CFU
a female client asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus. which is the best nurse response? a. condition that cause hypotension can often exacerbate SLE b. GI upset is often associated with SLE exacerbation c. pregnancy is often associated with an SLE exacerbation d. fever is a known trigger for an SLE exacerbation
C
a nurse is completing an admission assessment of a client who has pancreatitis. which of the following findings should the nurse expect? a. pain in the upper quadrant radiating to the shoulder. b. report of pain being worse when sitting upright c. pain relieved with defecation d. epigastric pain radiating to the left shoulder
D.
a nurse is completing the admission assessment of a cient who has acute pancreatitis. which finding is the first priority? a. history of cholelithiasis b. elevated serum amylase levels c. decrease in bowel sounds upon auscultation d. hand spasms present when blood pressure is checked.
D. hand spasms present when blood pressure is checked
a male client is complaining of urinary frequency, dysuria, pain, fever, and chills for the third time in nine months. the nurse should expect which diagnostic test to be ordered since this is the third infection in nine months? a. urinalysis b. x-ray of kidneys. ureter, and bladder c. intravenous pyelography d. computed tomography of the abdomen
C
a nurse is caring for a client with SLE, who is taking hydroxychloroquine (plaquenil). the nurse understands that the primary concern with this drug is: a. pulmonary fibrosis b, cushingoid effects c. retinal toxicity d. renal toxicity
C
the client is admitted to the medical department with a diagnosis of R/O acute pancreatitis. what laboratory values should the nurse monitor to confirm this diagnosis? a. creatinine and BUN b. troponin and Ck-mb c. serum amylase and lipase d. serum bilirubin and calcium
C
the nurse is caring for a client who is hospitalized due to an exacerbation of systemic lupus erythematosus. the nurse is reviewing the client's lab work and finds the wbc is shifter to the left. based on this information. which is a priority diagnosis for this client? a. ineffective protection b. ineffective health maintenance c. ineffective individual coping d. risk for impaired skin integrity
A
the nurse is providing care of a newly married woman with SLE. which client statement indicates plan of care understanding? a. i will take birth control pills while i am taking cytotoxic medications b. i do not need to contact the doctor if i develop a fever or rash c. i plan to go to the movies this weekend so that i get out of the house d. i can take ibuprofen as indicated for pain
A
nursing management of the patient with acute pancreatitis includes: (SATA) a. check for signs of hypocalcemia b. provide a diet low in carbohydrates c. giving insulin based on sliding scale d. observing stools for signs of steatorrhea e. monitoring for infection, particularly respiratory tract infection
A E
a 24 year old female client comes to an ambulatory care clinic in moderate distress with a probable diagnosis of acute cystitis. when obtaining the client's history, the nurse should ask the client if she has had a. fever and chills b. frequency and burning on urination c. flank pain and nausea d. hematuria
B
a 40 year old client is admitted to the hospital with cholecystitis. the nurse should contact the physician to question which of the following prescriptions? a. IV fluid therapy for normal saline solution to be infused at 100 mL/h until further prescriptions b. administer morphine sulfate 10 mg IM every 4 hrs as needed for severe abdominal pain. d. insert a nasogastric tube and connect to low intermittent suction.
B
a client who has been diagnosed with renal calculi reports that the pain is intermittent and less cockily. which of the following nursing actions is most important at this time? a. report hematuria to the physician b. strain the urine carefully c. administer meperidine every 3 hours d. apply warm compress to the flank area
B
a client with acute cholecystitis is experiencing jaundice. which should the nurse consider as the reason for the jaundice? a. viral infection of the gallbladder b. obstruction of the cystic duct c. accumulation of bile in the hepatic duct d. accumulation of fat in the wall of the gallbladder
B
A client with rheumatoid arthritis states, "I can't do my household chores without becoming tired. My knees hurt whenever I walk." Which nursing diagnosis would be most appropriate? 1. Activity intolerance related to fatigue and pain. 2. Self-care deficit related to increasing joint pain. 3. Ineffective coping related to chronic pain. 4. Disturbed body image related to fatigue and joint pain.
