NUR 211- Exam 3 Practice Questions

Meperidine has been prescribed for a client to treat pain. Which side and adverse effects should the nurse monitor for? Select all that apply. A. Diarrhea B. Tremors C. Drowsiness D. Hypotension E. Urinary frequency F. Increased respiratory rate

B. Tremors C. Drowsiness D. Hypotension

A nurse is teaching a client about risk factors for OA. Which of the following factors should the nurse include in the teaching? (select all that apply) A. Bacteria B. Diuretics C. Aging D. Obesity E. Smoking

C. Aging D. Obesity E. Smoking

A nurse is assessing a client who has several risk factors for osteoporosis. Which of the following findings indicates that the client requires further evaluation for this disorder? A. Leg cramps with exercise B. Stress incontience C. Abdominal distention D. Lower back pain

D. Lower back pain

The nurse determines that dietary teaching for a 75-year-old patient with osteoporosis has been successful when the patient selects which highest-calcium meal? a. Chicken stir-fry with 1 cup each onions and green peas, and 1 cup of steamed rice b. Ham and Swiss cheese sandwich on whole wheat bread, steamed broccoli, and an apple c. A sardine (3oz) sandwich on whole wheat bread, 1 cup of fruit yogurt, and 1 cup of skim milk d. A two-egg omelet with 2oz of American cheese, one slice of whole wheat toast, and a half grapefruit

c. A sardine (3 oz) sandwich on whole wheat bread, 1 cup of fruit yogurt, and 1 cup of skim milk

Which information will the nurse include when teaching a patient with acute low back pain (select all that apply)? a. Sleep in a prone position with the legs extended. b. Keep the knees straight when leaning forward to pick something up. c. Expect symptoms of acute low back pain to improve in a few weeks. d. Avoid activities that require twisting of the back or prolonged sitting. e. Use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain

c. Expect symptoms of acute low back pain to improve in a few weeks. d. Avoid activities that require twisting of the back or prolonged sitting. e. Use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain

An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to a. keep both feet flat on the floor when prolonged standing is required. b. twist gently from side to side to maintain range of motion in the spine. c. keep the head elevated slightly and flex the knees when resting in bed. d. avoid the use of cold packs because they will exacerbate the muscle spasms.

c. keep the head elevated slightly and flex the knees when resting in bed.

The nurse should reposition the patient who has just had a laminectomy and diskectomy by: a. instructing the patient to move the legs before turning the rest of the body. b. having the patient turn by grasping the side rails and pulling the shoulders over. c. placing a pillow between the patient's legs and turning the entire body as a unit. d. turning the patient's head and shoulders first, followed by the hips, legs, and feet.

c. placing a pillow between the patient's legs and turning the entire body as a unit. d. turning the patient's head and

A client has a neurological deficit involving the limbic system. Which assessment finding is specific to this type of deficit? 1. Is disoriented to person, place, and time 2. Affect is flat, with periods of emotional liability 3. Cannot recall what was eaten for breakfast today 4. Demonstrates inability to add and subtract; does not know who is the president of the United States

2. Affect is flat, with periods of emotional lability

The nurse is caring for an older adult client who is taking calcium for the treatment of osteoporosis. Which statements will the nurse include when educating the client about this medication? Select all that apply. A. "The most common adverse effect is hypercalcemia caused by taking too much of the supplement." B. "Oral calcium supplements are best taken on an empty stomach." C. "Adults 50 years of age and over should obtain at least 500 to 750 mg per day of elemental calcium." D. "If you have a condition called ventricular fibrillation, this medication might help." E. "Report symptoms of weakness, increased urination, and thirst."

A) "The most common adverse effect is hypercalcemia caused by taking too much of the supplement." E) "Report symptoms of weakness, increased urination, and thirst."

