Med surge 3
In teaching a client with Parkinson's disease, the nurse describes what rationale for the prescription of levodopa-carbidopa? This drug a) acts as an antiseizure medication, reducing the tremors caused by the disease. b) reduces the inflammatory process, improving nerve transmission and function. c) slows the scarring in the myelin sheath, improving muscle tone and strength. d) increases the amount of dopamine, needed for muscles to function correctly.
increases the amount of dopamine, needed for muscles to function correctly.
A client with diabetes has properly learned the principles of foot care. What would the client most likely say about foot care? a) "The best method of testing bath temperature is with the toes." b) "I prefer to use canvas shoes rather than leather because are more ventilated." c) "A mirror will be very helpful so I can look at all parts of my feet each day." d) "I should limit walking barefoot to my room and the bathroom only."
"A mirror will be very helpful so I can look at all parts of my feet each day."
After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching? a) "My intake of saturated fats should be no more than 10% of my total calorie intake." b) "I should increase my intake of proteins and eliminate carbohydrates from my diet." c) "I should increase my intake of vegetables with higher amounts of dietary fiber." d) "My intake of water is not restricted by my treatment plan or medication regimen."
"I should increase my intake of proteins and eliminate carbohydrates from my diet."
What statement, made by a client diagnosed with gastroesophageal reflux disease (GERD), indicates successful learning about management of the symptoms of GERD? a) "I will place blocks under my bed keeping the head of it elevated." b) "I will rest on bed after meals to accelerate gastric emptying." c) "I will increase alkaline fluids like milk with my meals." d) "I need to limit my carbonated beverages to two colas a day."
"I will place blocks under my bed keeping the head of it elevated."
The nurse is teaching a client with diabetes about the relationship between different types of insulin administration and diet, and the discipline of regular meals. Which client statement indicates an understanding of the instructions? a) "The insulin will lower my blood sugar, so I can eat whenever after injecting insulin." b) "I need to check my blood sugar level only before deciding when to eat." c) "I will schedule meals and snacks at a time when the insulin has its peak effect." d) "I will need to eat a meal or snack shortly after any type of insulin injection."
"I will schedule meals and snacks at a time when the insulin has its peak effect."
A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication? a) "I have a bowel movement every day." b) "I have a lot of energy and am less tired than before." c) "My hands seem to shake all the time." d) "I have lost four pounds since I started this medication."
"My hands seem to shake all the time."
A client frustrated with self-monitoring his blood glucose level tells the nurse he wants an insulin pump to avoid the finger stick testing. Which would be the nurse's most helpful response? a) "Pumps don't monitor blood glucose levels. You will still need to do that yourself." b) "The pump must be calibrated several times a day, but you will not need to monitor your blood glucose levels anymore." c) "Pumps are still experimental, and there are many problems associated with them." d) "If you are willing to make a commitment to good aseptic technique, you should like the pump."
"Pumps don't monitor blood glucose levels. You will still need to do that
Which is the most important intervention should the school nurse implement to decrease the incidence of hepatitis A in a preschool setting? a) Teach children the correct handwashing technique to use after toileting b) Promote hygiene by ensuring that children's faces and hair are kept clean. c) Put a strip bandage on bleeding injuries to prevent contamination of others d) Ensure that all enrolled children have been immunized for hepatitis A
Ensure that all enrolled children have been immunized for hepatitis A
A nurse prepares to administer prescribed regular and NPH insulin. Place the nurse's actions in the correct order to administer these medications. Inspect bottles for expiration dates. Gently roll the bottle of NPH between the hands. Wash your hands. Inject air into the regular insulin. Withdraw the NPH insulin. Withdraw the regular insulin. 7. Inject air into the NPH bottle. 8. Clean rubber stoppers with an alcohol swab. Select one: 3, 1, 8, 2, 4, 6, 7, 5 3, 1, 2, 8, 7, 4, 6, 5 1, 3, 8, 2, 4, 6, 7, 5 2, 3, 1, 8, 7, 5, 4, 6
3, 1, 2, 8, 7, 4, 6, 5
The nurse administers 6 units of regular insulin and 10 units NPH insulin at 7 AM. At what time does the nurse assess the client for possibility of hypoglycemia related to the NPH insulin received? a) 4 PM b) 8 AM c) 8 PM d) 11 PM
4 PM
A public health nurse teaching a class on diabetes plans to discuss risk factors for developing Type 2 diabetes. Which of the following individual has the greatest risk for developing Type 2 diabetes? a) A 58-year-old indigenous Guatemalan female who is 5' 2" and weighs 190 lbs. b) A 24-year-old Caucasian male whose father is a Type 2 diabetic. c) A 32-year-old African American who has a history of hypertension. d) A 30-year-old Italian male whom caloric intake includes 60% from carbohydrates.
