Final ATI

nurse is reinforcing teaching with a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure? A. "You should not take any aspirin products prior to the mammogram." B. "Do not use apply any deodorant the day of the exam." C. "You will need to avoid sexual intercourse the day before the mammogram." D. "You should avoid exercise prior to the exam."

"Do not use apply any deodorant the day of the exam."

A nurse is collecting data for a client who is scheduled for an anterior colporrhaphy. Which of the following client statements should the nurse expect as an indication for this procedure? A. "I have to push the feces out of a pouch in my vagina with my fingers." B. "I have pain and bleeding when I have a bowel movement." C. "I have had frequent urinary tract infections." D. "I am embarrassed by uncontrollable flatus."

"I have had frequent urinary tract infections."

A nurse is reinforcing teaching with a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include? A. "This procedure will determine whether you have prostate cancer." B. "The procedure is contraindicated if you have an allergy to eggs." C. "Sound waves will be used to create a picture of your prostate." D. "You should avoid having a bowel movement for 1 hr prior to the procedure."

"Sound waves will be used to create a picture of your prostate."

A nurse is preparing a client prior to an initial Papanicolaou (Pap) test. Which of the following statements should the nurse make? A. "You should urinate immediately after the procedure is over." B. "You will not feel any discomfort." C. "You may experience some bleeding after the procedure." D. "You will need to hold your breath during the procedure."

"You may experience some bleeding after the procedure."

A nurse is reinforcing teaching with a client who is scheduled for a transurethral resection of the prostate (TURP) about postoperative care. Which of the following information should the nurse include? A. "You might have a continuous sensation of needing to void even though you have a catheter." B. "You will be on bed rest for the first 2 days after the procedure." C. "You will be instructed to limit your fluid intake after the procedure." D. "Your urine should be clear yellow the evening after the surgery."

"You might have a continuous sensation of needing to void even though you have a catheter."

A nurse is reinforcing teaching with a client about how to manage an external fixation device upon discharge. Which of the following statements by the client indicates understanding? (Select all that apply.) A. "I will clean the pins more often if drainage from the pins increases." B. "I will use a separate cotton swab for each pin." C. "I will report loosening of the pins to my doctor." D. "I will move my leg by lifting the device in the middle." E. "I will report increased redness at the pin sites."

- "I will clean the pins more often if drainage from the pins increases." - "I will use a separate cotton swab for each pin." - "I will report loosening of the pins to my doctor." - "I will report increased redness at the pin sites."

A nurse is collecting data from clients during a health screening at a health fair. Which of the following clients have a risk factor for osteoporosis? (Select all that apply.) A. A 40-year-old client who has been taking prednisone for 4 months B. A 30-year-old client who jogs 3 miles daily C. A 45-year-old client who takes phenytoin for seizures D. A 65-year-old client who has a sedentary lifestyle E. A 70-year-old client who has smoked for 50 years

- A 40-year-old client who has been taking prednisone for 4 months - A 45-year-old client who takes phenytoin for seizures - A 65-year-old client who has a sedentary lifestyle - A 70-year-old client who has smoked for 50 years

A nurse is caring for a client who had an above‑the‑knee amputation. The client reports a sharp, stabbing type of phantom pain. Which of the following actions should the nurse take? A. Remove the initial pressure dressing. B. Encourage use of cold therapy. C. Question whether the pain is real. D. Administer an antiepileptic medication

- Administer an antiepileptic medication.

A nurse is collecting data from a client who has a casted compound fracture of the femur. Which of the following findings is a manifestation of a fat embolus? A. Altered mental status B. Reduced bowel sounds C. Swelling of the toes distal to the injury D. Pain with passive movement of the foot distal to the injury

- Altered mental status

A nurse is reinforcing discharge teaching to a client who had a wound debridement for osteomyelitis. Which of the following information should the nurse reinforce? A. Antibiotic therapy should continue for 3 months. B. Relief of pain indicates the infection is eradicated. C. Airborne precautions are used during wound care. D. Expect paresthesia distal to the wound.

- Antibiotic therapy should continue for 3 months

A nurse is reviewing the health record of a client who is to undergo total joint arthroplasty. The nurse should recognize which of the following findings as a contraindication to this procedure? A. Age 78 years B. History of cancer C. Previous joint replacement D. Bronchitis 2 weeks ago

- Bronchitis 2 weeks ago

A nurse is contributing to the plan of care for a client who is postoperative following an arthroscopy of the knee. Which of the following should the nurse recommend for inclusion in the plan? (Select all that apply.) A. Check color and temperature of the extremity. B. Apply warm compresses to incision sites. C. Place pillows under the extremity. D. Administer analgesic medication. E. Monitor pulse and sensation in the foot

- Check color and temperature of the extremity. - Place pillows under the extremity - Administer analgesic medication. - Monitor pulse and sensation in the foot.