1
A physician orders a lengthy X-ray examination for a client with osteoarthritis. Which of the following actions by the nurse would demonstrate client advocacy? 1. Contact the X-ray department and ask the technician if the lengthy session can be divided into shorter sessions. 2. Contact the physician to determine if an alternative examination could be scheduled. 3. Provide a dose of acetaminophen (Tylenol). 4. Cancel the examination because of the hard X-ray table.
1
Of the clients listed below, who is at risk for developing rheumatoid arthritis (RA)? Select all that apply. 1. Adults between the ages of 20 and 50 years. 2. Adults who have had an infectious disease with the Epstein-Barr virus. 3. Adults that are of the male gender. 4. Adults who possess the genetic link, specifically HLA-DR4. 5. Adults who also have osteoarthritis.
124
Which of the following statements should thenurse include in the teaching session when preparinga client for arthrocentesis? Select all that apply. 1. "A local anesthetic agent may be injected intothe joint site for your comfort." 2. "A syringe and needle will be used to withdrawfl uid from your joint." 3. "The procedure, although not painful, willprovide immediate relief." 4. "We'll want you to keep your joint active afterthe procedure to increase blood fl ow." 5. "You will need to wear a compression bandagefor several days after the procedure."
125
A client with osteoarthritis will undergo an arthrocentesis on his painful edematous knee. What should be included in the nursing plan of care? Select all that apply. 1. Explain the procedure. 2. Administer preoperative medication 1 hour before surgery. 3. Instruct the client to immobilize the knee for 2 days after the surgery. 4. Assess the site for bleeding. 5. Offer pain medication.
145
A client is experiencing an allergic response. The nurse should perform the actions in which order from first to last? All options must be used. 1 Activate the rapid response team. 2 Assess the airway and breathing pattern. 3 Notify the health care provider (HCP). 4.Assess for urticaria.
2413
A client is in the acute phase of rheumatoid arthritis. Which of the following should the nurse identify as lowest priority in the plan of care? 1. Relieving pain. 2. Preserving joint function. 3. Maintaining usual ways of accomplishing tasks. 4. Preventing joint deformity.
3
On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for: 1. Limited motion of joints. 2. Deformed joints of the hands. 3. Early morning stiffness. 4. Rheumatoid nodules.
3
the client asks, what does an elevated psa test mean? on which scientific rationale should the nurse base the response? a. an elevated psa can result from several different causes b. an elevated psa can be only from prostate cancer c. an elevated psa can be diagnostic for testicular cancer d. an elevated psa is the only test used to diagnose BPH
A
uring a school party a child with a known food allergy has an itchy throat, is wheezing, and reports not feeling "quite right." The nurse should do the following in what order from first to last? All options must be used. 1 Assess vital signs. 2 Position to facilitate breathing. 3 Send someone to activate the EmergencyManagement Systems (EMS). 4 Administer the child's epinephrine. 5 Notify the parents
34215
Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with osteoarthritis? 1. Anemia. 2. Osteoporosis. 3. Weight loss. 4. Local joint pain.
