chronic finalprep

A client with OSA is prescribed to use a home cpap machine. What is important to include?

Importance with complying with cpap per hospital instructions

You are the nurse giving palliative care to your client when the diagnosis of COPD. What is the primary goal for palliative care

Improve client and family QOL

A nurse is working with a client who has dx with HIV the client will be considered to have aids if T cell is below?

200

The nurse would provide care in the community clinic.The nurse should identify which one for the higher risk for chronic pancreatitis?

39 year old with chronic alcoholism

The nurse has been assigned to a group of clients which of the clients should the nurse assess first?

70 year old with COPD with RR change from 22 to 9

A nurse who works in a speciality of palliative care frequently encounter situation that constitute ethical dilemma. What issue has most often presented challenging ethical issues especially in the content of ethical issues dilemma in the palliative care?

Ability to prolong life beyond meaningful quality of life

A client has come into the free clinic for HIV testing and asks how the test goes. The nurse responds that if the testing shows antibodies to the aids virus in the blood that means

A client has been infected with HIV

Clients physician has ordered a liver panel in response to client development of jaundice. When reviewing the results from his lab testing the nurse should expect to review what test? SATA

AST ALT GTT

The nurse is caring for a client with signs of diabetes mellitus 2 What test does the nurse would anticipate if the client blood glucose has been chronically elevated?

A1C test

The nurse providing care for a client with Cushion's syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?

Administer fall risk precautions

What should the nurse teach the client who is on corticosteroid therapy In order to reduce the risk of adrenal insufficiency?

Always have enough medication on hand to avoid running out

A local public health nurse is informed that a cook in a local restaurant has been diagnosed with hepatitis A. What should the nurse advise individuals to obtain who ate at this restaurant and have never received the hepatitis A vaccine?

An immune globulin injection

The nurse at a outpatient clinic is assessing a client with complaints of calf pain when the client walks up to a flight of stairs. How would the nurse best assess this client risk for complication related to the sign?

Ankle-brachial index

The nurse is providing care for a patient whose inflammatory bowel disease has necessitated hospital treatment. Which of the following would most likely be included in the patient's medication regimen?

Anticholinergic medications 30 minutes before a meal

The patient is placed on a statin and the nurse asked the patient to state the most serious side effects to report. He states?

Any pain?--

Which dietary selections made by the HTN client indicates that they understand how to best manage a 2g sodium diet?

Apple Fresh green beans

The nurse working in a long term care is performing the admission assessment of a newly admitted 85 year old resident. During the assessment of the resident's feet the nurse notes early evidence of gangrene on one of the resident's great toe. The nurse should assess for further evidence of what problem?

Chronic venous insufficiency

A client suspected of having RA and her diagnostic regimen includes aspiration of synovial fluid from the knee for a definitive diagnosis. The nurse knows that which procedure would be involved?

Arthrocentesis

The nurse is reviewing the medication administration record of a female client who possessed numerous risk factors for stroke. Which of her medications poses the best at reducing the risk for stroke?

Aspirin 81 mg po

Client is now on Corticosteroid therapy and what would be the priority teaching for this therapy?

Client at increase risk for developing infection

A nurse is assessing a client with a risk factor known to contribute OA. What assessment finding should the nurse interpret as a risk factor?

Client body mass index is 34 (obese)

The nurse is assessing a client admitted to the ICU for the management of a HTN crisis. Which assessment finding is most important to communicate to the provider?

Client has new onset of arm and leg weakness

After receiving a morning shift report the nurse will assess which patient first?

Client with pneumonia reported to have a temp of 100.8, bilateral rhonchi, and O2: 94

What should the nurse best position The client who has leg ulcer That are venous in origin?

Bad 45° angle supported with pillows in knee

A client's most recent lab test shows a slight decrease in potassium levels. The physician has opted to forego drug therapy but has suggested an increase of dietary intake of potassium by suggesting which food?

Banana

The clinic nurse is caring for a 57-year-old client who reports experiencing leg pain whenever she walks several blocks. The client has type 1 diabetes and has smoked a pack of cigarettes every day for the past 40 years. The physician diagnoses intermittent claudication. The nurse should provide what instruction about long-term care to the client?

