Med/Surg 2

A nurse is caring for a client who has DVT and is receiving IV fluid that contains 10,000 U of heparin in 500 ml infusing at 1000units/hr When calculating the clients intake and output how much should the nurse documents intake from this infusion in an 8hr shift

50 ml

Finasteride is used for BPH and is considered a Aromatase inhibitor Drug also used for TRT SERM 5a-reductase inhibitor

5a-reductase inhibitor

A nurse is preparing to administer TPN 1800ml to infuse over 24hr the nurse should set the IV pump to deliever how many ml/hr

75

A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it Which of the following test should the nurse expect the provider to use

A Papanicolaou test

A nurse in the ED is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but is experiencing a headache which of the following statements should then nurse make

A headache is an expected adverse effect of the medication

A nurse is teaching a client about the seven warning signs of cancer which of the following signs should the nurse include as manifestations of cancer

A non healing sore Nagging cough Change in Bowel pattern Change in moles

Your first day post-op TURP patient complains of acute onset abdominal pain. You should assess what first? Right upper quadrant rebound pain Palpate the liver Assess the 3 way foley patency Draw BUN and creatinine

Assess the 3 way foley patency

You a singular PVC on your pt's monitor. You should? Notify the MD Give IV Lidocaine Call a code Assess the pt

Assess the pt

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol the nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions

Asthma

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching

Avoid Crowds

Your patient has neutropenia. Which would you include in patient education? Eat a banana everyday Avoid crowds No screen time Eat a fresh salad every other day

Avoid crowds

A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness Which of the following recommendations should the nurse include in the teaching

Avoid eating within 3 hr of bedtime

A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis which of the following information should the nurse include

Avoid foods prepared with tap water

A nurse is teaching a newly licensed nurse about the purpose of a CA 125 test Which of the following statements should the nurse include in the teaching

"A CA 125 test is used to monitor a clients progress during treatment of ovarian cancer"

A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP) which of the following statements should the nurse include in the teaching

"After the procedure you will be encouraged to drink plenty of fluids"

A nurse is providing dietary teaching to a client who has frequent kidney stones Which of the following instructions should the nurse include in the teaching

"Avoid eating tree nuts, such as almonds"

A nurse is providing instruction for a 52 year old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate

"Before the examination, your provider will give you a sedative that will make you sleepy"

A nurse is caring for a client who is being treated with a cesium implant The client tells the nurse "I feel so isolated and alone in this room." After acknowledging the clients feelings of loneliness, which of the following responses should then nurse provide

"Do you have a cell phone you can talk to friends and family on"

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching

"Hair loss is common and includes eyebrows and eyelashes"

A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease. Which of the following statement by the client indicate an understanding of the teaching

"I can take this medication with or without food." "I will eat five small meals each day"

A nurse is providing dietary teaching to a client who has calcium oxalate kidney stones which of the following statements indicates and understanding of the teaching

"I may eat a banana with my breakfast"

A nurse is reinforcing teaching with a client regarding reduction of risk factors for CAD Which of the following statements by the clients indicates an understanding of the teaching

"I need to monitor my weight." "I am limiting my intake of fast foods." "I must stop smoking."

A nurse is caring for a client who reports a new onset of chest pressure severe epigastric distress. The physician prescribes monitoring of creatine kinase (CK) isoenzymes. When should the nurse anticipate the CK isoenzymes will begin to rise if the client has had a myocardial infarction (MI)

2hr 3hr

A nurse is admitting an infant who has severe dehydration from acute gastroenteritis which of the following findings should the nurse expect

3% weight loss

A nurse is monitoring the urinary output of an adult client who had a colon resection which of the following 24 hr output totals indicate oliguria

380 ml

Methotrexate will work how quickly for RA? 6 hours 2 days 4-6 weeks 6 months

4-6 weeks

A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12hr to a toddler who weighs 32 lb avaible is amoxicillin 200mg/5ml suspension how many ml

5.5 ml

A nurse is caring for a client who has expressive aphasia following a CVA which of the following parameters should then nurse first in order to assess the clients pain level

a self report pain rating scale

A nurse is caring for a client whose PAP test cytology results are abnormal Which of the following procedures should the nurse anticipate for the client

colposcopy

The most common SE of ACE-I is? hypotension hypokalemia cough rash

cough

A nurse in an ED is caring for an infant who has a 2 day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss

Body weight

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include

Both are inflammatory

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer which of the following should the nurse plan to include in the teaching

Bottled water is an appropriate choice to increase fluid intake

A nurse is caring for a client who has had a MI upon his first visit to the cardiac rehab he tells the nurse he doesn't understand why he needs to be there because there is nothing more to do as the damage is done which of the following is the correct nursing response

Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely

A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump which of the following actions should the nurse take

Change the IV tubing every 24hr

A nurse is caring for a client who just had a cardiac catheterization which of the following nursing intervention should the nurse include in the clients plan of care

Check peripheral pulses in the affected extremity Keep the client's hip and leg extended Have the client remain in bed up to 6 hr

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan

Check the client's voice every 2hr

A nurse is caring for a client who is 1 day postoperative following a transphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action

Check the drainage for glucose

A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause

Dryness with intercourse

A nurse is providing teaching for a client who has GERD about ways to manage his condition Which of the following instructions should the nurse include

