NUR 4414 Final Exam Study Guide

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Assist the client to the bathroom to void

A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching?

"Glucosamine can suppress joint inflammation."

A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks the client to state if he understands the procedure that is being performed. Which of the following statements by the client indicates an understanding of the procedure?

"This procedure will replace my joint to improve function."

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?

Maintain a recommended body weight.

.A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?

Buck's extension traction will relieve muscle spasms.

A nurse is assessing a client who is postoperative following a right below-the-knee amputation. Which of the following findings should the nurse identify as a possible complication?

Presence of edema around the stump dressing.

A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan of care?

Prevent hip flexion of the affected extremity

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Ambulate twice daily.

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select all that apply.)

- Affects weight-bearing joints - Crepitus can occur in affected joints - Causes joint stiffness - Causes joint pain

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select all that apply.)

- Apply breast milk to the nipples before each feeding. - Start breastfeeding with the nipple that is less sore. - Change the infant's position on the nipples.

A nurse in a provider's office is collecting a health history from a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis?

- Females - Sedentary lifestyle

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

- Linea nigra - Chloasma - Striae gravidarum

An occupational health nurse is instructing workers at an industrial facility in emergency procedures in the event of a traumatic amputation. Which of the following guidelines should the nurse include for emergency care? (Select all that apply.)

- Wrap the part in dry sterile gauze. - Put the severed part in a dry, waterproof plastic bag. - Elevate the extremity. - Prevent contact of the severed part with water.

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

1) Amenorrhea, a presumptive sign of pregnancy, is one of the first physiological indications of pregnancy that occurs by 4 weeks of gestation. 2) Goodell's sign, a probable sign of pregnancy, is the next of physiological indication to occur. Goodell's sign is the softening of the cervix that typically occurs at 5 to 6 weeks of gestation. 3) Quickening, the mother's perception of the first fetal movement, is a presumptive sign of pregnancy that typically occurs between 16 and 20 weeks of gestation. 4) Lightening is the last of these physiological signs of pregnancy to occur. As the fetus descends into the pelvic cavity the fundal height decreases, which typically occurs between 38 and 40 weeks of gestation.

A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

Administer the medication with the needle at a 45 degree angle; administer the medication subcutaneously; do not expel the air bubble from the syringe before injection; do not massage the injection site; rotate injection sites; monitor for signs of bleeding.

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Black tarry stools

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

Change in the cervix

A nurse is caring for a client who has a fractured tibia as a result of a fall. The client x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures?

Comminuted fracture.

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep tendon reflexes are absent. Which of the following actions should the nurse take.

Discontinue the medication infusion.

A nurse is teaching a client who has a prosthetic limb due to a right below-the-knee amputation about prosthesis and stump care. Which of the following instructions should the nurse include in the teaching?

Dry the prosthesis socket completely before applying it to the limb.

A nurse is caring for a client who is 3 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take?

Have the client lie prone every 2-3 hours for 20 minutes at a time.

A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome?

Hypoxemia.

A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is scheduled for physical therapy (PI) at 0900. Which of the following interventions should the nurse take?

Identify the client's pain level and medicate as needed.

A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm?

Increasing edema

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings supports this diagnosis?

Painless red vaginal bleeding

A nurse is assessing the elastic bandage on the stump of a client who had a right below-the-knee amputation. Which of the following findings should the nurse identity as a complication.

Pitting edema around the stump dressing

A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need for an increased intake of which of the following foods?

Red meat and organ meat

A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. Which of the following instructions should the nurse include in the teaching?

Report any worsening or unrelieved pain.

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

The client requires a rubella immunization following delivery.

A nurse is caring for a client who is 4 hr postoperative following a hip replacement. The nurse should instruct the client to avoid which of the following activities?

The client should not bend over to put on shoes and socks.