Nursing Health Care 3 Exam #2

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?

Administer an antiepileptic medication

A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information? (Select all that apply)

Apply heat to joints to alleviate pain; Reduce the mount of exercise done on days with increased pain; Active range of motion is more effective than passive

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?

Bronchitis 2 weeks ago

Which one of the following chemical buffer systems is the most important buffer system of the body in that it buffers as much as 90% of the hydrogen of ECF?

Carbonic acid-sodium bicarbonate buffer system

A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which of the following actions by the nurse are appropriate? (Select all that apply)

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

A nurse is planning discharge teaching for a client who had a total hip arthroplasty. Which of the following should the nurse include in the teaching? (Select all that apply)

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

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)

Diuretic use; Obesity; Cardiovascular disease

A nurse is assessing a client who has pancreatitis. The client's arterial blood gases reveal metabolic acidosis. Which of the following are expected findings? (Select all that apply)

Dysrhythmia; Tachypnea

A nurse is presenting information to a group of clients at a health fair about measures to reduce the risk of amputation. Which of the following information should the nurse provide? (Select all that apply)

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 completing a preoperative teaching plan for a client who is scheduled to have a total hip arthroplasty. Which of the following should the nurse include in the teaching plan? (Select all that apply)

Encourage complete autologous blood donation; Use an abductor pillow when turning the client; Perform isometric exercises

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)

Encourage dependent positioning of the residual limb; Inspect for presence and amount of drainage; Implement shrinkage intervention of the residual limb; Assess for feelings of body image changes

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)

Erythrocyte sedimentation rate (ESR); Antinuclear antibody (ANA) titer; WBC count

A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (Select all that apply)

Heberden's nodes; Enlarged joint size; Limp when walking

A nurse is obtaining arterial blood gases for a client who has vomited for 24 hours. The nurse should expect which of the following acid-base imbalances to result from vomiting for 24 hours?

Metabolic alkalosis

A nurse is assessing a client who is scheduled to undergo a right knee arthroplasty. The nurse should expect which of the following findings? (Select all that apply)

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

A nurse is preparing a plan of care to prevent a client from developing flexion contractions following a below-the-knee amputation 24 hours ago. Which of the following actions should the nurse include?

Position the client prone several times each day

A nurse is providing information about capsaicin cream to a client who reports continuous knee pain from osteoarthritis. Which of the following information should the nurse include in the discussion?

Put on gloves before applying the cream to other parts of the body

A nurse working in an outpatient clinic is assessing a client who has rheumatoid arthritis (RA). The client reports increased joint tenderness and swelling. Which of the following findings should the nurse expect? (Select all that apply)

Recent influenza; Decreased range of motion; Pain at rest

A nurse is assessing a client who has arteriosclerosis and is scheduled for a possible right lower extremity amputation. Which of the following are expected findings in the affected extremity? (Select all that apply)

Skin cool to touch from mid-calf to the toes; Lack of hair on lower leg; Blackened areas on several toes

Is the following statement true or false? Phantom limb pain is perceived in the amputated limb.

True

Is the following statement true or false? Polyarticular refers to a rheumatic disease affecting more than one joint.

True

Is the following statement true or false? Testing for crepitus can produce further tissue damage and should be avoided.

True

A nurse is caring for a client who was in a motor-vehicle accident. The client reports chest pain and difficulty breathing. A chest x-ray reveals the client has a pneumothorax. Which of the following arterial blood gas findings should the nurse expect?

pH 7.06 PaO2 86 mm Hg PaCO2 52 mm Hg HCO3 24 mEq/L

A nurse is caring for a client admitted with confusion and tingling of the extremities after ingesting an unknown number of aspirin. Vital signs reveal a blood pressure of 104/73 mm Hg, heart rate 116/min and regular, and a respiratory rate of 30/min. Which of the following arterial blood gas findings should the nurse expect?

pH 7.48 PaO2 100 mm Hg PaCO2 28 mm Hg HCO3 23 mEq/L

A charge nurse is teaching a group of nurses about conditions related to metabolic acidosis. Which of the following statements by a unit nurse indicates the teaching has been effective?

"Metabolic acidosis can occur due to diabetic ketoacidosis"

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?

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