Eat four small meals each day

A nurse is planning care for a client who has urolithiasis Which of the following actions should the nurse take

Encourage intake of at least 3 L of fluids per day

A nurse is instructing a clients family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include

Encourage the client to take small bites

You should prioritize which of the following for your post thyroidectomy patient? Assessing urine output Ensuring airway patency Starting IVF Giving pain meds

Ensuring airway patency

A nurse is caring for an older adult client who has RA and is taking aspiring 650 mg every 4 hour which of the following diagnostic test should the nurse monitor to evaluate the effective of this medication

Erythrocyte sedimentation rate (ESR)

A nurse at a rehabilitation center is planning care for a client who had left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation

Establish the ability to communicate effectively

A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. The nurse should give the client which of the following information about anginal pain

Exertion and anxiety can trigger the pain

A nurse is assessing a client who has myxedema Which of the following findings should the nurse expect

Facial Edema

A nurse is assessing a client who has systemic lupus erythematosus SLE which of the following finding should the nurse expect

Facial rash

A nurse is caring for a client who has a new diagnosis of urolithiasis Which of the following should the nurse identify as an associated risk factor

Family History

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA) Which of the following changes in an earl manifestations of RA

Fatigue

A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy The nurse should inform the client to expect which of the following adverse effects from the treatment

Fatigue

A nurse is caring for a client who has BPH which of the following medication should the nurse plan to administer

Finasteride

A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm which of the following options should the nurse identify as the P wave in the ECG complex

First bump in line

A nurse is assessing a client who has hyperthyroidism The nurse should expect the client to report which of the following manifestations

Frequent mood changes

A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemi-colectomy which of the following foods should then nurse instruct the client to avoid

Fresh Apples

A nurse is planning care for a client who is being treated chemotherapy and radiation for metastatic breast cancer and who has neutropenia the nurse should include which of the following restriction in the clients plan of care?

Fresh flower and potted plants in the room

A nurse is caring for a client following an EGD procedure which of the following assessments is the nurse's priority

Gag Reflex

Sulcralfate has some special handling instructions. Which would you do? Give with milk Give an hour before meals and bedtime Give PRN pain meds Wear gloves while handling

Give an hour before meals and bedtime

Your patient is due for their morning dose of metoprolol. Which assessment concerns you? BP of 112/62 RR of 18 Cap refill of 2 seconds HR 54

HR 54

A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take

Have the client lie flat in bed

A nurse is caring for a client with who has hepatitis A the client asks the nurse how he might have contacted the virus which of the following is a question the nurse should ask the client

Have you been to a third world country in the past

A nurse is caring for a client who has cancer and a new prescription for ondanestron to treat chemotherapy induced nausea For which of the following adverse effects should the nurse monitor

Headache

A nurse in an ED is assessing a client who is having a suspected acute MI which of the following manifestations should the nurse expect to find for a client experiencing an acute MI

Headache Nausea Tachycardia Diaphoresis

A nurse is assessing a client who has peptic ulcer disease Which of the following findings should the nurse identify as the priority

Hematemesis

A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red tinged urine. Which of the following transfusion reaction should the nurse suspect

Hemolytic

A nurse remains with a client to observe for any adverse reactions after initiating a transfusion of packed RBC's the client becomes apprehensive and tachycardia reporting headache and lower back pain The nurse should recognize that these finding indicate which of the following transfusion reactions

Hemolytic

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate Which of the following complications is the priority for the nurse to monitor for

Hemorrhage

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion the client asks the nurse how long it will take for the heparin to dissolve the clot Which of the following responses should the nurse give

Heparin does not dissolve clots. It stops new clots from forming

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition

History of NSAID use

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT) The nurse should inform the client that HT is not recommended due to which of the following findings in the clients medical history

History of breast cancer

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin the nurse should recognize which of the following findings in the client history is a contraindication to this medication

History of gastric ulcer

A nurse is providing teaching to a client who has a new prescription for tamoxifen to treat breast cancer. The nurse should include that which of the following is an adverse effect of this medication

Hot Flashes

A nurse is teaching to a client who is begin taking tamoxifen to treat breast cancer the nurse should instruct the client to expect which of the following findings as an adverse effects of the medication

Hot Flashes

A nurse is giving a presentation to a community group about preventing atherosclerosis. Which of the following should the nurse include as a modifiable risk factor for this disorder

Hypercholesterolemia Hypertension Obesity Smoking

A nurse is assessing a client who has Cushing syndrome which of the following findings should the nurse expect

Hyperpigmentation

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor

Hypokalemia

Which lab value is associated with digoxin toxicity? Hypokalemia Hyperkalemia Hyponatremia Hypernatremia

Hypokalemia

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias for which of the following adverse effects should the nurse monitor when giving this medication

Hypotension

Which symptom is not classic for an acute pain transfusion reaction? Chest, joint, and back pain Hypotension Hypertension Flushing of the face and neck

Hypotension

A nurse is reviewing discharge instructions with a client who has Raynaud's disease which of the following client statements indication understanding of the teaching

I am going to take a stress management class

A nurse in a medical clinic is providing teaching to an older adult who has osteoarthritis that is affecting her knees which of the following clients statements indicate an understanding of the teaching

I can use either heat or ice to help relieve the discomfort

A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels which of the following statements by the clients indicates the nurse should plan follow ip teaching on a low cholesterol diet

