Passpoint #2

A physician orders albuterol for a client with newly diagnosed asthma. When teaching the client about this drug, the nurse should explain that it may cause nervousness. nasal congestion. hyperkalemia. lethargy.

nervousness

Sulfamethoxazole has been prescribed to treat a client's urinary tract infection. The initial dosage is 2 g orally. The nurse has 500-mg tablets available. How many tablets should the nurse give? Record your answer using a whole number.

4

Which medication should be available to provide emergency treatment if a client develops tetany after a subtotal thyroidectomy? echothiophate iodide calcium gluconate sodium bicarbonate sodium phosphate

calcium gluconate

Which statement indicates a client understands teaching about the purified protein derivative (PPD) test for tuberculosis? "If the test area turns red that means I have tuberculosis." "I will come back in 1 week to have the test read." "Because I had a previous reaction to the test, this time I need to get a chest X-ray." "I will avoid contact with my family until I am done with the test."

"Because I had a previous reaction to the test, this time I need to get a chest X-ray."

The nurse is collecting data on a client with a urinary tract infection (UTI). Which statements should the nurse expect the client to make? Select all that apply. "I need to urinate frequently." "My urine smells sweet." "I need to urinate urgently." "I urinate large amounts." "It burns when I urinate."

"I need to urinate frequently." "I need to urinate urgently." "It burns when I urinate."

A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which statement, if made by a group member, would indicate understanding of the teaching? "I should take the medication ordered for the UTI until the symptoms subside." "It does not matter what type of underwear I wear as long as I do not take tub baths. "I should notify the physician if urinary urgency, burning, frequency, or difficulty urinating occurs." "To reduce urgency to urinate I should decrease my intake of fluids."

"I should notify the physician if urinary urgency, burning, frequency, or difficulty urinating occurs."

A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instruction? "Limit yourself to smoking only 2 cigarettes per day." "Maintain bed rest." "Weigh yourself daily and report a gain of 2 lb (0.91 kg) in 1 day." "Eat a high-sodium diet."

"Weigh yourself daily and report a gain of 2 lb (0.91 kg) in 1 day."

A client with chronic obstructive pulmonary disease (COPD) has developed tachypnea, dyspnea, and oxygen saturation (SaO2) of 90%. Which action by the nurse is most appropriate? Assist the client to sit in a chair and lean slightly forward with hands on the knees. Place the client on bed rest. Place the client in the Trendelenburg position. Position the client in a low Fowler's position with the knees flexed.

Assist the client to sit in a chair and lean slightly forward with hands on the knees

A nurse is assessing a client with right flank pain, fever, and chills. A urine culture is obtained, and a diagnosis of suspected right pyelonephritis is documented. When instructing the client on the diagnosis, the nurse uses a diagram of the urinary structures. Identify the area associated with the diagnosis.

D

A client is admitted to a healthcare facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client? Activity intolerance related to shortness of breath Risk for infection related to retained secretions Anxiety related to difficulty breathing Impaired gas exchange related to airflow obstruction

Impaired gas exchange related to airflow obstruction

A client with a history of asthma is brought to the emergency department in respiratory distress. Which is the priority action by the nurse? Position in Fowler's position, initiate oxygen, and administer bronchodilators as ordered. Encourage ambulation and administer bronchodilators and steroids as ordered. Position in high Fowler's position and administer bronchodilators as ordered. Place in supine position, initiate oxygen, and administer bronchodilators as ordered.

Position in Fowler's position, initiate oxygen, and administer bronchodilators as ordered.

The graduate registered nurse (RN) is assigned the care of a client with acute renal failure and hypernatremia. Which actions can the graduate RN delegate to the unlicensed assistive personnel (UAP)? Select all that apply. Assess daily weights for trends. Monitor for dehydration. Administer saline IV fluid. Provide oral care.

Provide oral care

The nurse is offering further education to a client about the management of COPD. Which outcomes would indicate the teaching has been effective? Select all that apply. The client maintains smoking cessation. The client demonstrates pursed-lip breathing and coughing exercises. The client continues to smoke four cigarettes a day. The client exercises daily for 2 hours. The client schedules follow-up physician appointments.

The client demonstrates pursed-lip breathing and coughing exercises. The client maintains smoking cessation. The client schedules follow-up physician appointments.

A nurse is reviewing orders for a client having an acute asthma attack. Which medication should the nurse administer? triamcinolone two puffs per metered-dose inhaler albuterol 2.5 mg per nebulizer salmeterol 50 μg per dry-powder inhaler methylprednisolone 60 mg I.V.

albuterol 2.5 mg per nebulizer

A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN) of 100 mg/dL, serum creatinine of 6.5 mg/dL, potassium of 6.1 mEq/L, and lethargy. What is the priority nursing assessment? cardiac rhythm blood pressure arterial blood gases weight changes

cardiac rhythm

A client with emphysema is at a greater risk for developing what acid-base imbalance? respiratory alkalosis chronic metabolic acidosis chronic respiratory acidosis metabolic alkalosis

chronic respiratory acidosis

A client admitted with tuberculosis reports concerns about paying for needed medications. The nurse should: call the public health nurse to research free medications. contact the community's free clinic for medications. coordinate with the pharmaceutical company for free samples. collaborate with the social worker to investigate possible availability of funds.

collaborate with the social worker to investigate possible availability of funds.