4
the client enters the outpatient clinic and states to the triage nurse, "i think i have the flu. im so tired. i have no appetite, and everything hurts". the triage nurse assess the client and finds a butterfly rash over the bridge of the nose and on the cheeks. which diagnosis dies the nurse expect? a. systemic lupus erythematosus b. fibromyalgia c. lyme disease d. gout
A
A client develops a facial rash and urticaria after receiving penicillin. Which laboratory value does the nurse expect to be elevated? a) IgE b) IgG c) IgA d) IgB
A
The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what? a. chooses a puncture site in the center of the finger pad b. washes hands with soap and water to cleanse the site to be used c. warms the fingers before puncturing the finger to obtain a drop of blood d. tells the nurse that the result of 110mg/dL indicates a good control of diabetes
A
The nurse is assigned to the care of a 64-year-old patient diagnosed with type 2 diabetes. In formulating a teaching plan that encourages the patient to actively participate in management of the diabetes, what should be the nurse's initial intervention? a. Assess patient's perception of what it means to have diabetes. b. ask the pt to write down current knowledge about diabetes c. set goals for the pt to actively participate in managing his diabetes d. assume responsibility for all of the pts care to decrease stress level
A
The nurse is reviewing laboratory results for the clinic patients to be seen today. Which patient meets the diagnostic criteria for diabetes mellitus? A. A 48-year-old woman with a hemoglobin A1C of 8.4% B. A 58-year-old man with a fasting blood glucose of 111 mg/dL C. A 68-year-old woman with a random plasma glucose of 190 mg/dL D. A 78-year-old man with a 2-hour glucose tolerance plasma glucose of 184 mg/dL
A
The nurse teaches a 38-year-old man who was recently diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the patient requires an intervention by the nurse? A. "I will discard any insulin bottle that is cloudy in appearance." B. "The best injection site for insulin administration is in my abdomen." C. "I can wash the site with soap and water before insulin administration." D. "I may keep my insulin at room temperature (75° F) for up to a month."
A
a client diagnosed with pyelonephritis asks the nurse what is the disease. the nurse best response "pyelonephritis is an a. inflammation of the kidney and renal pelvis b. inflammation of the prostate gland c. inflammation of the urethra d. inflammation of the bladder
A
a female patient reports that is experiencing burning on urination, frequency, and urgency. the nurse notes that a clean-voided urine specimen is markedly cloudy. the probable cause of these symptoms and findings is: a. cystitis b. hematuria c. pyelonephritis d. dysuria
A
because a client's renal stone was found to be composed of uric acid, a low purine, alkaline ash diet was ordered. incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications a. milk, apples, tomatoes, and corn b. eggs, spinach, dried peas, and gravy c. salmon, chicken , caviar, and asparagus d. grapes, corn, cereals, and liver
A
fistulas are most common with which of the following bowel disorders? a. crohn's disease b. diverticulitis c. diverticulosis d. ulcerative colitis
A
in cystitis to minimize experiencing nocturia, the nurse would teach the patient to: a. perform perineal hygiene b. set up a toileting schedule c. double void d. limit fluids before bedtime
A
which of the following area is the most common site of fistulas in clients with Crohn's disease? a. anorectal b. ileum c. rectovaginal d. transverse colon
A.
a nurse is completing nutritional teaching for a client who has pancreatitis. which of the following statements by the client indicates an understanding of the teaching? (SATA) a. a plan to eat small, frequent meals b. i will eat easy to digest foods with limited spice c. i will use skim milk when cooking d. i plan to drink regular cola e. i will limit alcohol intake to two drinkers per day.
ABC *skim milk or nonfat milk
a client is recovering from a laparoscopic cholecystectomy. which nursing action should the nurse use to reduce this client's risk of infection? SATA a. monitor v/s including temp, every 4 hrs b. administer antibiotics as prescribed c. coach to take deep breathes every 1 dash 2 hours while awake. d. assess the abdomen every 4 hrs e/ place in fowler's position
ABCD
the nurse prepares discharge teaching for a client recovering from cholecystectomy. which topic should the nurse include in his teaching? SATA a. surgical incision care b. manifestations of postoperative complications c. pain control measures d. activity level e. high fat diet
ABCD