Be sure to practice meticulously foot care

A 66 year old male has been dealing with chronic pain for arthritis for 18 months. Upon assessment, he states to the nurse that he is able to control his sx and LOC by taking his doses of ibuprofen three times daily. Ibuprofen allows the patient to achieve pain relief through which of the following physiological processes?

Block pain receptors COX

The Nurse is performing an initial assessment of the client with SLE, which skin manifestation?

Butterfly rash

Family members are caring for a HIV client at home. What should the nurse encourage family members to do to reduce transmission?

Caution with shaving

When caring for a client with a left-arm fistula which action should the nurse include in the plan of care to maintain patency?

Check bruit and thrill

The nurse is accepting care for a client who has just completed his first hemodialysis treatment. Which assessment finding would be most concerning to the nurse?

Complaints of dizziness, nausea, and diaphoresis

The client came in with acute diverticulitis and has a sudden increase in temperature and reports a sudden onset of exquisite abdominal tenderness. The nurse's rapid assessment reveals that the client's abdomen is characteristically rigid on palpitation. What is the nurse's best response?

Contact hcp promptly and report the signs of perforation

The elderly client who has just been started on pril. Which side effect is most important for the nurse to discuss?

Cough?

The nurse is caring for a client with COPD. Client ABG reports the following pH: 7.33, O2: 74, CO2: 38, HCO3: 24. What supplemental o2 device would the nurse expect the HCP to order for this client?

CpAp

The nurse is caring for an older adult client who has just returned from OR after an inguinal hernia repair, the or report indicates that the client received large volumes of IV fluid during surgery and the nurse recognizes that the client is at risk for left sided HF

Crackles

A nurse is performing the admission assessment of a patient who has AIDS. What components should the nurse include in this comprehensive assessment? Select all that apply.

Current medication regimen Identification of the patient's support system Immune system function History of sexual practices

One of the functions of a terminal ill client is to support the client and their family? How should nurses support client and their families. SATA:

Describe their personal dealing with end of life situation Try to appreciate and understand the illness from the client's perspective Provide nursing interventions that will facilitate the end of life care

Obesity is the leading cause of secondary illness . Which of the following secondary illnesses is obesity linked to? SATA

Diabetes Arthritis Heart diseasE

The nurse coming on shift is taking a report of 4 clients. What client does the nurse know is at most risk for developing ESKD?

Diabetes and poor HTN

A community health nurse is raising awareness for development of CKD. the most common cause is?

Diabetes need to manage their disease

The nurse is preparing for the care of a client with Parkinson disease, the nurse should be aware that the client treatment would be focused on what pathophysiologic phenomenon?

Decrease availability of dopamine

The nurse is performing a focused assessment on a client who has severe CAD. The clients VS are as follows pulse is 104, bp 142/106, RR 26, pulse ox 86.

Decreased cardiac output

Which of the following nursing diagnoses is the focus of care for a client with a new classification of preHTN?

Deficient knowledge

Which lifestyle modification is most important to teach for at risk clients for hyperlipidemia?

Diet

A group of nurses have attended an in-service on the prevention of occupationally acquired diseases that affect healthcare providers. What action has the greatest potential to reduce a nurse's risk of acquiring hepatitis C in the workplace?

Disposing of sharps appropriately and not recapping needles

The nurse is assessing a client who is known to have right sided heart failure. What assessment finding is most consistent with the clients diagnoses?

Distended neck veins

A patient has been admitted to the hospital for the treatment of chronic pancreatitis. The patient has been stabilized and the nurse is now planning health promotion and educational interventions. Which of the following should the nurse prioritize?

Educating the patient about post discharge lifestyle modifications

During the client's skin assessment, the nurse notes the client legs has edema. The skin is chalkbeat pigmented and the pulse are palpable. How should the nurse position that client's leg?

Elevate the client's lower extremities

How difficult it is to deal with others pain on a daily basis. the nurse should put healthy practices to guard against what

Emotional exhaustion

A client has been diagnosed with OSA. What teaching should the nurse provide in the management of his health problem?

Encourage to avoid alcohol and hypnotic meds

A nurse is caring for a 78-year-old client with a history of OA. when planning out care which goal should the nurse prioritize?