A nurse is presenting a class about fall prevention to a group of assisted -living resident. Which of the following statements by a resident best indicates an understanding of teaching? A. " It's a good idea to use the handrails in the bathroom" B. "I should use chairs without armrests." C. "I should place a throw rug over electrical cords" D. "I Should get a longer cord for my telephone"

A. " It's a good idea to use the handrails in the bathroom"

A client was brought to the emergency department after a fall. The client is taken to the operating room to receive a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize? A. "Make sure you don't bring your knees close together." B. "Try to lie as still as possible for the first few days." C. "Try to avoid bending your knees until next week." D. "Keep your legs higher than your chest whenever you can.

A. "Make sure you don't bring your knees close together."

Bisphoshonates have several special considerations for administration. What are the special considerations for this classification of medications? (Select all that apply) A. Administer medication 30 minutes before meals. B. Administer medication with a full glass of water. C. Administer medication before night time meal. D. Have patient remain upright after swallowing. E. Administer with milk.

A. Administer medication 30 minutes before meals. B. Administer medication with a full glass of water. D. Have patient remain upright after swallowing.

A nurse is talking with an older adult client who has an elevated risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide? A. Begin a program of brisk walking B. Take 800mg of calcium per day C. Drink plenty of sparkling water D. Drink 8oz of red wine each day

A. Begin a program of brisk walking

A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to go. I don't want to any more treatment. I have things that i have to do right away." The client has not been discharges and is scheduled for an important diagnostic test to be performed in 1 hours. After the nurse discusses the clients concerns with client, the client dresses and begins to walk out the hospital room. What action should the nurse take? A. Call the nursing supervisor B. Call security to block all exit areas C. Restrain the client until HCP can be reached D. Tell the client that they can not return to this hospital again if they leave now.

A. Call the nursing supervisor

A nurse is providing teaching for a client who has a history of low back injury. Which if the following instructions should the nurse give the client to prevent future problems with low back pain? (Select all that apply) A. Create a smoking cessation plan B. Sit for up 10 hours each day to rest the back C. Wear low-heeled shoes D. Maintain weight within 25% of ideal weight E. Engage in regular exercise including walking

A. Create a smoking cessation plan C. Wear low-heeled shoes E. Engage in regular exercise including walking

A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions should the nurse take first? A. Determine if the client can bear weight B. Place a transfer belt on the client C. Position the bed at an appropriate height D. Assis the client to a seated position

A. Determine if the client can bear weight

Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? A. Drink 3000 ML of fluids a day B. Take the medication on an empty stomach C. The effect of the medication will occur immediately D. Any swelling of the lips is a normal expected response

A. Drink 3000 ML of fluids a day

A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse. Which of the following actions should the nurse take? A. Explain that this time is designated to focus on the client. B. Answer the personal inquiry question matter-of-factly. C. Tell the client that interest in someone beside himself is an indication of improvement. D. Request that personal questions be asked after the counseling session is over.

A. Explain that this time is designated to focus on the client

Cyclobenzaprine is prescribed for a client for muscle spasm and the nurse is reviewing the clients record. Which disorder, if noted in the record, would indicate a need to contact the health care provider about the administration of this medication? A. Glaucoma B. Emphysema C. Hypothyroidism D. DM

A. Glaucoma

A nurse is caring for a client diagnosed with osteoporosis. What food choices from the following should be included in dietary teaching? (select all that apply) A. Green veggies B. Egg whites C. White beans D. Milk products E. Fortified cereals

A. Green veggies C. White beans D. Milk products E. Fortified cereals

A nurse is teaching a client who has low back pain about heat therapy. Which of the following statements by the client indicates an understanding of the teaching? A. I need a place a towel between the heating pad and my skin. B. I'll need to turn up the temperature if i cant feel the heat. C. I'll sleep on top of the heating pad to increase the heat penetration. D. Keeping the heat continuously on my back will help it heal.

