3310 Quiz #3

The nurse is admitting a patient who was diagnosed with acute renal failure. Which of the following electrolytes will be most affected with this disorder? 1. Calcium 2. Magnesium 3. Phosphorous 4. Potassium

4. Potassium

A nurse is teaching a group of young adults about sexually transmitted diseases (STD's). Which infections are vaginal? Select all that apply. A. Chlamydia B. Endometritis C. Epididymitis D. Gonorrhea E. Proctitis F. Syphilis

A. Chlamydia D. Gonorrhea F. Syphilis

In the client experiencing acute renal failure the nurse should evaluate which laboratory diagnostic tests to assess renal function? (Mark all that apply) Blood urea nitrogen Creatinine Electrolytes Complete blood count

Blood urea nitrogen Creatinine

The nurse plans interventions for a client with smoke inhalation based on a negative chest x-ray and arterial blood gases that show a Po2 of 85 mm Hg, a PCO2 of 45 mm Hg, and a pH of 7.35. Which interventions should the nurse anticipate will be prescribed? Select all that apply. Coughing Deep breathing Bronchodialators Humidified oxygen Bronchial suctioning

Coughing Deep breathing Humidified oxygen

The nurse should anticipate that the physiologic alterations of respiratory distress syndrome (RDS) can produce which of the following? Select all that apply. Hypoxia Respiratory acidosis Hemoglobinopathies Metabolic alkalosis

Hypoxia Respiratory acidosis

A nurse is caring for a male client with acute respiratory distress syndrome. Which of the following would the nurse expect to note in the client?a. Pallorb. Low arterial PaO2c. Elevated arterial PaO2d. Decreased respiratory rate

Low arterial PaO2

A specimen for arterial blood gases is obtained from a severely dehydrated 3-month-old infant with a history of diarrhea. The pH is 7.30, Pco2 is 35 mm Hg, and HCO3- is 17 mEq/L. What complication does the nurse conclude has developed? Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory alkalosis

Metabolic acidosis

3) Which of the following statements made by a patient indicates the need for further teaching regarding pregnancy and exercise? Select all that apply. "I will continue to do my low-impact aerobics during pregnancy." "I have gained so much wt. during my pregnancy. I'm going to start jogging." "I feel so tired after my workouts. I need to push myself to remain in shape." "I will continue taking my morning walks throughout my pregnancy."

"I have gained so much wt. during my pregnancy. I'm going to start jogging." "I feel so tired after my workouts. I need to push myself to remain in shape."

What is the nurse's primary concern regarding fluid and electrolytes when caring for an elderly patient who is intermittently confused? (select all that apply) 1. risk of dehydration 2. risk of kidney damage 3. risk of stroke 4. risk of bleeding

1. risk of dehydration 2. risk of kidney damage

An elderly patient is at home after being diagnosed with fluid volume overload. Which of the following should the nurse instruct this patient to do? (Select all that apply) 1.Wear support hose 2. Keep legs in an elevated position 3. Avoid wearing shoes while in the home 4. Try to sleep with extra pillows

1.Wear support hose 2. Keep legs in an elevated position 4. Try to sleep with extra pillows

A postoperative patient is diagnosed with fluid volume overload. Which of the following should the nurse assess in this patient? (select all that apply) 1. Poor skin turgor 2. Increased urine output 3. Distended neck veins 4. Bilateral basilar pulmonary rales

2. Increased urine output 3. Distended neck veins 4. Bilateral basilar pulmonary rales

A patient with fluid retention related to renal problems is admitted to the hospital. The nurse realizes that this patient could possibly have which of the following electrolyte imbalances? 1. hypokalemia 2. hypernatremia 3. carbon dioxide 4. magnesium

2. hypernatremia

A nurse is discussing methods of preventing sexually transmitted diseases (STD's). What approaches does the nurse suggest for sexually-active clients? Select all that apply. A. Abstinence B. Cervical cap with spermicidal cream C. Latex condoms D. Mutual monogamy E. Polyurethane condoms F. Vaginal sponges

A. Abstinence - Abstinence decreases the risk for acquiring a sexually transmitted infection. C. Latex condoms - Using latex condoms decreases the risk for acquiring a sexually transmitted infection. D. Mutual monogamy - Mutual monogamy decreases the risk for acquiring a sexually transmitted infection. There is only 1 partner for each partner. E. Polyurethane condoms - Using polyurethane condoms decreases the risk for acquiring a sexually transmitted infection.

A nurse is planning care for a client who has an STD. Which intervention addresses the client's psychosocial needs? Select all that apply. A. Allowing the client to express fears and anxieties. B. Approaching the client with a nonjudgmental attitude. C. Ensuring that the client's sexual partner is aware of the diagnosis. D. Referring the client to appropriate support groups. E. Reporting the STD to the public health department. F. Sharing experiences about working with clients with STD's.

A. Allowing the client to express fears and anxieties. B. Approaching the client with a nonjudgmental attitude. D. Referring the client to appropriate support groups.