A nurse on an orthopedic unit is caring for a client following a total knee arthroplasty. Which of the following actions by the nurse are appropriate? (Select all that apply.) A. Check continuous passive motion device settings. B. Palpate dorsal pedal pulses. C. Place a pillow behind the knee. D. Elevate heels off bed. E. Apply heat therapy to incision

- Check continuous passive motion device settings - Palpate dorsal pedal pulses - Elevate heels off bed.

nurse is contributing to the plan of care for a client who will undergo an electromyography (EMG). Which of the following actions should the nurse include? (Select all that apply.) A. Check for bruising. B. Administer aspirin prior to the procedure. C. Determine whether the client takes a muscle relaxant. D. Instruct the client to flex muscles during needle insertion. E. Expect swelling, redness, and tenderness at the insertion sites

- Check for bruising - Determine whether the client takes a muscle relaxant. - Expect swelling, redness, and tenderness at the insertion sites

A nurse is reinforcing discharge teaching for a client who had a total hip arthroplasty. Which of the following information should the nurse include? (Select all that apply. A. Clean the incision daily with soap and water. B. Turn the toes inward when sitting or lying. C. Sit in a straight‑backed armchair. D. Bend at the waist when putting on socks. E. Use a raised toilet seat.

- Clean the incision daily with soap and water - Sit in a straight‑backed armchair Use a raised toilet seat

A nurse is assisting with preparing a presentation to a group of clients at a health fair about measures to reduce the risk of amputation. Which of the follow information should the nurse provide? (Select all that apply.) A. Encourage clients who smoke to consider smoking cessation programs. B. Encourage clients who have diabetes mellitus to maintain blood glucose within the expected reference range. C. Instruct clients to unplug electrical equipment when performing repairs. D. Encourage clients who have vascular disease to maintain good foot care. E. Advise clients to wait 2 hr after taking pain medication before driving.

- Encourage clients who smoke to consider smoking cessation programs. - Encourage clients who have diabetes mellitus to maintain blood glucose within the expected reference range - Instruct clients to unplug electrical equipment when performing repairs. - Encourage clients who have vascular disease to maintain good foot care.

A nurse is reinforcing preoperative teaching for a client who is scheduled to have a total hip arthroplasty. Which of the following should the nurse review with the client? (Select all that apply.) A. Encourage complete autologous blood donation. B. Sit in a low reclining chair. C. Instruct the client to roll onto the operative hip. D. Use an abductor pillow when turning the client. E. Instruct the client on the use of incentive spirometry.

- Encourage complete autologous blood donation. - Use an abductor pillow when turning the client - Instruct the client on the use of incentive spirometry.

nurse is reinforcing preoperative teaching for a client who is to undergo an arthroscopy to repair a shoulder injury. Which of the following statements should the nurse include? (Select all that apply.) A. "Avoid damage or moisture to the cast on your arm." B. "Inspect your incision daily for indications of infection." C. "Apply ice packs to the area for the first 24 hours." D. "Keep your arm in a dependent position." E. "Perform isometric exercises."

- Inspect your incision daily for indications of infection." - Apply ice packs to the area for the first 24 hours." - Perform isometric exercises."

nurse is collecting data from a client who had an external fixation device applied 2 hr ago for a fracture of the left tibia and fibula. Which of the following findings is a manifestation of compartment syndrome? (Select all that apply.) A. Intense pain when the client's left foot is passively moved B. Capillary refill of 3 sec on the client's left toes C. Hard, swollen muscle in the client's left leg D. Burning and tingling of the client's left foot E. Client report of minimal pain relief following a second dose of opioid medication

- Intense pain when the client's left foot is passively moved - Hard, swollen muscle in the client's left leg - Burning and tingling of the client's left foot - Client report of minimal pain relief following a second dose of opioid medication

A nurse is collecting data from a client who has suspected osteoporosis. Which of following findings are risk factors for osteoporosis? (Select all that apply.) A. History of consuming one glass of wine daily B. Loss in height of 2 in (5.1 cm) C. Body mass index (BMI) of 18 D. Kyphotic curve at upper thoracic spine E. History of lactose intolerance

- Loss in height of 2 in (5.1 cm) - Body mass index (BMI) of 18 - Kyphotic curve at upper thoracic spine - History of lactose intolerance

A nurse is collecting data from a client who is scheduled to undergo a right knee arthroscopy. The nurse should expect which of the following findings? (Select all that apply.) . Skin reddened over the joint B. Pain when bearing weight C. Joint crepitus D. Swelling of the affected joint E. Limited joint motion

- Pain when bearing weight - Joint crepitus - Swelling of the affected joint - Limited joint motion

A nurse is caring for a client following a below‑the‑elbow amputation. Which of the following actions should the nurse take? (Select all that apply.) A. Palpate the residual limb for warmth. B. Inspect for presence and amount of drainage. C. Implement shrinkage intervention of the residual limb. D. Wrap the residual limb in a circular manner using gauze. E. Monitor for feelings of body image changes.