I eat two egg for breakfast each morning

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider

I never eat shellfish because they give me hives

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis a new prescription for prednisone which of the following statements by the clients indicate an understanding of the teaching

I should eat moe bananas while taking this medication

A nurse is providing information about pain control for a client who has a cute pain following a subtotal gastric resection Which of the following clients statements indicate an understanding of pain control

I will call for my pain medication before the previous dose wears off

A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation which of the following statements indicates and understanding of the teaching

I will eat foods that are served at room temp

A nurse is teaching the partner of a client who had a stroke about manifestations of dysphagia Which of the following statements by the clients partner indicates the need for further teaching

I will monitor my husband for tilting his head forward when he swallows

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTI's) Which of the following clients statement indicates a need for further teaching

I will need to wipe my perineal area from back to front after urination

A nurse is providing teaching to a client who has stomatitis which of the following statement statement by the clients indicates a need for further teaching

I will season foods with dried spices before cooking

A nurse is providing discharge teaching to a client who has GERD which of the following statement by the client indicates an understanding of the teaching

I will sleep with the head of my bed elevated

Which drug can prevent ventricular remodeling? Plavix Lisinopril Milrinone Levophed

Lisinopril

Which of the following would support a diagnosis of Graves disease? Low TSH, high T3 & T4 High TSH, Low T3 & T4 Low TSH, Low T3 & T4 High TSH, High T3 & T4

Low TSH, High T3 & T4

A nurse is creating a teaching plan for a client who has thrombocytopenia Which of the following instructions should the nurse include

Lubricate lips with water-soluble ointment Brush teeth with a soft toothbrush Blow nose gently

A nurse is caring fora client who recently had surgery for insertion of a permanent pacemaker Which of the following prescriptions should the nurse clarify

MRI of the chest

Which is not a risk factor for osteoarthritis? Age Measles Smoking Obesity

Measles

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily Before administering this medication which of the following actions should the nurse take

Measure the clients apical pulse

A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy The nurse should monitor the client for which of the following clinical manifestations

Metabolic alkalosis

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medication taken by the clients interacts with contrast material and places the client at risk for acute kidney injury

Metformin

Which medication should you notify the IR MD that the patient is on? Captopril Insulin Metformin Labetolol

Metformin

A nurse is caring for a client who has Chrons disease and is receiving parenteral nutrition which of the following interventions should the nurse include in the care of this client

Monitor daily laboratory values and report as needed

A nurse is assessing four clients on a medical unit the nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism

Moon Face

A nurse is caring for a client who has Cushing syndrome. The nurse should recognize that which of the following are manifestations of Cushing syndrome

Moon Face Purple Striations Buffalo Hump

A nurse in an ED is planning care for a client who is having an acute MI the nurse should plan to administer which of the following medications after the initial acute phase to manage the clients pain and anxiety

Morphine

A nurse is teaching about adverse effects of anastrozole with a client who has advance breast cancer and is postmenopausal which of the following adverse effects should the nurse recommend the client report to the provider

Musculoskeletal pain

Your patient has pancreatitis. Which is the priority? Place the pt in a semi-fowler's position Cleanse with CHG NPO status Dietary consult

NPO status

Your post cardiac cath patient should be assessed for? Gingival hyperplasia Steady gate Neurovascular checks Visual fields

Neurovascular checks

A nurse is caring for a client who is dying of metastatic breast cancer she has a prescription for an opioid pain medication PRN the nurse is concerned that administering a dose of pain medication might hasten the client's death which of the following ethical principles should the nurse use to support the decision not to administer the medication

Nonmaleficience

Which of the following solutions is electrolytic & would not be used with a fulguration or TURP? Normal saline Sterile water Glycine Sorbitol

Normal saline (contraindicated in class, but other sources say this as well) usually used

A nurse is shopping and finds a woman who has collapse with right-sided weakness and slurred speech . Which of the following actions should the nurse take

Notify emergency management services

Your patient is on warfarin. Their INR was 6.1 this morning. You would? Notify the MD and expect to give protamine Notify the MD and expect to give an additional dose Give the prescheduled dose Notify the MD and expect to give vitamin K

Notify the MD and expect to give vitamin K

The nurse asks a client who is about to have a cardiac catheterization about any allergies The client states, " I always get a rash when I eat shellfish." Which of the following is the priority of the nurse

Notify the provider of the clients allergy

A nurse is teaching a client about risk factors for osteoarthritis Which of the following factors should the nurse include in the teaching

Obesity Smoking Aging

A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

Observe for signs of infection

An assistive personnel (AP) reports to the nurse thats a client who is 3 day postoperative following an abdominal hysterectomy has a dressing that is saturated with blood Which of the following tasks should the nurse delegate to the AP

Obtain vital signs

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids The nurse should anticipate providing which of the following types of fluids

Oral rehydration solutions

A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate TURP gland which of the following assessment should the nurse view to be an indication of postoperative complication

Output of burgundy colored urine

A nurse assessing a client notes that the client has a constant leakage of small amount of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence

Overflow incontinence

A nurse is assessing a client who is being admitted from the PACU following an abdominal hysterectomy which of the following assessments is the nurses priority

