Final Review Game

A nurse obtains a patient's health history at a community health clinic. Which statement alerts the nurse to provide health teaching to this patient? A. "I have a cousin that died of liver cancer." B. " I drink 2 glasses of red wine a week." C. " I got a hepatitis vaccine before traveling." D. " I take a lot of tylenol for my arthritis."

" I take a lot of tylenol for my arthritis."

A nurse teaches a patient who has viral gastroenteritis. Which dietary instruction would the nurse include in the patient's teaching? A. "Increase your protein by drinking more milk" B. "You should only drink one liter of fluids per day" C. "Sips of cola or tea may help alleviate your nausea" D. "Drink plenty of fluids to prevent dehydration"

"Drink plenty of fluids to prevent dehydration"

After teaching a patient who has alcohol induced cirrhosis, a nurse assesses the patient's understanding. Which statement made by the patient indicated a need for additional teaching? A. "I need to avoid protein in my diet." B. " I should not take over the counter medications." C. "I cannot drink any alcohol at all anymore."

"I need to avoid protein in my diet."

The client with benign prostatic hyperplasia (BPH) asks how the enlarged prostate causes difficulty with urination. What is the nurse's best response? A. "The enlarged prostate gland presses on the kidneys, decreasing the formation of urine." B. "The enlarged prostate gland destroys nerves to the bladder, decreasing your awareness of the need to urinate." C. "The enlarged prostate gland compresses the urethra, blocking urine flow." D. "The enlarged prostate gland secretes acid that weakens the bladder wall, causing urine dribbling."

"The enlarged prostate gland compresses the urethra, blocking urine flow."

A nurse cares for a patient prescribed Lactulose. The patient states " I do not want to take this medication because it causes diarrhea." How does the nurse respond? A. You may take kaopectate liquid daily for loose stool B. Diarrhea is expected; that's how your body gets rid of ammonia C. We will need to send stool samples to the lab D. Do not take any more of the medication until your stools firms up

Diarrhea is expected; that's how your body gets rid of ammonia

The nurse should include which intervention in the plan of care for a male patient who has an inguinal herniorrhaphy? A. Elevate the scrotum on a pillow B. Apply a warm pack to the scrotum C. Decrease fluid intake to decrease bladder emptying D. Encourage use of bedpan to void.

Elevate the scrotum on a pillow

A nurse plans the care of a client with acute pancreatitis. What interventions should the nurse include? A. Administer tylenol 650mg po q4hrs as needed B. Provide small frequent meals with no concentrated sweets C. Place the client supine and flat D. Maintain NPO status and administer IV fluids

Maintain NPO status and administer IV fluids

An older adult with GERD is prescribed omeprazole. What priority teaching point must the nurse instruct the patient about taking this drug? A. A heart monitor may be needed because of changes in magnesium that can lead to life threatening dysrhythmias B. Because of this drug's effect of decreasing potassium, the patient may be prescribed a potassium supplement C. Older adults taking this drug may be at increased risk for hip fractures because it interferes with calcium absorption D. This drug causes sodium retention so the patient may be prescribed a sodium restriction

Older adults taking this drug may be at increased risk for hip fractures because it interferes with calcium absorption

What assessment data would make the nurse suspect the client has cancer of the bladder? A. Painless hematuria B. Bladder spasms C. Pyuria D. Severe flank pain

Painless hematuria

A student nurse is providing care to an older patient with stomatitis and dysphagia. What action by the student nurse requires the registered nurse to intervene? A. Teaching the patient to use a soft bristled toothbrush B. Assisting the patient to perform oral care every 2 hours C. Preparing to administer a viscous lidocaine gargle D. Remind the patient to not swallow the nystatin (Mycostatin)

Preparing to administer a viscous lidocaine gargle

A nurse is assessing a female patient who is taking progestins. What assessment finding requires the nurse to notify the provider immediately? A. Edema in lower extremities B. Red, warm, swollen cafe C. Ongoing breast tenderness D. Irregular menses

Red, warm, swollen cafe

A patient had returned to the nursing unit after an open Nissen fundoplication. The patient has an indwelling catheter, a nasogastric (NG) tube to low continuous suction and 2 IVs. The nurse notes bright red blood in the NG tube. What actions should the nurse take first? A. Reassess the drainage in 1 hour B. Notify the surgeon immediately C. Take a full set of vitals D. Document the findings in the chart

Take a full set of vitals

The client has a documented history of polycystic kidney disease (PKD). What principle should guide the nurses care of this client? A. The disease is incurable and the nurse's interventions will be supportive. B. The disease will eventually require surgical removal of renal cysts. C. The disease is self limiting and cysts usually resolve spontaneously in fifth or sixth decade of life. D. The disease is likely to respond favorably to lithotripsy treatment of the cysts.

The disease is incurable and the nurse's interventions will be supportive.

A patient is in the oncology clinic for a first time visit since being diagnosed with cancer. The nurse reads in the patient's chart that the cancer is classification is T2N2M0. What does the nurse conclude about this patient's cancer? A. The tumor is in situ B. The patient has 2 lymph nodes involved C. Regional lymph nodes could not be assessed D. The primary site of the cancer cannot be determined

The patient has 2 lymph nodes involved