- Palpate the residual limb for warmth. - Inspect for presence and amount of drainage. - Implement shrinkage intervention of the residual limb. - Monitor for feelings of body image changes

A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following actions should the nurse take? A. Apply heat to the puncture site. B. Place the client in a supine position. C. Turn the client every 1 hr. D. Ambulate the client within the first hour postprocedure.

- Place the client in a supine position

A nurse is preparing a plan of care to prevent a client from developing flexion contractions following a below‑the‑knee amputation 24 hr ago. Which of the following actions should the nurse include? A. Limit any type of exercise to the residual limb for the first 48 hr after surgery. B. Position the client prone several times each day. C. Wrap the residual limb in a figure‑eight pattern. D. Encourage sitting in a chair during the day.

- Position the client prone several times each day.

A nurse at a provider's office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow‑up is needed in regard to the prostate gland? (Select all that apply.) A. Prostate‑specific antigen (PSA) is 7.1 ng/mL. B. A digital rectal exam (DRE) reveals an enlarged and nodular prostate. C. The client reports a weak urine stream. D. The client reports urinating once during the night. E. Smegma is present below the glans of the penis.

- Prostate‑specific antigen (PSA) is 7.1 ng/mL. - A digital rectal exam (DRE) reveals an enlarged and nodular prostate. -The client reports a weak urine stream

A nurse is reinforcing discharge teaching on home safety for a client who has osteoporosis. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Remove throw rugs in walkways. B. Use prescribed assistive devices. C. Remove clutter from the environment. D. Wear soft-bottomed shoes. E. Maintain lighting of doorway areas

- Remove throw rugs in walkways - Use prescribed assistive devices. - Remove clutter from the environment - Maintain lighting of doorway areas.

A nurse is reinforcing teaching with clients at a health fair about dual-energy x-ray absorptiometry (DXA) scans. Which of the following information should the nurse include? (Select all that apply.) A. The test requires the use of contrast material. B. The hip and spine are the usual areas the device scans. C. The scan detects osteoarthritis. D. Bone pain can indicate a need for a scan. E. Females should have a baseline scan during their 40s

- The hip and spine are the usual areas the device scans. - Bone pain can indicate a need for a scan Females should have a baseline scan during their 40s

A nurse is reinforcing teaching about residual limb care for a client who has a below the knee amputation. Which of the following instructions should the nurse include? A. Use a mirror to examine all areas of the residual limb daily. B. Adjust the prosthesis twice a week. C. Change bandages once a week. D. Wrap the residual limb with compression tape by using a circular motion daily.

- Use a mirror to examine all areas of the residual limb daily

A nurse is reinforcing teaching with a client who is going to have a bone scan. Which of the following statements should the nurse include? A. "You will receive an injection of a radioactive isotope when the scanning procedure begins." B. "You will be inside a tube‑like structure during the procedure." C. "You will need to take radioactive precautions with your urine for 24 hours after the procedure." D. "You will have to urinate just before the procedure."

- You will have to urinate just before the procedure."

A nurse is reinforcing teaching to a client who is to undergo a cervical biopsy. Which of the following information should the nurse include? (Select all that apply.) A. "The procedure is painless." B. "Heavy bleeding is expected for the first few weeks." C. "A fever is common during the first 12 hours after the procedure." D. "Plan to rest for the first 72 hours after the procedure." E. "Avoid the use of tampons for 2 weeks after the procedure."

-"Heavy bleeding is expected for the first few weeks." -"Avoid the use of tampons for 2 weeks after the procedure."

A nurse in a provider's office is providing information to a client who has dysfunctional uterine bleeding (DUB). Which of the following statements by the client indicate understanding of the information? (Select all that apply.) A. "My heavy bleeding can be due to a hormonal imbalance." B. "If I experience menstrual pain, I should take aspirin." C. "Oral contraceptives are contraindicated for clients who have heavy uterine bleeding like mine." D. "My doctor can perform a D&C to find out what's causing my abnormal bleeding." E. "My condition is more common in clients who are in their 30s."

-"My heavy bleeding can be due to a hormonal imbalance." -"My doctor can perform a D&C to find out what's causing my abnormal bleeding."

A nurse is reinforcing teaching about menstruation with an adolescent client. Which of the following statements should the nurse include? (Select all that apply.) A. "The average age of onset of menstruation is 10." B. "The typical menstrual cycle is approximately 28 days." C. "The first day of the menstrual cycle begins with the last day of the menstrual period." D. "Ovulation typically occurs around the 14th day of the menstrual cycle." E. "A menstrual period can last as long as 8 days."

-"The typical menstrual cycle is approximately 28 days." -"Ovulation typically occurs around the 14th day of the menstrual cycle." -"A menstrual period can last as long as 8 days."