Oxygen saturation

Management of acute pancreatitis includes (SATA): PPI NPO Metoprolol Opioids

PPI NPO Opioids

A nurse is admitting a client who has acute pancreatitis Which of the following provider prescriptions should the nurse anticipate

Pantoprazole 80 mg IV bolus twice daily

The nurse is caring for a client who reports a new onset of severe chest pain which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction

Perform a 12-lead ECG

A nurse is assessing a client who has ataxia Which of the following actions should the nurse take to evaluate the clients ability to safety ambulate

Perform a Romberg Test

You are giving a pt a nitroglycerin tablet. Which of the following would you instruct the pt? Swallow the pill Place it under your tongue and let it dissolve Wait until your chest pain has stopped You must take with meals

Place it under your tongue and let it dissolve

a nurse in a providers office is reviewing the laboratory finding for a client who is scheduled for surgery which of the following findings requires follow up by the nurse

Platelet count 60,000

A nurse is providing discharge instructions to a client who has rheumatoid arthritis and a prescription for oral betamethasone. Which of the following statement should the nurse make about how tot take this medication

Take the medication with milk

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily which of the following findings in the history should the nurse report to the provider

The client has a history of bronchial asthma

A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer The client most recent complete blood count CBC is shown in the table below it is important for the nurse to consider which of the following for the client

The client has an increased risk of infection

A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor the nurse is aware that hyperkalemia may be associated with changed to the T wave

The last hump on graph

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure which of the following responses should the nurse make?

The laxative helps eliminate the barium

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers

The left second intercostal space

A nurse is performing a cardiac assessment. Identify where the nurse should place the stethoscope to auscultate the clients apical pulse

The lowest box on the picture by the apex of the heart

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV Bolus every 4 hr prn the client asks the nurse how metoclopramide will relieve her nausea which of the following explanations should the nurse provide

The medication relieves nausea by promoting gastric emptying

A nurse is caring for a female clients who has rheumatoid arthritis and a new prescriptions for methotrexate the client tells the nurse she is planning a pregnancy which of the following instructions should the nurse give the clients

The medication should be discontinued 3 months prior to a planned pregnancy

A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube which of the following statements should the nurse make

The tube will remove gas and fluid from your stomach

A nurse is teaching the partner of client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statement should the nurse make regarding cardiac enzyme studies

These test help determine the degree of damage to the heart tissues

A nurse is taking with a client whose thyroid stimulating hormone TSH level will be measured which of the following statements by the nurse explained the purpose of this test

This test determines whether your thyroid gland is overactive appropriately active or under-active

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values

Thyroid Stimulating Hormone (TSH)

A nurse is caring for a client who has chemotherapy induced peripheral neuropathy The nurse should expect the client to report having experienced which of the following symptoms

Tingling feeling in the extremities

Your patient is post-op for a thyroidectomy. Which assessment would require further intervention? Tingling of the hand, soles of the feet and around the lips Pain 5 out of 10 Sleepy but easily arousable Drainage of 10 ml/hr in JP drain

Tingling of the hand , soles of the feet and around the lips

A nurse is caring for a client who is taking aspirin for arthritis the nurse should identify which of the following findings as an adverse effects of this medication

Tinnitus

A nurse is teaching a client about the adverse effects of cisplatin Which of the following adverse effects should the nurse include in the teaching

Tinnitus

A nurse at a providers office is providing teaching to a client who is taking chemotherapy and losing weight which of the following should the nurse recommend to increase calorie and protein intake

Top fruits with yogurt Add cream to soups Use milk instead of water in recipes Dip meats in eggs and bread crumbs before cooking

A nurse is caring for a 2 year old who is hospitalized and throw a tantrum when his parent leaves. which of the following toys should the nurse provide to alleviate the child's stress

Toy hammer and pounding board

A nurse is reviewing the laboratory values of a client who has a MI 3 hr ago the nurse should expect which of the following laboratory values to be elevated

Troponin 1

A nurse is caring for a client who came to the ED reporting chest pain. The provider suspects a MI while waiting for the troponin level report, the client asks what this blood test will show. Which of the following explanations should the nurse provide to the client

Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart

BRCA 1 and BRCA 2 are Oncogenes Tumor suppressor genes Proto-oncogenes STRs

Tumor suppressor genes

Which symptom of BPH requires prompt intervention? Poor stream initiation Nocturia Incontinence Urinary retention

Urinary retention

A nurse is providing discharge teaching for a client who has a new prescription for warfarin which of the following instructions should the nurse include in the teaching

Use an electric razor while on this medication

A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place Which of the following actions should the nurse take

Use sterile technique when preparing the irrigation solution Ensure the drainage tubing is patent and without obstruction or kinks Notify the surgeon if the urine is bright red in appearance or has large clots

What side effect can occur with hydroxychloroquine administration? Vision loss Gum dysplasia Urinary frequency Tingling of the hands

Vision loss

A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?

