Funds Exam 3

A nurse is assisting with providing teaching to a client who has a new prescription for an antibiotic. Which of the following statements should the nurse make?

"Check with vour provider before taking over-the-counter medications"

A nurse is reinforcina preoperative teaching for a client about coughing and deep breathing. Which ot the Tollowing statements should the nurse make?

"Repeat vour breathing exercise every 2 hrs."

A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

"You should inhale through our nose and exhale through your mouth during purse-lipped breathing."

A nurse is caring for a group of clients. Which of the following clients should the nurse identifv as having an risk for aspiration while eating? Select all that apply.)

- A client who has had a stroke - A client who is 4 hr postoperative following a leg amputation under general anesthesia -A client who has had radiation therapy for head and neck cancer

A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following Instructions should the nurse include?

A non-rebreather mask should fit snugly over a clients face

A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching?

At the beginning of the collection time, urinate and then discard the urine.

A nurse is collecting data on a client who has COPD. Which of the following findings should the nurse expect?

Barrel chest

A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

Check the clients vital signs

A nurse is collecting data on a client who has a pleural effusion. Which of the following findings should the nurse expect?

Dullness percussed over the clients lung fields

A nurse is collecting data on a client who has obstructive sleep apnea. Which of the following findinas should the nurse expect

Headache

A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?

Heart murmur

A nurse is planning to calculate a clients cardiac output. Which of the following days should the nurse obtain to calculate the cardiac output?

Heart rate

A nurse is assisting with teaching a class about oxygen transport in the cardiopulmonary system. Which of the following cells transports oxygen in the blood?

Hemoglobin

A nurse is collecting data on a client who is experiencing anxiety. Which of the following findings should the nurse expect.

Hyperventilation

A nurse is implementing a bladder-training program for a client. For which of the following actions by the assistive personnel AP) who is helping with the client's care should the nurse intervene?

Instructs the client to urinate whenever the urge occurs

A nurse is assisting with teaching a clas s about routes of medication administration. he nurse should include tha which of the following routes has the fastest rate of absorption?

Intravenous

A nurse is caring for a client who has a respiratory infection. When the client asks how the position the nurse put him in can help, the nurse should explain that lying on his left side in Trendelenburg position helps mobilize secretions from which of the following lung segments?

Lateral segment of the lower lobe

13. A nurse is collecting data on a client who has bradycardia. Which of the following findinas should the nurse expect

Lightheaded ness

A nurse is collecting data from a client who reports persistent vomiting, dizziness, palpitations, and numbness and tingling In his fingers and toes and around his mouth. The nurse notes the client's respirations are slow and shallow. The nurse should suspect that the client has develoned which of the following acid-base imbalances?

Metabolic alkalosis

A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect!

Muscle twitching

A nurse is reinforcing teaching with a client who is at risk for heart disease. Which of the following instructions should the nurse include?

Perform meditation to reduce stress

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

Perform tracheostomy care for the client ever 4 hr

A nurse is collecting data on a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Peripheral edema

A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? • Select a that apply.

Poor skin turgor, Hypotension, Flat neck veins

A nurse is reinforcing teaching with a client who has a prescription for home oxygen. Which of the following instructions should the nurse include?

Post a "No Smoking" sign inside the home. Attach oxvgen containers to a fixed object. Notify the fire department that oxygen is used in the home.

A nurse is reviewing the medical record of a client who has pneumonia. The nurse should plan to have the client lie on his stomach in Trendelenburg position with pillows elevating the right side of his chest to mobilize secretions from which of the following lung segments?

Posterior segment of the lower right lobe

A nurse is assisting with teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs from the right ventricle starting from which of the tollowing locations.

Pulmonary artery

A nurse is teaching a class about pulmonary circulation. The nurse should include that blood flows to the heart to the lungs from the right ventricle starting from which of the following locations?

Pulmonary artery

A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?

Rinse the clients mouth before collecting the specimen

A nurse is assisting with teaching a newly licensed nurse about heart sounds. Which of the following sounds Is heard when the aortic and pulmonic valves close?

S2

A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?

Skin tenting

A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable?

Smoking, exercise, diet

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

Store oxygen tanks upright

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

Tape the connections on the clients chest tube

A nurse is caring fora chent who Is unconscious. With the help of an assistive personnel, the nurse has repositioned the client from a left lateral to a right lateral position. The client's daughter asks why the nurse keeps her father lying on his side. Which of the following rationales should the nurse give the family member?

To prevent aspiration problems

A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

Urine outout 20 ml/br

A nurse is evaluating an older adult client who is receiving end-of-lite care and has Cheyne-Stokes respirations. which of the tollowing observations should the nurse identit as contirmation of this respirator pattern?

breathing ranging from very deep to very shallow with periods or apnea

A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence?

stress incontinence

A nurse is reviewing the client's medical record. Which of the following findings places the client at risk for heart disease? Select all that apply.

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