a client with acute cholecystitis is experiencing nausea and vomiting. which nursing action should the nurse use to address the client's nutritional status? a. counseling regarding low fat menu choices b. administering antiemetics as prescribed c. assessing height and weight d. advising to consume low protein diet e. reviewing serum electrolytes
ABCE
the nurse evaluates a client's understanding of discharge teaching following a laparoscopic cholecystectomy. which client statement indicates teaching has been effective? SATA a. i will take my pain medicine on an empty stomach to get the maximum benefit. b. i will be sure to get up and walk every hour c. i can have some hot chocolate with breakfast d. i will increase the protein in my diet by drinking whole milk
ABD
a client scheduled for a cholecystectomy asks what caused the gallstones to develop. which risk factor should be the nurse list when responding to this client (SATA). a. American Indian ethnicity b. male sex c. family history of gallstones d. obesity e. hyperlipidemia
ACDE
a client with sle is being treated with immunosuppresant drugs and corticosteroids. which precautions should the nurse provide this client? SATA a. avoid large crowds b. don't get a flu shot c. use contraception to prevent pregnancy d. refrain from taking aspirin or ibuprofen e. report signs of infection to the physician
ACDE
the nurse is preparing health promotion teaching for a client with gallbladder disease. which topic should the nurse include the teaching session? SATA a. role of a high-cholesterol diet on gallstone formation b. role of hypolipidemia on gallstone formation c. importance of a low cholesterol diet d. dangers of rapid weight loss e. importance of a high fiber diet
ACDE
During a home health visit you are helping a patient with gout identify foods in their pantry they should avoid eating. Select all the foods below the patient should avoid: A. Sardines B. Whole wheat bread C. Sweetbreads D. Crackers E. Craft beer F. Bananas
ACE
a nurse is caring for a client with SLE. the client begins to cry and tells the nurse that she is afraid that her skin will be disfigured with lesions. which intervention does the nurse plan to teach this client to minimize skin infections associated with SLE? a. use sunscreen with an spf of 15 or greater b. remain indoors on sunny days c. avoid swimming in a pool or the ocean d. avoid the sun exposure between 10-3pm e. decrease sun exposure between 3pm-5pm
AD
a 16 y/o sexually active female with a history of pelvic inflammatory disease presents to the emergency room with complaints of right sided lower abdominal pain and gastrointestinal distress. she cannot right adnexal mass. the nurse knows that this patient likely has which of these prenatal complications? a. gestational trophoblastic disease (GTD) b. spontaneous abortion c. ectopic pregnancy d. premature rupture of membranes (PROM)
C
A nurse encourages a client with an immunologic disorder to eat a nutritionally balanced diet to promote optimal immunologic function. Which snacks have the greatest probability of stimulating autoimmunity? a) Applesause and dried apricots b) Potato chips and chocolate milk shakes c) Raisins and carrot sticks d) Fruit salad and mineral water
B
A nurse practicing in a nurse-managed clinic suspects that an 8-year-old child's chronic sinusitis and upper respiratory tract infections may result from allergies. She orders an immunoglobulin assay. Which immunoglobulin would the nurse expect to find elevated? a) Immunoglobulin M b) Immunoglobulin E c) Immunoglobulin D d) Immunoglobulin G
B
Identify which patient below is at MOST risk for developing gout: A 56 year old male who reports consuming foods low in purines. B. A 45 year old male with a BMI of 40 who reports taking hydrochlorothiazide and aspirin. C. A 39 year old female hospitalized with bulimia that has a BMI of 24. D. A 27 year old female with ulcerative colitis.
B
The nurse instructs a 22-year-old female patient with diabetes mellitus about a healthy eating plan. Which statement made by the patient indicates that teaching was successful? A. "I plan to lose 25 pounds this year by following a high-protein diet." B. "I may have a hypoglycemic reaction if I drink alcohol on an empty stomach." C. "I should include more fiber in my diet than a person who does not have diabetes." D. "If I use an insulin pump, I will not need to limit the amount of saturated fat in my diet."
B
The nurse is teaching a 60-year-old woman with type 2 diabetes mellitus how to prevent diabetic nephropathy. Which statement made by the patient indicates that teaching has been successful? A. "Smokeless tobacco products decrease the risk of kidney damage." B. "I can help control my blood pressure by avoiding foods high in salt." C. "I should have yearly dilated eye examinations by an ophthalmologist." D. "I will avoid hypoglycemia by keeping my blood sugar above 180 mg/dL."