Vitamin A

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. which of the following medication should the nurse prepare to administer

Vitamin K

A nurse is reviewing a clients laboratory values. Which of the following values should the nurse report to the provider

WBC 1700

A nurse is reviewing the CBC finding for a female client who is receiving combination chemotherapy for breast cancer Which of the following findings should the nurse report to the provider

WBC 2300

A nurse is teaching a client who is receiving radiation therapy about skincare which of the following instructions should the nurse include

Walk outside in the early morning

A nurse is providing teaching to a client who has a new prescription for hydrochloroquine to treat mild manifestations of RA which of the following information should the nurse include in the teaching

Wear subglasses when out in the bright sunshine

a nurse is assessing a client who has hypothyroidism the nurse should expect which of the following findings

Weight Gain

A nurse is assisting a client who has hypothyroidism with meal planning which of the following foods should the nurse recommend that the client add to her diet

Whole grains

A nurse is assessing a client who is 48hr postoperative following abdominal surgery which of the following findings should then nurse report to the provider

Yellow-Green drainage on the surgical incision

A nurse is caring for a client who was admitted to the facility in critical condition following a cerebrovascular accident The client son says to the nurse I wish i could stay but i need to go home to see how my children are doing I really hate to leave. Which of the following responses should the nurse take

You are feeling drawn in two separate directions

A client who has chronic lymphatic leukemia is starting chemotherapy treatments and asks if she needs to make any dietary changes which of the following statements should the nurse make

You should avoid drinking liquids an hour before the treatment

A nurse is providing dietary teaching for a client who has Cushing disease. Which of the following recommendations should the nurse include in the teaching

Restrict sodium intake

A nurse is caring for a client who is being admitted for an exacerbation of ulcerative colitis Which of the following actions should the nurse take first

Review the clients Electrolyte values

A nurse is caring for a client who is 8hr postoperative following a subtotal thyroidectomy in which of the following positions should the nurse keep the client

Semi-Fowler's with neck in a neutral position

A nurse is caring for a client 1 hr following a subtotal thyroidectomy In which of the following position should the nurse place the client

Semi-Fowlers

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE) Which of the following values should give the nurse the best indication of the clients renal function

Serum Creatinine

A nurse is caring for an older client who has WBC count of 2,000 after three rounds of chemotherapy. Which of the following actions should the nurse take

Serve cooked fruit with meals

A nurse is assessing a client and discovers the infusion pump with the clients total parenteral nutrition (TPN) solution is not infusing the nurse should monitor the client for which of the following conditions

Shakiness and Diaphoresis

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low lactose diet which of the following foods is the best choice for the client

Soy Milk

A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing intervention is of highest priority

Suction saliva from the client's mouth

A nurse is caring for a client who has peptic ulcer disease The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation

Sudden abdominal pain

A nurse is caring for a client who is postoperative following a right sided mastectomy and has a drain connected to a portable drainage evacuator. Which of the following actions should the nurse take

Take blood pressures on the clients non-affected arm

You are giving pt education about simvastatin. Which info should you NOT include in the teaching? Take in the morning Avoid foods high in saturated fats Report muscle pain or tenderness If you miss a dose, take when remembered

Take in the morning

The side effects of methotrexate include all except black, tarry stools bone marrow suppression hepatotoxicity insomnia

insomnia

A nurse is assessing a client who had left femoral cardiac angiography Identify where the nurse will palpate to assess the most distal pulse on the affected side

left pedal pulse

A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse includ in the care of this client? remove the parenteral nutrition solution from the fridge 2 hours before infusion remove unused parenteral nutrition after 12 hours of use monitor daily lab values and report as needed monitor the flow rate of the parenteral nutirtion carefully and increase the rate as needed if it falls behind

monitor daily lab values and report as needed

Your pt had an MI 2 days ago. On assessment BP 128/84, UO 85 ml over 4 hours, and cap refill > 3 seconds. What should you do? Give a fluid bolus Ambulate the pt Give scheduled lasix Notify the MD

notify the md

A nurse is caring for a client who has undergone a transurethral prostatectomy following catheter removal the nurse should inform the client that he should expect which of the following variations in the color of his urine

pale pink

What abnormality can you find in an EKG strip of someone with prolonged vomiting? Increased ST Bradycardia Prominent U wave PVC

prominent U wave

A nurse is teaching self management to a client who has Hep B which of the following instructions should the nurse include in the teaching

rest frequently throughout the day

A nurse is caring for a client who is 1 day postoperative following a mastectomy which of the following exercises should the nurse assist the client to perform on the affected side

squeezing a rolled washcloth Flexing and extending her hand flexing and extending her elbow

Your patient with afib and lvef of 15% wants to know why they are on warfarin. You answer? to decrease cardiac workload to improve contractility to prevent thrombus formation to convert their rhythm

to prevent thrombus formation

A nurse is assessing a client who has hypokalemia as a result of nausea vomiting and diarrhea which of the following findings should the nurse expect

weak irregular pulse

Allergic transfusion reactions can occur up to? 15 min after beginning transfusion Until transfusion complete 2 hours after transfusion 24 hours after transfusion

24 hours after transfusion

Your pt's HR decreases from 65 to 51. Which should you do first? Give atropine Get the defibrillator/pacer Assess BP and LOC Call a code

Assess BP and LOC

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis The nurse should include to monitor for which of the following adverse effects of this medication

Bleeding

A nurse is assessing a client prior to the administration of morphine the nurse should recognize that which of the following assessment is the priority

Respiratory Rate

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching

Drink 3 L of fluid every day

A nurse is caring for a client 4 hr following evacuation of a subdural hematoma. Which of the following assessments is the nurses priority

Respiratory Status

Which of the following are Not a risk factor for urolithiasis? 2 L/day water intake Hypercalcemia African American heritage Family hx

2 L/day water intake

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer which of the following statement by the client indicates an understanding of the teaching

"I will take this medication 1 hr before meals and at bedtime"

A nurse is admitting a client who is about to undergo surgery for BPH. The client states, " I don't know what i will do if they find I have cancer." Which of the following responses should the nurse make?

