NUR 323: FINAL
A patient admitted with hepatic dysfunction has increased ascites building up in his abdomen. TRUE or FALSE: the patient should require a thoracentesis for medical management?
FALSE
Benzodiazepines are given after a patient experiences a seizure TRUE OR FALSE
FALSE
Patients with meningitis should be placed on airborne precautions until the organism of infection is identified TRUE OR FALSE
FALSE
TRUE OR FALSE: A patient that is sick does not need to check their blood glucose as normal since they might not be eating
FALSE
TRUE OR FALSE: Basal insulin is taken before meals (ac) and is short acting
FALSE
TRUE OR FALSE: Calcium oxalate stones are caused by too much calcium in the diet.
FALSE
TRUE OR FALSE: Peritoneal Dialysis (PD) takes about 3 hours to complete
FALSE
TRUE OR FALSE: Persons with diabetes have no risk of developing kidney disease
FALSE
TRUE OR FALSE: short acting regular insulin should be taken 1 hour before a meal.
FALSE
TRUE or FALSE: Cirrhosis of the liver can be reversed with treatment.
FALSE
TRUE or FALSE: Hepatic encephalopathy is commonly caused by decreased ammonia levels in the body
FALSE
TRUE or FALSE: Human Immunodeficiency Virus can be transmitted by feces
FALSE
The 'tonic' phase of a grand mal seizure is when the patient exhibits jerky movements TRUE OR FALSE
FALSE
The nurse is caring for a patient in the oliguric phase of acute kidney injury (AKI). What does the nurse know would be the daily urine output?
Less than 400 mL
TRUE or FALSE: A nurse caring for a client who has an immunosuppressive disorder knows that continual monitoring of the client is critical because early signs of impending infection can be detected and treated.
TRUE
TRUE or FALSE: Cirrhosis can cause portal hypertension which can lead to ascites and esophageal varices.
TRUE
TRUE or FALSE: HIV and AIDS is not curable but symptom management is important for a clients' plan of care, and preventing further progression of the disease
TRUE
TRUE or FALSE: Jaundice is a yellowing of body tissues due to increase bilirubin, this can be caused by: increased destruction of RBC, damaged liver tissue, hereditary disorders or obstruction of the bile duct
TRUE
TRUE or FALSE: The common cold is not recognized in the body and natural immunity takes effect as the first line of defense.
TRUE
TRUE or FALSE: Treatment for hepatic encephalopathy often includes measures to keep the patient safe as well as giving lactulose for removal of ammonia from the body.
TRUE
The Glasgow Coma Scale is a tool to determine the acuity of a patient's altered level of consciousness TRUE OR FALSE
TRUE
Which of the following is considered a bulk-forming laxative? A. Milk of Magnesia B. Mineral oil C. Metamucil D. Dulcolax
C. Metamucil
TRUE OR FALSE: Urinary incontinence may improve with treatment of underlying cause and pelvic floor exercises
TRUE
TRUE OR FALSE: Urinary retention is not only uncomfortable, but can lead to infection and kidney stones
TRUE
Which drug is considered a stimulant laxative? A. Magnesium hydroxide B. Bisacodyl C. Mineral oil D. Psyllium hydrophilic mucilloid
B. Bisacodyl
Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. The client asks about the purpose of this treatment. What is the best response by the nurse? A. "CPM increases range of motion of the joint." B. "CPM strengthens the muscles of the leg." C. "CPM delivers analgesic agents directly into the joint." D. "CPM prevents injury by limiting flexion of the knee."
A. "CPM increases range of motion of the joint."
A client asks the nurse why his residual limb cannot be elevated on a pillow. What is the best response by the nurse? A. "Elevating the leg might lead to a flexion contracture." B. "You need to turn yourself side to side. If your leg is on a pillow, you would not be able to do that." C. "Elevating the extremity may increase your chances of compartment syndrome." D. "I am sorry. We ran out of pillows. I can elevate it on a few blankets."
A. "Elevating the leg might lead to a flexion contracture."
A triage nurse in the emergency department is assessing a client who presented with reports of general malaise. Assessment reveals the presence of jaundice and increased abdominal girth. What assessment question best addresses the possible etiology of this client's presentation? A. "How many alcoholic drinks do you typically consume in a week?" B. "To the best of your knowledge, are your immunizations up to date?" C. "Have you ever worked in an occupation where you might have been exposed to toxins?" D. "Has anyone in your family ever experienced symptoms similar to yours?"
A. "How many alcoholic drinks do you typically consume in a week?"
The nurse is instructing a client with recurrent hyperkalemia about following a potassium-restricted diet. Which statement by the client indicates the need for additional instruction? A. "I will not salt my food; instead I'll use a salt substitute." B. "Bananas have a lot of potassium in them; I'll stop buying them." C. "I'll drink cranberry juice with my breakfast instead of coffee." D. "I need to check to see whether my cola beverage has potassium in it."
A. "I will not salt my food; instead I'll use a salt substitute."
The nurse is providing instructions to the client who is being prepared for skeletal traction. Which statement by the client indicates teaching was effective? A. "Metal pins will go through my skin to the bone." B. "I will wear a boot with weights attached." C. "A belt will go around my pelvis and weights will be attached." D. "The traction can be removed once a day so I can shower."
A. "Metal pins will go through my skin to the bone."
A physician orders blood glucose levels every 4 hours for a 4-year-old child with brittle type 1 diabetes. The parents are worried that drawing so much blood will traumatize their child. How can the nurse best reassure the parents? A. "Your child will need less blood work as his glucose levels stabilize." B. "Your child is young and will soon forget this experience." C. "I'll see if the physician can reduce the number of blood draws." D. "Our laboratory technicians use tiny needles and they're really good with children."