A 58-year-old indigenous Guatemalan female who is 5' 2" and weighs 190 lb
When developing a plan of care for the client with stress incontinence, the nurse should take into consideration that stress incontinence is best defined as the involuntary loss of urine associated with: a) Activities that increase abdominal pressure b) A strong urge to urinate c) Obstruction of the urethra d) Over distention of the bladder
Activities that increase abdominal pressure
While assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the nurse notes the absence of a thrill and bruit at the shunt site, suspecting thrombosis of the fistula. What action should the nurse anticipate the provider would take to reestablish the fistula patency? a) Advise the client that the pressure of the dialysis will reopen the fistula. b) Administer a tissue plasmin activator ( r-TPA) drug, like alteplase. c) Flush the fistula with a heparinized saline solution. d) Order a daily dose of warfarin until bruit and thrill reappear.
Administer a tissue plasmin activator ( r-TPA) drug, like alteplase.
A client with type 2 diabetes has a serum creatinine of 2.9 mg/dL. The nurse correlates which urinalysis finding with the diagnosis of diabetic nephropathy in this client? a) White blood cells in the urine during a random urinalysis b) Increased leukocytes and presence of bacteria c) Albumin in the urine during a random urinalysis d) Ketone bodies in the urine during ketoacidosis
Albumin in the urine during a random urinalysis
The nurse is preparing to administer early morning medications to clients on a medical unit, one hour before breakfasts are coming. Which medication should the nurse administer first? a) Lispro insulin, to a client with diabetes mellitus. b) Indomethacin to a client with acute crisis of gout. c) Enoxaparin SQ to a client after abdominal surgery. d) Alendronate, to a client diagnosed with osteoporosis.
Alendronate, to a client diagnosed with osteoporosis.
A client is receiving the medication propylthiouracil (PTU). Which assessment finding indicates to the nurse that the medication is effective? a) Apical pulse regular at 70 beats/minute. b) The blood level of TSH has decreased c) Client improves cold tolerance. d) White blood cell count is 4,500 cells/mm3.
Apical pulse regular at 70 beats/minute.
Which essential information should the nurse give to a client with chronic kidney disease (CKD)? a) Restrict calcium-rich foods. b) Increase daily liquids intake. c) Avoid salt substitutes. d) Increase consume of chicken and turkey, instead of red meat.
Avoid salt substitutes.
A male client tells the nurse that he has experienced gastro esophageal acid reflux (GERD) for several years. The nurse recognizes that this client has an increased risk for what problem? a) Metabolic alkalosis and hyperkalemia. b) Esophageal varices and bleeding. c) Barret's esophagus. d) Duodenal cancer.
Barret's esophagus.
A male client with Parkinson's disease is newly diagnosed with benign prostatic hypertrophy. When reviewing the client's medication history, which medication is most likely to exacerbate his urologic symptoms? a) Bromocriptine, a dopamine receptor agonist. b) Benztropine, an anticholinergic. c) Levodopa, an antiparkinsonian agent. d) Selegiline, a mono amino oxidase B inhibitor.
Benztropine, an anticholinergic.
A nurse assesses a client and notes the client's position as indicated in the illustration below: How should the nurse document this finding? a) Atypical hyperreflexia b) Decorticate posturing c) Spinal cord degeneration d) Decerebrate posturing
Decorticate posturing
Which client is most at risk for developing intra-renal acute kidney failure? a) Client with post-streptococcus glomerulonephritis b) Client with dissecting abdominal aortic aneurysm c) Client with congestive left heart failure d) Client diagnosed with bilateral renal calculi
Client with post-streptococcus glomerulonephritis
A male client with Type 1 diabetes takes an AM (breakfast) and a PM (dinner) doses of intermediate-acting (NPH) insulin. The client's AM blood glucose average for the past week has been above 250 mg/dl. The nurse tested the client's glucose at 3 am resulting in 60 mg/dl, and concluded that the client was experiencing Somogyi phenomenon. Which dose change is most likely to relieve this alteration? a) Increase the intermediate-acting insulin (NPH) dose with breakfast (AM). b) Decrease the intermediate-acting insulin (NPH) dose with dinner (PM). c) Increase the intermediate-acting insulin (NPH) dose with evening meal. d) Delay the morning doses of intermediate-acting insulin (NPH) until after breakfast.