A. I need a place a towel between the heating pad and my skin.

The nurse determines that the wife of an alcoholic client is benefiting from attending an AAA group if the nurse hears the wife make which statement? A. I no longer feel that I deserve the beatings my husband inflicts on me. B. My attendance at the meetings has helped me to see that I provoke my husbands violence. C. I enjoy attending the meetings because they get me out the house and away from my husband. D> I can tolerate my husbands destructive behaviors now that I know that are common amount alcoholics.

A. I no longer feel that I deserve the beatings my husband inflicts on me.

Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? (Select all that apply) A. Keep the cast clean and dry. B. Allow the cast 24 to 72 hours to dry. C. Keep the cast and extremity elevated. D. Expect tingling and numbness in the extremity. E. Use a hair dryer set on a warm to hot setting to dry the cast. F. Use a soft, padded object that will fit under the cast to scratch the skin under the cast.

A. Keep the cast clean and dry. B. Allow the cast 24 to 72 hours to dry. C. Keep the cast and extremity elevated.

The nurse is caring for a client who begins to experience seizure activity while in bed. Which actions should the nurse take? (Select all that apply) A. Loosing restrictive clothing B. Restraining the client limbs C. Removing the pillow and raising padded side rails D. Positioning the client to the side, if possible, with the head flexed forward E. Keeping the curtain around the client and the room door open so when help arrives they can quickly enter to assist

A. Loosing restrictive clothing C. Removing the pillow and raising padded side rails D. Positioning the client to the side, if possible, with the head flexed forward

Which intervention are most appropriate for caring for a client in alcohol withdrawal? (select all that apply) A. Monitor VS B. Provide a safe environment C. Address hallucinations therapeutically D. Provide stimulation in the environment E. Provide reality orientation as appropriate F. Maintain NPO status

A. Monitor VS B. Provide a safe environment C. Address hallucinations therapeutically E. Provide reality orientation as appropriate

A nurse is caring for a client who has MS and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication? A. My body aches all over. B. I have abdominal cramping. C. My hair seems to be thinning. D. It hurts when I urinate.

A. My body aches all over.

The nurse is instituting seizure precautions for a client who is being admitted from the emergency department. Which measures should the nurse include in planning for the client's safety? Select all that apply. A. Padding the side rails of the bed B. Placing an airway at the bedside C. Placing the bed in the high position D. Putting a padded tongue blade at the head of the bed E. Placing oxygen and suction equipment at the bedside F. Flushing the intravenous catheter to ensure that the site is patent

A. Padding the side rails of the bed B. Placing an airway at the bedside E. Placing oxygen and suction equipment at the bedside F. Flushing the intravenous catheter to ensure that the site is patent

A nurse is caring for a client who is postoperative day 1 following a total arthroplasty of the right hip. How should the nurse position the client? A. Place a pillow between the legs. B. Turn the client on the surgical side. C. Avoid flexion of the right hip. D. Keep the right hip adducted at all times

A. Place a pillow between the legs.

A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? (select all that apply) A. Sit with you back supported. B. Keep your knees at hip level. C. Use an ergonomically designed computer keyboard. D. Keep your elbows away from your body. E. Adjust the monitor screen so that you have to tilt your head slightly to look at it.

A. Sit with you back supported. B. Keep your knees at hip level. C. Use an ergonomically designed computer keyboard.

A nurse is determining a clients risk for developing osteoporosis. The nurse should identify which of the following as risk factors for bone loss? (select all that apply) A. Small body frame B. Hypertension C. African American ethnicity D. Low Vit D intake E. Smoking

A. Small body frame D. Low Vit D intake E. Smoking

A nurse is developing a plan of care for an older adult who is at risk for falls. Which if the following actions should the nurse plan to include in the plan? (select all that apply) A. Teach balance and strengthening exercises B. Provide information about home safety checks C. Lock beds and wheelchairs when not providing care D. Place the bedside table within clients reach E. Administer sedative at bedtime

A. Teach balance and strengthening exercises B. Provide information about home safety checks C. Lock beds and wheelchairs when not providing care D. Place the bedside table within clients reach