"I'm hearing that you are concerned that it might turn out that you have cancer."

A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and great vessels Which of the following instructions should then nurse include about this test

"It requires removing metal objects like jewelry"

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). which of the following statement should the nurse include

"Lie on your right side when sleeping"

A nurse is teaching with a client about taking high doses of oral glucorticoids for an extended period of time to treat rheumatoid arthritis Which of the following instructions should the nurse include in the teaching

"Monitor for compression fractures of the back and neck"

A client who has CAD tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

"Tell me more about these fears of dying from a heart attack"

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client

"You should report any tendon discomfort you experience while taking this medication"

A nurse is educating a group about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching

"clients who are pregnant should not take warfarin"

A nurse is caring for an 8 month old infant who screams when the parent is leaves the room. The parent begins to cry and says, "I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should then nurse make

"this is a normal, expected reaction for a child of this age."

A nurse is caring for a 1 month old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily How many mg should the nurse administer per dose

175 mg

A nurse in a long term care facility is caring for an older adult client who has a stroke 4 weeks ago and who is unable to move independently the nurse should monitor for which of the following complications of immobility

A reddened area over the sacrum

While auscultating client's heart sounds, the nurse hears turbulence between the S1 and S2 heart sounds the nurse should document this finding as which of the following

A systolic murmur

Your patient had a TURP. Which assessment is the most concerning? Urethral pain No appetite Pain 7 out of 10 Abdominal pain and decreased urine output

Abdominal pain and decreased urine output

A nurse is reviewing the EKG strip of a client who has prolonged vomiting Which of the following abnormalities on the client EKG should the nurse interpret as a sign of hypokalemia

Abnormally prominent U wave

A nurse is preparing a client who is receiving chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take

Administer an antiemetic prior to the procedure

A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24hr. Which of the following actions is the nurse's priority

Administer pain medication

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor

Airway Patency

A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN) which of the following lab values indicates the treatment is effective

Albumin 4.2 g/dL

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of the following values

Amylase

The most serious complication of an ACE-I is? Tachycardia Angioedema Rash Decreased GFR

Angioedema

A nurse is assessing an older adult client who is receiving digoxin the nurse should recognize that which of the following findings is a manifestation of digoxin toxicity

Anorexia

A client who has a history of MI is prescribed aspirin 325mg The nurse recognizes that the aspirin is given due to which of the following actions of the medication

Anti platelet aggregate

A nurse is caring for a client who has right-sided paralysis from a stroke. Which of the following interventions should the nurse implement to prevent foot drop

Apply a protective boot to the right ankle

A nurse is caring for a client who is postoperative following a knee arthroplasty and has continuous passive motion (CPM) machine which of the following actions should the nurse take

Apply ice to the operative knee

A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer Which of the following instructions should the nurse include in the teaching

Artificial lubrication can be used to treat vaginal itching and dryness

A nurse is teaching a client who is starting to take methotrexate to treat rheumatoid arthritis Which of the following instructions should the nurse include in the teaching

Drink at least 2 liters of water daily

Your pt is on IV nitroglycerin. Which assessment finding is the most important? Serum K of 3.5 HR of 65 BP 88/40 1 PVC/minute

BP 88/40

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium

Bananas

Patients who are taking levothyroxine should be aware of all dietary interactions except? Soy milk Niacin Grapefruit juice Bananas

Bananas

A nurse is teaching a client about following a low cholesterol diet after a coronary artery bypass grafting. Which of the following clients food choices reflects the client's understanding of these dietary instructions

Beans

A nurse is speaking with a 35 year old client who has fibrocystic disease of the breast At which of the following times should the nurse inform the client that manifestations are most evident

Before menstruation begins

Alteplase will? Bind with fibrin in a clot to start fibrinolysis Convert Fibrillation Decrease BP Decrease ventricular remodeling

Bind with fibrin in a clot to start fibrinolysis

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects

Black, tarry stools

A community health nurse is developing a pamphlet about breast self-exam (BSE) for a local health fair. Which of the following instructions should the nurse include

Breasts can be examined in the shower with soapy hands

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension The nurse notes that the clients potassium level is 3.3 the nurse should monitor the client for which of the following

Cardiac dysrhythmias

A nurse in a clinic is caring for a client who has recently begun taking warfarin The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following

Cabbage

A nurse is teaching a client who is to begin long term therapy with prednisone to treat RA the nurse should instruct the client to take which of the following supplements while taking this medication

Calcium and Vitamin D

A nurse is caring for a client who is 5hr postoperative following a transurethral resection of the prostate (TURP) the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first

Check the tubing for kinks

A nurse in a providers clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the clients current platelet count

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD) the client asks about food he should avoid eating Which of the following foods should the nurse tell him to avoid

Chocolate

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia

Chronic blood loss

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy The client reports a tingling sensation in the hands, soles of the feet, and around the lips. For which of the following finding should the nurse assess the client?

