Alterations final HESI

Trimethoprim-sulfamethoxazole is prescribed for a client with cystitis. Which instruction would the nurse include when providing medication teaching? a. Drink eight to ten glasses of water daily b. take this medication with orange juice c. take the medication with meals d. take the medication until symptoms subside

a

Which history statement would be expected when admitting a child with acute glomerulonephritis to the inpatient unit? a.the child had a sore throat a few weeks ago b. the child has just recovered from the measles c. the child's father has a family of urinary tract infections d. the child's immunizations were administered at the start of school

a

Which reported clinical manifestations would the nurse expect from a client with ulcerative colitis? select all that apply. a. Fever b. Diarrhea c. Gain in weight d. Spitting up blood e. Abdominal cramps

a, b, e

An older client;s colonoscopy reveals the presence of extensive diverticulosis. Which type of diet would the nurse encourage the client to follow? a. Low-fat b. High-fiber c. High-protein d. Low-carbohydrate

b

What microorganism would the nurse suspect as the cause of acute glomerulonephritis? a. Haemophilus b. Streptococcus c. Pseudomonas d. Staphylococcus

b

A client with acute kidney injury is moved into the diurectic phase after 1 week of therapy. During this phase, which clinical indicators would nurse assess? Select all that apply. a. Skin rash b. Dehydration c. Hypovolemia d. Hyperkalemia e. Metabolic acidosis

b, c

Which clinical findings would the nurse expect to see when assessing a client with hyperthyroidism? Select all that apply. a. Dry skin b. Weight loss c. Tachycardia d. Restlessness e. Constipation f. Exophthalmos

b, c, d, f

A female client has decreased bone density, dry skin, and dry perineal tissues, and the primary health care provider has identified a risk of cystitis, which instruction would the nurse provide to the client? Select all that apply. a. Avoid bending at the waist b. perform weight-bearing activity c. Perform deep-breathing exercises d. drink at least 2 liters of fluids daily e. use vaginal lubricants during sexual activity

b, d, e

Which clinical findings would the nurse expect to find when caring for a client with hyperthyroidism? Select all that apply. a. Lethargy b. Tachycardia c. Weight gain d. Constipation e. Exophthalmos

b, e

A client arrives at a health clinic reporting a recent onset of hematuria, frequency, urgency, and pain on urination. which diagnosis will the nurse observe in the client's medical record? a. Chronic glomerulonephritis b. nephrotic syndrome c. pyelonephritis d. cystitis

d

Assessment findings of a client who is admitted to the emergency department include cramping pain in the left lower quadrant, weakness, bloating, malaise, and a low-grade fever. The nurse suspects which condition? a. Pancreatitis b. Appendicitis c. Cholecystitis d. Diverticulitis

d

Which instruction would the nurse give to a client with renal calculi? Select all that apply. a. drink plenty of water b. have spinach soup every day c. substitute lemon juice for tea d. include high amounts of protein in the diet e. consume foods rich in omega-3 fatty acids

a, c

Which clinical manifestations would the nurse expect a client with hypothyroidism to exhibit? Select all that apply. a. Cool skin b. Photophobia c. Constipation d. Periorbital edema e. Decreased appetite

a, c, d, e

A client is admitted via the emergency department with tentative diagnosis of diverticulitis. The nurse anticipates that which test will be prescribed? a. CT scan b. Gastroscopy c. Colonoscopy d. Barium enema

a

The nurse is caring for a client with Addison disease. Which dietary instruction would the nurse provide? a. Add extra salt to food b. Consume high-potassium foods. c. Omit protein foods at each meal d. Restrict the daily intake of fluids to 1 L

a

The nurse is performing the initial history and physical examination of a client with a diagnosis of duodenal ulcer. Which type of pain would the nurse expect the client to describe? a. Pain that is relieved with eating b. Pain that is worse with antacids c. Pain that is relieved with sleep d. Pain that is worse 1 hour after eating

a

For which complications would the nurse monitor a client hospitalized end-stage kidney disease? Select all that apply. a. Anemia b. Dyspnea c. Jaundice d. Hyperexcitability e. Hypophosphatemia

a, b

Which clinical manifestations would the nurse anticipate when assessing a client with hypothyroidism? Select all that apply. a. Dry skin b. Brittle hair c. Weight loss d. Resting tremors e. Heat intolerance

a, b

The nurse is educating a client with hypothyroidism about the us of levothyroxine. Which information would the nurse provide. Select all that apply. a. Take dose same time each day b. Refrain from switching brands c. Have regular bloodwork drawn d. Hold medication for pulse >60 beats per minute e. Report weight loss more than 3 pounds.