Express satisfaction with ability to perform ADL

A patient with diabetes forgot to take a daily dose of glyburide (Micronase) for which of the following symptoms should the nurse be vigilant?

Fatigue, thirst, blurry vision

The nurse is caring for a client experiencing a chronic exacerbation of CRF. the client experiences irritability and muscle weakness. What is the primary nursing diagnosis?

Fluid and electrolyte imbalance

An older client with type 2 diabetes And has been brought to the emergency department by his daughter. Found to have a blood glucose level of 600 million mg per deciliter to liter The Daughter reports that the client recently had a gastrointestinal virus and has been confused for last 3 hours and the diagnosis of HHS was made. What nursing action would be priority?

Fluid electrolytes replacement

During a health education session a hep E virus. What prevention methods should the nurse recommend to take with this virus? SATA

Following proper handwashing techniques

Client with cushion syndrome has been hospitalized after a fall. The dietician consults with a client to work to improve nutritional intake. What food should a client with cushion syndrome eat to optimize health? SATA

Foods high in calcium Foods high in vitamin D Foods high in protein

The nurse is preparing to administer the morning medications to the clients on the unit. Based on the client assessment which medication should be administered first?

Furosemide lasix for client with bilateral posterior crackles

The nurse is caring for a client who has just undergone a TEE> what is the priority during this time?

Gag reflex

Since the emergence of HIV and AIDS, there have been significant changes in the epidemiologic trends. Member of what group currently has the trend of contracting HIV?

Gay, bisexual, and other men who have sex with men

A clinic nurse was caring for a client admitted with AIDS. The nurse assesses that the client is experiencing a progressive decline in cognitive behavior and mortar functions. The nurse recognizes that these symptoms are most likely related to the onset of what applications?

HIV encephalopathy

What is the nurse's priority assessment prior to administering metoprolol BB.

HR

The nurse is preparing to administer medications to a client with HTN. What medications should the nurse question?

HR with BB??

A client with primary HTN comes to the clinic reporting a gradual onset of blurry vision and decreased visual acuity over the past several weeks. The nurse is aware that these symptoms can indicate?

HTN emergency

The nurse applies standard precautions in the care of the client who has an immunodeficiency. What are the key elements of standard precautions? (SATA)

Hand hygiene 💎 Use safe injection practices 💎 Using appropriate PPE 💎

The nurse verifies that a client with CKD understands dietary teachings when the client selects which meal?

Hard-boiled egg, Strawberries, and whole-grain toast

The nurse is assessing a client who is receiving nitroglycerin for angina pain., what adverse effect will the nurse assess related to nitroglycerin?

Headache

SATA - The use of methotrexate for RA requires monitoring for serious side effects including:

Hepatotoxicity Renal toxicity GI bleeding

A triage nurse in the emergency department is assessing a client who presented with reports of general malaise. Assessment reveals the presence of jaundice and an increase in abdominal girth. What assessment questions best assesses the clients presentation?

How many alcohol beverages do you typically consume in a week?

An adult client has sought care for the treatment of headaches that have become increasingly severe frequently over the past several months. Which of the following question addresses text potential etiologic factors? SATA

How would you describe your ability to cope with stress Are you exposed to toxins/chemicals at work What medication are you currently taking? .family hx

Allopurinol has been prescribed to a client receiving treatment for gout. The nurse caring for this client knows to access the client for bone marrow suppression. Which may be manifested by what diagnosis finding?

Hyperuricemia

Which statement by a client with CKD indicates nurse teaching on dietary considerations has been successful?

I Enjoy snacking on fresh fruit

The patient may need further education concerning their medication clopidogrel plavix if they say?

I will take my plavix for HA since it works the same as aspirin

Diabetes educator is teaching a client about type 2 diabetes. The educator realized that the client understands that the primary treatment of type 2 diabetes is when the client states what?

I'll make sure to follow the weight loss plan designed by the dietician

A nurse educator is teaching a group of recent nursing graduates about the occupation risk for contracting hepatitis B. What preventative measures should the educator promote. SATA

Immunization Standard precaution

The nurse is caring for a patient with an immunodeficiency who has experienced sudden malaise. The nurse's colleague states, "I'm pretty sure that it's not an infection, because the most recent blood work looks fine." What principle should guide the nurse's response to the colleague?

