Exam 3 ATI

A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching?

"Glucosamine can suppress joint inflammation."

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?

"I can use either heat or ice to help relieve the discomfort."

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

"I will make a list of my favorite beverages."

A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

"I will reduce my intake of vitamin K-rich foods."

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

"Offer fluids to your child multiple times every."

A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?

"Prevent the spread of infection with good household cleaning practices."

A nurse is teaching a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching?

"Take acetaminophen as the primary medication to treat the pain."

A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?

"Tell me more about your concerns about taking chemotherapy."

A client who has chronic lymphocytic leukemia is starting chemotherapy treatments and asks if she needs to make dietary changes. Which of the following statements should the nurse make?

"You should avoid drinking liquids an hour before the treatments."

A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching?

"You will need to remove all jewelry before the test."

A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthrosis. The amount available is naproxen 125 mg/5mL oral suspension. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it apples. Do not use a trailing zero.)

20 mL

A nurse is reviewing the medical records of four older adult clients. The nurse should plan to administer the herpes zoster vaccine to which of the following clients?

A client who take omeprazole for peptic ulcer disease

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

A phlebotomist who collect blood from clients who have HIV

A nurse is planning care for a client who has leukemia and platelet counts of 130,000 /mm^3. Which of the following interventions should the nurse include in the plan of care?

Limit IM injections.

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?

Maintain a recommended body weight.

A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?

Broccoli

A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?

Many clients experience pain in the affected area for weeks after the lesions have resolved.

A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

Metabolic alkalosis

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Prothrombin (PT)

A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Schilling test

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Scoliosis

A nurse in a provider's office is collecting a health history form a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis?

Sedentary lifestyle

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select all that apply.)

1. Affects weight-bearing joints 2. Crepitus can occur in affected joints 3. Causes joint stiffness 4. Causes joint pain

A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

1. Aging 2. Obesity 3. Smoking

A nurse is providing dietary teaching to a client who has chronic kidney disease (CKD). The nurse should instruct the client to limit which of the following nutrients? (Select all that apply.)

1. Protein 2. Phosphorus 3. Sodium

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

1. Slurred speech 2. Bone pain 3. Pruritus

A nurse is planning a menu for a client who has folic acid deficiency anemia. Which of the following foods should the nurse include as high in folate?

1/2 cup of asparagus

A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, " I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following crisis?

Situational

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Smokes 1 pack of cigarettes per day

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

"I need to increase my fluid intake while taking this medication."

A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. Which of the following statements indicates the client understands the teaching?

"I should avoid eating liver and other organ meat."

A nurse is teaching a parent of child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?

"I will apply heat."

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Acetaminophen

A nurse is planning care for an older adult client who has herpes zoster. Which of the following interventions should the nurse include in the plan?

Administer analgesics for pain.

A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages trigger an attack?

Alcohol

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Alcohol use disorder

A nurse is teaching a client who has new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?

Aplastic anemia results from decreased bone marrow suppression of RBCs.

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

Avoid crowds.

A nurse is reviewing the BUN and creatinine levels of an older adult client who ha chronic kidney disease. The nurse should expect which of the following findings?

BUN 45 mg/dL and creatinine 8 mg/dL

A nurse is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Black, tarry stools

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

Bleeding

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

CD4-T-cell count 180 cells/mm^3

A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?

Candidiasis

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia

Chronic blood loss

A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

Completing a dressing change

A nurse is planning care for a client who is to undergone a stem cell transplant. Which of the following actions should the nurse plan to take?

Keep blood pressure equipment in the client's room.

A nurse is reinforcing teaching with a client who has a new prescription for colchicine orally to treat gout. The nurse should inform the client that which of the following is adverse effect of colchicine?

Diarrhea

A nurse is teaching a client who has a family history of hemophilia A about manifestations of the disorder. The nurse should include which of the following manifestations in the teaching?

Disabling joint pain

A nurse is teaching a client who has new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching?

Eat less liver, sardines, and shrimp.

A nurse is reviewing the provider's history and physical form for a client who has advanced multiple myeloma. Which of the following findings should the nurse expect?

Ecchymoses

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

Fatigue

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?

Flu-like symptoms and night sweats

A nurse is caring for a client who has end-stage kidney disease (EKSD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?

Hypervolemia

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspect which of the following types of anemia?

Iron-deficiency anemia

A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?

It is primarily transmitted through direct contact with infected body fluids

A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?

Observe for indications of hypokalemia.

A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?

Obtain a sputum culture.

A nurse is caring for a client who has herpes zoster. Which of the following findings should the nurse expect?

Painful lesions following a nerve pathway

A nurse is working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?

Pre-adolescent/adolescent

A nurse is caring for a client who has HIV. Which of the following laboratory tests should the nurse monitor to assess the effectiveness of therapy?

Quantitative RNA assay

A nurse is teaching a client about medication that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis?

Raloxifene

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Recombinant

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?

Renal stones

A nurse is teaching a client who has gout about medications. The nurse should teach the client to avoid the use of which of the following types of medication?

Salicylates

A nurse is setting goal for a client who has AIDS and is at the end of life. Which of the following are realistic goals?

The client will receive medication to minimize episodes of breakthrough pain.

A nurse is teaching an older adult client who has herpes zoster about the order of occurrence of findings associated with this disorder. Identify the order in which the findings typically occur. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.0

The usual presentation of herpes zoster virus begins with paresthesias. Then, redness and swelling develops before the vesicles appear along the affected nerve. These vesicles usually open and begin to drain for a few days before they crust over and healing begins. Many older adult clients develop postherpetic neuralgia (pain along the nerve) for months after the lesions disappear.

A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis?

Thyroid hormones

A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?

Thyroid hormones

A nurse is teaching a client who has chronic tophaceous gout about his new prescription for allopurinol. The nurse should explain that the purpose of this medication is reduce blood levels of which of the following substance?

Uric acid

A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis?

Western blot analysis