B
Which patient with type 1 diabetes mellitus would be at the highest risk for developing hypoglycemic unawareness? A. A 58-year-old patient with diabetic retinopathy B. A 73-year-old patient who takes propranolol (Inderal) C. A 19-year-old patient who is on the school track team D. A 24-year-old patient with a hemoglobin A1C of 8.9%
B
a patient with sudden pain in the left upper quadrant radiating to the back and vomiting was diagnosed with acute pancreatitis. which intervention should the nurse include in the patient's plan of care? a. immediately start enteral feeding to prevent malnutrition b. insert an NG and maintain NPO status to allow pancreas to rest c. initiate early prophylactic antibiotic therapy to prevent infection d. administer acetaminophen (tylenol) every 4 hours for pain relief
B
after an intravenous pyelogram the nurse should anticipate incorporating which of the following measures into the client's plan of care? a. maintaining bed rest b. encouraging adequate fluid intake c. assessing for hematuria d. administering a laxative
B
allopurinol, 200mg/day, is prescribed for the client with renal calculi to take at home. the nurse should teach the client about which of the following adverse effects of this medication? a. retinopathy b. maculopapular rash c. nasal congestion d. dizziness
B
the nurse is caring for a 55 year old man patient with acute pancreatitis resulting from gallstones. which clinical manifestation would the nurse expect? a. hematochezia b. left upper abdominal c. ascites and peripheral edema d. temperature over 102 F
B
the nurse is caring for a client who has been diagnosed with discoid lupus erythematosus. the nurse is collaborating with the client to set goals for the nursing plan of care. what is an appropriate goal for this client? a. work through the stages of death and dying b. comply 100% of the time with a sun protection plan c. gain weight to within 10 lbs of normal for height d. report pain no higher than four on a scale of 1-10
B
which of the following factors is believed to cause ulcerative colitis? a. acidic diet b. altered immunity c. chronic constipation d. emotional stress
B
which of the following symptoms is associated with ulcerative colitis? a. dumping syndrome b. rectal bleeding c. soft stools d. fistulas
B
which statement by the nurse demonstrates effective communication techniques when initiating a discussion about sex with a 25 year old female client? a. do you know how to properly apply a male condom? b. what questions do you have related to your sexual health? c. have you had sex with more than one partner? d. why didn't you start receiving annual pap tests at an earlier age?
B
while caring for a client who is being treated for severe pelvic inflammatory disease. which of the following nursing actions minimizes transmission of infection? a. keeping the patient in a sitting position b. performing hand hygiene when entering the room c. strictly adhering to the no visitation policy d. implementing reverse isolation precautions
B
A nurse is caring for a client with the following laboratory values: white blood cell count (WBC) 4,500/mm3, neutrophils 15%, and bands 1%. Based on the client's absolute neutrophil count (ANC), the nurse knows that the clients risk for infection is: a) No increased risk b) Significant risk c) low risk d) intermediate risk
B. safe: 500-1500 low: <500
a client asks what causes gallstones to form. which factor should the nurse explain as being present when these stones are formed? SATA a. rapid weight gain b. abnormal bile composition c. excess cholesterol d. inflammation of the gallbladder e. billiary stasis
BCDE
A 54 year old patient admitted with type 2 diabetes asks the nurse what "type 2" means. What is the most appropriate response by the nurse? A. With type 2 diabetes, the body of the pancreas becomes inflamed B. w/ type 2 diabetes, insulin secretion is decreased and insulin resistance is increased c. w/ type 2 diabetes, the patient is totally dependent on an outside source of insulin D. w/ type 2 diabetes, the body produces autoantibodies that destroy b-cells in the pancreas
C
What client problem has a priority for the client diagnosed with acute pancreatitis? A. Risk for fluid volume deficient B. Alteration in comfort C. Imbalanced nutrition: less than the boy requires D. Knowledge deficient
C
the client is scheduled for an intravenous pyelogram to determine the location of the renal calculi. which of the following measures would be the most important for the nurse to include in pretest preparation? a. ensuring adequate fluid intake on the day of the test b. preparing the client for the possibility of bladder spasms during the test c. checking the client's history for allergy to iodine d. determining when the client has had a bowel movement
C
the nurse is obtaining the history from a client who is suspected of having PID. which statement would help support the suspicion of PID? a. i haven't had sex with anyone except my current partner b. my partner and i use condoms during sexual intercourse c. i was 15 years old when i first had sex d. i've never had any sexually transmitted infection