A nurse is reviewing the medical record of a client who is menopausal. Which of the following findings should the nurse expect? (Select all that apply.) A. Increased vaginal secretions B. Decreased bone density C. Increased HDL level D. Decreased skin elasticity E. Increased pubic hair growth F. Decreased follicle stimulating hormone level

-Decreased bone density -Decreased skin elasticity

nurse is reviewing the medical record of a client who has premenstrual syndrome (PMS). The nurse should identify that which of the following medications are used to treat PMS? (Select all that apply.) A. Fluoxetine B. Spironolactone C. Ethinyl estradiol/drospirenone D. Ferrous sulfate E. Methylergonovine

-Fluoxetine -Spironolactone -Ethinyl estradiol/drospirenone

A nurse is collecting data from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? (Select all that apply.) A. Backache B. Frequent urinary tract infections C. Weight loss D. Hematuria E. Urinary incontinence

-Frequent urinary tract infections -Hematuria -Urinary incontinence

A nurse is reinforcing discharge instructions to a client who is postoperative following a TURP. Which of the following instructions should the nurse include? (Select all that apply.) A. Avoid sexual intercourse for 3 months after the surgery. B. If urine appears bloody, stop activity and rest. C. Avoid drinking caffeinated beverages. D. Take a stool softener once a day. E. Treat pain with ibuprofen

-If urine appears bloody, stop activity and rest. -Avoid drinking caffeinated beverages. -Take a stool softener once a day

A nurse is reinforcing teaching with a client how to perform Kegel exercises. Which of the following instructions should the nurse include? (Select all that apply.) A. Perform exercises once daily. B. Contract the circumvaginal and/or perirectal muscles. C. Gradually increase the contraction period to 10 to 15 seconds. D. Follow each contraction with at least a 10- to 15‑second relaxation period. E. Perform while sitting, lying, and standing. F. Tighten abdominal muscles during contractions.

-Perform exercises once daily . -Contract the circumvaginal and/or perirectal muscles. - Gradually increase the contraction period to 10 to 15 seconds. -Follow each contraction with at least a 10- to 15‑second relaxation period. -Perform while sitting, lying, and standing

a nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (siaDH). Which of the following indings should the nurse expect? (select all that apply.) a. Decreased blood sodium B. urine speciic gravity 1.001 C. Blood osmolarity 230 mosm/L D. Polyuria e. increased thirst

A) decreased blood sodium C) blood osmolarity 230 mosm/l

nurse is reviewing the health record of a client who has syndrome of inappropriate antidiuretic hormone (siadH). Which of the following laboratory indings should the nurse expect? (select all that apply.) a. Low sodium B. High potassium c. increased urine osmolality d. High urine sodium E. increased urine speciic gravity

A) low sodium C) increased urine osmolality D)high urine sodium E) increased urine specific gravity

nurse is contributing to the plan of care for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? (select all that apply A. monitor CBC. B monitor triiodothyronine t3 C. instruct the client to increase consumption of shellish. D) Advise the client to take the medication at the same time every day. e. inform the client that an adverse effect of this medication is iodine toxicity.

A) monitor cbc B) monitor triiodothyronine D) advise the client to take the medication at the same time everyday

A nurse is preparing to assist with the care of a client from the PACU who is postoperative following a thyroidectomy. the nurse should ensure that which of the following equipment is available? (select all that apply.) A. suction equipment B. Humidiied oxygen C. Flashlight d. tracheostomy tray e. Chest tube tray

A) suction equipment B) humidiied oxygen D) tracheotomy tray

A nurse is caring for a client who has Cushing's disease. The nurse should identify that this client is at increased risk for which of the following? (select all that apply.) A)infection B. electrolyte imbalances C. renal calculi d. Bone fractures e. dysphagia

A)infection B. electrolyte imbalances d. Bone fractures

nurse is caring for a client who has primar y adrenal insuficiency and is preparing to undergo an actH stimulation test. Which of the following indings should the nurse expect after an iV injection of cosyntropin? a. no change in plasma cortisol B. Elevated fasting blood glucose c. decrease in sodium d. increase in urinary output

A)no change in plasma cortisol

A nurse is reviewing the laboratory findings for a client who might have hyperthyroidism. The nurse should identify an elevation of which of the following substances as an indication that the client has this disorder? A)triiodothyronine B) Plasma-free metanephrine c) urine cortisol D) urine osmolality

A)triiodothyronine

A nurse is reinforcing teaching to a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include? (Select all that apply.) A. "Avoid taking herbal supplements while taking this medication." B. "Monitor for the presence of black, tarry stools." C. "Take this medication when you have pain." D. "Schedule a weekly PT test." E. "Limit food sources containing vitamin K while taking this medication."

A. "Avoid taking herbal supplements while taking this medication." B. "Monitor for the presence of black, tarry stools."

nurse is reinforcing teaching with a client who had a transsphenoidal hypophysectomy. Which of the following instructions should the nurse reinforce? (select all that apply.) A. Avoid brushing teeth for two weeks post operatively. B. Avoid bending at the knees C. eat a low‑iber diet. D. Take deep breaths and cough hourly E. expect to experience a diminished sense of smell.

