urine D. Painful urination

c

A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis? A. Levothyroxine B. Calcitonin C. Raloxifene D. Allopurinol

c

A nurse is a client who is taking metformin XR for type 2 DM. Which of the following instructions should the nurse include in the teaching? A. Take the medication with a meal B. You may crush or chew the medication C. This medication may cause in increase in perspiration D. This medication may turn your urine orange

A

A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching? a. "You will need to remove all jewelry before the test." b. "You will need to lie flat for 4 hours following the test." c. "You will need to empty your bladder before the test." d. "You will need to fast for 12 hours before the test."

A

A nurse is teaching a group of nursing students about pyelonephritis. Which of the following statements should the nurse include in the teaching? A. "Pyelonephritis increases a pregnant woman's risk for preterm labor." B. "Pyelonephritis is most often caused by Staphylococcus saprophyticus." C. "Pyelonephritis is an infection of the lower urinary tract." D. "Pyelonephritis often causes no symptoms in affected clients."

A

A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels? a. 6.3% b. 7.8% c. 8.5% d. 10%

A

A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? A. "Skeletal traction is more appropriate than skin traction for reducing a fracture." B. "Skeletal traction has less risk for infection than skin traction." C. "Clients with skin traction have more mobility than those with skeletal traction." D. "Clients with skin traction have more discomfort than those with skeletal traction."

A. "Skeletal traction is more appropriate than skin traction for reducing a fracture."

A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis? A. Thyroid hormones B. Anticoagulants C. NSAIDs D. Cardiac glycosides

A. thyroid hormones

A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching? a. A Papanicolaou (Pap) test should be performed every 6 months. b. Artificial lubrication can be used to treat vaginal itching and dryness. c. Increased vaginal drainage typically occurs 5 days following surgery. d. Resume sexual intercourse in 2 to 3 weeks.

B

A nurse is teaching a client who has type 1 diabetes mellitus about exercise. Which of the following instructions should the nurse include? a. Perform vigorous exercise when blood glucose is less than 100 mg/dL b. Do not exercise if ketones are present in your urine c. Avoid eating for 2 hr before exercise d. Examine your feet weekly

B

A nurse is reviewing the medical record of a client who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor? A. COPD B. Diabetes mellitus C. Anemia D. Osteoporosis

B.

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history? A. History of dermatitis B. History of breast cancer C. Multiple hospitalizations for COPD D. Concurrent treatment for GERD

B. History of breast cancer

A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.) a. Polyuria b. Blurred vision c. Polydipsia d. Tachycardia e. Moist, clammy skin

Blurred vision Tachycardia Moist, clammy skin

A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? ​A. 0720​ B. 0730​ C. 0745​ D. 0815​

C

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A. Glucocorticoid medications B. Dextrose 5% in 0.45% sodium chloride C. Oral hypoglycemic medications D. 0.9% sodium chloride IV bolus

D

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include? A. Have an eye examination once per year. B. Examine your feet carefully every day C. Wear compression stockings daily. D. Maintain stable blood glucose levels

D

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi? A. Protein in the urine B. Dehydration C. Iron deficiency D. Obesity

Dehydration

A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching? 1. Temporary loss of libido 2. Dizziness 3. Bradycardia 4. Burning with urination

Dizziness

A nurse is assessing the effectiveness of the elastic bandage on the stump of a client who had a right below-the-knee amputation. Which of the following findings should alert the nurse to a possible complication? 1. Pitting edema around the stump dressing. 2. Looseness of the stump dressing. 3. The dressing forming a cone shape over the stump. 4. Figure-eight wrapping around the stump.

1. Pitting edema around the stump dressing

A nurse is caring for an older adult client who has had surgery for an intestinal obstruction an d has an NG tube to wall suction. Which of the following interventions should the nurse include in the client's post-op plan of care? (select all that apply) A. Discontinue suction when assessing for peristalsis B. Irrigate the NG tube with 0.9% NaCl solution C. Place sequential compression devices on the bilateral lower extremities D. Reposition the pt from side to side every 2 hrs E. Encourage the use of incentive spirometry every 2 hours when awake

A. Discontinue suction when assessing for peristalsis B. Irrigate the NG tube with 0.9% NaCl solution C. Place sequential compression devices on the bilateral lower extremities D. Reposition the pt from side to side every 2 hrs

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment B. Explain the discharge instructions to the client and parents C. Provide reassurance to the client and parents D. Apply an ice pack to the casted leg

A

A nurse is providing teaching for a client who is preparing for a below the knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis? A. You will do special exercises in advance of getting your prosthesis. B. You will be fitted for your prosthesis at the time of surgery C. A special pressure dressing will remain on to cushion your prosthesis D. The prosthesis will be adjustable depending on what shoe you are wearing

A

A nurse is providing teaching to a client about measures to prevent UTI's. Which of the following client statements indicates a need for further teaching? a. "I will need to wipe my perineal area from back to front after urination." b. "I will need to empty my bladder regularly and completely" c. "I will need to drink apple cider vinegar each day" d. "I need to drink 8 cups of liquid each day"

A

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?A. Danazol B. Finasteride C. Fluoxymesterone D. Methlytestosterone

B

A nurse is caring for an older adult client who had a femoral head fracture 24 hr ago and is in skin traction. The client reports shortness of breath and dyspnea. The nurse should suspect that the client has developed what complications? A. pneumonia B. fat embolism C. pneumothorax D. Airway obstruction

B

a nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. which of the following actions is the nurses priority? a. monitor intake and output b. strain the urine c. administer pain meds d. administer an antiemetic

C

A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the affected arm? a) bounding distal pulse b) acute pain c) ecchymosis of the surrounding skin d) increasing edema

D