Comprehension Practice
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis & a new prescription for prednisone. Which of the following statements by the client indicates an understanding of teaching?
"I should eat more bananas while taking this medication." Client should eat more potassium-rich foods to prevent hypokalemia
A nurse is providing discharge instructions to a client who has rheumatoid arthritis and a prescription for oral betamethasone. Which of the following statements should the nurse make about how to take this medication?
"Take this medication with milk." Betamethasone should be taken with milk or food to prevent gastric irritation
A nurse in the ED is admitting a client who is at 40 wks gestation, has ruptured membranes, & the nurse observes the newborn's head is crowning. The client tells the nurse she wants to push. Which of the following statements should the nurse make?
"You should try to pant as the delivery proceeds." Panting allows uterine forces to expel the fetus & permits controlled muscle expansion to avoid rapid expulsion of the fetal head
A nurse is reviewing the laboratory results of an older adult client who is scheduled for elective removal of uterine fibroid tumors. When noting an erythrocyte sedimentation rate of 28 mm/hr, the nurse should take which of the following actions?
Continue reviewing the preoperative test results This ESR is below 30 mm/hr as expected from a female older that 50 thus there is no need for the nurse to take any specific action. For women younger than 50, the ESR should be below 20 mm/hr. An increased ESR indicates inflammation or infection and might suggest a need to postpone elective surgery
A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal HTN. The nurse recognizes which of the following lab findings as indicating the client's GI tract is digesting and absorbing blood?
Elevated BUN Indication of GI bleeding
A nurse is teaching a client who has a new diagnosis of SLE. The nurse should recognize the need for further teaching when the client identifies which of the following can exacerbate SLE?
Exercise Client should engage in conditioning exercise alternated w/ periods of rest to prevent reconditioning and muscle atrophy
A nurse is caring for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse plan to administer?
Finasteride A 5-alpha reductase inhibitor used in the tx of BPH to prevent the conversion of testosterone and to decrease prostate size
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?
Instruct the client to tighten muscle groups for a short period and then relax Isometric exercises involve static (no movement) contraction of a muscle w/o any movement of the joint. Promotes increased muscle mass, strength, and tone for clients who are on bed rest
A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an ADR of metronidazole?
Metallic taste ADRs: HA, nausea, dry mouth, metallic taste in mouth
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client's lung has re-expanded?
No fluctuations in the water seal chamber Fluctuation stops when the lung has r-expanded but the nurse should check other indications of re-expansion (equal breath sounds bilaterally) b/c fluctuation can also stop when the tubing is obstructed, a dependent loop hangs below the rest of the tubing, or the suction source is not functioning
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mmHg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
Place the client in high-Fowler's position The client who is experiencing autonomic dysreflexia is at risk for a cerebrovascular accident resulting from severe HTN. The nurse's initial action should be to place the client in a high-Fowler's position to assist in providing immediate reduction in BP and ICP.
A nurse is preparing to administer an IM injection of meperidine to a client. Which of the following is the priority assessment the nurse should complete?
Respiratory rate Meperidine can cause respiratory depression
A nurse us caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?
Schilling test Helps determine the cause of vitamin B12 deficiency
A nurse is assessing a client who is in skeletal traction. The nurse should correct which of the following findings?
The weights rest against the foot of the bed Weights that rest against the foot of the bed or on the floor do not apply the amount of traction essential for maintaining alignment and immobilizing the bone
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
"The newborn might be actively shedding the virus." Infants born to mothers who have rubella will continue to shed the rubella virus for up to 18 months postdelivery
A nurse is caring for a client who has ARDS and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?
Suppress respiratory effort Neuromuscular blocking agents such as pancuronium induce paralysis & suppress respiratory effort to the point of apnea, allowing the mechanical ventilator to take over the work of breathing for the client