A client has undergone a left hemicolectomy for bowel cancer. Which combination of activities is most effective in preventing the occurrence of postoperative pneumonia in this client? coughing, breathing deeply, frequent repositioning, and using an incentive spirometer administering pain medications, frequent repositioning, and encouraging fluid intake administering oxygen, coughing, breathing deeply, and encouraging fluid intake coughing, breathing deeply, maintaining bed rest, and using an incentive spirometer

coughing, breathing deeply, frequent repositioning, and using an incentive spirometer

After suctioning a client's tracheostomy tube, the nurse waits a few minutes before suctioning again. The nurse should use intermittent suction primarily to help prevent: stimulating the client's cough reflex. depriving the client of sufficient oxygen supply. dislodging the tracheostomy tube. obstructing the suctioning catheter with secretions.

depriving the client of sufficient oxygen supply.

A client with chronic renal failure is admitted with a heart rate of 122 beats/minute, a respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, jugular vein distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this client? toileting self-care deficit excess fluid volume urinary retention electrolyte disturbance

excess fluid volume

A nurse consulting with a nutrition specialist knows it's important to consider a special diet for a client with chronic obstructive pulmonary disease (COPD). Which diet is appropriate for this client? high-protein 1,800-calorie ADA low-fat full-liquid

high-protein

On the third day after a partial thyroidectomy, a client exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a life-threatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery? hypocalcemia hyperkalemia hypermagnesemia hyponatremia

hypocalcemia

The nurse receives a change-of-shift report on the following four clients. Which client should the nurse assess first? client with influenza who has a temperature of 101.5°F (38.6°C) client with atrial fibrillation who has a dose of diltiazem due in 15 minutes client with cystic fibrosis who has an albuterol nebulizer treatment due in 10 minutes immobile client with a sudden onset of shortness of breath

immobile client with a sudden onset of shortness of breath

A client is admitted with fever and flank pain and is diagnosed with pyelonephritis. What is a priority nursing intervention in a client with this disorder? initiating a 24-hour urine collection after the first morning void monitoring laboratory values, especially WBCs straining all urine obtaining a clean catch urine specimen for specific gravity

monitoring laboratory values, especially WBCs

A client who has been taking furosemide has a serum potassium level of 3.2 mEq/L. Which assessment findings by the nurse would confirm an electrolyte imbalance? diarrhea and cramps mental status changes and poor tissue turgor muscle weakness and a weak, irregular pulse tetany and tremors

muscle weakness and a weak, irregular pulse

A client must receive a blood transfusion of packed red blood cells (RBCs) for severe anemia. What I.V. fluid should the nurse use to prime the tubing before hanging this blood product? dextrose 5% in water as this is considered an isotonic solution no priming needed since blood products must be infused alone per current guidelines lactated Ringer's solution as this is considered an isotonic solution normal saline solution as this is considered an isotonic solution

normal saline solution as this is considered an isotonic solution

A client who has been hospitalized for treatment of a pneumothorax is ready for discharge. Which outcomes indicate that the client has adequate respiratory function? Select all that apply. respiratory rate of 12 to 20 breaths per minute orthopneic breathing exhibited breath sounds present and equal in all lobes use of accessory muscles with each breath oxygen saturation on room air is 95%.

respiratory rate of 12 to 20 breaths per minute breath sounds present and equal in all lobes oxygen saturation on room air is 95%.

A client with bacterial pneumonia is to be started on IV antibiotics. The nurse should verify that which diagnostic test has been completed before administering the antibiotic? chest radiograph red blood cell count sputum culture urinalysis

sputum culture

A client with a history of type 1 diabetes is admitted to the hospital with community-acquired pneumonia. The client's blood glucose level in the emergency care unit was 576 mg/dl (31.97 mmol/L). The physician orders an I.V. containing normal saline solution, an insulin infusion, and I.V. levofloxacin. The nurse piggybacks the insulin infusion into the normal saline solution. The nurse questions whether piggybacking the levofloxacin into the same I.V. line is appropriate. Which health team member should the nurse collaborate with to check the compatibility of these solutions? the infectious disease nurse the coworker with 20 years of nursing experience the pharmacist covering the floor the physician who ordered the medications

the pharmacist covering the floor

A client with an indwelling urinary catheter is suspected of having a urinary tract infection. The nurse should collect a urine specimen for culture and sensitivity by draining urine from the drainage bag into a sterile container. wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle. disconnecting the tubing from the urinary catheter and letting the urine flow into a sterile container. clamping the tubing for 60 minutes and inserting a sterile needle into the tubing above the clamp to aspirate urine

wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle.

A nurse is planning care for a client after a tracheostomy. One of the client's goals is to overcome verbal communication impairment. Which intervention should the nurse include in the care plan? Encourage the client's communication, allowing time to select or write words. Answer questions for the client to reduce frustration when communicating. Encourage a family member to be present to speak for the client. Make time to read the client's lips to foster communication.

Encourage the client's communication, allowing time to select or write words.

Oxygen at the rate of 2 liters per minute through nasal cannula is prescribed for a client with chronic obstructive pulmonary disease (COPD). Which of the following statements best describes why the oxygen therapy is maintained at a relatively low concentration? The client's respiratory center is so used to high carbon dioxide and low oxygen levels that changing these levels may eliminate his stimulus for breathing. The cells in the alveoli are so damaged by the client's long history of respiratory problems that increased oxygen levels and reduced carbon dioxide levels likely will cause the cells to burst. The oxygen will be lost at the client's nostrils if given at a higher level with a nasal cannula. The client's long history of respiratory problems indicates that he would be unable to absorb oxygen given at a higher rate

The client's respiratory center is so used to high carbon dioxide and low oxygen levels that changing these levels may eliminate his stimulus for breathing.