Chvostek's sign

Which clinical sign indicates hypocalcemia? Cushing's triad Short QT interval Visual field cut Chvostek's sign

Chvostek's sign

A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor

Cigarette Smoking

A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand

Combing her hair

A nurse is caring for an older adult client who has urinary tract infection (UTI) which of the following manifestations should then nurse identify as a finding specifically associated with this client

Confusion

Your pt has CAD. Which assessment would concern you most? BP 106/48, HR 90 and +1 LE edema SPO2 90%, RR 20 and bilateral basilar crackles Confusion, urine output of 15 cc for the last 2 hours and orthopnea Slight fatigue

Confusion, urine output of 15 cc for the last 2 hours and orthopnea

A nurse is assessing a client 1 day postoperative following abdominal surgery. Suddenly the clients a pulling sensation and pain in his surgical incision which of the following actions should the nurse take

Cover the area with saline-soaked sterile dressings

ACE-I treat all of the following except? Heart failure HTN Ventricular remodeling DM II

DM II

A nurse is caring for a client who is taking lisinopril Which of the following outcomes indicates a therapeutic effect of the medication

Decrease blood pressure

A nurse is reviewing the medical record of a client who has been on levothyroxine for several month s which of the following findings indicates a therapeutic response to the medication

Decrease in level of thyroid stimulating hormone (TSH)

A nurse is teaching a client who has a new prescription for pancrelipase to aid in digestion The nurse should inform the client to expect which of the following gastrointestinal change

Decreased fat in stools

A nurse is teaching a client who has benign prostatic hypertrophy and has a new prescription for finasteride which of the following instructions should the nurse include in the teaching

Decreased libido is an adverse effect of the medication

A nurse is caring for a client who has a postoperative ileus and a NG tube that has drained 2500 ml in the past 6 hr which of the following electrolyte imbalances should the nurse monitor the client for

Decreased potassium level

A nurse is assessing a client who has Graves' Disease the nurse should expect which of the following laboratory results

Decreased thyroid-stimulating hormone (TSH) level

Lidocaine IV is given for? Increasing BP Decreasing SVRI Decrease dysrhythmias Decreasing CO

Decreasing dysrhythmias

A female middle client tells a nurse that she tested positive for a mutant BRCA1 gene The nurse should recognize that the client is at an increased risk for which of the following situations

Developing breast cancer

A nurse is reviewing the medical record of a client who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor

Diabetes mellitus

A nurse is caring for client who has BPH the nurse should expect which of the following findings

Difficulty starting the flow of urine

Your patient is experiencing nausea, blurred vision, headache and weakness. Which of their meds might be responsible? Furosemide Digoxin Potassium chloride Carafate

Digoxin

A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy The client is to begin outpatient radiation therapy the next day which of the following instructions about maintaining skin integrity should then nurse include

Do not apply heat to the area of irradiation

A nurse is caring for a client who has infection and a prescription of gentamicin intermittent IV bolus every 8 hour a peak and through is required with the next dose which of the following actions should the nurse take to obtain an accurate gentamicin serum level

Draw a through level immediately prior to administering the medication and a peak level 30 min after the dose

A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis Which of the following foods should be eliminated in the clients diet

Dried apricots

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? I will store the med at room temp i will take the med every morning on an empty stomach i will spit the med out after swishing it around my mouth i will only need to take this med for a few days

I will store the med at room temp

A nurse is providing teaching to a client who has oral candidiasis a new prescription for nystatin suspension Which of the following statement by the client indicates and understanding of the teaching

I will store the medication at room temperature

A nurse is caring for a client who is scheduled for an exercise stress test which of the following comments made by the client should indicate to the nurse that the client requires further teaching

I'll take my heart medication the morning of my test

A nurse is caring for a client who has had a stoke involving the right hemisphere. Which of the following alterations in function should the nurse expect

Inability to recognize his family members

A nurse is caring for a client who has aphasia following a stroke a family member asks the nurse how she should communicate with the client which of the following responses by the nurse is appropriate

Incorporate nonverbal cues in the conversation

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma The client had an episode of intraoperative bleeding which finding indicates to the nurse that the client may be developing hypovolemic shock

Increase in the heart rate from 88 to 110/min

Your patient is getting digoxin IV. You can assess for the effectiveness by assessing? Decreases arrhythmias Dilation of coronary arteries Increased myocardial contractility Increased chest pain

Increased myocardial contractility

A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching

Increasing my intake of foods containing trans-fatty acids lower my risks

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose

Insomnia

A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation Which of the following actions should the nurse take?

Inspect the electrode pads Instruct the client not talk during the test

A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding prevention of postoperative complication should then nurse include in the teaching

Instruct the client about the use of sequential compression device

A nurse is planning care for a client who has cystitis which of the following intervention should the nurse include in the plan

Instruct the client to avoid drinking carbonated beverages

A nurse in a providers clinic is caring for a client who reports erectile dysfunction and request a prescription for sildenafil which of the following medication currently prescribed for the client is a contraindication to taking sildenafil

Isosorbide

A nurse is providing teaching to a client who is postoperative following a CABG surgery and is receiving opioid medication to manage discomfort Aside from managing pain, which of the following desired effects of medication should the nurse identify as most important for the clients recovery

It facilitates the clients deep breathing

A nurse is preparing a client who is scheduled for an echocardiogram the following day. Which of the following instructions should the nurse include about the test