A. Avoid brushing teeth for two weeks post operatively. E. expect to experience a diminished sense of smell.

nurse is contributing to the plan of care for a client following a surgical placement of an endovascular stent graft to repair an aneurysm. Which of the following interventions should the nurse recommend for inclusion in the plan of care? (Select all that apply.) A. Check pedal pulses. B. Monitor for an increase in pain below the graft site. C. Maintain the client in high‑Fowler's position. D. Monitor the femoral site for bleeding. E. Report hourly urine output of 60 mL.

A. Check pedal pulses. B. Monitor for an increase in pain below the graft site. D. Monitor the femoral site for bleeding.

A nurse is collecting data on a client who has a new diagnosis of a thoracic aortic aneurysm. Which of the following findings should the nurse expect? (Select all that apply.) A. Cough B. Shortness of breath C. Upper chest pain D. Diaphoresis E. Altered swallowing

A. Cough B. Shortness of breath E. Altered swallowing

A nurse is discussing gout with a client who is concerned about developing the disorder. Which of the following findings should the nurse identify as risk factors for this disease? (Select all that apply.) A. Diuretic use B. Obesity C. Deep sleep deprivation D. Depression E. Alcohol ingestion

A. Diuretic use B. Obesity E. Alcohol ingestion

nurse is collecting data from a client who recently began taking levothyroxine to treat hypothyroidism. Which of the following findings should indicate to the nurse that the client might need a decrease in the dosage of the medication? A. Hand tremors B. Bradycardia C. pallor d. slow speech

A. Hand tremors

A nurse is reinforcing discharge teaching for a client who has a prescription for furosemide 40 mg PO daily. The nurse should instruct the client to take this medication at which of the following times of day? A. Morning B. Immediately after lunch C. Immediately before dinner D. Bedtime

A. Morning

A nurse is collecting data from a client who reports night sweats and fatigue. The client reports having a cough along with nausea and diarrhea. Their temperature is 38.1° C (100.6° F) orally. The client is concerned about the possibility of having HIV. Which of the following actions should the nurse take? (Select all that apply.) A. Perform physical data collection. B. Determine when manifestations began. C. Instruct the client about HIV transmission . D. Draw blood for HIV testing. E. Obtain a sexual history

A. Perform physical data collection. B. Determine when manifestations began. E. Obtain a sexual history

A nurse is collecting data from a client who may have HIV. The nurse should identify that which of the following are risk factors associated with this virus? (Select all that apply.) A. Perinatal exposure B. Pregnancy C. Monogamous sex partner D. Older adult female E. Occupational exposure

A. Perinatal exposure D. Older adult female E. Occupational exposure

A nurse is reviewing the plan of care for a client who has systemic lupus erythematosus (SLE). The client reports fatigue, joint tenderness, swelling, and difficulty urinating. Which of the following laboratory findings should the nurse anticipate? (Select all that apply.) A. Positive ANA titer B. Increased hemoglobin C. 2+ urine protein D. Increased serum C3 and C4 E. Elevated BUN

A. Positive ANA titer C. 2+ urine protein E. Elevated BUN

A nurse is caring for a client who is suspected of having HIV. The nurse should identify that which of the following diagnostic tests and laboratory values are used to confirm HIV infection? (Select all that apply.) A. Western blot B. Indirect immunofluorescence assay C. CD4+ T‑lymphocyte count D. HIV RNA quantification test E. Cerebrospinal fluid (CSF) analysis

A. Western blot B. Indirect immunofluorescence assay

nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following indings should the nurse include? (select all that apply.) A. Anorexia B. Heat intolerance C. Constipation d. palpitations e. Weight loss F. Bradycardia

B) heat intolerance D) palpitations E') weight loss

reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse reinforce? (select all that apply.) A. Weight gain is expected while taking thi medication B) medication should not be discontinued without this the advice of the provider C. Follow-up blood tsH levels should be obtained. d. take the medication on an empty stomach. E. Use fiber laxatives for constipation

B) medication should not be discontinued without this the advice of the provider C. Follow-up blood tsH levels should be obtained. d. take the medication on an empty stomach

a nurse is caring for a client who has diabetes insipidus. Which of the following urinalysis laboratory indings should the nurse expect? a. Presence of glucose B. Decreased speciic gravity C. Presence of ketones D. Presence of red blood cells

B)Decreased specific gravity

A nurse is caring for a client who asks why the provider bases the medication regimen on HbA1c results instead of the log of morning fast blood glucose results. Which of the following responses should the nurse make ? A) Hba1c measures how well insulin is regulating your blood glucose between meals." B)Hba1c indicates how well you have regulated your blood glucose over the past 120 days." C)Hba1c is the irst test your doctor prescribed to determine that you have diabetes." D)Hba1c determines if the your doctor should adjust your insulin dosage.

B)Hba1c indicates how well you have regulated your blood glucose over the past 120 days."

. A nurse is reinforcing teaching for a client who has a new diagnosis of hypertension and a new prescription for spironolactone 25 mg/day. Which of the following statements by the client indicates an understanding of the information provided? A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes." B. "I will report any changes in heart rate to my provider." C. "I should replace the salt shaker on my table with a salt substitute." D. "I will decrease the dose of this medication when I no longer have headaches and facial redness."