Decrease the intermediate-acting insulin (NPH) dose with dinner (PM).
A nurse provides dietary instructions to the mother of a child with celiac disease. Which of the following foods does the nurse tell the mother to include in the child's breakfast? a) Corn flakes b) Oatmeal biscuits c) Rye crackers d) Wheat cereal
Corn flakes
A 46-year-old female client is admitted for acute renal failure secondary to diabetes and hypertension. The nurse evaluates the laboratory results and finds an elevated creatinine and blood urea nitrogen (BUN) and decreased specific gravity and clearance of creatinine. Which of these tests is the most precise and best indicator of the glomerular filtration rate? a) Serum creatinine. b) Specific gravity. c) Creatinine clearance. d) Blood Urea Nitrogen (BUN).
Creatinine clearance.
In caring for a client with a fracture of the femur, the nurse should be alert for compartment syndrome. What symptom is characteristic of this complication? a) Tachycardia and petechiae over the chest wall and buccal membranes. b) Acute anxiety, diaphoresis, and elevated blood pressure. c) Deep, throbbing, unrelenting pain which is not controlled with opioids. d) Positive Homan's sign with calf tenderness and warmth.
Deep, throbbing, unrelenting pain which is not controlled with opioids.
The 56-year-old male client received 10 units of Humulin R, a fast-acting insulin, at 0700. At 1030 the unlicensed nursing assistant tells the nurse the client has a headache, the skin is wet and cold, and is acting "funny." Which action should the nurse implement first? a) Practice a dipstick for ketones in urine. b) Administer a glass of orange juice and reevaluate in 15 minutes. c) Prepare to administer one amp 50% Dextrose intravenously. d) Determine the capillary blood glucose level.
Determine the capillary blood glucose level.
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy. Which finding should the nurse consider an indication of progressive hepatic encephalopathy? a) Increased level of blood urea nitrogen (BUN). b) Difficulty in handwriting. c) An increase in abdominal girth. d) Hypertension and a bounding pulse.
Difficulty in handwriting.
Which assessment finding has the highest priority when assessing and planning nursing care for a client recently admitted with a peptic ulcer disease (PUD) with risk of bleeding? a) Very dark color stools. b) Dizziness when rising from a sitting position. c) Hemoglobin 10 g/dL, hematocrit 29%. d) Epigastric pain two hours after eating.
Dizziness when rising from a sitting position.
A nurse prepares to administer insulin to a client at 1800. The client's medication administration record contains the following information: Insulin glargine: 12 units daily at 1800 Regular insulin: 6 units QID at 0600, 1200, 1800, 2400 Based on the client's medication administration record, which action should the nurse take? a) First draw up the dose of regular insulin, then draw up the dose of insulin glargine in the same syringe and inject the two insulins together. b) First draw up the dose of insulin glargine, then draw up the dose of regular insulin in the same syringe and inject the two insulins together. c) Draw up and inject a pharmacy pre-mixed form insulin glargine with regular insulin. d) Draw up and inject the insulin glargine first, then draw up and inject the regular insulin separately.
Draw up and inject the insulin glargine first, then draw up and inject the regular insulin separately.
To increase the comfort of a client with exophthalmos, which intervention would the nurse recommend? a) Elevate the head with two pillows at night. b) Restrict fluids and administer pilocarpine eye drops. c) Provide relief with warm compresses. d) Rest the client in prone position with only one pillow.
Elevate the head with two pillows at night.
A patient with primary hyperparathyroidism has a serum calcium level of 14 mg/dL and a phosphorus of 1.7 mg/dL. Which nursing action should be included in the plan of care? a) Monitor for positive Chvostek's sign. b) Encourage 3000 to 4000 mL of oral fluids daily. c) Have a tracheostomy kit available. d) Encourage the patient to remain on bed rest.