2) A married couple is apprehensive about labor and delivery. They report experiencing a loss of control and a reckless regard to their wishes with their previous hospital birth. Which of the following nursing interventions/responses would be most appropriate? Select all that apply. Assisting this couple with a birth plan Referring them to their physician to work out their fears Providing information about routine obstetrical care Offering information to allow for informed choices

Assisting this couple with a birth plan Offering information to allow for informed choices

A female client comes to the ER complaining of vaginal discharge, irritation of the vagina, and the need to urinate often. The nurse suspects a sexual transmitted infection, and the physician orders diagnostic testing of the vaginal discharge. Which of the following STIs does the nurse known must be reported to the Department of Public Health? A. Genital Herpes B. Human papillomavirus infection C. Gonorrhea D. Trichomoniasis

C. Gonorrhea - Gonorrhea must be reported to the Department of Public Health. All others are not reportable diseases.

The nurse in a neonatal intensive care nursery (NICU) receives telephone call to prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 and 4. in planning for admission of this newborn, what is the nurse's highest priority? Turn on the apnea and cardiorespiratory monitors 2. Connect the resuscitation bag to the oxygen outlet 3. Set up the intravenous line with 5% dextrose in water 4. Set the radiant warmer control teperature at 36.5 C (97.6 F)

Connect the resuscitation bag to the oxygen outlet

A 19-year-old female is seen at a clinic for genital warts. The nurse teaches her about her condition. Which client statement requires further education from the nurse? A. "There is no known treatment that will cure genital warts." B. "The warts may actually disappear or resolve without any treatment at all." C. "They [genital warts] may re-appear at the same site." D. "Wart remover treatment from the drugstore will help me get rid of them."

D. "Wart remover treatment from the drugstore will help me get rid of them."

The nurse is caring a client who has been receiving IV diuretics suspects that the client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a client with this condition? Lung congestion Decreased hematocrit Increase blood pressure Decrease central venous pressure (CVP)

Decrease central venous pressure (CVP)

Surgery is performed on a client with a parotid tumor. Postoperative arterial blood gas values are pH 7.32, PCO2 53 mm Hg, and HCO3 25 mEq/L. What nursing action should be taken? Obtain a prescription for a diuretic Obtain a prescription for an alkalinizing agent Have the client breathe into a re-breather bag at a slow rate Encourage the client to cough and then take deep breaths between coughs

Encourage the client to cough and then take deep breaths between coughs

The nurse should anticipate that the physiologic alterations of respiratory distress syndrome (RDS) can produce which of the following? Select all that apply. a. Hypoxia b. Respiratory acidosis c. Hemoglobinopathies d. Metabolic alkalosis

Hypoxia Respiratory acidosis

5) A client presents to labor and delivery at 18 weeks of gestation with a temperature of 103° F, malodorous vaginal bleeding, and abdominal tenderness. The health care provider suspects a septic miscarriage. While planning her care the nurse recognizes that usual management of this condition includes: Select all that apply. Bed rest Immediate termination of pregnancy Cervical culture and sensitivity Treatment for septic shock

Immediate termination of pregnancy Cervical culture and sensitivity Treatment for septic shock

A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient's condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high pressure alarm?a. Kinking of the ventilator tubingb. A disconnected ventilator tubec. An endotracheal cuff leakd. A change in the oxygen concentration without resetting the oxygen level alarm

Kinking of the ventilator tubing

The nurse notes that a client's arterial blood cas results reveal a pH of 7.50 and a PCO2 of 30mmHg. The nurse monitors the client for which clinical manifestations associated with these ABG results? SELECT ALL THAT APPLY Nausea Confusion Bradypnea Tachycardia Hyperkalemia Lightheadedness

Nausea Confusion Tachycardia Lightheadedness

The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate is 174 beats/minute. On the basis of this finding, what is the priority nursing action? Document the finding Check the mother's heart rate Notify the health care provider Tell the client that the fetal heart rate is normal

Notify the health care provider

4) Signs of a threatened abortion (miscarriage) are noted in a woman at 8 weeks of gestation. What is an appropriate management approach for this type of abortion? Prepare the woman for a dilation and curettage Place the woman on bed rest for at least 1 wk and reevaluate Prepare the woman for an ultrasound and bloodwork Comfort the woman by telling her that if she loses this baby, she may attempt to get pregnant again in 1 month

Prepare the woman for an ultrasound and bloodwork

The nurse provides instructions to a client with a low potassium level about the foods that are high in potassium and tells the client to consume which foods? Select all that apply. Peas Raisins Potatoes Cantaloupe Cauliflower strawberries

Strawberries Raisins Potatoes Cantaloupe

The nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment findings would alert the nurse to possibility of this syndrome Tachypnea and retractions 2. Acrocyanosis and grunting 3. Hypotension and bradycardia 4. Presence of barrel chest and acrocyaniosis

Tachypnea and retractions

The nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume excess? The client taking diuretics The client with kidney disease The client with an ileostomy The client who requires gastrointestinal suctioning

The client with kidney disease

In order to slow the progression of end stage renal disease in the client who has been diagnosed with glomerular disease the nurse would plan to administer: (Select all that apply) antihypertensives. nonsteriodal anti-inflammatory drugs. packed red blood cells. antiplatelet drugs.

antihypertensives. nonsteriodal anti-inflammatory drugs.