B. "I will report any changes in heart rate to my provider."

A nurse is reinforcing instructions to a client who administration. has Graves' disease and has a new prescription for propranolol. Which of the following information should the nurse include? A. "An adverse effect of this medication is jaundice." B. "take your pulse before each dose." vocal disturbances. C. "the purpose of this medication is to decrease production of thyroid hormone." D)you should stop taking this medication if you have a sore throat."

B. "take your pulse before each dose." vocal disturbances.

A nurse is reviewing strategies to promote comfort with a client who received an immunization. Which of the following information should the nurse include? (Select all that apply.) A. Massage the injection site . B. Apply a cool compress to the injection site. C. Take acetaminophen or ibuprofen. D. Use the affected extremity. E. Apply an antimicrobial ointment to the injection site.

B. Apply a cool compress to the injection site. C. Take acetaminophen or ibuprofen. D. Use the affected extremity.

A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh‑high compression stockings. Which of the following actions should the nurse take? A. Elevate the client's legs for 10 min, two to three times daily while wearing stockings. B. Apply the stockings in the morning upon awakening and before getting out of bed C. Roll the stockings down to the knees to relieve discomfort on the legs. D. Remove the stockings while out of bed for 1 hr, four times a day, to allow the legs to rest.

B. Apply the stockings in the morning upon awakening and before getting out of bed

A nurse is preparing to administer a scratch test to a client who has possible food and environmental allergies. Which of the following actions should the nurse perform prior to the procedure? (Select all that apply.) A. Cleanse the client's skin with povidone‑iodine. B. Ask the client about previous reactions to allergens. C. Ask the client about medications taken over the past several days. D. Inform the client to expect itching at one site. E. Obtain emergency resuscitation equipment.

B. Ask the client about previous reactions to allergens. C. Ask the client about medications taken over the past several days. D. Inform the client to expect itching at one site. E. Obtain emergency resuscitation equipment.

1. A nurse is screening a client for hypertension. The nurse should identify that which of the following actions by the client increase the risk for hypertension? (Select all that apply.) A. Drinking 8 oz non-fat milk daily B. Eating popcorn at the movie theater C. Walking 1 mile daily at 12 min/mile pace D. Consuming 36 oz beer daily E. Getting a massage once a week

B. Eating popcorn at the movie theater D. Consuming 36 oz beer daily

A nurse is caring for a client who has a WBC count of 20,000/mm3 . The nurse should conclude that the client has which of the following? A. Neutropenia B. Leukocytosis C. Left shift D. Leukopenia

B. Leukocytosis

nurse is preparing to document administration of a meningococcal vaccine to a client. Which of the following information should the nurse include in the documentation? (Select all that apply.) A. Age of client receiving the vaccine B. Name of vaccine manufacturer C. Vaccine expiration date D. Date of administration E. Serial number of the vaccine

B. Name of vaccine manufacturer C. Vaccine expiration date D. Date of administration

nurse is assisting with collecting data from a client during a water deprivation test. For which of the following complications should the nurse monitor the client? a. Bradycardia B. orthostatic hypotension c. neck vein distention d. crackles in lungs

B. Orthostatic hypotension

A nurse is caring for a client who has SLE and is experiencing an episode of Raynaud's phenomenon. Which of the following findings should the nurse anticipate? A. Swelling of joints of the fingers B. Pallor of toes with cold exposure C. Feet that become reddened with ambulation D. Client report of intense feeling of heat in the fingers

B. Pallor of toes with cold exposure

A nurse is reviewing laborator y results for a client who has Addison's disease. Which of the following laboratory results should the nurse expect for this client? (select all that apply.) A. sodium 130 meq/l B. Potassium 6.1 meq/l C. Calcium 11.6 mg/dl d. Blood urea nitrogen (BUn) 28 mg/dl e. Fasting blood glucose 148 mg/dl

B. Potassium 6.1 meq/l C. Calcium 11.6 mg/dl d. Blood urea nitrogen (BUn) 28 mg/dl e. Fasting blood glucose 148 mg/dl

A nurse is reviewing the health record of a client who is being evaluated for Graves' disease. the nurse should identify that which of the following laboratory results is an expected inding? A) decreased thyrotropin receptor antibodies B. decreased thyroid‑stimulating hormone (tsH) C. decreased free thyroxine index d. decreased triiodothyronine

B. decreased thyroid‑stimulating hormone (tsH)

nurse is collecting an admission histor y from a client who has hypothyroidism. Which of the following findings should the nurse expect? (select all that apply.) A. diarrhea B. menorrhagia C. dry skin d. increased libido E. Hoarseness

B. menorrhagia C. dry skin E) hoarseness

A nurse is reviewing the medication administration record of a client who has acute adrenal insuficiency. Which of the following prescriptions should the nurse expect? (select all that apply.) A. iV therapy with 0.45% sodium chloride B. regular insulin C. Hydrocortisone sodium succinate d. sodium polystyrene sulfonate e. Furosemide

B. regular insulin C. Hydrocortisone sodium succinate d. sodium polystyrene sulfonate e. Furosemide

A nurse is reinforcing teaching with a client who has SLE about self‑care. Which of the following statements by the client indicates an understanding of the instruction? A. "I should limit my time to 10 minutes in the tanning bed." B. "I will apply powder to any skin rash." C. "I should use a mild hair shampoo." D. "I will inspect my skin once a month for rashes."