Encourage 3000 to 4000 mL of oral fluids daily.
Which of the following measures is most important for the nurse to institute for a client who has Cushing's disease? a) Enforce standard precautions and updated vaccinations. b) Assist the client to stand up changing positions slowly. c) Pad the siderails of the client's bed with pillows. d) Keep suctioning equipment at the client's bedside.
Enforce standard precautions and updated vaccinations.
A client has end-stage kidney disease (ESKD). Which food selection by the client demonstrates understanding of a low-sodium, low-potassium diet? a) Baked potatoes without salt b) Vegetable soup c) Grapes and peaches d) Organic sliced turkey cold cut
Grapes and peaches
Which is a major side effect of radioactive iodine treatment for hyperthyroidism? a) Hyperparathyroidism b) Hypocalcemia c) Airway obstruction d) Hypothyroidism
Hypothyroidism
A patient with Graves' disease is admitted to the emergency department with thyroid storm. Which of these prescribed medications should the nurse administer first? a) IV levothyroxine b) IV propylthiouracil (PTU) c) IV propranolol d) Oral triiodothyronine
IV propranolol
A previously healthy older client's morning urine is amber, with strong odor, and specific gravity 1.040. Which action by the nurse is best? a) Place the client on restricted dietary proteins. b) Review the client's creatinine level. c) Obtain an order for urine culture and sensitivity. d) Increase the client's fluid intake.
Increase the client's fluid intake.
The nurse is reviewing a client's laboratory test results and notes a blood urea nitrogen (BUN) of 41 mg/dL and a creatinine of 1.2 mg/dL. After communicating the results to the provider, what new order does the nurse anticipate? a) Prepare the client for dialysis. b) Place the client on a fluid restriction. c) Increase the client's oral fluids. d) Restrict dietary protein.
Increase the client's oral fluids.
A client with a 16-year history of hypertension is having renal function tests because of recent fatigue, weakness, lightly elevated blood urea nitrogen and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? a) Increased urination at night b) Uremic frost c) Confusion and disorientation d) Edema and lung crackles
Increased urination at night
An elderly client was just admitted to the intensive care department diagnosed with severe hyperosmolar hyperglycemic non-ketonic (HHNK) diabetic coma. Which doctor's order should the nurse give priority? a) Infuse sodium bicarbonate solution intravenously. b) Administer rapid-acting insulin until blood glucose is 250 mg/dL. c) Perform blood glucometer checks hourly. d) Infuse 0.9% NaCl solution intravenously.
Infuse 0.9% NaCl solution intravenously.
A woman with type 2 diabetes has a hemoglobin A1c level of 11. The nurse can conclude that the patient: a) Is noncompliant with the insulin b) Is at higher risk for development of diabetic vascular complications c) Is at risk for development of diabetic ketoacidosis d) Is noncompliant with her diet
Is at higher risk for development of diabetic vascular complications
A male client with moderate Alzheimer's disease had abdominal surgery yesterday. Today, when the nurse begins to perform a dressing change, the client states, "I don't want you to change my dressing." What is the best initial action for the nurse to take? a) Do not change the dressing and note "refused" in the client's medical record. b) Explain the importance of dressing change and proceed with the procedure. c) Leave the room and re-approach the client in about 30 minutes. d) Ask another nurse, who had the client before, to do the dressing change.
Leave the room and re-approach the client in about 30 minutes.
Which dietary alterations does the nurse make for a client with Cushing's disease? a) Low refined carbohydrate, low potassium b) High refined carbohydrate, low potassium c) Low refined carbohydrate, low sodium d) Low protein, high sodium
Low refined carbohydrate, low sodium
A male client with a history of generalized tonic-clonic seizures tells the nurse that he feels like he is about to have a seizure. What should the nurse do first? a) Perform a neurological assessment. b) Give a STAT dose of phenytoin IV. c) Lower the client to a safe position and stay with him. d) Keep open airway extending the client's neck.
Lower the client to a safe position and stay with him.