Immunodeficient patients will usually exhibit subtle and atypical signs of infection.

A clinic nurse caring for a client with suspected gout. While explaining the pathophysiology of the gout, what should the nurse explain?

Increased uric acid level

Client was diagnosed with RA one year ago that has achieved adequate control with Celecoxib COX -2 (NSAIDs). The nurse should recognize that this drug like others NSAIDs would influence what aspect of the pathophysiology of nociceptive pain?

Inhibiting transduction by blocking the formation of prostaglandins in the periphery

Client with type 1 diabetes has told the nurse that his recent urine test for ketones was positive. What is the nurse most possible conclusion of diagnosis based on the client's report?

Insulin numbers are inadequate

The public health nurse is administering a mantoux test to children. How should the nurse administer this test?

Intradermal inner forearm

Client admitted with admitted Addison disease and in crisis. what would you do? select all that apply

Intravenous fluid at a high rate of infusion Frequent BP monitoring fingerstick glucose

The nurse review of that client most recent lab value Indicate a bilirubin value of 3.0 per diem the nurse would anticipate which symptoms

Jaundice

The nurse is performing a history and physical for a client with RA. which is most consistent with RA?

Joint stiffness especially in the morning

A home health nurse is evaluating family members provision of care to a client with an advanced ALS. Which action best demonstrates that the client the family understand providing safe care to the client?

Keep the head of the bed or the chair elevated at least 30 degrees

A nurse is educating the client with gout about lifestyle modifications that can help control the signs and symptoms of the disease. What recommendations should the nurse make?

Limiting the intake of alcohol

The nurse is educating a client with newly diagnosed PVD, what information would be needed in order to slow the progression of this disease?

Make a life-style changes such as no smoking

The nurse is teaching client on preventing complications related to PVD. What should the nurse include in this teaching?

Make sure your shoes and socks are comfortable

The nurse cares for a client who is prescribed albuterol. What should be advised regarding a potential side effect of this medication?

May cause tachycardia

The nurse is assessing a patient that has come into the pain clinic. The patient indicates that he has been saving his analgesics until the pain is intense because the pain control has been poor. Which teaching will the nurse perform with this client?

Med should be taken when pain level is low so pain is easy to reduce

The nurse is providing care for a client who has just been diagnosed with early-stage of RA. the nurse should anticipate the administration of?

Methotrexate

The nurse is caring for a client who is receiving a loop diuretic for the tx of HF. Lasix furosemide. What assessment should the nurse prioritize

Monitor potassium levels

A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline would be important to teach the patients at this class?

Most calories should be derived from carbohydrates.

The nurse is accepting care for a client who is experiencing severe and retractable pain Gabapentin?

Neuropathy

A client with EKD receives continuous ambulatory PD the nurse observes that the dialysis drainage is cloudy. What is most approp action

Notify HCP and assess infection sx

The nurse is scheduled to administer enalapril (Vasotec) to a client with HTN the client says that lisinopril zestro has caused swelling in the face in the past. What would be the nurse's initial action?

Notify hcp

The nurse is caring for a client with a history of endocarditis. What topic should the nurse prioritize during health promotion education

Oral hygiene

Patient who has been treated with morphine PCA is being discharged from the hospital with the instructions with all of the following medication may be used for pain. Which medication will the nurse instruct to use first?

Oxycodone and Acetaminophen - PERCOCET 💎

Which information from the client helps confirm that the client stable angina has not progressed to unstable angina?

Pain is relieved after nitroglycerin tablet

The nurse instruct the client with diverticulitis to avoid these foods:

Peanuts and raspberry

The nurse admits a client with a history of ESRD, upon assessment the nurse notices rebound tenderness and fever from palpating the client abdomen. The nurse should suspect which complications?

Peritonitis

Which client information will the nurse plan to obtain in order to obtain effectiveness of calcium caltrate of a client with CKD?

Phosphate levels

A patient on the medical unit is dying and the nurse has determined that the family's psychosocial needs during the dying process need to be addressed. What is a cause of many patient care dilemmas at the end of life?

Poor communication between the family and the care team

The nurse is caring for an adult client whom the nurse suspects to have digoxin toxicity. In addition to physical assessment the nurse should collect what assessment information?