A. "Your child will need less blood work as his glucose levels stabilize."
Alcohol, which is toxic to the liver, is a common cause of hepatic disorders. As part of health teaching, the nurse advises a group of women that the amount of daily alcohol use should generally be limited to the equivalent of: A. 1 drink B. 2 drinks C. 3 drinks D. 4 drinks
A. 1 drink
A nurse is preparing a continuous insulin infusion for a child with diabetic ketoacidosis and a blood glucose level of 800 mg/dl. Which solution is the most appropriate at the beginning of therapy? A. 100 units of regular insulin in normal saline solution B. 100 units of neutral protamine Hagedorn (NPH) insulin in a normal saline solution C. 100 units of regular insulin in dextrose 5% in water D. 100 units of NPH insulin in dextrose 5% in water
A. 100 units of regular insulin in normal saline solution
An older adult patient had a hip replacement. When should the patient begin with assisted ambulation with a walker? A. 24 hours B. 72 hours C. 1 week D. 2 to 3 weeks
A. 24 hours
Upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. Each of the clients has called out to the nurses' station requesting assistance. Which client should the nurse see first? A. A 32-year-old male, who had a plaster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tighter B. A 56-year-old male, who had an arthroscopy of his left knee 3 hours ago, who is asking to be discharged C. A 60-year-old female, who is in traction to manage chronic muscle spasms, who is requesting assistance to order her evening meal D. The order doesn't matter; all clients are of equal priority
A. A 32-year-old male, who had a plaster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tighter
A client is suspected of having cirrhosis of the liver. What diagnostic procedure will the nurse prepare the client for in order to obtain a confirmed diagnosis? A. A liver biopsy B. A CT scan C. A prothrombin time D. Platelet count
A. A liver biopsy
An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain? A. Administer prescribed analgesics around the clock. B. Avoid administering too much medication because the client is older. C. Administer prescribed pain medication only when the client requests it. D. Give pain medication to the client after providing care.
A. Administer prescribed analgesics around the clock.
A nurse is caring for a client with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the client has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease? A. Asterixis B. Constructional apraxia C. Fetor hepaticus D. Palmar erythema
A. Asterixis
Which principle applies to the client in traction? A. Weights should rest on the bed. B. Skeletal traction is never interrupted. C. Knots in the ropes should touch the pulley. D. Weights are removed routinely.
B. Skeletal traction is never interrupted.
A group of students is reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast? A. Better molding to the client B. Quicker drying C. Longer lasting D. More breathable
A. Better molding to the client
Which electrolyte is a major anion in body fluid? A. Chloride B. Potassium C. Sodium D. Calcium
A. Chloride
A patient sustains an open fracture of the left arm after an accident at the roller skating rink. What does emergency management of this fracture involve? (Select all that apply.) A. Covering the area with a clean dressing if the fracture is open B. Immobilizing the affected site C. Splinting the injured limb D. Asking the patient if he or she is able to move the armE. Wrapping the arm in an ace bandage
A. Covering the area with a clean dressing if the fracture is open B. Immobilizing the affected site C. Splinting the injured limb
The leading cause of end stage renal disease is... A. Diabetes B. Hypertension C. Glomerulonephritis D. Toxic agents
A. Diabetes
A client is in end-stage chronic renal failure and is being added to the transplant list. The nurse explains to the client how donors are found for clients needing kidneys. Which statement is accurate? A. Donors are selected from compatible living or deceased donors. B. Donors must be relatives. C. Donors with hypertension may qualify. D. The client is placed on a transplant list at the local hospital.
A. Donors are selected from compatible living or deceased donors.
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply). A. Dyspnea B. Bradycardia C. Barrel chest D. Clubbing of the fingers E. Deep respirations
A. Dyspnea C. Barrel chest D. Clubbing of the fingers
A client has delayed bone healing in a fractured right humerus. What should the nurse prepare the client for that promotes bone growth? A. Electrical stimulation B. Administration of low-dose heparin C. Joint fusion D. Administration of antibiotics
A. Electrical stimulation
A client is reporting pain following orthopedic surgery. Which intervention will help relieve pain? A. Elevate the affected extremity and use cold applications. B. Breathe deeply and cough every 2 hours until ambulation is possible. C. Do ROM exercises as indicated. D. Apply antiembolism stockings as indicated.
A. Elevate the affected extremity and use cold applications.
Which of the following is a characteristic of diabetic ketoacidosis (DKA)? Select all that apply. A. Elevated blood urea nitrogen (BUN) and creatinine B. Absent ketones C. Normal arterial pH level D. Rapid onset F. More common in type 1 diabetes
A. Elevated blood urea nitrogen (BUN) and creatinine D. Rapid onset F. More common in type 1 diabetes
A client with arterial insufficiency undergoes below-knee amputation of the right leg. Which action should the nurse include in the postoperative care plan? A. Elevating the stump for the first 24 hours B. Maintaining the client on complete bed rest C. Applying heat to the stump as the client desires D. Removing the pressure dressing after the first 8 hours
A. Elevating the stump for the first 24 hours
The nurse cares for a client after extensive abdominal surgery. The client develops an infection that is treated with IV gentamicin. After 4 days of treatment, the client develops oliguria, and laboratory results indicate azotemia. The client is diagnosed with acute tubular necrosis and transferred to the ICU. The client is hemodynamically stable. Which dialysis method would be most appropriate for the client? A. Hemodialysis B. Peritoneal dialysis C. Continuous arteriovenous hemofiltration (CAVH) D. Continuous venovenous hemofiltration (CVVH)
A. Hemodialysis
While conducting a physical examination of a client, which of the following skin findings would alert the nurse to the liklihood of liver problems? Select all that apply. A. Jaundice B. Petechiae C. Ecchymoses D. Cyanosis of the lips E. Aphthous stomatitis
A. Jaundice B. Petechiae C. Ecchymoses
A patient is diagnosed with type 1 diabetes. What clinical characteristics does the nurse expect to see in this patient? Select all that apply. A. Ketosis-prone B. Little or no endogenous insulin C. Obesity at diagnoses D. Younger than 30 years of age E. Older than 65 years of age
A. Ketosis-prone B. Little or no endogenous insulin D. Younger than 30 years of age
A nurse is preparing to administer an antiseizure medication to a client. Which of the following is an appropriate antiseizure medication? A. Lamictal B. Lamisil C. Labetalol D. Lomotil
A. Lamictal
A 65 year old male patient has a glomerular filtration rate of 55 mL/min. The patient has a history of uncontrolled hypertension and coronary artery disease. You're assessing the new medication orders received for this patient. Which medication ordered by the physician will help treat the patient's hypertension along with providing a protective mechanism to the kidneys? A. Lisinopril B. Metoprolol C. Amlodipine D. Verapamil
A. Lisinopril
The nurse is called to attend to a patient having a seizure in the waiting area. What nursing care is provided for a patient who is experiencing a convulsive seizure? Select all that apply. A. Loosening constrictive clothing B. Opening the patient's jaw and inserting a mouth gag C. Positioning the patient on his or her side with head flexed forward D. Restraining the patient to avoid self injury E. Providing for privacy
A. Loosening constrictive clothing C. Positioning the patient on his or her side with head flexed forward E. Providing for privacy
A patient with stage 4 chronic kidney disease asks what type of diet they should follow. You explain the patient should follow a: A. Low protein, low sodium, low potassium, low phosphate diet B. High protein, low sodium, low potassium, high phosphate diet C. Low protein, high sodium, high potassium, high phosphate diet D. Low protein, low sodium, low potassium, high phosphate diet
A. Low protein, low sodium, low potassium, low phosphate diet
A client has undergone an external fixation. Which actions would be the priority for this client? A. Maintaining pin care. B. Planning the client's diet. C. Monitoring the client's urine output. D. Monitoring the client's blood pressure.