A nurse reviews the medication list of a client going for a computed tomography (CT) scan with IV iodine contrast to rule out a liver cyst. Which medication should alert the nurse to contact the provider and withhold the prescribed dose? a) Pioglitazone b) Glimepiride c) Glipizide d) Metformin
Metformin
Which of the following symptoms indicated diverticulosis? a) Anorexia with low-grade fever b) New onset change in bowel habits c) No symptoms exist d) Episodic, dull, or steady midabdominal pain
No symptoms exist
51- The nurse is admitting a patient with recurrent kidney stones and pain. The nurse knows that in this case it is important to determine the chemical composition of the urolithiasis, to plan diet and prophylactic treatment. For this specific purpose, what nursing action is the most appropriated? a) Obtain a sieve to strain urine. b) Request a glass container to collect 24-hour urine. c) Obtain an order for blood level of oxalates. d) Prepare the client for cystoscopy.
Obtain a sieve to strain urine.
A nurse assesses a male client with a spinal cord injury at level T5 because the client is not feeling well while he was transferred in wheelchair for a chest x-ray. The client's blood pressure is 194/95 mm Hg, heart rate 59 beats/min, and the client presents with a headache, nasal congestion, flushed face and blurred vision. Which action should the nurse take first? a) Administer a dose of atropine IV. b) Initiate oxygen via a nasal cannula. c) Place the client in left lateral and Trendelenburg position. d) Palpate the bladder for distention.
Palpate the bladder for distention.
A nurse is studying the results of periodic serum laboratory studies in a client with diabetic ketoacidosis (DKA) who is receiving an intravenous insulin infusion and hydration with normal saline. Which finding should prompt the nurse to contact immediately the physician? a) Blood glucose 350 mg/dL b) Serum pH 7.25 c) Potassium 3.4 mEq/L d) Sodium 131 mEq/L
Potassium 3.4 mEq/L
When a patient is hospitalized with acute adrenal insufficiency and adrenal shock, which assessment finding by the nurse indicates that the prescribed replacement therapies are effective? a) Decreasing blood glucose levels b) Decreasing serum sodium levels c) Reducing heart rate d) Increasing serum potassium levels
Reducing heart rate
A polytrauma client with a cervical spinal cord injury is brought to the emergency center. What should be the nurse's priority assessment? a) Respiratory pattern and O2 saturation. b) Heart rate and blood pressure. c) Glasgow comma scale and pupil reactions. Ability to move extremities and sensitivity level
Respiratory pattern and O2 saturation.
The nurse is planning care for a client who has a right hemispheric (non-dominant) stroke and left homonymous hemianopsia. Which nursing diagnosis should the nurse include in the plan of care? a) Risk for injury related to right-sided hemiplegia. b) Ineffective coping related to depression and distress about disability. c) Risk for injury related to denial of deficits and impulsiveness. d) Impaired verbal communication related to aphasia, agraphia and/or alexia
Risk for injury related to denial of deficits and impulsiveness.
Which electrolyte is closely monitored in patients with syndrome of inappropriate secretion of antidiuretic hormone (SIADH) and water intoxication? a) Magnesium b) Potassium c) Sodium d) Calcium
Sodium
While administering oral antiviral drugs for a patient with hepatitis B and jaundice, the nurse would follow: a) Droplets Precautions. b) Strict isolation. c) Standard Precautions. d) Contact Precautions.
Standard Precautions.
Which area of the alimentary canal is the most common location for Crohn's disease? a) Ascending colon b) Terminal ileum c) Descending colon d) Sigmoid colon
Terminal ileum
The nurse is caring for clients on a medical floor. Which client should be assessed first? a) The client diagnosed with diabetes insipidus (DI) who is complaining of feeling tired after having to get up at night to urinate. b) The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who is having new onset of muscle twitching and lethargy. c) The client diagnosed with a pituitary tumor who has developed diabetes insipidus (DI) and has an intake of 2500 mL and an output of 2600 mL in the last 8 hours. d) The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who has a weight gain of 1.5 pounds since yesterday.
The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who is having new onset of muscle twitching and lethargy.
The nurse evaluates the client's stoma during the initial post-op period of a colostomy. Which of the following observations should be reported immediately to the physician? a) The stoma is dark red to purple b) The stoma does not expel stool c) The stoma is slightly edematous d) The stoma oozes a small amount of blood
The stoma is dark red to purple
43- The nurse has become aware of the following client situations in several hospitalized clients. The nurse should first assess the client: a) With bacterial pneumonia who has bronchial breath sounds auscultated between the scapulae and a temperature of 101.6 oF. b) With hepatic cirrhosis who has an elevated aspartate aminotransferase (AST) level and respirations of 23. c) Who had a total abdominal hysterectomy 1 day ago and is unable to void 6 hours after the indwelling catheter was removed. d) Who had a total knee replacement 24 hours ago, is restless and has a petechial rash on the chest.