Potassium level

An older adult is newly diagnosed with primary HTN and has just been started on a BB. What teaching should be included?

Prevent falls related to orthostatic HTN

Levodopa can be imparied by which of the following nutritional products? SATA #01

Protein Vitamin B6

The client appears upset and tearful but denies pain and refuses pain medication because "my sibling is a drug addict and has ruined our family" what is the priority in nursing

Provide accurate info about use of pain med

The nurse is caring for a client who has just had an echocardiogram. The client asks the nurse why the test was performed? What is the best response by the nurse?

Provides information about the movement of heart muscle and valves

The nurse teaches the client with emphysema to perform a pursed lip pattern, what is the nurses rationale?

Purse lip helps reduce the amount of air trapping and resistance

A 30-year-old type 1 diabetic has been admitted to the critical care unit with a diagnosis of diabetic ketoacidosis following a drinking binge over the course of a weekend. The nurse should anticipate that this patient will require what immediate intervention?

Rapid administration of intravenous normal saline

Discharge guidelines for clients with SLE taking long term corticosteroid therapy include what?

Report s/sx of infection Wear sunscreen Annual eye exams

A 45 year old man with diabetic neuropathy has ESKD and is starting dialysis. What should the nurse teach about hemodialysis

Require tx 3 x a week

The client with COPD has a Blood gas analysis done and the findings are the PH of 7.31 PO2 of 80, paco2 50 and hco3 of 22?

Respiratory acidosis

A client with type 2 diabetes has been managing his blood glucose levels using diet and metformin. Following an ordered increase in the client's daily dose of metformin, the nurse should prioritize which of the following assessments?

Reviewing the client lab value of creatinine and Bun level

An older adult client with heart failure is being discharged home with an ACE inhibitor and loop diuretic. The clients most recent VS prior to discharge include O2 sat 93 on RA, HR 81, BP 94/59. When planning the subsequent care what nursing diagnosis should be identified?

Risk for falls

when caring for a client the nurse would often follow Maslow hierarchy of needs, It's important to know these levels which of the following are steps in Maslow hierarchy of needs select all that apply

Safety needs physiological needs Self-actualization

The home health nurse is assisting a client and family in planning a clients return to work after an extensive illness. On which level of maslows does the client need for self fulfillment fit?

Self actualization

What understanding of COPD is essential for the nurse to consider when planning care for the client who has COPD

Should be provided small frequent meals-

The patient with chronic unrelieved pain may experience additional adverse effects. SATA

Sleep disturbances Depression Immune suppression Fatigue

Which of the following indicates that teaching for the management of COPD has been effective?

Smoking cessation will be maintained

the client Present at a walk-in clinic reporting of nausea and vomiting. The time has a documented history of adrenal insufficiency Considering that the client has a history and a current symptoms, The nurse should anticipate that the client Would be expected to increase the intake of

Sodium

The client with type 2 diabetes normally achieve adequate glycemic control through diet and exercise. Upon admitting to the hospital for a cholecystectomy, however, the client requires insulin injection on two occasions. The nurse would identify what likely caused this short term-changed in the treatment?

Stress has likely to cause an increase in client's Blood sugar level

A home health nurse will soon be administering IVIG to a client on a regular basis. What teaching should be included?

Technique for managing fluid intake

When teaching clients with RA the nurse stresses to report to HCP about which symptoms are priority?

Temperature greater than 100.5 F

The nurse evaluates that the client understands proper use of a metered dose inhaler when the client exhibits which behavior?

The client holds his/her breath for several seconds after releasing med

Which statement by the novice nurse would alert the precepting nurse that teaching is necessary Regarding hospice principle?

The client is comfortable by the knowledge that the hospice nurse would manage this pain

The nurse is providing care for a client who has been diagnosed with irritable bowel syndrome, when playing this client care the nurse should collaborate with the client to prioritize what goal?

The client will Accurately identify food that triggered the symptoms

A rehab nurse caring for a client who has had a stroke is approached by the client's family and asked why the client has to do so much for herself when the client herself is struggling. What would be the best answer by the nurse?

The focus of care in a rehab is to help the client to resume as much self care as possible

An adult client has been tested positive for TB while performing patient teaching, what information should the nurse prioritize?