a, b, c

The client asks the nurse to recommend foods that might be included in a diet for diverticular disease. Which foods would be correct to include in the teaching plan? Select all that apply. a. Whole grains b. Cooked fruits and vegetables c. Nuts and seeds d. Lean red meats e. Milk and eggs

a, b, c, e

When client is admitted with dehydration, which clinical manifestations would the nurse expect to find? Select all that apply. a. Oliguria b. Dyspnea c. Hypotension d. Pulmonary crackles e. Tenting skin turgor

a, c, e

Which pain description would the nurse expect a client to report when describing pain associated with a suspected duodenal peptic ulcer? a. An ache radiating to McBurney point b. An intermittent, colicky right-flank pain c. A gnawing sensation in the epigastric area d. A generalized abdominal pain intensified by movement

c

Which test results would the nurse anticipate in the laboratory reports of a client diagnosis of end-stage renal disease? a. Arterial pH of 7.5 b. Hematocrit of 54% c. Potassium of 6.3 mEq/L d. Creatinine of 1.2 mg/dL

c

Which test would the nurse check to determine whether a transplanted kidney is functioning? a. White blood cell count b. Renal ultrasound c. Serum creatinine level d. 24-hour urinary output

c

The nurse is caring for a client with a bowel obstruction. Which assessment findings indicate the possible onset of peritonitis? Select all that apply. a. Diarrhea b. Bradycardia c. Rebound tenderness d. Diminished bowel sounds e. Rigid, boardlike abdomen

c, d, e

Which finding indicates that a client is at an increased risk for colorectal cancer (CRC)? Select all that apply. a. Presence of dark, tarry stools b. Family history of polyposis c. 20-year history of ulcerative colitis d. Unintentional 20- pound weight loss e. Change in bowel pattern for 3 months

all

A client who is 5 feet 8 inches tall and weighs 220 lbs has ureteral colic, blood in the urine, and a blood pressure of 150/90 mmhg. Which objective has the highest priority and directs the nursing interventions for this client? a. decrease pain b. decrease weight c. decrease hematuria d. decrease hypertension

a

A client is experiencing an exacerbation of ulcerative colitis. A low residue, high protein diet and intravenous fluids with vitamins have been prescribed. When implementing these prescriptions, which goal is the nurse trying to achieve. a. Reduce gastric acidity b. Reduce colonic irritation c. Reduce intestinal absorption d. Reduce bowel infection rate

b

Which clinical manifestations would the nurse expect a client to exhibit with a diagnosis of Cushing syndrome. Select all that apply. a. Emaciation b. Weakness c. Hypertension d. Truncal obesity e. Intermittent tonic spasms

b., c, d

A client with a ruptured appendix is scheduled for an appendectomy. Preoperatively, the nurse would place the client in which position? a. Modified left prone b. Left lateral c. Semi-fowler d. Dorsal recumbent

c

Which condition would the nurse suspect if a client's laboratory reports show white blood cells in the urine? a. pyelonephritis b. kidney trauma c. kidney infection d. acute tubular necrosis

c

Which discharge instruction would the nurse emphasize when preparing a client with Addison disease for discharge. a. Limit physical activity b. Restrict sodium in your diet c. Continue steroid replacement therapy d. Schedule frequent health care appointments

c

A nurse is caring for a client admitted to the hospital for diabetic ketoacidosis. Which clinical finding related to this even would the nurse document in the client's clinical record? Select all that apply. a. Diaphoresis b. Retinopathy c. Acetone breath d. Increased arterial bicarbonate level e. Decreased arterial carbon dioxide level

c, e

A child in renal failure who has undergone creation of an arteriovenous fistula access begins hemodialysis three times a week, The nurse teaches the mother the specific care her child needs. Which statement indicates that further teaching is necessary? a. I'll offer more drinks in warm weather b. I should call the clinic if he vomits or has diarrhea c. I'll check his pulse at the wrist on each arm every day d. It's OK to take his blood pressure on the arm with the fistula

d

The nurse reviews the kidney function blood studies of four clients. Which client's result indicates kidney impairment? a. Creatinine 0.1 BUN 16 b. Creatinine 0.8 BUN 18 c. Creatinine 1.2 BUN 20 d. Creatinine 1.9 BUN 22

d

Which would the nurse do when obtaining consent for surgery? a. Describe the risks involved in the surgery b. Explain that obtaining the signature is routine for any surgery c. Witness the client's signature, which the nurse's signature will document d. Determine whether the client's knowledge level is sufficient to give consent

d