A. Maintaining pin care.
A client is reporting her pain as "8" on a 0-to-10 pain intensity scale. Then, the client states the pain is "3." Before the nurse leaves the room, the client states her pain is "6." The best action of the nurse is to A. Obtain a pain scale with faces for the client to measure her pain. B. Average the numbers and report that number as the client's level of pain. C. Medicate the client for pain based on the highest number of "8." D. Record each of the numbers the client stated for her pain.
A. Obtain a pain scale with faces for the client to measure her pain.
A client is actively bleeding from esophageal varices. Which medication would the nurse most expect to be administered to this client? A. Octreotide B. Spironolactone C. Propranolol D. Lactulose
A. Octreotide
Which of the following drugs may be used after a seizure to maintain a seizure-free state? A. Phenobarbital B. Ativan C. Valium D. Cerebyx
A. Phenobarbital
A nurse is caring for a client with suspected hyperparathyroidism. Which condition may contribute to hyperparathyroidism? A. Renal failure B. Thyroidectomy C. Decreased serum calcium level D. Steroid use
A. Renal failure
A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result? A. Serum sodium level of 124 mEq/L B. Serum creatinine level of 0.4 mg/dl C. Hematocrit of 52% D. Serum blood urea nitrogen (BUN) level of 8.6 mg/dl
A. Serum sodium level of 124 mEq/L
Which term refers to an injury to ligaments and other soft tissues surrounding a joint? A. Sprain B. Dislocation C. Subluxation D. Strain
A. Sprain
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? A. The client holds his breath for 10 seconds after inhaling the medication B. The client takes a quick inhalation while releasing the medication from the inhaler C. The client exhales as the medication is released from the inhaler D. The client waits 10 minutes between inhalations
A. The client holds his breath for 10 seconds after inhaling the medication
Ammonia, the major etiologic factor in the development of encephalopathy, inhibits neurotransmission. Increased levels of ammonia are damaging to the body. The largest source of ammonia is from: A. The digestion of dietary and blood proteins. B. Excessive diuresis and dehydration. C. Severe infections and high fevers. D. Excess potassium loss subsequent to prolonged use of diuretics.
A. The digestion of dietary and blood proteins.
A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L). During the physical examination, the nurse expects to assess: A. Trousseau's sign. B. Homans' sign. C. Hegar's sign. D. Goodell's sign.
A. Trousseau's sign.
A teenage client is brought to the emergency department with symptoms of hyperglycemia. Based on the fact that the pancreatic beta cells are being destroyed, the client would be diagnosed with what type of diabetes? A. Type 1 diabetes B. Type 2 diabetes C. Non-insulin-dependent diabetes D. Prediabetes
A. Type 1 diabetes
The nurse is administering Cephulac (lactulose) to decrease the ammonia level in a patient who has hepatic encephalopathy. What should the nurse carefully monitor for that may indicate a medication overdose? A. Watery diarrhea B. Vomiting C. Ringing in the ears D. Asterixis
A. Watery diarrhea
A nurse is preparing to provide care for a client whose exacerbation of ulcerative colitis has required hospital admission. During an exacerbation of this health problem, the nurse would anticipate that the client's stools will have what characteristics? A. Watery with blood and mucus B. Hard and black or tarry C. Dry and streaked with blood D. Loose with visible fatty streaks
A. Watery with blood and mucus
For a client with hyperthyroidism, treatment is most likely to include: A. a thyroid hormone antagonist. B. thyroid extract. C. a synthetic thyroid hormone. D. emollient lotions.
A. a thyroid hormone antagonist.
The immune system is a complicated and intricate system that contains specialized cells and tissues that protect us from external invaders and our own altered cells. Which term is used to define any substances capable of inducing a specific immune response and of reacting with the products of that response? A. antigens B. antibodies C. lymphokines D.lymphocytes
A. antigens
A client is brought to the emergency department after being struck with a baseball bat on the upper arm while diving for a pitched ball. Diagnostic tests reveal that the humerus is not broken but that the client has suffered another type of injury. What type of injury would the physician likely diagnose? A. contusion B. sprain C. strain D. subluxation
A. contusion
A client has symptoms suggestive of peritonitis. Nursing management would not include: A. limiting analgesics to avoid the formation of paralytic ileus. B. accurate recording of input and output. C. inserting a nasogastric tube. D. inserting a urinary retention catheter.
A. limiting analgesics to avoid the formation of paralytic ileus.
A client with a right leg fracture is returning to the orthopedist to have the cast removed. What would the physician prescribe as further treatment? A. physical therapy B. discontinue use of crutches C. cold compresses to leg for swelling D. No options are correct.
A. physical therapy
An older adult client in a long-term care facility is concerned about bowel regularity. During a client education session, the nurse reinforces the medically acceptable definition of "regularity." What is the actual measurement of "regular"? A. stool consistency and client comfort B. one bowel movement daily C. one bowel movement every other day D. two bowel movements daily
A. stool consistency and client comfort
A client who has undergone extensive fracture repair continues to request opioid pain medication with increasing frequency. The initial surgeries occurred more than 2 months ago, and the nurse is concerned about the repeated requests. What does the nurse suspect to be the cause of the client's frequent appeals for pain medication? A. tolerance B. addiction C. drug allergy D. poor quality control by the drug manufacturer
A. tolerance
A client was admitted to a critical care unit with esophageal varices and a precarious physical condition. What predisposes the client to have bleeding varices? Select all that apply. A.Little protective tissue to protect fragile veins B. Decreased portal pressure C. Chemical irritation D. Straining at stool E. Rough food
A.Little protective tissue to protect fragile veins C. Chemical irritation D. Straining at stool E. Rough food
For the first 72 hours after thyroidectomy surgery, a nurse should assess a client for Chvostek's sign and Trousseau's sign because they indicate: A.hypocalcemia. B. hypercalcemia. C. hypokalemia. D. hyperkalemia.
A.hypocalcemia.
