Anti patho

A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

The nurse should change the client's position ever 2hours to stimulate and prevent pressure ulcers

A nurse is assessing four female clients for obesity. Which of the following clients have manifestations of obesity?

A client who weighs 28% above

A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following

Barrel

A client tells the nurse that he suspects that he grinds his teeth at night. The nurse should explain that th client should see a dentist for this problem, which should she document as which of the following disorders

Bruxism

A nurse is caring for a child who has suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

Clients who have cystic fibrosis have an increased of sodium and chloride in both saliva and sweat. Therefore, a sweat chloride test can definitely confirm a diagnosis of cystic fibrosis

A nurse is assessing a school aged child whose blood glucose level is 280mg/dL. Which is the following findings should the nurse expect?

Lethargy

A nurse is planning a presentation about HIV for a church based group. Which of the following information about HIV transmission should the nurse indicate?

Transmitted through direct contact with body fluids

A nurse is caring for an older adult who has left sided heart failure. Which of the following assessment findings should the nurse expect

Frothy sputum

A nurse is caring for a client who has heart failure and a potassium of 2.4. The nurse should identify which of the following medications as the cause of the client's low potassium

Furosemide

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. High of the following should the nurse plan for?

High fiber diet to establish bowel regularity

A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. Then nurse should identify that the client is likely experiencing which of the following conditions

Hypoglycemia

A nurse is caring for a client who had PAD. Which of the following symptoms should the nurse expect to find in therapy stages of the disease

Intermittent claudication

A nurse is assessing a client ho has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?

Oral mucosa

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow

Patent ductus arteriosus

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III

Pupillary response to light

A community health nurse is reviewing the levels of disease prevention. Which of the following is an example of tertiary prevention?

Reduced complications and disabilities by clients who have a medical illness

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 8, and the HCO3 IS 23. The nurse should recognize that these findings indicate high of the following acid base imbalances

Respiratory acidosis

A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?

Results from decreased bone marrow production of RBC

A nurse is assisting with a routine physical examination of an adolescent. The provider observed a lat real curvature of the spine. The nurse should expect the provider to document which of the following?

Scoliosis is an abnormal lateral curvature of the spine that typically observed in children over the age of 10 years. Mild scoliosis usually has few consequences, but more severe curvature can restrict lung function.

A nurse is assessing a client's assessing a client's would dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

Seroswnguineous

A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?

Spine bifida

A nurse is assessing a client's immune function by reviewing the laboratory value of the cellular response to the T cells. The nurse should recognize that which of the following conditions is affected by the T cells?

Transplant rejections

A nurse is creating a plan of care to maintain the skin integrity of a cli not who experiences frequent diarrhea due to ulcerative colitis. Which of the following int interventions should the nurse include in the plan?

Wipe perinatal area with warm water and apply a barrier cream

A nurse is providing teaching to a client about measures to prevent urinary tract infections. Which of the I following client statements indicates a need for further teaching

Wiping from back to front reduces risk

A nurse is associating a client who has developed atelectasis postoperatively. Which of the following findings should th nurse expect

increasing dyspnea