PREPU QUIZ PART B

B. Routine use of quinine for management of leg cramps

While reviewing the health history of an older adult experiencing hearing loss the nurse notes the client has had no trauma or loss of balance. What aspect of this client's health history is most likely to be linked to the client's hearing deficit? A Recent completion of radiation therapy for treatment of thyroid cancer B Routine use of quinine for management of leg cramps C Allergy to hair coloring and hair spray D Previous perforation of the eardrum

Staphylococcus aureus

Bacterial infection occurs in about 70% of those who have acute rhinosinusitis. The nurse is aware that the least common bacteria is: Streptococcus pneumonia Haemophilus influenza Staphylococcus aureus Moraxella catarrhalis

atelectasis or pneumonia

Complications in clients with hip fractures are often related to the client's age (75). During the first 24 to 48 hours following surgery for hip fracture include

delirium

Elderly clients are also at risk for ____ in hospital settings because of the stress of the trauma, unfamiliar surroundings, sleep deprivation, and medications

A, B, C

For which of the following category of patients are contact lenses contraindicated? Those who have history of recurrent eye infections. SATA A. Those who have history of recurrent eye infections B. Those who have severe allergic reactions C. Those who have low tear production D. Those who have inflammation of the Zeis gland E. Those who have conjunctivitis

B, C

For which of the following immobility-related complications is the client in traction at risk? Select all that apply. A. Cachexia B. Thromboemboli C. Urinary stasis D. Diarrhea E. Lactose intolerance

affected

Pleuritic pain from irritation of the parietal pleura is sharp and seems to "catch" upon inspiration; clients often describe it as "like the stabbing of a knife." Clients are more comfortable when they lay on the ____ side because this splints the chest wall, limits expansion and contraction of the lung, and reduces the friction between the injured or diseased pleurae on that side. Pain associated with cough may be reduced manually by splinting the rib cage

Isolate affected residents from residents who have not developed conjunctivitis.

Several residents of a long-term care facility have developed signs and symptoms of viral conjunctivitis. What is the most appropriate action of the nurse who oversees care in the facility? Arrange for the administration of prophylactic antibiotics to unaffected residents. Instill normal saline into the eyes of affected residents two to three times daily. Swab the conjunctiva of unaffected residents for culture and sensitivity testing. Isolate affected residents from residents who have not developed conjunctivitis.

skin breakdown

elderly client with decreased mobility is at risk for ____

Crohn's disease

evidenced by symptoms outside the GI tract, referred to as extraintestinal manifestations of IBD. They include arthritis, arthralgias, skin lesions, eye inflammation (uveitis, conjunctivitis, and iritis), and disorders of the liver and gallbladder.

necrosis

is a potential complication of the surgery, but the complication would be with the femur

myringotomy (i.e., tympanotomy)

is an incision in the tympanic membrane. Under microscopic guidance, an incision is made through the tympanic membrane to relieve pressure and to drain serous or purulent fluid from the middle ear.

Immobility

related complications may include pressure ulcers, atelectasis, pneumonia, constipation, loss of appetite, urinary stasis, urinary tract infections, and venous thromboemboli formation.

A, C, D, E

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply. A. Pneumonia B. Necrosis of the humerus C. Skin breakdown D. Sepsis E. Delirium

Crohn's disease

A client with a 10-year history of Crohn's disease is seeing the physician due to increased diarrhea and fatigue. Additionally, the client has developed arthritis and conjunctivitis. What is the mostlikely cause of the latest symptoms? Crohn's disease staph infections irritable bowel syndrome All options are correct.

A, B, C, E

A nurse is performing a physical assessment on a client who has a history of a respiratory infection. Which documentation, completed by the nurse, indicates the resolution of the infection? Select all that apply. A. Lung fields documented as clear in the bases. B. Palpable vibrations over the chest wall when the client speaks. C. Decreased fremitus when the client speaks "99." D. Dull sounds percussed over the lung tissue. E. Bronchovesicular sounds heard over the upper lung fields.

Myringotomy

A patient has serous otitis media with significant hearing loss in the right ear. The patient states, "I have not been able to hear for 2 months." What procedure does the nurse anticipate preparing the patient for? Irrigation of the ear Myringotomy Removal of cerumen with a cerumen curette Instillation of otic solution

Viral conjunctivitis

Home care involves staying at home and away from others until the inflammation is no longer present. Warm soaks should be used each morning to remove any crusty type drainage. Contact lens should not be worn until the eye has healed. Hands should be washed before and after touching the eyes and frequently during the day and the client should use separate towels, washcloths and other linens until the infection has cleared.

Assume a left side-lying position while in bed

The nurse is caring for a client reporting chest discomfort. The client's diagnosis at admission is left lower lobe pneumonia. Which strategy will the nurse instruct the client to use to help alleviate the discomfort? Lay on the right side Assume a left side-lying position while in bed Request narcotic medication when pain is experienced Complete deep breathing exercises when chest discomfort occurs

Level of consciousness

The nurse is caring for a patient admitted to the hospital with a brain abscess that developed from an untreated case of otitis media. What assessment data is a priority to alert the nurse to changes in intracranial pressure? Level of consciousness Peripheral pulses Sensory perception Crackles bilaterally

B, D, E

The nurse is giving instructions to a client who has been diagnosed with viral conjunctivitis. The nurse will teach the client which aspects of self-care related to this disorder? Select all that apply. A. Place cool soaks on your eye each morning to remove purulent drainage. B. Do not wear contact lenses until there is no more inflammation. C. Stay at home for the first 24 hours. D. Wash hands before touching eyes and frequently during the day. E. Do not use the same towels or washcloths as other members of the family.

"To detect corneal abrasions, a slit lamp is used."

The nurse is instructing a nursing student when a new client comes to the eye clinic. The client explains that he thinks he has a corneal abrasion. The nurse should explain what to the student nurse? "To detect corneal abrasions, an ophthalmoscope is used." "To detect corneal abrasions, ultrasonography is used." "To detect corneal abrasions, a slit lamp is used." "To detect corneal abrasions, retinal angiography is used."