A nurse is caring for a client with type 1 diabetes. The client's medication administration record includes the administration of regular insulin three times daily. Knowing that the client's lunch tray will arrive at 11:45 AM, when should the nurse administer the client's insulin? A. 10:45 AM B. 11:30 AM C. 11:45 AM D. 11:50 AM
B. 11:30 AM
A nurse is teaching a client with diabetes mellitus about self-management of his condition. The nurse should instruct the client to administer 1 unit of insulin for every: A. 10 g of carbohydrates. B. 15 g of carbohydrates. C. 20 g of carbohydrates. D. 25 g of carbohydrates.
B. 15 g of carbohydrates.
Glycosylated hemoglobin reflects blood glucose concentrations over which period of time A. 1 month B. 3 months C. 6 months D. 9 months
B. 3 months
A client reporting shortness of breath is admitted with a diagnosis of cirrhosis. A nursing assessment reveals an enlarged abdomen with striae, an umbilical hernia, and 4+ pitting edema of the feet and legs. What is the most important data for the nurse to monitor? A. Temperature B. Albumin C. Hemoglobin D. Bilirubin
B. Albumin
A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for? A. Hypercalcemia B. Anemia C. Blood clots D. Hyperkalemia
B. Anemia
A home health nurse visits a client who had COPD and receive oxygen at 2L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority? A. Increase the oxygen flow to 3L/min B. Assess the client's respiratory C. Call emergency services for the client D. Have the client cough and expectorate secretions
B. Assess the client's respiratory In prioritization: B, D, A, C
A nurse is a long-term care facility is caring for an 83 year old client who has a history of HF and PAD. At present, the client is unable to stand or ambulate. The nurse should implement measures to prevent which complication? A. Reynaud's disease B. DVT C. MI D. Aoritis
B. DVT
A nurse is working in the neurologic intensive care unit and admits from the emergency department a patient with a severe head injury. Upon entering the room, the nurse observes that the patient is positioned in the accompanying image (A or B). Which posturing is the patient exhibiting? A. Decerebrate B. Decorticate C. Flaccidity D. Tonic Clonic
B. Decorticate
Which is one of the primary symptoms of irritable bowel syndrome (IBS)? A. Pain B. Diarrhea C. Bloating D. Abdominal distention
B. Diarrhea
Which of the following would lead a nurse to suspect that a client has a rotator cuff tear? A. Increased ability to stretch arm over the head B. Difficulty lying on affected side C. Pain worse in the morning D. Minimal pain with movement
B. Difficulty lying on affected side
A client with a brain tumor is complaining of a headache upon awakening. Which nursing action would the nurse take first? A. Complete a head-to-toe assessment. B. Elevate the head of the bed. C. Administer morning dose of anticonvulsant. D. Administer Percocet as ordered.
B. Elevate the head of the bed.
A nurse is working with a client who has recently received a diagnosis of human immunodeficiency virus (HIV). When performing client education during discharge planning, what goal should the nurse prioritize? A. Encourage the client to exercise within the client's limitations. B. Encourage the client to adhere to the client's therapeutic regimen. C. Appraise the client's level of nutritional awareness. D. Encourage a disease-free state.
B. Encourage the client to adhere to the client's therapeutic regimen.
A nurse has written a plan of care for a client diagnosed with peripheral arterial insufficiency. One of the nursing diagnoses in the care plan is altered peripheral tissue perfusion related to compromised circulation. Which intervention is the most appropriate for this diagnosis? A. Elevate the legs and arms above the heart when resting B. Encourage the client to engage in a moderate amount of exercise C. Encourage extended periods of sitting or standing D. Discourage walking in order to limit pain
B. Encourage the client to engage in a moderate amount of exercise
A nurse is preparing to administer an antiseizure medication to a client. Which of the following is an appropriate antiseizure medication? A. Alopecia B. Gingival hyperplasia C. Diplopia D. Ataxia
B. Gingival hyperplasia
A client is demonstrating an altered level of consciousness from a traumatic brain injury. Which assessment will the nurse use as a sensitive indicator of neurologic function? A. Cerebellar function B. Glasgow Coma Scale C. Cranial nerve function D. Mental status evaluation
B. Glasgow Coma Scale
A client with chronic kidney disease becomes confused and reports abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which lab value? A. Elevated urea levels B. Hyperkalemia C. Hypocalcemia D. Elevated white blood cells
B. Hyperkalemia
A nurse is assigned to support a patient while a cast is being applied to treat a greenstick fracture. The nurse documents that this fracture is classified as what type of fracture? A. Closed B. Incomplete C. Stress D. Compression
B. Incomplete
The client who is managing diabetes through diet and insulin control asks the nurse why exercise is important. Which is the best response by the nurse to support adding exercise to the daily routine? A. Creates an overall feeling of well-being and lowers the risk of depression B. Increases the ability for glucose to get into the cell and lowers blood sugar C. Decreases the need for the pancreas to produce more cells D. Decreases risk of developing insulin resistance and hyperglycemia
B. Increases the ability for glucose to get into the cell and lowers blood sugar
A client undergoes open reduction with internal fixation to treat an intertrochanteric fracture of the right hip. The nurse should include which intervention in the postoperative care plan? A. Performing passive range-of-motion (ROM) exercises on the client's legs once each shift B. Keeping a pillow between the client's legs at all times C. Turning the client from side to side every 2 hours D. Maintaining the client in semi-Fowler's position
B. Keeping a pillow between the client's legs at all times
A physician orders an isotonic I.V. solution for a client. Which solution should the nurse plan to administer? A. 5% dextrose and normal saline solution B. Lactated Ringer's solution C. Half-normal saline solution D. 10% dextrose in water
B. Lactated Ringer's solution
Which of the following is true regarding altering the Na+ electrolyte? A. Na+ should be corrected rapidly to prevent cardiac arrhythmias B. Na+ cannot be corrected quickly because of fluid shifts in the brain C. Na+ correction should always be done with PO administration
B. Na+ cannot be corrected quickly because of fluid shifts in the brain
The nurse is caring for a client with intussusception of the bowel. What does the nurse understand occurs with this disorder? A. The bowel twists and turns itself and obstructs the intestinal lumen. B. One part of the intestine telescopes into another portion of the intestine. C. The bowel protrudes through a weakened area in the abdominal wall. D. A loop of intestine adheres to an area that is healing slowly after surgery.
