NCLEX patho exam 3

which clinical manifestation is associated with a diagnosis of tuberculosis? select all that apply: diarrhea anorexia weight gain hemoptysis night sweats

anorexia hemoptysis night sweats

Which finding will the nurse expect when caring for a client who is in hypovolemic shock? a) slow heart rate b) cool skin temperature c) bounding radial pulse d) increase urine output

cool skin temperature

A nurse is assessing two clients. One client has ulcerative colitis, and the other client has Crohn disease. Which is more likely to be identified in the client with ulcerative colitis than in the client with Crohn disease? inclusion of transmural involvement of the small bowel wall higher occurrence of fistulas and abscesses from changes in the bowel wall pathology beginning proximally with intermittent plaques found along the colon involvement starting distally with rectal bleeding that spreads continuously up the colon

involvement starting distally with rectal bleeding that spreads continuously up the colon

a client has pulmonary tuberculosis. as a result, the client has a decreased surface area for gas exchange in the lungs, affecting which physiological process? osmosis filtration active transport molecular diffusion

molecular diffusion

When the nurse in the coronary care unit (CCU) identifies ventricular fibrillation on a client's cardiac monitor, which intervention is the priority? o Defibrillate the client. o Notify the Rapid Response Team. o Administer intravenous epinephrine. o Initiate cardiopulmonary resuscitation

defibrillate the client

A client's chest tube has accidentally dislodged. What is the nursing action of highest priority? Place the client in a left side-lying position. Apply oxygen via non-rebreather mask. Apply a petroleum gauze dressing over the site. Prepare to reinsert a new chest tube

Apply a petroleum gauze dressing over the site.

which client is at an increased risk for hospital-acquired pneumonia? 1 Client who was admitted yesterday with hypoxia and fever 2 Client who has been on mechanical ventilation for 5 days 3 Client who reports being on an airplane with other sick individuals 4 Client who was admitted to the hospital 5 days ago for abdominal pain

Client who was admitted to the hospital 5 days ago for abdominal pain

A community health nurse visits an infant who was born at home 24 hours ago. While assessing the infant the nurse identifies slight jaundice of the face and trunk. What should the nurse do next?Obtain a stat order for a bilirubin level. Plan for immediate admission to the hospital. Document this expected finding in the infant's record. Arrange for the infant to have phototherapy in the home.

Obtain a stat order for a bilirubin level

the nurse is caring for a client with a history of alcoholism and cirrhosis who is hospitalized with severe dyspnea as a result of ascites. an increase in which process most likely caused the ascites? 1 Increased secretion of bile salts 2 Increased pressure in the portal vein 3 Increased interstitial osmotic pressure 4 Increased production of serum albumin

Increased pressure in the portal vein

When preparing a child with asthma for discharge, what instructions must the nurse emphasize to the family? Select all that apply. limit allergens in the home maintain a dry home environment avoid placing limits on the child's behavior expectations continue the medications even if the child is asymptomatic prevent exposure to infection by having the child tutored at home

Limit allergens in the home. Continue the medications even if the child is asymptomatic.

A client has chronic obstructive pulmonary disease (COPD). To decrease the risk of CO2 intoxication (CO2 narcosis), the nurse should: initiate pulmonary hygiene to clear air passages of trapped mucus instruct to deep-breathe slowly with inhalation longer than exhalation encourage continuous rapid panting to promote respiratory exchange administer oxygen at a low concentration to maintain respiratory drive

administer oxygen at a low concentration to maintain respiratory drive

A nurse is reviewing a list of current medications with a client who has developed gastrointestinal bleeding. Which medication prescription should the nurse discuss with the primary healthcare provider? Digoxin Ibuprofen Famotidine Atorvastatin

ibuprofen

The nurse observes the following dysrhythmia on a client's cardiac monitor. Which rhythm would the nurse identify? o Atrial flutter o Atrial fibrillation o Ventricular fibrillation o Ventricular tachycardia

ventricular fibrillation

which vitamin would the nurse anticipate may be needed when a client with liver dysfunction reports bleeding gums and the nurse observes small facial hemorrhagic lesions? 1. Vitamin C 2. Folic acid 3. Vitamin A 4. Vitamin K

vitamin K