Who had a total knee replacement 24 hours ago, is restless and has a petechial rash on the chest.
The client is diagnosed with ulcerative colitis. When assessing this client, which sign/symptom would the nurse expect to find? a) Hard, rigid abdomen. b) Oral temperature of 102 F. c) Urinary stress incontinence. d) Twelve bloody liquid stools a day.
Twelve bloody liquid stools a day.
The nurse working in an endocrinology service has assigned four clients. Which client should the nurse see first? a) Type 1diabetic client who is noncompliant with her diet b) Type 2 diabetic client who presents with a hemoglobin A1c 12.8 % c) Type 2 diabetic client whose capillary glucose before of lunch was 65 mg/dL d) Type 1 diabetic client who has positive ++ ketones in urine
Type 1 diabetic client who has positive ++ ketones in urine
The nurse working in an endocrinology service has assigned four clients. Which client should the nurse see first? a) Type 1diabetic client who is noncompliant with her diet and has proteinuria b) Type 2 diabetic client who presents with a hemoglobin A1c 12.8 % c) Type 1 diabetic client who has positive ++ ketones in urine d) Type 2 diabetic client whose capillary glucose immediately after lunch is 65 mg/dL
Type 1 diabetic client who has positive ++ ketones in urine
Colorectal cancer is most closely associated with which of the following conditions? a) Hemorrhoids b) Diverticulosis c) Ulcerative colitis d) Smoked fish intake
Ulcerative colitis
A client has received vasopressin for diabetes insipidus. Which assessment finding indicates a therapeutic response to this therapy? a) Urine output has increased; specific gravity has increased. b) Urine output has decreased; specific gravity has increased. c) Urine output has increased; specific gravity has decreased. d) Urine output has decreased; specific gravity has decreased.
Urine output has decreased; specific gravity has increased.
A male client with gastric cancer is 1 week postoperative for a total gastrectomy and has normal hematologic parameters. Which supplement should the nurse explain to the client is indicated for lifetime to prevent complications? a) Vitamin B6, intramuscular b) Intrinsic factor, oral with each meal c) Vitamin B12, intramuscular d) Vitamin B12, oral
Vitamin B12, intramuscular
The healthcare provider prescribes Mylanta (aluminum and magnesium hydroxide), 2 tablets PO PRN, to chew and swallow, for a client with chronic renal failure who is complaining of heartburn after taking his blood pressure (BP) tablet. Knowing the pharmacology of this drugs and the pathophysiology of chronic renal failure, what important intervention should the nurse implement? a) Withhold the antacid and clarify the order with the healthcare provider. b) Administer 30 minutes before eating but at least one hour apart of BP drug. c) Keep the client upright for at least 30 minutes after each dose. d) Instruct the client to drink at least 2 ounces of water which each dose.
Withhold the antacid and clarify the order with the healthcare provider.
The nurse is delivering a conference about osteoporosis and risk for fractures at a senior community group. Which risk factors for osteoporosis should the nurse highlight? Select all that apply. a) Aging b) Sedentarism c) Estrogen insufficiency d) Smoking e) African American race f) Obesity
a) Aging b) Sedentarism c) Estrogen insufficiency d) Smoking
The nurse is teaching a group of clients in the woman clinic about risk factors and screening for breast cancer. Which of the following should be included as risk factors for this type of cancer during the conference? Select all that apply a) First degree family history of breast cancer b) Previous personal history of breast cancer c) Late menopause d) Pregnancy at early age e) Hormonal replacement therapy f) Early menarche
a) First degree family history of breast cancer b) Previous personal history of breast cancer c) Late menopause e) Hormonal replacement therapy f) Early menarche
A client has a minimal change nephrotic syndrome and a normal glomerular filtration. Which findings does the nurse expect to observe in association with this condition? Select all that apply a) Provider prescription for reduction of intake of saturated fats b) Decreased plasma albumin c) Edema on face and eyelids mainly in the mornings d) Proteinuria e) Macroscopic hematuria f) Recent history of impetigo or scarlet fever streptococcal infections
a) Provider prescription for reduction of intake of saturated fats b) Decreased plasma albumin c) Edema on face and eyelids mainly in the mornings d) Proteinuria f) Recent history of impetigo or scarlet fever streptococcal infections
A male client has a traumatic brain injury and is admitted with a Glasgow comma scale of 12. After thirty minutes the nurse reevaluates the client and determines he has a Glasgow scale of 7. Which changes from the initial findings make the nurse suspect the client has increased intracranial pressure and is developing a Cushing's triad? Select all that apply a) Pulse pressure changes from 50 to 90 mmHg. b) Urinary output changes from 50 to 35 mL/h. c) Diastolic blood pressure changes from 70 to 100 mmHg. d) Systolic blood pressure changes from 120 to 160 mmHg. e) Heart rate changes from 92 to 60 bpm. f) Respiratory rate changes from 18 to 20 rpm.