It requires lying quietly on one side

A nurse in a providers office is assessing a client who has RA which of the following findings is a late manifestation of this condition

Knuckle deformity

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place Which of the following toys should the nurse recommend in order to meet the developmental needs of the client

Large building blocks

A nurse is planning care for a client who has immunosuppression following chemotherapy Which of the following intervention should the nurse include in the plan of care

Limit the number of health care workers entering the room

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatment. Which of the following prognoses should the nurse discuss with the client

Poor

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days Which of the following findings should the nurse expect

Poor skin turgor Hypotension Flat neck veins

You get ready to give your pts captopril. Which electrolyte value would make you hold the dose and notify the md? Sodium 140 BUN 18 Hgb 12 Potassium 6.8

Potassium 6.8

A nurse is teaching a client who has hep A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching

Practice effective hand hygiene

A nurse is evaluating a clients laboratory results. The nurse should recognize that an increase in the clients prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses

Prostatic Cancer

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion which of the following medication should the nurse have available to reverse heparin effects

Protamine Sulfate

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin

Prothrombin time (PT)

A nurse is planning care for a client who has a viral hepatitis. Which of the following actions should the nurse include in the plan of care

Provide a high carbohydrate diet

A nurse is assessing a client who is admitted with hyperthyroidism The clients reports a weight loss of 5.4 kg 12 lb in the last 2 months increased appetite increased perspiration fatigue menstrual irregularity and restlessness Which of the following actions should the nurse take to prevent a thyroid crisis

Provide a quiet low stimulus environment

Febrile transfusion reaction occur in? Pts with B blood type Pts with sickle cell anemia Females only Pts receiving multiple transfusions

Pts receiving multiple transfusions

A nurse is teaching a group of nursing students about pyelonephritis which of the following statements should the nurse include in the teaching

Pyelonephritis increases a pregnant woman's risk for preterm labor

The erythrocyte sedimentation rate (ESR) will let you know the effectiveness of treatment for which? Heart failure Breast Cancer STEMI Rheumatoid Arthritis

RA

Hemolytic transfusion reactions cause destruction of? WBCs RBCs Serotonin Protein

RBCs

A nurse is teaching about risk factors of developing a stroke with a group of older adults clients which of the following non modifiable risk factor should the nurse include in the teaching

Race

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site which of the following pulses should then nurse palpate

Radial pulse in left arm

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective

Reduced dyspepsia

A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy which of the following behaviors should alert the nurse to the possibility that the client having difficulty adjusting to the loss of her breast

Refusing to look at the dressing or surgical incision

A nurse is taking a health history of a client who reports occasionally taking several over the counter mediation including an H2 receptor antagonist which of the following outcomes indicates the H2RA is therapeutic

Relief of heartburn

A nurse is planning care for client who is 2 hr postoperative following a transurethral resection of the prostate the client receiving continuous bladder irrigation which of the following interventions should the nurse include

Remind the client he might feel a constant urge to void

A nurse is caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take

Remind the client to look for food on the left side of the tray

A nurse is assessing a client who is experiencing prostatic hypertrophy. which of the following findings associated with urinary retention should the nurse expect (select all that apply)

Report of feeling pressure Tenderness over the symphysis pubis Distended bladder Voiding 30 mL frequently

A nurse is assessing a client who returned to the unit 4 hour ago after a partial colectomy which of the following findings should the nurse attend to first

Report of severe incisional pain

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis the nurse should anticipate that the client will require teaching about which of the following medication

acetaminophen

Your patient with hepatitis B has which med order that you would clarify with the MD? Acetaminophen PRN Ibuprofen IV PRN IVF of D5 1/2 NS IVF of LR

acetaminophen PRN

Which labs would you expect to be elevated in a patient with new onset pancreatitis? Amylase WBC Sodium PTT

amylase

A nurse is preparing to measure an infant vital signs the nurse should use which of the following sites to assess a heart rate

apex of the heart

After radiation treatment a client reports dryness redness and scaling of his occurring within the designated radiation treatment markings the nurse should instruct the client to take which of the following actions

apply hydrating lotions

Your patient is undergoing radiation therapy. Encourage them to do which? Perineal sunning Get a good tan Use hot packs Apply hydrating lotions

apply hydrating lotions

A nurse is caring for a client who has Cushing syndrome which of the following interventions should the nurse expect to perform

assess blood glucose weigh the client daily

A nurse is assessing a client's radial pulse and determines that the pulse is irregular which of the following actions should the nurse take

assess the apical pulse for a full minute

Which is not an ARB? Benazepril Losartan Valsartan Irbesartan

benazepril

Your patient with neutropenia should avoid all but? big crowds salad bars well water bottled water

bottled water

Which lab data would you NOT expect from someone with ulcerative colitis? Hyponatremia Hypokalemia Hypochloremia Decrease BUN

decreased BUN

Beta blockers do which of the following? Increase HR Decrease contractility Decreased SNS stimulation Increased norepinephrine circulation

decreased SNS stimulation

A nurse is teaching a client following a cystoscopy about his new prescription of tamsulosin which of the following adverse effects should the nurse include in the teaching

dizziness

Which of the following is NOT true of ACE Inhibitors? Decrease preload Increase afterload Decrease ventricular remodeling Increased levels of bradykinin

increase afterload