PATHO 3

19) A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?

A) A room with air exhaust directly to the outdoor environment

A nurse is caring for a client who presents to the hospital with manifestations of a thoracic injury. which of the following diagnostic tools would the nurse anticipate the health care provider to order?

A) Chest x-ray B) Focused assessment with sonography in trauma (FAST D) Ultrasound

18) Which of the following are the most common manifestations of COPD?

A) Chronic cough B) Sputum production C) Dyspnea

10) A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk of urinary retention?

A) Constipation B) Multiple sclerosis C) Parkinson's disease D) Pelvic organs prolapse

A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections by 12% in the past year. In an effort to decrease this rate, which of the following should the nurse manager teach the nursing staff?

A) Encourage adequate fluid intake every day B) Remind clients to urinate right away when they have an urge to completely empty their bladder C) Continue prescribed antibiotics even if the client's symptoms have subsided D) Promote perineal care that includes wiping the perineum from the front to the back E) Obtain orders from the health care provider to discontinue catheters as soon as possible

26) A nurse is caring for a client who has returned from the surgical suite following a surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?

A) Prevent aspiration

A nurse is caring for a client who has end-stage kidney disease who will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact quality of life?

A) Restricting fluid intake D) Restricting foods high in potassium, sodium, and phosphorus (renal diet: low sodium, no oranges, no tomatoes, no potatoes) F) Time constraints

A nurse is performing a n assessment of a female client in the clinic. The client reports foul-smelling urine and pain with urination. The client states, "I bet I have a UTI. Why do I tend to get a urinary tract infections?" Which of the following statements should the nurse include in the explanation?

As a female, you have a shorter urethra creating an easier way for bacteria to invade your bladder"

A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7C(100F), and pain with urination. Which of the following should the nurse expect the health care provider to order?

B) Broad-spectrum antibiotic C) WBC coUNT A clean-catch urinalysis and urine culture D) 0.9% sodium chloride infusion at 100 mL/hr

20) A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?

B) Perform a neurovascular assessment

A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

Blood pressure control

A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instruction should the nurse include in the teaching?

C) Apply ice to the affected area

25) A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hours postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?

C) Hip arthroplasty

A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTI) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who don't have vaginas, which of the following explanations should the nurse use?

Clients who have vaginas have a shorter urethra allowing bacteria to invade the bladder easier

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

D) Administer oxygen via nasal cannula

a nurse is assessing a client who is in skeletal traction. Which of the following should the nurse identify as an indication of infection at the pin sites?

D) Fever

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

D) Perform pre-oxygenation prior to suctioning

A nurse is caring for older adults at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention?

Dribbling of urine Bladder distention Voiding pattern

A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of hypertension and gout. The client works 6 days of the week outside in temperatures between 32.2C to 37.8C (. Which of the following should the nurse tell the client to prevent a reoccurrence of renal calculi?

Drink plenty of fluids during the day

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment?

Fish type odor of the urine Mental confusion

Which of the following are manifestations of obstructive sleep apnea? (select all

Frequent, loud snoring C) Loud snort after breathing D) 10 seconds or longer of breathing cessation 10 seconds or longer of breathing cessation E) Daytime sleepiness F) Many episodes of apnea per nighT

A nurse is caring for a client who reports to the clinic for laboratory tests. The client has an acute kidney injury caused by acute tubular necrosis and asks why their glomerular filtration rate keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of the decrease?

The GFR decreases because there is injury to the renal tubular cells

A nurse is gathering medical history from a client admitted for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

The client reports that they had two urinary tract infections (UTI) in the past 10 month

A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admitted to the hospital for renal calculi and reports their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in the abdominal girth?

The kidneys might continue to enlarge due to the cyst growing which increases the girth of your abdomen"

A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Urine albumin increasing

A nurse is caring for an adult client in the emergency department. Complete the following sentence by using the list of options The first action the nurse should perform is:

notify the health care provider administer pain medication as prescribed.