NCLEX ppt EXAM 4

A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Take the medication 1 hr before a meal B. Limit NSAIDs when taking this medication. C. Expect skin flushing when taking this medication. D. Increase fiber intake when taking this medication E. Chew the medication thoroughly before swallowing.

A. Take the medication 1 hr before a meal B. Limit NSAIDs when taking this medication.

The nurse is reviewing the serum laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated? A. Hematocrit B. Erythrocyte sedimentation rate C. WBC D. Folic acid E. Albumin

B. erythrocyte sedimentation rate C. WBC

A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply.) A. Client reports pain relieved by eating. B. Client states that pain often occurs at night. C. Client reports a sensation of bloating. D. Client states that pain occurs 30 min to 1 hr after a meal. E. Client experiences pain upon palpation of the epigastric region.

C. Client reports a sensation of bloating. D. Client states that pain occurs 30 min to 1 hr after a meal. E. Client experiences pain upon palpation of the epigastric region.

The result of which diagnostic study is decreased in the client diagnosed with rheumatoid arthritis? A. ESR B. Creatinine C. Red blood cell count D. Uric Acid

C. Red blood cell count

Which tests would be used to definitively diagnose Ulcerative Colitis?Select all that apply. Abdominal X-ray CT/MRI Colonoscopy Barium enema Ultrasound

Colonoscopy Barium enema

A nurse is assessing a client who has a new diagnosis of SLE. Which of the following is an expected finding should the nurse expect? A. Weight Gain B. Petechiae On thighs C. Systolic Murmur D. Alopecia

D. Alopecia

A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include in the teaching? A. Eat three moderate-sized meals a day. B. Drink at least one glass of water with each meal. C.Eat a bedtime snack that contains a milk product. D. Increase protein in the diet.

D. Increase protein in the diet.

A nurse is reviewing a new prescription for ursodiol with a client who has cholelithiasis. Which of the following information should be included in the teaching? A. this medication is used to decreased acute biliary pain. B. this medication requires thyroid monitoring q6 months C. this medications is not recommended for clients who have diabetes mellitus D. this medication dissolves gallstones gradually over a period of up 2 years

D. this medication dissolves gallstones gradually over a period of up 2 years

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority? A. client reports difficulty sleeping B. The client's urine is positive for glucose C. clients reports having an elevated body temperature D. Clients reports gaining 4lb in the last 6 months

c. clients reports having an elevated body temperature

The nurse is teaching the client newly diagnosed with systemic lupus erythematosus about the condition. Which statement by the client indicates the teaching was effective? A. "I should avoid prolonged sun exposure" B. "I do not have to modify my diet" C. "There is a cure for this condition" D. "Men are more affected than women by SLE"

A. "I should avoid prolonged sun exposure"

A nurse in a clinic is teaching a patient who has Ulcerative Colitis. Which of the following statements by the patient indicates understanding of the teaching? A. "I will plan to limit fiber in my diet." B. "I will restrict fluid intake during meals." C."I will to black tea instead of drinking coffee." D. I will try to eat three moderate to large meals a day."

A. "I will plan to limit fiber in my diet." A low fiber diet is recommended for a patient who has UC to reduce inflammation

A nurse is reviewing nutrition teaching for a client who has cholecystitis. The nurse should identify that which of the following can trigger cholecystitis? A. Brownie with nuts B. Bowl of mixed fruit C. Grilled turkey D. Baked potato

A. Brownie with nuts

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching? A. Decreased intake of calorie-dense foods B. Drink canned protein supplements C. Increase intake of high fiber foods D. Take a bulk-forming laxative daily

B. Drink canned protein supplements High protein is recommended for the client who has Crohn's

A client is newly dx with relapsing-remitting multiple sclerosis (RRMS). Which instruction should the nurse provide? A. "you must avoid stress and extreme fatigue, because these can trigger a relapse" B. "your type of MS is the least common, making it difficult to manage" C. "you should take your medications only during times of relapse" D. " you will have a steady and gradual decline in function"

A. "you must avoid stress and extreme fatigue, because these can trigger a relapse"

A nurse is caring for a client who has been diagnosed with "rheumatic disease". What nursing diagnoses will most likely apply to this client's care? Select all that apply. A. Fatigue B. Alternation of self-concept C. Fluid and electrolyte imbalance D. Fluid volume deficit E. Pain