B. One part of the intestine telescopes into another portion of the intestine.
A client has a dysfunction in one of his glands that is causing a decrease in the level of calcium in the blood. What gland should be evaluated for dysfunction? A. Thyroid gland B. Parathyroid gland C. Thymus gland D. Adrenal gland
B. Parathyroid gland
While assessing a client with hypoparathyroidism, the nurse taps the client's facial nerve and observes twitching of the mouth and tightening of the jaw. The nurse would document this finding as which of the following? A. Positive Trousseau's sign B. Positive Chvostek's sign C. Hyperactive deep tendon reflex D. Tetany
B. Positive Chvostek's sign
Which condition is associated with impaired immunity relating to the aging client? A. Antibody production increases B. Renal function decreases C. Skin becomes thicker D. Incidence of autoimmune disease decreases
B. Renal function decreases
A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location? A. Right upper quadrant B. Right lower quadrant C. Left upper quadrant D. Left lower quadrantRight lower quadrant
B. Right lower quadrant
The nurse is planning the care of a client with hyperthyroidism. What should the nurse specify in the client's meal plan? A. A reduced calorie diet, high in nutrients B. Small, frequent meals, high in protein and calories C. Three large, bland meals a day D. A diet high in fiber and plant-sourced fat
B. Small, frequent meals, high in protein and calories
A client comes to the emergency department and it is found that the client's radial head is partially dislocated. What is this partially dislocated radial head documented as? A. Volkmann's contracture B. Subluxation C. Compartment syndrome D. Sprain
B. Subluxation
An elite high school football player has been diagnosed with a shoulder dislocation. The client has been treated and is eager to resume his role on his team, stating that he is not experiencing pain. What should the nurse emphasize during health education? A. The need to take analgesia regardless of the short-term absence of pain B. The importance of adhering to the prescribed treatment and rehabilitation regimen C. The fact that he has a permanently increased risk of future shoulder dislocations D. The importance of monitoring for intracapsular bleeding once he resumes playing
B. The importance of adhering to the prescribed treatment and rehabilitation regimen
A client with hyperthyroidism is being treated with radioactive iodine therapy. After receiving the dose of radioiodine, the nurse would assess the client for: A. Hypothyroidism B. Thyroid storm C. Hypothermia D. Agranulocytosis
B. Thyroid storm
The presence of mucus and pus in the stools suggests which condition? A. Small-bowel disease B. Ulcerative colitis C. Disorders of the colon D. Intestinal malabsorption
B. Ulcerative colitis
A patient with Stage 5 CKD is experiencing extreme pruritus and has several areas of crystallized white deposits on the skin. As the nurse, you know this is due to excessive amounts of what substance found in the blood? A. Calcium B. Urea C. Phosphate D. Erythropoietin
B. Urea
Which may occur if a client experiences compartment syndrome in an upper extremity? A. Whiplash injury B. Volkmann's contracture C. Callus D. Subluxation
B. Volkmann's contracture
A client is sitting in a chair and begins having a tonic-clonic seizure. The most appropriate nursing response is to: A. hold the client's arm still to keep him from hitting anything. B. carefully move the client to a flat surface and turn him on his side. C. allow the client to remain in the chair but move all objects out of his way. D. place an oral airway in the client's mouth to maintain an open airway.
B. carefully move the client to a flat surface and turn him on his side.
A nurse is caring for a client with pain. What should the nurse monitor for when administering intravenous acetaminophen? A. renal toxicity B. hepatotoxicity C. bleeding D. gastrointestinal effects
B. hepatotoxicity
A nurse is assessing a client who has been in a motor vehicle collision. The client directly and accurately answers questions. The nurse notes a contusion to the client's forehead; the client reports a headache. Assessing the client's pupils, what reaction would confirm increasing intracranial pressure? A. equal response B. rapid response C. constricted response D. unequal response
B. rapid response
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions? A. An upper respiratory infection B. Pulmonary edema C. Atelectasis D. Delayed gastric emptying
C. Atelectasis
A client with newly diagnosed renal cancer is questioning why detection was delayed. Which is the best response by the nurse? A. "Squamous cell carcinomas do not present with detectable symptoms." B. "You should have sought treatment earlier." C. "Very few symptoms are associated with renal cancer." D. "Painless gross hematuria is the first symptom in renal cancer."
C. "Very few symptoms are associated with renal cancer."
A client with end-stage liver disease is scheduled to undergo a liver transplant. The client tells the nurse, "I am worried that my body will reject the liver." Which statement is the nurse's best response to the client? A. "You would not be scheduled for a transplant if there was a concern about rejection." B. "The problem of rejection is not as common in liver transplants as in other organ transplants." C. "You will need to take daily medication to prevent rejection of the transplanted liver. The new liver has a good chance of survival with the use of these drugs." D. "It is easier to get a good tissue match with liver transplants than with other types of transplants."
C. "You will need to take daily medication to prevent rejection of the transplanted liver. The new liver has a good chance of survival with the use of these drugs."
A 16-year-old client newly diagnosed with type 1 diabetes has a very low body weight despite eating regular meals. The client is upset because friends frequently state, "You look anorexic." Which statement by the nurse would be the best response to help this client understand the cause of weight loss due to this condition? A. "I will refer you to a dietician who can help you with your weight." B. "You may be having undiagnosed infections, causing you to lose extra weight." C. "Your body is using protein and fat for energy instead of glucose." D. "Don't worry about what your friends think; the carbohydrates you eat are being quickly digested, increasing your metabolism."
C. "Your body is using protein and fat for energy instead of glucose."
A client weighing 160.2 pounds (72.7 kg), who has been diagnosed with hypovolemia, is weighed every day. The health care provider asked to be notified if the client loses 1,000 mL of fluid in 24 hours. What weight would be consistent with this amount of fluid loss? A. 156.0 lbs (70.8 kg) B. 157.0 lbs (71.2 kg) C. 158.0 lbs (71.7 kg) D. 159.0 lbs (72.1 kg)
C. 158.0 lbs (71.7 kg)
Which patient below is NOT at risk for developing chronic kidney disease? A. A 58 year old female with uncontrolled hypertension. B. A 69 year old male with diabetes mellitus. C. A 45 year old female with polycystic ovarian disease. D. A 78 year old female with an intrarenal injury.
C. A 45 year old female with polycystic ovarian disease.
A nurse is preparing a presentation for a local community group of older adults about colon cancer. What would the nurse include as the primary characteristic associated with this disorder? A. Abdominal distention B. Frank blood in the stool C. A change in bowel habits D. Abdominal pain
C. A change in bowel habits
A client reports constipation. Which nursing measure would be most effective in helping the client reduce constipation? A. Provide adequate quantity of food. B. Obtain medical and allergy history. C. Assist client to increase dietary fiber. D. Obtain complete food history.