The importance of adhering closely to the prescribed medication regimen

The nurse is part of the health care team at an oncology center. A patient has been diagnosed with leukemia and the prognosis is poor, but the patient is not yet aware of the prognosis. How can the bad news best be conveyed to the patient?

The prognosis should be delivered with the patient at eye level.

The nurse has created a plan of care for immunodeficient client specifying that Care providers the client pulse and RR for a full minute. What is the rationale for this aspect of care?

These patients' blunted inflammatory responses can cause subtle changes in status.

The nurse reviews the lab tests for the patient with heart failure. Which lab test would indicate severity for their condition?

Troponin 0.06

The nurse admits a client who has been diagnosed with cardiac muscle damage which abnormal lab value would the nurse expect to most accurately confirm the diagnosis?

Troponin blood test

A nursing assistant who is taking care of a client recently got done with surgery rates her pain level as 8/10. The NA tells the nurse that he thinks the client was exaggerating and does not need pain medication. What is the best response by the nurse?

Unless there's a strong evidence of a contrary, we should take the client's report as face value 💎

The nurse is assessing a client for symptoms of decreased perfusion. What assessment finding is most concerning to the nurse?

Urine output 10 ml for 4 hours

A 50 year old man has been admitted to the hospital with chest pain, he admits to having some chest tightness for the past two weeks especially while playing tennis. When questioned he admits to having a family history of cardiac disease. What are some modifiable factors that contribute to heart disease? SATA

Use of illegal drugs Obesity Smoking

A client is having BTP and is giving a combination of opioids and analgesics and NSAIDs. What is the primary rationale for administering these medications?

Use of one drug or more drug can effectively manage pain

The nurse is caring for a post-surgical client who speaks very little English what should the nurse use to most accurately assess the client's pain?

Use of translator each time to report pain

Immunodeficiency patient - family members asking why not - antibiotic - prevent infection

Using antibiotics to prevent infection can cause the growth of drug-resistant bacteria

Chronic illnesses are characterized by which of the following:

Usually involves many phases to acute to stable to unstable

A nurse is preparing to provide care of the client who exacerbation of ulcerative colitis Has require hospital admission. Doing a exacerbation of his health problem The nurse would anticipate the client stool will have what characteristic:

Watery with blood and mucous

The nurse is caring for a client with a diagnosis of Addison's disease. What signs and symptoms are most closely associated with this health problem?

Weakness

The nurse is caring for a client with a Hx of SLE who has recently diagnosed with ESKD. The client has an elevated phosphorus level and has been prescribed with calcium acetate to bind with P. Take med at what time?

With each meal

A client is seeking health care for complaints of apneic episodes with loud snoring every night. How can the nurse at the clinic best characterize the risks for OSA?

Without treatment your OSA can progress to chronic obstructive lung disease

The nurse is volunteering to screen clients lipid levels to assess cardiac health, what should the nurse teach about total cholesterol levels?

You want it less than 200

The nurse is performing health education with a 44 year old woman who has recently been diagnosed with chronic illness. The nurse is teaching the importance in adhering to her prescribed meds and treatment regimen, the nurse should emphasize? SATA

adherence and compliance to the medication regimen is important to control the illness and usually requires planning It is the patients sole responsibility to inform us of their adherence

The nurse is caring for a client who has been diagnosed with multiple myeloma whose prognosis is poor. But he has been tearful and is having difficulty in trying to express his feelings. What should the nurse do?

asked if he would like you to sit around while he is collecting his thoughts

The nurse finds the client with COPD supine, RR 36,HR 110 and pulse ox is 86. Which intervention does the nurse do first?

assess lung sounds

The nurse is evaluating the effectiveness of dietary teaching for a client with CAD. Which one would demonstrate more teaching is needed?

omelet with ham and cheese

A patient with a history of injection drug use has been diagnosed with Hepatitis C. When collaborating with the care team to plan this patient's treatment, the nurse should anticipate what intervention?

regimen of antiviral medication

The patient with chronic stable angina is correct when they say?

stop what I'm doing, sit down and rest.

A nurse is assessing a client who has diabetes For the present of peripheral neuropathy. the nurse should question the client about the sings and symptoms That would suggest that possible development of peripheral neuropathy?

tingling sensation