BIG EAQ SECOND SET

When assessing risk factors, which question would the nurse ask a client who has developed pneumonia?

"Are you diabetic?"

A client arrives at a health clinic reports, "I am here to have my tuberculin skin test read." The nurse notes a 7-mm indurated area at the injection site. Which nurse ' s statement describes this result?

"The result indicates that you are infected with the tuberculosis organism."

A 6-year-old client would typically have a blood pressure of

105/65 mm Hg

A 12-year-old client typically has a blood pressure of

110/65 mm Hg

A 14- to 17-year-old client has a typical blood pressure of

119/75 mm Hg

A 1-year-old client would typically have a blood pressure of

95/65 mm Hg

Which condition would the nurse suspect when an older adult has a thin white ring around the margin of her iris?

Arcus senilis

Which step would the nurse take first when preparing a concept map for as assigned client?

Arrange cues into clusters that form patterns.

While preparing to teach a client about self-injection of insulin, which nurse ' s action would increase the effectiveness of the teaching session?

Assess the client's barriers to learning self-injection techniques.

A client reports right ear hearing loss. When performing a Weber test with a tuning fork, the client hears the sound better with the right ear. Which condition would the nurse suspect from these results?

Conduction hearing loss

For the client with a closed chest tube drainage system connected to suction, which assessment finding requires additional evaluation by the nurse?

Constant bubbling in the water-seal chamber

When the nurse completes a thorough assessment to identify the reason for a client's anxiety, which critical thinking attitude is involved in this situation?

Discipline

ccurs due to an increased visibility of oxyhemoglobin, which is caused by increased blood flow.

Erythema

When assessing a client' s blood pressure, obtained via the client's unsupported left arm, which reading error would the nurse expect?

False high reading

To prevent an adverse outcome while providing care for a client experiencing diarrhea, which client data would the nurse closely monitor?

Fluid and electrolyte balance

Which clinical finding would the nurse associate with hypokalemia

Muscle weakness

Which condition would the nurse suspect upon finding a bluish coloration of the skin during an assessment?

Heart disease

When measuring a client's blood pressure during a physical examination, which error will result in false high diastolic reading?

Inflating the cuff too slowly

Which type of fever does a client have when experiencing fever spikes combined with a normal body temperature occurring at least once a day?

Intermittent

While auscultating the heart, a health care provider notices S heart sounds in four clients. Which client has the highest risk for heart failure?

Older Client

The nurse just arrived on the unit for his shift. Which action would the nurse take first to collect an initial set of data about the clients assigned to the nurse's care?

Participate in the bedside rounds.

When interpreting findings from a pain assessment, which factors would the nurse consider the most significant influences on a client' s perception of pain?

Previous experience and cultural values

While providing care for a client who is postoperative, the nurse observed a pulse deficit during physical assessment. Which pulses would the nurse use to assess the pulse deficit?

Radial and apical pulse

For a client admitted with metabolic acidosis, which two body systems would the nurse assess for compensatory changes?

Respiratory and urinary

Which Korotkoff sound represents the systolic pressure

The First Korotokoff sound

Which Korotkoff sound represents the diastolic pressure

The fourth Korotkoff sound

While assessing a client, the nurse finds inflammation of the skin at the bases of the client's nails. Which event or disorder would the nurse associate with the reason behind this condition?

Trauma

Low potassium

hypokalemia