C. Assist client to increase dietary fiber.
The nurse is irrigating a client's colostomy when the client begins to report cramping. What is the appropriate action by the nurse? A. Increase the rate of administration. B. Discontinue the irrigation immediately. C. Clamp the tubing and allow the client to rest. D. Change irrigation fluid to normal saline.
C. Clamp the tubing and allow the client to rest.
The nurse is caring for a client who was involved in an automobile accident and sustained multiple trauma. The client has a Volkmann's contracture to the right hand. What objective data does the nurse document related to this finding? A. Extension of the fingers of the right hand B. Nodules on the knuckles of the third and fourth finger C. Claw-like deformity of the right hand without ability to extend fingers D. Dislocation of the fingers
C. Claw-like deformity of the right hand without ability to extend fingers
A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice? A. Straw-colored urine B. Reduced hematocrit C. Clay-colored stools D. Elevated urobilinogen in the urine
C. Clay-colored stools
What interventions can the nurse encourage the client with diabetes insipidus to do in order to control thirst and compensate for urine loss? A. Come to the clinic for IV fluid therapy daily. B. Limit the fluid intake at night. C. Consume adequate amounts of fluid. D. Weigh daily.
C. Consume adequate amounts of fluid.
A client with portal hypertension has been admitted to the medical floor. The nurse should prioritize what assessments? A. Assessment of blood pressure and assessment for headaches and visual changes B. Assessments for signs and symptoms of venous thromboembolism C. Daily weights and abdominal girth measurement D. Blood glucose monitoring q4h
C. Daily weights and abdominal girth measurement
An emergency department client is diagnosed with a hip dislocation. The client's family is relieved that the client has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement? A. The longer the joint is displaced, the more difficult it is to get it back in place. B. The client's pain will increase until the joint is realigned. C. Dislocation can become permanent if the process of bone remodeling begins. D. Avascular necrosis may develop at the site if it is not promptly resolved.
C. Dislocation can become permanent if the process of bone remodeling begins.
A nurse is planning the care of a client with osteomyelitis that resulted from a diabetic foot ulcer. The client requires a transmetatarsal amputation. When planning the client's postoperative care, which of the following nursing diagnoses should the nurse most likely include in the plan of care? A. Ineffective Thermoregulation B. Risk-Prone Health Behavior C. Disturbed Body Image D. Deficient Diversion Activity
C. Disturbed Body Image
A nurse is providing health education to a teenage client newly diagnosed with type 1 diabetes mellitus, as well as the client's family. The nurse teaches the client and family nonpharmacologic measures that will decrease the body's need for insulin. What measure provides the greatest impact on glucose reduction? A. Adequate sleep B. Low stimulation C. Exercise D. Low-fat diet
C. Exercise
A nurse should perform which intervention for a client with Cushing's syndrome? A. Offer clothing or bedding that's cool and comfortable. B. Suggest a high-carbohydrate, low-protein diet. C. Explain that the client's physical changes are a result of excessive corticosteroids. D. Explain the rationale for increasing salt and fluid intake in times of illness, increased stress, and very hot weather.
C. Explain that the client's physical changes are a result of excessive corticosteroids.
A client with a fracture develops compartment syndrome that requires surgical intervention. What treatment will the nurse would most likely prepare the client for? A. Bone graft B. Joint replacement C. Fasciotomy D. Amputation
C. Fasciotomy
Which hormone would be responsible for increasing blood glucose levels by stimulating glycogenolysis? A. Somatostatin B. Insulin C. Glucagon D. Cholecystokinin
C. Glucagon
Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture? A. Comminuted B. Compression C. Impacted D. Greenstick
C. Impacted
A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, what would the nurse stress the importance of? A. Consuming a low-protein, high-fiber diet B. Taking only enteric-coated medications C. Increasing fluid intake to prevent dehydration D. Wearing an appliance pouch only at bedtime
C. Increasing fluid intake to prevent dehydration
The assessment of a client admitted with increased ascites related to cirrhosis reveals the following: pulse 86 beats per minute and weak, respirations 28 breaths per minute, blood pressure 130/88 mm Hg, and pulse oximetry 90%. Which nursing diagnosis should receive top priority? A. Fatigue B. Excess fluid volume C. Ineffective breathing pattern D. Imbalanced nutrition: less than body requirements
C. Ineffective breathing pattern
Which type of insulin acts most quickly? A. Regular B. NPH C. Lispro D. Glargine
C. Lispro
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 include in the care of this client? A. Remove the parenteral nutrition solution from the refrigerator 2 hrbefore infusion. B. Remove unused parenteral nutrition after 12 hr of use C. Monitor daily laboratory values and report as needed D. Monitor the flow rate of the parenteral nutrition carefully and increasethe rate as needed if it falls behind.
C. Monitor daily laboratory values and report as needed
The nurse is providing discharge education to a client diagnosed with HF. What should the nurse teach this client to do to assess fluid balance in the home setting? A. Monitor and record BP daily B. Monitor and record radial pulses daily C. Monitor weight daily D. Monitor bowel movements
C. Monitor weight daily
Elderly clients who fall are most at risk for which injuries? A. Wrist fractures B. Humerus fractures C. Pelvic fractures D. Cervical spine fractures
C. Pelvic fractures
The nurse is caring for a client who underwent a total hip replacement yesterday. What should the nurse do to prevent dislocation of the new prosthesis? A. Keep the affected leg in a position of adduction. B. Have the client reposition himself independently. C. Protect the affected leg from internal rotation. D. Keep the hip flexed by placing pillows under the client's knee.
C. Protect the affected leg from internal rotation.
The nurse is caring for a patient who had a total hip replacement. What lethal postoperative complication should the nurse closely monitor for? A. Atelectasis B. Hypovolemia C. Pulmonary embolism D. Urinary tract infection
C. Pulmonary embolism
A nurse is providing care to a client with a brain tumor. The client has experienced seizures as a result of the tumor. Which area would be a priority for this client? A. Self-care B. Skin care C. Safety D. Activity
C. Safety
An elderly client's hip joint is immobilized prior to surgery to correct a femoral head fracture. What is the nurse's priority assessment? A. The presence of leg shortening B. The client's complaints of pain C. Signs of neurovascular compromise D. The presence of internal or external rotation
C. Signs of neurovascular compromise
The nurse suspects that a client with an arm cast has developed a pressure ulcer. Where should the nurse assess for the presence of the ulcer? A. Lateral malleolus B. Olecranon C. Radial styloid D. Ulna styloid
D. Ulna styloid
A patient with diabetes insipidus presents to the emergency room for treatment of dehydration. The nurse knows to review serum laboratory results for which of the diagnostic indicators? A. Sodium level of 137 mEq/L B. Potassium level of 3.8 mEq/L C. Sodium level of 150 mEq/L D.Potassium level of 6 mEq/L
C. Sodium level of 150 mEq/L
A 55-year-old male patient is diagnosed with chronic kidney disease. The patient's recent GFR was 25 mL/min. What stage of chronic kidney disease is this known as? A. Stage 1 B. Stage 3 C. Stage 4 D. Stage 5
C. Stage 4
Which is a true statement regarding regional enteritis (Crohn's disease)? A. It has a progressive disease pattern. B. It is characterized by pain in the lower left abdominal quadrant. C. The clusters of ulcers take on a cobblestone appearance. D. The lesions are in continuous contact with one another.
