NCO Elimination questions
A client who has been diagnosed with a myocardial infarction is receiving morphine for pain. The client takes digoxin and fluoxetine at home. Docusate sodium is prescribed. What drug does the nurse identify as a risk factor for straining due to constipation? 1 Digoxin 2 Morphine 3 Docusate 4 Fluoxetine
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A 50-year-old client being seen for a routine physical asks why a stool specimen for occult blood testing has been prescribed when there is no history of health problems. What is an appropriate nursing response? 1 "You will need to ask your healthcare provider; it is not part of the usual tests for people your age." 2 "There must be concern of a family history of colon cancer; that is a primary reason for an occult blood stool test." 3 "It is performed routinely starting at your age as part of an assessment for colon cancer." 4 "There must have been a positive finding after a digital rectal examination performed by your healthcare provider."
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A school-aged child with newly diagnosed acute lymphocytic leukemia (ALL) is to undergo induction therapy with prednisone, vincristine, and asparaginase. After several days the child becomes constipated. What does the nurse suspect as the cause? 1 Diet, which lacks bulk 2 Inactivity, which results from illness 3 Vincristine, which decreases peristalsis 4 Prednisone, which causes gastric irritability
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The nurse finds that a client has reduced urinary output. Which condition would the nurse document in the client's medical record? 1 Anuria 2 Dysuria 3 Oliguria 4 Nocturia
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A nurse is evaluating a client's understanding of peritoneal dialysis. Which information in the client's response indicates an understanding of the purpose of the procedure? 1 Reestablishing kidney function 2 Cleaning the peritoneal membrane 3 Providing fluid for intracellular spaces 4 Removing toxins in addition to other metabolic wastes
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A nurse explains to a client with diabetes that self-monitoring of blood glucose is preferred to urine glucose testing. Why is blood glucose monitoring preferred? 1 Blood glucose monitoring is more accurate. 2 Blood glucose monitoring is easier to perform. 3 Blood glucose monitoring is done by the client. 4 Blood glucose monitoring is not influenced by drugs.
1
A client is transferred to the postanesthesia care unit after undergoing a pyelolithotomy. The client's urinary output is 50 mL/hr. What should the nurse do? 1 Record the output as an expected finding. 2 Encourage the client to drink oral fluids. 3 Milk the client's nephrostomy tube. 4 Notify the primary healthcare provider.
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A healthcare provider explains a cystectomy and an ileal conduit for a client with invasive carcinoma of the bladder. Later the client expresses concerns about the possibility of offensive odors associated with this procedure. What is the best response by the nurse? 1 "Tell me more about what you are thinking." 2 "Products are available to limit this problem." 3 "This is a problem, but the surgery is necessary." 4 "Most people who have this surgery share this same concern."
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A nurse is assessing the urine of a client with a urinary tract infection. Which assessment finding is consistent with a urinary tract infection? 1 Smoky 2 Cloudy 3 Orange-amber 4 Yellow-brown
2
What should nursing care for a child admitted with acute glomerulonephritis be directed toward? 1 Enforcing bed rest 2 Promoting diuresis 3 Encouraging fluids 4 Removing dietary salt
2
A client is instructed to avoid straining on defecation postoperatively. Which food item chosen by the client indicates successful learning? 1 Ripe bananas 2 Milk products 3 Green vegetables 4 Creamed potatoes
3
A client who recently experienced a brain attack (cerebrovascular accident, CVA) and who has limited mobility reports constipation. What is most important for the nurse to determine when collecting information about the constipation? 1 Presence of distention 2 Extent of weight gained 3 Amount of high-fiber food consumed 4 Length of time this problem has existed
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