A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the following findings should the nurse expect? (select all that apply) A. Tingling in the arms B. Low back pain C. Shoulder pain D. Muscle spasms E. Stiff neck

A. Tingling in the arms C. Shoulder pain E. Stiff neck

The client arrives at the ED complaining of back spasm. The client states, " I have been taking 2-3 aspirins every 4 hours for the last week, and it hasn't helped my back." Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestation? A. Tinnitus B. Diarrhea C. Constipation D. Photosensitivity

A. Tinnitus

A nurse is caring for a group of clients who have impaired mobility. Which physical clinical manifestations should she nurse be alert for? (select all that apply) A. UTI B. Bleeding disorders C. Inflammation over bony prominences D. DVT E. Aspiration

A. UTI C. Inflammation over bony prominences D. DVT E. Aspiration

A nurse is reviewing the medical record of a client who reports a new onset of back pain. Which of the following findings should the nurse identify as an increased risk for low back pain? A. Works in construction B. Has a BMI of 24 C. Recently received an influenza vaccination D. Presence of a heart murmur

A. Works in construction

A client with a right tibial fracture is being discharged home after having a cast applied. What instruction should the nurse provide in relationship to the client's cast care? A. "Cover the cast with a blanket until the cast dries." B. "Keep your right leg elevated above heart level." C. "Use a clean object to scratch itches inside the cast." D. "A foul smell from the cast is normal after the first few days."

B. "Keep your right leg elevated above heart level."

Which of the following clients is at greatest risk for developing fibromyalgia? A.25 year old male with family history of DM B. 40 year old woman with a family history of connective tissue disorders C.78 year old female with no significant health history D> 7 year old boy who just started playing sports

B. 40 year old woman with a family history of connective tissue disorders

The nurse is caring for a client following the surgical repair of a hip fracture. Which intervention assists in reducing the risk of a deep vein thrombosis​ (DVT)? (Select all that​ apply.) A. Positioning an abduction pillow between the legs B. Administering anticoagulants as prescribed C. Using an incentive spirometer every hour D. Placing compression stockings on the client E. Turning the client every 2 hours

B. Administering anticoagulants as prescribed D. Placing compression stockings on the client

The home health nurse visits a client at home and determines that the client is dependent on drugs. Durign the assessment, Which action should the nurse take to plan appropriate nursing care? A. Ask the client why he started illegal drugs B. Ask the client about the amount of drug used and its effect C. Ask the client how long he thought he could take drugs without someone finding out D. Not ask abt questions for fear that the client is in denial and will throw the nurse out of the home

B. Ask the client about the amount of drug used and its effect

The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should be included in the teaching plan? A. Restrict fluids B. Avoid the use of alcohol C. Stop the medication if diarrhea occurs. D. Notify the HCP if fatigue occurs

B. Avoid the use of alcohol

A nurse is planning care for an adolescent who has scoliosis and required surgical interventions. Which of the following behaviors by the adolescents should the nurse anticipate because it is most common reaction? A. Identify crisis B. Body image changes C. Feelings of displacement D. Loss of privacy

B. Body image changes

A nurse is assessing a client who has Parkinson's Disease. Which of the following manifestations should the nurse expect? A. Pruritus' B. Hypertension B. Bradycardia D. Xerostomia

B. Bradycardia

A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussion with the client? A. Does the medication you're taking relieve the pain? B. Can you point to where the pain is the worse? C. What do you think caused the onset of your pain? D. Changing positions makes your pain worse, right?

B. Can you point to where the pain is the worse?

During a head-to-toe assessment of a patient with osteoarthritis, you note bony outgrowths on the distal interphalangeal joints. You document these findings as: A. Bouchard's Nodes B. Heberden's Nodes C. Neurofibromatosis D. Dermatofibromas

B. Heberden's Nodes

A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the clients medical record should the nurse identify as a contraindication to receiving this medication? A. Breast cancer B. History of DVT C. Allergy to calcitonin D. Current diagnosis of cholecystitis.

