EAQ #4

- diabetes - smoking - alcohol abuse

Which factors contribute to a client's slow rate of healing?

obesity cigarette smoking family history previous hormone replacement therapy

a 55-year-old client has been diagnosed with endometrial cancer. Which findings in the client's history are risk factors associated with endometrial cancer?

- increased age - ulcerative colitis

what information form a client's history would the nurse identify as risk factors for the development of colon cancer?

hang a bag of normal saline with new tubing

when a client demonstrates signs and symptoms of a transfusion reaction, the nurse immediately stops the infusion. Which action would the nurse take next?

- eat much less roughage - drink plenty of fluids between meals

which dietary changes would the nurse suggest to the client with diarrhea associated with human immunodeficiency virus (HIV)?

place the client in a side-lying position

which is the priority intervention for a dependent client with peptic ulcer disease (PUD) who is vomiting bright red blood?

Hips, knees

The nurse is completing the health history of a client admitted to the hospital with osteoarthritis. Which joints would the nurse expect the client will report as having been involved first?

- My first child was born when I was 32 - I noticed a slight discharge from a nipple - I consume 2-4 glasses of alcohol a day

The nurse is performing a breast assessment. Which statement made by the client indicates a risk of breast cancer?

screening for the HIV antibodies has minimized this risk

The nurse is caring for a client who is to receive a blood transfusion. How will the nurse respond when the client expresses fear that acquired immunodeficiency syndrome (AIDS) may be acquired as a result of the blood transfusion?

Leukoplakia (white patches in mouth) Alterations in taste Enlarged cervical lymph nodes

The nurse is obtaining a history and performing a physical assessment of a client who has cancer of the tongue. Which clinical findings would the nurse expect to identify?

prone position

Which position is indicated to assess the musculoskeletal system but is contraindicated in clients with respiratory difficulties?

monitoring the client's response, particularly within the 1st 10 minutes

A client with a diagnosis of anemia is receiving packed red blood cells. Which nursing action is important when administering the transfusion?

Protein

The nurse advises a client recovering from a musculoskeletal injury to increase intake of which nutrient?

Heart rate 124 B/P tachycardia is a cardiovascular compensatory mechanism for hypovolemia and the increased HR indicates possible ongoing bleeding and a need for further assessment of the client and communication with HCP

When caring for a client admitted with massive vomiting of blood, which finding would be of most concern to the nurse?

bone scan

Which radiographic test is used to view the entire skeleton?

- administer analgesics - teach relaxation exercises - monitor cardia rate and rhythm

a client is hospitalized with a diagnosis of acute pancreatitis. The plan of care is focused on the goals of maintaining nutrition, promoting rest, maintaining fluids and electrolytes, and decreasing anxiety. Which interventions would the nurse implement?

removes fluids and gas from the upper gastrointestinal tract

after a resection of the colon, client returns to the surgical unit from the postanesthesia care unit with a nasogastric tube attached to negative pressure. Which would the nurse explain is the purpose of this tube?

- development of antinuclear antibodies - inflammatory disease pattern - bilateral involvement of metacarpophalangeal joints

which assessment findings would the nurse identify in a client with clinical manifestations of rheumatoid arthritis?

Herberden nodes

which finding would the nurse expect to identify in a client who has osteoarthritis that would not be present in clients with rheumatoid arthritis?

Stop the blood transfusion immediately

which nursing intervention is the priority when the nurse notices that the client receiving a blood transfusion is having an acute hemolytic reaction?

- slowed movement - cartilage degeneration - increased bone prominence

which physiological changes of the musculoskeletal system would the nurse associate with aging?

synovectomy

which surgery is used as a prophylactic measure and as a palliative treatment for clients with rheumatoid arthritis?

- smoking 2 packs of cigarettes a day - working with dyes used in rubber every day

Which activities would the nurse include when teaching adults about activities that increase the risk of developing bladder cancer?

- xerostomia (dry mouth) - keratoconjunctivitis sicca (dry eyes)

Which clinical manifestations are consistent with Sjogren syndrome?

- diagnosed with TB in 1985 - received blood transfusions in 1980 during total hip replacement surgery - engaged in sexual relations with someone of the same sex for several years

Which events indicate a need to suggest testing of a client for the human immunodeficiency virus (HIV)?