C
the nurse is taking the history of a client who has had benign prostatic hyperplasia in the past. to determine whether the client is currently is experiencing difficulty, the nurse asks the client about the presence of which of the following early symptoms? a. urge incontinence b. nocturia c. decreased force in the stream of urine d. urinary retention
C
the nurse recognizes that urinary elimination changes may occur even in healthy elders because: a. the bladder distends, and its capacity increases b. elders ignore the need to void c. the amount of urine retained after voiding increases d. urine becomes more concentrated
C
which is a risk factor for gallbladder disease? a. male gender b. hypocalcemia c. rapid weight loss d. hypolipidemia
C
which of the following associated disorders may the client with Crohn's disease exhibit? a. ankylosing spondylitis b. colon cancer c. malabsorption d. lactase deficiency
C
which of the following factors is believed to be linked to Crohn's disease? a. constipation b. diet c. hereditary d. lack of exercise
C
A nurse practicing in a nurse-managed clinic suspects that an 8-year-old child's chronic sinusitis and upper respiratory tract infections may result from allergies. Which laboratory test would the nurse most likely order? Select all that apply. a) Metabolic panel b) Rheumatoid factor c) Immunoglobulin assay (IgE) d) Liver function studiese) Complete blood count
C E
a nurse is assessing a client who has pancreatitis. which of the following actions should the nurse take to assess the presence of Cullen's sign? a. tap lightly at the costoverterbral margin on the client's back b. palpate the RLQ c. inspect the skin around the umbilicus d. auscultate the area below the scapula
C.
When administering a blood transfusion to a client with multiple traumatic injuries, the nurse monitors closely for evidence of a transfusion reaction. Shortly after the transfusion begins, the client complains of chest pain, nausea, and itching. When urticaria, tachycardia, and hypotension develop, the nurse stops the transfusion and notifies the physician. The nurse suspects which type of hypersensitivity reaction? a. type 2 b. type 4 c. type 1 d. type 3
D. type 3
The nurse caring for a patient hospitalized with diabetes mellitus would look for which laboratory test result to obtain information on the patient's past glucose control? a. prealbumin level b. urine ketone level c. fasting glucose level d. glycosyelated hemoglobin level
D
crohn's disease can be described as a chronic relapsing disease. which of the following areas in the GI system may be involved with this disease? a. the entire length of the large colon b. only the sigmoid area c. the entire large colon through the layers of mucosa and submucosa d. the small intestine and colon; affecting the entire thickness of the bowel
D
if a client has irritable bowel syndrome. which of the following diagnostic tests would determine if the diagnosis is Crohn's disease or ulcerative colitis? a. abdominal computed tomography (CT) scan b. abdominal x-ray c. barium swallow d. colonoscopy with biopsy
D
the client is diagnosed with acute pancreatitis. what health-care provider's admitting order should the nurse question? a. bed rest with bathroom privileges b. initiate iv therapy D5W at 125 mL/hr c. weight client daily d. low fat, low carb diet
D
the nurse is assessing a client who is suspected of experiencing an enlarging prostate gland. the nurse expects the enlarging prostate in BPH to be manifested by which of the following symptoms? a. bowel elimination b. skin integrity c. peripheral vascular function d. urinary elimination
D
the nurse is planning care of an adolescent client who has systemic lupus erythematosus. the nurse knows that the treatment plan implemented by the healthcare team is appropriate for the situation when the client: a. refuses to attend school b. does not want to attend any social functions c. discusses skin changes with the healthcare personnel. d. discusses skin changes with a good friend
D
the nurse is providing health education to a diverse group at a neighborhood community center. why does the nurse plan to include signs and symptoms of systemic lupus erythematosus? a. the neighborhood is composed of many young female children b. the audience has asked the nurse to include the information c. the audience is mainly composed of caucasian-women d. the audience is mainly females of asian-american descent
D
when caring for the patient with interstitial cystitis. what can the nurse teach the patient to do? a. avoid foods that make the urine more alkaline b. use high-potency vitamin therapy c. always keep a voiding diary to document pain, voiding frequency, and patterns of nocturia d. use of dietary supplement calcium glycerphosphate (prelief) to decrease bladder irritation.