B. History of DVT

A nurse is caring for a client who has MS. Which of the following should the nurse expect ? A. Drooping eye lids B. Loss of cognitive function C. Fluctuations on BP D. Ineffective cough

B. Loss of cognitive function

The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication? A. Monitor radial pulse B. Monitor bowel activity C. Monitor Apical HR D. Monitor peripheral pulses

B. Monitor bowel activity

A patient newly diagnosed with Osteoarthritis ask about he medication treatment for their condition. Which medication is not typically prescribed for OA? A. Acetaminophen (Tylenol) B. Oral corticosteroids C. NAIDs D. Topical creams

B. Oral corticosteroids radiational: oral corticosteroid are ineffective. Route recommended is injections

A client who has chronic kidney disease is admitted to the ED with a stress fracture. Chronic Kidney disease is a possible comorbidity with which mobility disorder? A. osteoarthritsis B. Osteoporosis C. Soft-tissue injury D. Low back pain

B. Osteoporosis

A client diagnosed with a hip fracture is scheduled for an arthroplasty. Which information should the nurse provide when describing this type of surgery to the​ client? A. Insertion of an intramedullary nail into the marrow canal of the bone via an opening made in the greater trochanter B. Replacement of the ball and socket or head and acetabulum of the hip joint C. Percutaneous pinning or compression hip screws that slide within the barrel of the plate D. Partial replacement of the ball or head of the femur

B. Replacement of the ball and socket or head and acetabulum of the hip joint

A nurse is caring for a client who is 3 days post op following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis? A. Bulging in the area over the surgical incision B. Shortening of the right leg C. Sensation of warmth over the surgical incision D. Pallor following elevation of the right leg

B. Shortening of the right leg

A nurse is caring for a client who has alcohol use disorder and is receiving treatment for alcohol withdrawal. The client reports hand tremors 12 hr after admission. Which of the following statements should the nurse make? A. The tremors are permenant due to nerve damage caused by chronic alcohol use. B. The tremors will persist for a few days as you withdrawing from alcohol. C. Try not to worry about the tremors. Everyone has these during alcohol withdrawal. D. The tremors are an indication of seizures that are associated with alcohol withdrawal.

B. The tremors will persist for a few days as you withdrawing from alcohol.

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor? A. Confusion B. Weakness C. Increased intracranial pressure D. Increased urinary output

B. Weakness

A client is complaining of low back pain that radiates down the left posterior thigh. The nurse should ask the client if the pain is worsened or aggravated by which factor? A. Bed rest B. Ibuprofen C. Bending or lifting D. Application of heat

C. Bending or lifting

The nurse is administering an IV dose of methocarbamol to a client with MS. For which adverse effect should the nurse monitor? A. Tachycardia B. Rapid pulse C. Bradycardia D. Hypertension

C. Bradycardia

A client admitted with execration of MS is demonstrating frustration with eating because hand and arm spasms the proper use of utensils. What should the nurse do to assist the client? A. Plan time to feet the client B. Counsel the client to select finger foods for meals C. Consults with OT regarding assistive devices for meals D. Consult the PT regarding hand and arm exercises

C. Consults with OT regarding assistive devices for meals

A nurse is talking with a young adult client who has a family history of osteoporosis. Which health promotion activity should the nurse recommend as a possible preventive measure? A. Increase sodium intake B. Have a bone density scan each year C. Engage in weight bearing exercises regularly D. Drink a cup of coffee each morning

C. Engage in weight bearing exercises regularly

A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the clients history should the nurse recognize is a contraindication to this medication? A. Glaucoma B. Pagets disease C. Esophageal achalasia D. Long Term corticosteroids use

C. Esophageal achalasia

Alendronate is prescribed for a client with postmenopausal osteoporosis. The nurse provides information on the medication to the client. When does the nurse tell the client to take the alendronate? A. At bedtime B. With orange juice, to enhance absorption at night C. Every morning before breakfast, with a full glass of water D. Every morning after breakfast, after which the client should lie down for 30 minutes