C. "I should use a mild hair shampoo."

A nurse is caring for a client who has a deep‑vein thrombosis (DVT) and has been taking unfractionated heparin for 1 week. Two days ago, the provider also prescribed warfarin. The client asks the nurse about receiving both heparin and warfarin at the same time. Which of the following statements should the nurse give? A. "I will remind your provider that you are already receiving heparin." B. "Your laboratory findings indicated that two anticoagulants were needed." C. "It takes 3 to 4 days before the therapeutic effects of warfarin are achieved, and then the heparin can be discontinued." D. "Only one of these medications is being given to treat your deep‑vein thrombosis.

C. "It takes 3 to 4 days before the therapeutic effects of warfarin are achieved, and then the heparin can be discontinued."

A nurse is preparing to administer an IM injection of immune globulin to a client who has been exposed to hepatitis A. Which of the following statements by the nurse is appropriate? A. "This medication offers permanent immunity to hepatitis A." B. "This medication involves three injections over several months." C. "This medication provides you with an immune response more quickly than your body can produce it." D. "This medication contains an attenuated virus to help your body create antibodies."

C. "This medication provides you with an immune response more quickly than your body can produce it."

A nurse is reviewing information with a client who is being evaluated for Addison's disease about the adrenocorticotropic hormone (ACTH) stimulation test. The nurse should base the review on which of the following? A. The ACTH stimulation test measures the response by the kidneys to ACTH. B. in the presence of primary adrenal insuficiency, plasma cortisol levels rise in response to administration of ACTH. C. ACTH is a hormone produced by the pituitary gland. D) the client is instructed to Take a dose of ACTH by mouth the evening before the best

C. ACTH is a hormone produced by the pituitary gland.

A nurse is assisting with the care of a client who has a possible dissecting abdominal aortic aneurysm. Which of the following actions is the priority for the nurse to take? A. Administer pain medication as prescribed. B. Provide a warm environment. C. Administer IV fluids as prescribed. D. Initiate a 12‑lead ECG.

C. Administer IV fluids as prescribed.

A nurse is assisting with the care of a client who has a blood pressure of 266/147 mm Hg. The client reports a headache and double vision. The client states, "I ran out of my diltiazem 3 days ago, and I am unable to purchase more." Which of the following actions should the nurse take first? A. Administer acetaminophen for headache. B. Reinforce teaching regarding the importance of not abruptly stopping an antihypertensive. C. Assist the RN with obtaining IV access for the administration of an IV antihypertensive. D. Recommend social services for a referral for financial assistance in obtaining prescribed medication

C. Assist the RN with obtaining IV access for the administration of an IV antihypertensive.

A nurse is preparing to administer a varicella immunization to a client. The nurse should determine if the client is allergic to which of the following? A. Eggs B. Baker's yeast C. Gelatin D. Shellfish

C. Gelatin

A nurse is reviewing the laboratory findings of a client who has measles. The nurse should expect to find an increase in which of the following types of WBCs? A. Neutrophils B. Basophils C. Lymphocytes D. Eosinophils

C. Lymphocytes

nurse in an urgent care clinic is collecting data from a client who has type 2 diabetes mellitus and a recent diagnosis of hypertension. This is the second time in 2 weeks that the client experienced hypoglycemia. Which of the following client data should the nurse report to the provider? A. Takes psyllium daily as a fiber laxative B. Drinks skim milk daily as a bedtime snack C. Takes metoprolol daily after meals D. Drinks grapefruit juice daily with breakfast

C. Takes metoprolol daily after meals

A nurse is caring for a client who has a rectocele. Which of the following findings should the nurse identify contributing risk factor? A. Urinary tract infection B. Urinary incontinence C. Constipation D. Perimenopausal

Constipation

A nurse is reinforcing teaching with a client who has stage 2 HIV disease and is having difficulty maintaining a normal weight. Which of the following statements by the client should indicate to the nurse an understanding of the information? A. "I will choose a diet high in fat to help gain weight." B. "I will be sure to eat three large meals daily." C. "I will drink up to 1 liter of liquid each day." D. "I will add high‑protein foods to my diet."

D. "I will add high‑protein foods to my diet."

. A nurse is reinforcing teaching with a client who has stage 3 HIV disease. Which of the following statements by the client should indicate to the nurse an understanding of the information? A. "I will wear gloves while changing the pet litter box." B. "I will rinse raw fruits with water before eating them." C. "I will wear a mask when around family members who are ill." D. "I will cook vegetables before eating them."