D
which area of the alimentary canal is the most common location for Crohn's disease a. ascending colon b. descending colon c. sigmoid colon d. terminal ileum
D
which of the following associated disorders may a client with ulcerative colitis exhibit? a. gallstones b. hydronephrosis c. nephrolithiasis d. toxic megacolon
D
while caring for a client who is being treated for severe PID, the nurse insists on keeping her in a semi sitting position. what would be the best possible reason for the nurse advice? a. to prevent nosocomial infections to other clients b. to facilitate easy distraction of the client c. to prevent movement as it increases pain d. to facilitate pelvic drainage and to minimize the upward extension of infection
D
A man whose BPH has been successfully managed through medical treatment visits the provider's office and reports he has suddenly had a return of symptoms including frequency, urgency, and a sensation of incomplete emptying after voiding. The nurse collects a thorough history and suspects the possible cause of the sudden exacerbation of the client's symptoms may be: a. Increased sexual activity since his wife has retired. b. Increased levels of exercise as he trains for a marathon. c. Antihypertensive medications he was recently prescribed. d. Over-the-counter medications he's been taking to treat cold symptoms.
D
An older male patient states that he is having problems starting and stopping his stream of urine and he feels the urgency to void. The best way to assist this patient is to: A) Help him stand to void. B) Place a condom catheter. C) Have him practice Credé's method. D) Initiate Kegel exercises.
D
Lines mucous membranes and protects body surfaces
IgA
is present on lymphocytes surface and assists in differentiation of B lymphocytes
IgD
causes symptoms of allergic reactions fixes to mast cells and basophils assists in the defense against parasitic infection
IgE
is only immunoglobin that crosses placenta is responsible for secondary immune response
IgG
is responsible for primary immune response
IgM
A 19-year-old male being tested for multiple allergies develops localized redness and swelling in reaction to a patch skin test. Which intervention by the nurse would have the highest priority? Notify the primary care provider Apply a topical antiinflammatory cream Remove the patch and extract from the skin Administer oral diphenhydramine (Benadryl)
Remove the patch and extract from the skin
A patient's low hemoglobin and hematocrit have necessitated a transfusion of packed red blood cells (RBCs). Shortly after the first unit of RBCs starts to infuse, the patient develops signs and symptoms of a transfusion reaction. Which type of hypersensitivity reaction has the patient experienced? Type I Type II Type III Type IV
Type II
the nurse is planning to teach the client about the signs and symptoms of uti. the nurse should include: SATA a. dysuria b. foul smelling cloudy urine c. urgency d. backpain
abc
which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis? a/ jaundice and flank pain b. costovertebral angle tenderness and chills c. burning sensation on urination d. polyuria and nocturia
b
A client with pyelonephritis is being discharged from the hospital, and the nurse provides instructions to the client to prevent recurrence. The nurse determines that the cleint understands the information that was given if hte client states an intention to: a) increase fluids for 2 days if signs and symptoms of a urinary tract infection develop b) take the prescribed antibiotics until all symptoms subside c) return to the physician's office for scheduled follow-up urine cultures d) decrease fluid intake if frequent urination occurs
c
The nurse has taught a patient admitted with diabetes, cellulitis, and osteomyelitis about the principles of foot care. The nurse evaluates that the patient understands the principles of foot care if the patient makes what statement?
i should look at the condition of my foot everyday.