C. The clusters of ulcers take on a cobblestone appearance.
Which of the following hormones would the nurse identify as being secreted by the thyroid gland? A. Parathormone B. Thymosin C. Thyroxine D. Somatotropin
C. Thyroxine
A client with meningitis has a history of seizures. Which action by the nurse is appropriate while the client is actively seizing? A. Place a cooling blanket on the client B. Administer mannitol C. Turn the client to the side D. Insert oral airway
C. Turn the client to the side
An older adult newly diagnosed with primary hypertension has just been started on a beta-blocker. Which topic should the nurse include in health education? A. Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker B. Maintaining a diet high in dairy to increase protein necessary to prevent organ damage C. Use of strategies to prevent falls stemming from orthostatic hypotension D. Limiting exercise to avoid injury that can be caused by increased
C. Use of strategies to prevent falls stemming from orthostatic hypotension
Meniscectomy refers to the.... A. replacement of one of the articular surfaces of a joint. B. incision and diversion of the muscle fascia. C. excision of damaged joint fibrocartilage. D. removal of a body part.
C. excision of damaged joint fibrocartilage.
Rn is caring for a pt who has recently been dx with COPD. Which topic should the RN prioritize when educating? A. Prompt administration of corticosteroids during exacerbations B. The importance of prone positioning during exacerbation C. identifying specific causes of exacerbations D. the relationship between activity level and exacerbation
C. identifying specific causes of exacerbations
A nurse is assessing a client and obtains the following findings: abdominal discomfort, mild diarrhea, blood pressure of 100/80 mm Hg, pulse rate of 88 beats/minute, respiratory rate of 20 breaths/minute, temperature 100° F (37.8° C). What diagnosis will the nurse suspect for this client? A. diverticulitis B. liver failure C. inflammatory bowel disease (IBD) D. colorectal cancer
C. inflammatory bowel disease (IBD)
A client has been diagnosed with acute glomerulonephritis. This condition causes: A. pyuria. B. polyuria. C. proteinuria. D. No option is correct.
C. proteinuria.
Which term refers to a break in the continuity of a bone? A. Malunion B. Dislocation C.Fracture D. Subluxation
C.Fracture
A client undergoes a total hip replacement. Which statement made by the client indicates to the nurse that the client requires further teaching? A. "I'll need to keep several pillows between my legs at night." B. "I need to remember not to cross my legs. It's such a habit." C. "The occupational therapist is showing me how to use a sock puller to help me get dressed." D. "I don't know if I'll be able to get off that low toilet seat at home by myself."
D. "I don't know if I'll be able to get off that low toilet seat at home by myself."
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take this medication as needed to reduce pain B. "I will reduce my fluid intake with this medication. C. "I will take this medication with an antacid D. "I will take this medication 1 hour before meals and at bedtime."
D. "I will take this medication 1 hour before meals and at bedtime."
A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? A. "Sleep on your left side." B. "Drink milk to soothe your stomach." C. "Eat four small meals each day." D. "Wait to go to bed for 1 hr after eating."
D. "Wait to go to bed for 1 hr after eating."
A nurse is providing teaching to a client who has a new colostomy. Which of the following information should thenurse include in the teaching? A. "You can expect fecal output within 24 hours." B. "You will need to increase your dietary intake of raw vegetables." C. "You can expect the stoma to be purplish in color for the first week." D. "You may experience a small amount of bleeding around the stoma."
D. "You may experience a small amount of bleeding around the stoma."
Which of the following is the most common cause of symptomatic hypomagnesemia in the United States? A. Intestinal resection B. Inflammatory bowel disease C. Loss of gastric acid D. Alcoholism
D. Alcoholism
Dietary intervention for renal deterioration includes limiting the intake of... A. Fluid B. Protein C. Sodium and potassium D. All of the above
D. All of the above
The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery? A. Antidysrhythmic therapy B. Antianginal therapy C. Antineoplastic therapy D. Anticoagulation therapy
D. Anticoagulation therapy
The nurse is taking care of a client with a history of headaches. The nurse takes measures to reduce headaches and administer medications. Which appropriate nursing interventions may be provided by the nurse to such a client? A. Maintain hydration by drinking eight glasses of fluid a day B. Perform the Heimlich maneuver C. Use pressure-relieving pads or a similar type of mattress D. Apply warm or cool cloths to the forehead or back of the neck
D. Apply warm or cool cloths to the forehead or back of the neck
A home health nurse is visiting a client who has been taking the same dose of acetaminophen/hydrocodone for 2 months. To monitor for the presence of expected side effects of this medication, what should the nurse include in the assessment of the client? A. Observe respiratory rate and depth. B. Assess level of consciousness. C. Take the client's blood pressure. D. Ask about the client's bowel pattern.
D. Ask about the client's bowel pattern.
A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, which factor is most beneficial in determining the potential cause of the episode? A. The type of anticonvulsant prescribed to manage the epileptic condition B. Recent stress level C. Recent weight gain and loss D. Compliance with the prescribed medication regimen
D. Compliance with the prescribed medication regimen
A client presents to the clinic reporting intermittent pain on exertion, which is eventually attributed to angina. The nurse should inform the client that angina is most often attributed to what cause? A. Decreased cardiac output B. Decreased cardiac contractility C. Infarction of the myocardium D. Coronary arteriosclerosis
D. Coronary arteriosclerosis
A nurse is working in the neurologic intensive care unit and admits from the emergency department a patient with an inoperable brain tumor. Upon entering the room, the nurse observes that the patient is positioned like the person in the accompanying image (A or B). Which posturing is the patient exhibiting? A. Flaccidity B. Tonic Clonic C. Decorticate D. Decerebrate
D. Decerebrate
Which posture exhibited by abnormal flexion of the upper extremities and extension of the lower extremities? A. Decerebrate B. Flaccid C. Normal D. Decorticate
D. Decorticate
What precautions should patients with meningitis be on? A. Airborne B. Contact C. DRO D. Droplet
D. Droplet
A client has been recently diagnosed with an anorectal condition. The nurse is reviewing interventions that will assist the client with managing the therapeutic regimen. What would not be included? A. Instruct the client to cleanse perianal area with warm water. B. Teach the client how to do sitz baths at home using warm water three to four times each day. C. Encourage the client to follow diet and medication instructions. D. Encourage the client to avoid exercise.