C. Every morning before breakfast, with a full glass of water

A nurse is reviewing the medical history of a client who has spasticity due to MS and a new prescription for tizanidine. Which of the following comorbidities increases the clients risk of adverse effects while taking this medication? A. Pneumonia B. BPH C. Hepatitis D. DM

C. Hepatitis

A nurse is caring for a client with MS and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication? A. My mouth seems very dry lately. B. I've noticed my heart beating faster. C. I am able to urinate more freely. D. I've noticed I can take a deep breath more easily.

C. I am able to urinate more freely.

A client has sustained a close fracture and has just had a cast applied to the affect arm. The client is complaining of intense pain. The nurse elevated the limb, applies an ice bag, and administers an analgesic, with little relief. Which problem may be causing this pain? A. Infection under the cast B. The anxiety of the client C. Impaired tissue perfusion D. The recent occurrence of the fracture

C. Impaired tissue perfusion

A nurse is reviewing the prescription for a client who has a total hip arthroplasty. Which of the following prescription should the nurse verify with the provider? A. administer enoxaparin 30mg subcutaneous Q12hr B. Place a wedge or pillow between the clients legs when turning C. Instruct the client to restrict flexion of the hip past 120 degrees D. Encourage the client to perform got and calf exercises Q2h

C. Instruct the client to restrict flexion of the hip past 120 degrees rationale: The nurse should instruct the client to restrict flexion past 90 degrees to avoid dislocation of the hip

The nurse is analyzing the laboratory studies on a client receiving dantrolene. Which laboratory test would identify an adverse effect associated with the administration of this medication? A. Platelet count B. CRT level C. Liver function test D. Blood urea nitrogen level

C. Liver function test

The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be most concerned with which finding? A. Redness around pin sites B. Pain on palpation at the pin sites C. Thick, Yellow drainage from the pin sites D. Clear, watery drainage from the pin sites

C. Thick, Yellow drainage from the pin sites

Which occurrence should the nurse expect to assess as a precipitating factor for the symptoms of fibromyalgia in a client? A. Bacterial infection of the affected joint B. Septicemia with group A streptococcus infection C. Recent injury to joint or bone D. Viral illness

D) Viral illness

Which of the following patients would be at greatest risk for developing osteoporosis? A. A 73-year-old male patient who has five alcoholic drinks per week and limits sun exposure to prevent recurrence of skin cancer. B. A 55-year-old female patient who recently had a hysterectomy with bilateral salpingo-oophorectomy and refuses estrogen therapy. C. An 84-year-old male patient who has recently been diagnosed with hypothyroidism and is prescribed levothyroxine (Synthroid). D. A 69-year-old female patient who had a renal transplant 5 years ago and has been taking prednisone to prevent organ rejection.

D. A 69-year-old female patient who had a renal transplant 5 years ago and has been taking prednisone to prevent organ rejection.

The nurse is conducting health screening for osteoporosis. Which client is at greatest risk fro developing this disorder? A. A 25 year old woman who runs B. A 36 year old man who has asthma C. A 70 year old man who consumes excess alcohol D. A sedentary 65 year old woman who smokes cigarettes

D. A sedentary 65 year old woman who smokes cigarettes

A nurse working on an orthopedic unit is caring for four clients. Which of the following clients should the nurse identify as being a greatest risk for skin breakdown? A. An adolescent who has a cervical fracture and is in a halo brace. B. A young adult who has a femur fracture and is in skeletal balanced suspension traction C.A middle adult who has a fractured radius and an arm cast D. An older adult who has a hip fracture and is in Buck's traction

D. An older adult who has a hip fracture and is in Buck's traction

A nurse in a mental health clinic is caring for a client who states, "I think i might have a problem with alcohol." Which of the following actions should the nurse take first? A.Provide the client with information about a 12 step recovery program. B. Encourage the client to accept responsibility for his alcohol use. C. Teach the client alternate coping mechanisms to use in place of alcohol. D. Ask the client to complete a CAGE questionnaire.