D. "I will cook vegetables before eating them."

A nurse is reinforcing teaching for a client who has a new diagnosis of an aneurysm. The client asks the nurse to explain what causes an aneurysm to rupture. Which of the following statements should the nurse give? A. "This can occur when the wall of an artery becomes thin and flexible." B. "This can occur when there is turbulence in blood flow in the artery." C. "It is due to abdominal enlargement." D. "It is due to hypertension."

D. "It is due to hypertension."

A nurse in a clinic is caring for a client who is to receive an immunization. The client asks about contraindications to immunizations. Which of the following responses should the nurse make? A. "The use of insulin is a contraindication." B. "An anaphylactic reaction is a contraindication for administration of any type of immunization." C. "The common cold is a contraindication for receiving an immunization." D. "Your provider will weigh the risks if you have experienced any adverse effects."

D. "Your provider will weigh the risks if you have experienced any adverse effects."

nurse is reinforcing teaching to a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates an understanding of the teaching? a. "i can drink up to 2 quarts of luid a day." B. "i will need to use insulin to control my blood glucose levels." C. "i should expect to gain weight during this illness." D. "i might be thirsty and weak."

D. "i might be thirsty and weak."

A nurse is collecting data from a client who has a new diagnosis of SLE. Which of the following findings should the nurse expect? A. Weight gain B. Petechiae on thighs C. Systolic murmur D. Alopecia

D. Alopecia

A nurse is collecting data from a client who has a suspected occlusion of a graft of the abdominal aorta. Which of the following manifestations should the nurse expect? A. Increase in urine output B. Bounding pedal pulse C. Increase in abdominal girth D. Lower extremities have irregularly shaped cyanotic areas

D. Lower extremities have irregularly shaped cyanotic areas

A nurse is collecting data from a client who has chronic peripheral arterial disease (PAD). Which of the following findings should the nurse expect? A. Edema around the ankles and feet B. Ulceration around the medial malleoli C. Scaling eczema of the lower legs with stasis dermatitis D. Pallor on elevation of the limbs, and rubor when the limbs are dependent

D. Pallor on elevation of the limbs, and rubor when the limbs are dependent

A nurse is assisting with teaching a client who has a new diagnosis of severe peripheral arterial disease. Which of the following instructions should the nurse include? A. Wear tightly-fitted insulated socks with shoes when going outside. B. Elevate both legs above the heart when resting. C. Apply a heating pad to both legs for comfort. D. Place both legs in dependent position while sleeping.

D. Place both legs in dependent position while sleeping.

nurse is planning care for a client who has acromegaly and is postoperative following a transsphenoidal hypophysectomy. Which of the following interventions should the nurse include in the plan? a. Maintain the client in a low‑Fowler's position. B. encourage deep breathing and coughing. C. encourage the client to brush their teeth when awake and alert. D. observe dressing drainage for the presence of glucose.

D. observe dressing drainage for the presence of glucose.

A nurse in a provider's office is reviewing a client's laboratory results, which shows a positive rapid plasma regain (RPR). Which of the following tests will be administered to confirm the diagnosis of syphilis? A. Venereal Disease Research Laboratory (VDRL) B. D-dimer C. Fluorescent treponemal antibody absorbed (FTA-ABS) D. Sickledex

Fluorescent treponemal antibody absorbed (FTA-ABS)

A nurse is providing support to a client who has a new diagnosis of endometriosis. The nurse should inform the client that which of the following conditions is a possible complication of endometriosis? A. Insulin resistance B. Infertility C. Vaginitis D. Pelvic inflammatory disease

Infertility

A nurse is reinforcing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the instructions? A. White bread B. Kale C. Apples D. Brown rice

Kale

A nurse in a provider's office is reviewing the medical record of a client who has fibrocystic breast condition. Which of the following findings should the nurse expect? A. Palpable rubberlike lump in the upper outer quadrant B. BRCA1 gene mutation C. Elevated CA‑125 D. Peau d'orange dimpling of the breast

Palpable rubberlike lump in the upper outer quadrant

A nurse is reviewing the medical record of a client who has a cystocele. Which of the following findings should the nurse identify as a risk factor for the development of this disorder? A. BMI of 18 B. Nulliparity C. Chronic constipation D. Postmenopausal

Postmenopausal

A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should expect a prescription for which of the following medications?' A. Oxybutynin B. Diphenhydramine C. Ipratropium D. Tamsulosin

Tamsulosin

A nurse in a clinic is reviewing the facility's testing process and procedures for human immune deficiency virus (HIV) with a new employee. Which of the following information should the nurse include? A In the presence of HIV, the enzyme immunoassay (EIA) test is typically reactive within 72 hr after the client is infected. B. The Western blot assay is used to confirm diagnosis of HIV. C. The polymerase chain reaction (PRC) test is used to confirm diagnosis of HIV. D. CD4+ cell counts will be elevated in a client who is infected with HIV.

The western Blot assay is used to confirm diagnosis of HIV