a) Pulse pressure changes from 50 to 90 mmHg. d) Systolic blood pressure changes from 120 to 160 mmHg. e) Heart rate changes from 92 to 60 bpm.
The nurse is preparing the room for the client returning from a thyroidectomy. Which items are important for the nurse to have available for this client? Select all that apply. a) Furosemide (Lasix) b) Calcium gluconate c) Oxygen d) Hypertonic saline e) Suction f) Emergency tracheotomy kit
b) Calcium gluconate c) Oxygen e) Suction f) Emergency tracheotomy kit
The client has been diagnosed with Cushing's syndrome. The nurse would monitor this client for which of the following expected signs of this disorder? Select all that apply. a) Anorexia b) Hypertension c) Weight loss d) Truncal obesity e) Hyperkalemia f) Moon face
b) Hypertension d) Truncal obesity f) Moon face
A client is diagnosed with liver cirrhosis. Which laboratory alterations does the nurse expect to find? Select all that apply a) Elevated blood urea nitrogen and creatinine b) Prolonged prothrombin time and INR c) Hyperalbuminemia d) Hyperammonemia e) Hypoglycemia f) Hyperbilirubinemia
b) Prolonged prothrombin time and INR d) Hyperammonemia e) Hypoglycemia f) Hyperbilirubinemia
The nurse is caring for a patient who has returned from the operating room having undergone a supratentorial craniotomy. The nurse, knowing that brain surgery produces brain swelling, should position the patient in which of the following positions? a) head of bed elevated 30 degrees; head and neck in midline position b) supine with bed flat; head and neck in neutral midline position c) head of bed elevated 45 degrees; legs elevated to prevent DVT d) head of bed elevated 30 degrees; head turned toward non-operative side
head of bed elevated 30 degrees; head and neck in midline position
When conducting an initial assessment on a 10-year-old male patient, the nurse assesses a mass in the left testicle that on transillumination glows red. The nurse notes the presence of: a) orchitis. b) hematocele. c) varicocele. d) hydrocele.
hydrocele.
A nurse assesses a client who has type 1 diabetes mellitus. Which arterial blood gas values should the nurse identify as potential ketoacidosis in this client? a) pH 7.48, HCO3- 28 mEq/L, PCO2 38 mm Hg, PO2 88 mm Hg b) pH 7.38, HCO3- 22 mEq/L, PCO2 38 mm Hg, PO2 97 mm Hg c) pH 7.32, HCO3- 22 mEq/L, PCO2 58 mm Hg, PO2 78 mm Hg d) pH 7.28, HCO3- 18 mEq/L, PCO2 28 mm Hg, PO2 99 mm Hg
pH 7.28, HCO3- 18 mEq/L, PCO2 28 mm Hg, PO2 99 mm Hg
1- What acid-base imbalance would a nurse expect to find in a patient with Myastenia Gravis crisis and decreased pulmonary forced vital capacity? a) pH 7.26, pO2 86 mmHg, p CO2 44 mmHg, HCO3 10 mEq/L b) pH 7.31, pO2 97 mmHg, p CO2 30 mmHg, HCO3 19 mEq/L c) pH 7.32, pO2 80 mmHg, p CO2 60 mmHg, HCO3 24 mEq/L d) pH 7.47, pO2 96 mmHg, p CO2 33 mmHg, HCO3 22 mEq/L
pH 7.32, pO2 80 mmHg, p CO2 60 mmHg, HCO3 24 mEq/L