D. Ask the client to complete a CAGE questionnaire.

A nurse is caring for a client who has a fractured right hip. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery? A. Balanced skeletal traction B. Pelvic belt C. Pelvic sling D. Buck's traction

D. Buck's traction

A nurse is assessing an older adult client. Which of the following findings should the nurse report to the provider? A. Decreased cough reflex B. Decreased urinary bladder capacity C. Decreased sebum production D. Decreased spinal column movement

D. Decreased spinal column movement

A client has been taking acetaminophen daily for the generalized discomfort. Which laboratory value would indicate toxicity associated with the medication A. Sodium level of 140 mEq/L B. PLT count of 400,000mm C. PTT of 12 secs D. Direct bilirubin level of 2 mg/dL

D. Direct bilirubin level of 2 mg/dL

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Decrease intake of phosphate-containing foods B. Spending several hours in the sun daily C. Increased estrogen levels D. History of anorexia nervosa

D. History of anorexia nervosa

The nurse is instructing a client with Parkinson's disease about preventing falls. Which client statement reflects a need for further teaching? A. I can sit down to put on my pants and shoes B. I try to exercise everyday and rest when I'm tired C. My son removed all loose rugs from my bedroom D. I don't need to use my walker to get to the bathroom

D. I don't need to use my walker to get to the bathroom

A nurse is teaching about the adverse effects of baclofen with a client who has multiple sclerosis with spasm. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. Adverse effect include urinary frequency. B. I should increase my fiber intake to counteract the adverse effect of diarrhea. C. This medication can cause addiction. D. I should not stop this this medication suddenly.

D. I should not stop this this medication suddenly.

A nurse is teaching a client who has a new prescription for alendronate for treatment of osteoporosis. Which of the following statement by the client indicated understanding of the teaching? A. I will take the medication in the evening B. I will drink a full glass of milk with the medication C. I will take the medication at mealtime D. I will sit upright after taking the medication

D. I will sit upright after taking the medication

A nurse is admitting a client following care in the ED for an intentional overdose of opioids. The client states "I feel so alone. No one can help me." Which of the following responses by the nurse is therapeutic? A. Lets finish your admission and then talk about your feelings. B. How come you feel that no one can help you when you are receiving help now? C. Why do you feel that no one can help you? D. I would like to sit and talk with you.

D. I would like to sit and talk with you.

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effect of the medication. Which finding indicates that the client is experiencing an adverse effect? A. Pruritus B. Tachycardia C. Hypertension D. Impaired voluntary movements

D. Impaired voluntary movements

A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client perform isometric exercises every 2 hours. Which of the following actions should the nurse take as directed by the plan of care? A. Ask the client to move her arms and legs while Appling slight resistance B. Move the clients limbs through their complete ROM C. Have the client move each limb independently through it's complete ROM D. Instruct the client to tighten muscles groups for a short period and then relax

D. Instruct the client to tighten muscles groups for a short period and then relax

A nurse is caring for a client who has experience a stroke and exhibits parkinsonian effects. The client cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have? A. Prion disease B. Frontotemporal lobar degeneration C. HIV infection D. Lewy body disease

D. Lewy body disease

A nurse is discussing the difference between rheumatoid arthritis and osteoarthritis with a newly licensed nurse. Which of the following information should the nurse include about osteoarthritis? A. Osteoarthritis is caused by autoimmune processes B. Osteoarthritis lead to a decreased ESR C. Osteoarthritis affect other organ systems D. Osteoarthritis can impair a joint on a single side of the body

D. Osteoarthritis can impair a joint on a single side of the body

A nurse is teaching a cleint who has osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Reduce dietary protein intake B. Apply ice to painful areas C. Increase calcium intake to 900mg per day D. Perform weight bearing exercises

