Vn 36 CLO 4

A client is newly diagnosed with benign paroxysmal positional vertigo. Which is the priority nursing intervention?

Encourage bed rest

A client is prescribed amitriptyline, an antidepressant for incontinence. The nurse understands that this drug is an effective treatment for which reason? Select all that apply.

Increases bladder neck resistance Increases contraction of the detrusor muscle

Which action by the nurse is most appropriate when the client demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery?

Record the observation

Which of the following ventilation-perfusion mismatch would correlate with acute respiratory distress syndrome (ARDS)?

Shunt

A client is scheduled to have an x-ray examination of his shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. The nurse understands that the client will be undergoing which of the following?

arthrogram

A nurse cares for a client suspected of having iron deficient anemia. Which diagnostic test will the nurse expect the health care provider to order in order to definitively diagnose the condition?

bone marrow aspiration

A client who has been diagnosed with an early glottis cancer would likely undergo which type of surgery?

laser microsurgery

While auscultating a client's heart sounds, the nurse hears an extra heart sound immediately after the second heart sound (S2). An audible S3 would be considered an expected finding in what client?

• A client who has undergone valve replacement

Which technique would be most beneficial for ambulation of a client who is visually impaired?

• Allow client to follow your lead.

A client has just been diagnosed with psoriasis and frequently has lesions around his right eye. What should the nurse teach the client about topical corticosteroid use on these lesions?

• Cataract development is possible.

A nurse is caring for a client who has been diagnosed with an autosomal dominant hematologic disorder. Which disease does the nurse suspect?

• Factor V Leiden

The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which of the following symptoms would indicate to the nurse the need for administration of this drug? Select all that apply.

• Increased bladder pressure and pain • Slowed or stopped infusion rate

A client is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the client develops fine blisters, papules, and severe itching. The nurse knows that this is indicative of what strength reaction?

• Moderately positive

The home health nurse is monitoring anticoagulant therapy by assessing prothrombin time (PT) laboratory values. Which action taken by the nurse is the correct response anticipated for a PT level of 21 seconds?

• No change in dosage.

A client has recently been diagnosed with Hodgkin's disease. Which treatment possibility is least likely for this client?

• Surgery

A client has been diagnosed with serous otitis media for the third time in the past year. How should the nurse best interpret this client's health status?

• The client needs to be assessed for nasopharyngeal cancer.