A. Fatigue B. Alternation of self-concept E. Pain

A nurse working in an outpatient clinic is assessing a client who has rheumatoid arthritis (RA). The client reports increased joint pain, tenderness, and swelling. Which of the following findings should the nurse expect? Select all that apply A. Recent influenza B. Decreased range of motion C. Hypersalivation D. Increased blood pressure E. Pain at rest

A. Recent influenza B. Decreased range of motion E. Pain at rest

A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect? (Select all that apply.) A. Rigid abdomen B. Tachycardia C. Elevated blood pressure D. Circumoral cyanosis E. Rebound tenderness

A. Rigid abdomen B. Tachycardia E. Rebound tenderness

A patient presents to the ED with abdominal cramping and diarrhea for the past 3 days. Which of the following laboratory tests would indicate that this patient may have Ulcerative Colitis? Select all that apply. A. WBC increased B. Hemoglobin & Hematocrit increased C. Serum Albumin decreased D. Negative occult blood test E. K+, Mg, Ca decreased

A. WBC increased C. Serum Albumin decreased E. K+, Mg, Ca decreased

Diet modifications for patient diagnosed with chronic inflammatory bowel disease include which of the following? A. low residue B. low protein C. calorie restriction D. iron restriction

A. low residue

A client has an exacerbation of multiple sclerosis. The physician orders dantrolene (Dantrium), 25 mg P.O. daily. Which assessment finding indicates the medication is effective? A. reduce muscle spasticity B. increased ability to sleep C. relief from constipation D. relief from pain

A. reduced muscle spasticity

A nurse is teaching a client who has a new diagnosis of rheumatoid arthritis. Which of the following statements should the nurse include in the teaching? A."You can experience morning stiffness when you get out of bed" B."You can experience abdominal pain" C."You can experience weight gain" D."You can experience low blood sugar"

A."You can experience morning stiffness when you get out of bed"

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 the joints of the fingers B. Pallor of the 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 the toes with cold exposure

A nurse is completing preoperative teaching for a client who is scheduled for laparoscopic cholecystectomy. Which of the following should be included in teaching? A. "The scope will be passed through your rectum." B. "You might have shoulder pain after surgery." C. "You will have Jackson-Pratt drain in place after surgery" D. "You should limit how often you walk for 1 to 2 weeks"

B. "You might have shoulder pain after surgery." **due to free air introduced in the body during surgery

A nurse is providing discharge teaching to a client who is postoperative following open cholecystectomy with T-tube placement. Which of the following instructions should the nurse include in teaching? (select all that apply.) A. Take baths rather than showers B. Camp T-tube for 1 hr before and after meals C. Keep the drainage system above the level of the abdomen D. Expect to have T-tube removed 3 days postoperatively E. Report brown-green drain to the provider

B. Camp T-tube for 1 hr before and after meals C. Keep the drainage system above the level of the abdomen

A nurse is caring for a client who has rheumatoid arthritis. Which of the following laboratory tests are used to diagnose this disease? Select all that apply. A. Urinalysis B. Erythrocyte sedimentation rate (ERS) C. Antinuclear antibody (ANA) tiger D. WBC count

B. Erythrocyte sedimentation rate (ERS) C. Antinuclear antibody (ANA) tiger D. WBC count

Which assessment suggests to the nurse that a client with SLE is having renal involvement? A. Acute angle closure glaucoma B. Hypertension C. Increased troponin levels D. Dependent edema

B. Hypertension

When providing discharge teaching for a client with multiple sclerosis (MS), the nurse should include which instruction? A. Limit your fruit and vegetable intake B. Avoid hot baths and showers C. Avoid taking daytime naps D. Restrict fluid intake to 1500ml/day

B. avoid hot baths and showers can exacerbate the disease

A nurse in a clinic is reviewing the laboratory reports of a client who has suspected cholelithiasis. Which of the following is an expected finding? A. Serum amylase 80 units/L B. WBC 9,000/mm3 C. Direct bilirubin 2.1 mg/dL D. Alkaline phosphatase 25 units/L

C. Direct bilirubin 2.1 mg/dL

The nurse is advising a client with multiple sclerosis on methods to minimize spasticity and contractures. Which of the following techniques would the nurse instruct the client to perform? A. avoid swimming and any weight-bearing activity B. relax in a hot bath C. apply warm packs to the affected area D. exercise following a circuit training regimen

C. apply warm packs to affected area