D. Encourage the client to avoid exercise.
Which assessment finding is most important in determining nursing care for a client with diabetes mellitus? A. Respirations of 12 breaths/minute B. Cloudy urine C. Blood sugar 170 mg/dL D. Fruity breath
D. Fruity breath
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan? A Restrict the client's fluids intake to less than 2L/day B. Provide the client with a low-protein diet C. Have the client use the early-morning hours for exercise and activity D. Instruct the client to use pursed-lip breathing
D. Instruct the client to use pursed-lip breathing
The kidneys are responsible for performing all the following functions EXCEPT? A. Activating Vitamin D B. Secreting Renin C. Secreting Erythropoietin D. Maintaining cortisol production
D. Maintaining cortisol production
The nurse is teaching a client about the dietary restrictions related to his diagnosis of hyperparathyroidism. What foods should the nurse encourage the client to avoid? A. Bananas B. Chicken livers C. Hamburger D. Milk
D. Milk
A client with acromegaly is admitted to the hospital with complaints of partial blindness that began suddenly. What does the nurse suspect is occurring with this client? A. Glaucoma B. Corneal abrasions C. Retinal detachment D. Pressure on the optic nerve
D. Pressure on the optic nerve
A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first? A. Blood pressure B. Respirations C. Temperature D. Pulse
D. Pulse
A nurse is providing discharge education to a client who is going home with a cast on his leg. What topic should the nurse emphasize in the teaching session? A. Using crutches efficiently B. Exercising joints above and below the cast, as prescribed C. Removing the cast correctly at the end of the treatment period D. Reporting signs of impaired circulation
D. Reporting signs of impaired circulation
A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder. What symptoms of a fractured clavicle does the nurse recognize? A. Client complains of tingling and numbness in the right shoulder. B. Right shoulder is elevated above the left. C. Client complains of pain in the unaffected shoulder. D. Right shoulder slopes downward and droops inward.
D. Right shoulder slopes downward and droops inward.
A client is being evaluated for hypothyroidism. During assessment, the nurse should stay alert for: A. exophthalmos and conjunctival redness. B. flushed, warm, moist skin. C. systolic murmur at the left sternal border. D. decreased body temperature and cold intolerance.
D. decreased body temperature and cold intolerance.
Early signs of hypervolemia include A. a decrease in blood pressure. B. thirst. C. moist breath sounds. D. increased breathing effort and weight gain.
D. increased breathing effort and weight gain.
Which pt is most at risk for hyper magnesium electrolyte? A. pt with flu like symptoms B. pt with liver failure C. pt with Crohn's disease D. pt who goes to hemodialysis 3 times per week
D. pt who goes to hemodialysis 3 times per week
Which intervention is the most critical for a client with myxedema coma? A. Administering an oral dose of levothyroxine (Synthroid) B. Warming the client with a warming blanket C.Measuring and recording accurate intake and output D.Maintaining a patent airway
D.Maintaining a patent airway
What is the function of the thymus gland? A. Produces stem cells B. Programs B lymphocytes to become regulator or effector B cells C. Develops the lymphatic system D. Programs T lymphocytes to become regulator or effector T cells
Programs T lymphocytes to become regulator or effector T cells
Lispro (Humalog) is an example of which type of insulin?
Rapid-acting
Acute changes in LOC are secondary to another cause, once that cause is treated the LOC will start to improve TRUE OR FALSE
TRUE
Assessment of airway and breathing are a high priority for a patient who is unresponsive TRUE OR FALSE
TRUE
Seizure precautions include measures to keep the patient safe during the ictal phase of their seizure TRUE OR FALSE
TRUE
Seizures are caused by hyperactivity of electrical currents in portions of the brain TRUE OR FALSE
TRUE
Status epilepticus is a medical emergency and should be managed as soon as it is recognized TRUE OR FALSE
TRUE
Status epilepticus is defined by prolonged seizure greater than 5 minutes TRUE or FALSE
TRUE
TRUE OR FALSE: A patient with an indwelling catheter should be assessed every shift to determine if the catheter is appropriate.
TRUE
TRUE OR FALSE: A person diagnosed with Type 2 Diabetes is first treated with lifestyle changes, then can progress to oral medications, insulin or a combination of both.
TRUE
TRUE OR FALSE: A person with a diagnosis of Type 1 Diabetes requires the use of insulin
TRUE
TRUE OR FALSE: End stage renal disease (stage 5) requires a form of dialysis or kidney transplant
TRUE
TRUE OR FALSE: Exercise for diabetics is important because it help the body use blood glucose for energy- which can help lower blood glucose levels
TRUE
TRUE OR FALSE: Hypoglycemia signs and symptoms include: sweating, confusion, tachycardia, hunger, headache, and possible unconsciousness
TRUE
TRUE OR FALSE: If a lower urinary tract goes untreated it can spread to the kidneys (pyelonephritis) and possibly sepsis
TRUE
TRUE OR FALSE: Normal urine output is 0.5-1.5mL/kg per hour or 1-2L per day
TRUE
TRUE OR FALSE: One of the functions of the kidney is blood pressure regulation
TRUE
TRUE OR FALSE: Polyphagia means increased appetite
TRUE
TRUE OR FALSE: Some symptoms of hyperthyroid and hypothyroid can be easy remembered by thinking low (hypo) and high (hyper), including body temperature, heart rate, appetite, calorie burning/weight changes and energy levels (fatigue or irritability/nervousness)
TRUE
TRUE OR FALSE: The thyroid hormones T3 and T4 help maintain metabolism, temperature control, growth and development, and vascular resistance.
TRUE
Following a thyroidectomy, a client exhibits signs of tetany. The nurse anticipates administering which medication? A. propylthiouracil b. potassium iodide c. IV calcium gluconate d. methimazole
c. IV calcium gluconate
A client with a history of type 1 diabetes is demonstrating fast, deep, labored breathing and has fruity odored breath. What could be the cause of the client's current serious condition?
ketoacidosis
A nurse is assessing a postoperative client for hemorrhage. What responses associated with the compensatory stage of shock should be reported to the healthcare provider?
tachycardia and tachypnea