D. Perform weight bearing exercises

A client with a hip fracture ask the nurse about Buck's (extension) traction that is being applied before surgery and what is involved. The nurse should provide which information to the client? A. Allows bony healing to begin before surgery and involves pins and screws. B. Provided rigid immobilization of the fracture site and involves pulleys and wheels C. Lengthen the fractures leg to prevent severing of blood vessels and involves pins and screws D. Provided comfort by reducing muscle spasm, provides fracture immobilization, and involves pulleys and wheels

D. Provided comfort by reducing muscle spasm, provides fracture immobilization, and involves pulleys and wheels

The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears fractured. Which intervention should the nurse take? A. Try to reduce the fracture manually. B. Assist the victim to get up and walk to the sidewalk. C. Leave the victim for a few moments to call an ambulance. D. Stay with the victim and encourage him or her to remain still.

D. Stay with the victim and encourage him or her to remain still.

The nurse is monitoring a hospitalized client who abuses alcohol. Which finding should alert the nurse to the potential for alcohol withdrawal delirium? A. Hypotension, ataxia, hunger B. Stupor, lethargy, muscular rigidity C. Hypotension, course hand tremors, lethargy D. hypertension, changes in LOC, hallucinations

D. hypertension, changes in LOC, hallucinations

A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates the teaching has been effective? a. "I will keep my back straight when I lift above than my waist." b. "I will begin doing exercises to strengthen and support my back." c. "I will tell my boss I need a job where I can stay seated at a desk." d. "I can sleep with my hips and knees extended to prevent back strain."

b. "I will begin doing exercises to strengthen and support my back."

A nurse who works on the orthopedic unit has just received change-of-shift report. Which patient should the nurse assess first? a. Patient who reports foot pain after hammertoe surgery b. Patient who has not voided 10 hours after a laminectomy c. Patient with low back pain and a positive straight-leg-raise test d. Patient with osteomyelitis who has a temperature of 100.5° F (38.1° C)

b. Patient who has not voided 10 hours after a laminectomy

The nurse would know that which intervention would be most effective for their patient with osteoporosis? a. Suggest a diet that is high in protein and calcium but low in vitamin D b. Recommend walking for 30 minutes 3 to 5 times a week. c. Teach her to cut down on her cigarette-smoking. d. Tell her to include high-impact activities, such as running, in her exercise regimen.

b. Recommend walking for 30 minutes 3 to 5 times a week.

After laminectomy with a spinal fusion to treat a herniated disc, a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to a. report the patient's complaint to the surgeon. b. check the chart for preoperative assessment data. c. check the vital signs for indications of hemorrhage. d. turn the patient to the left to relieve pressure on the right leg.

b. check the chart for preoperative assessment data. Rationale:The postoperative movement and sensation of the extremities should be unchanged (or improved) from the preoperative assessment. If the numbness and tingling are new, this information should be immediately reported to the surgeon.

The nurse is admitting a patient who complains of a new onset of lower back pain. To differentiate between the pain of a lumbar herniated disc and lower back pain from other causes, what would be the best question for the nurse to ask the patient? a. "Is the pain worse in the morning or in the evening?" b. "Is the pain sharp or stabbing or burning or aching?" c. "Does the pain radiate down the buttock or into the leg?" d. "Is the pain totally relieved by analgesics, such as acetaminophen (Tylenol)?

c. "Does the pain radiate down the buttock or into the leg?"

A patient admitted to the hospital after an automobile accident is alert and does not appear to be highly intoxicated. The blood alcohol concentration (BAC) is 110 mg/dL (0.11 mg%). Which action by the nurse is most appropriate? a. Avoid the use of IV fluids. b. Maintain the patient on NPO status. c. Administer acetaminophen for headache. d. Monitor frequently for anxiety, hyperreflexia, and sweating

d. Monitor frequently for anxiety, hyperreflexia, and sweating