Health and illness Pearson quizzes
The mother of a child diagnosed with bronchiolitis caused by respiratory syncytial virus (RSV) is upset to learn that the child will be admitted to a semi-private room. Which explanation by the nurse is the most appropriate regarding this room assignment? "RSV is contagious, however placing two children with the same illness is permissible." "RSV is not contagious so the roommate will not contract the illness." "The children will have companionship when the parents are not able to visit." "The nurse can provide care to both children at the same time."
"RSV is contagious, however placing two children with the same illness is permissible."
The school nurse teaches a group of daycare teachers on the manifestations of respiratory syncytial virus (RSV). Which teacher's statement indicates that additional instruction is required? "I have to report any child that has a change in eating pattern." "Rapid breathing is not normal and needs to be checked out." "Vomiting and diarrhea need to be investigated." "Most babies are irritable when they miss their mothers."
"Most babies are irritable when they miss their mothers."
The client states to the nurse, "I take citalopram (Celexa) 40 mg every day, and I have also been taking St. John's wort 750 mg daily for the past 2 weeks." Which manifestations would lead the nurse to suspect that the client is developing serotonin syndrome? Select all that apply: Diaphoresis Ataxia Headache Confusion Constipation
Diaphoresis Ataxia Headache Confusion
The nurse is visiting the home of a new mother and full-term infant. During the course of the visit, the nurse suspects that the mother is experiencing early signs of postpartum depression. How did the nurse come to this conclusion? Client scored 4 on the CAGE questionnaire Client scored 12 on the Center for Epidemiological Studies Depression Scale Client scored 3 on the Cornell Depression Scale Client scored 13 on the Edinburgh Postnatal Depression Scale
Client scored 13 on the Edinburgh Postnatal Depression Scale
A nurse is providing care for a client with heart failure. The client has weakened ventricular contractions and deceased cardiac output. The nurse anticipates an order for which medication to improve contractility? Nitrates Digitalis glycosides Alpha-blockers Loop diuretics
Digitalis glycosides
During a home visit, the nurse is concerned that a client recovering from an osteoporosis-related fracture is at risk for future fractures. Which assessment finding supports the nurse's conclusion? Client drinking an occasional glass of wine Client consuming fresh fruits and vegetables every day Client using a treadmill every day Client smoking cigarettes
Client smoking cigarettes
During an annual checkup, the nurse suspects a 5-year-old child is experiencing an alteration in the endocrine system. Which assessment finding supports this suspicion? Client systolic blood pressure 90 mmHg Client's height the same as at age 4 Client wearing eye glasses Client playing on the floor with other children
Client's height the same as at age 4
At a meeting for family members of alcoholics, a spouse says, I did everything I could to help. I even requested sick leave when my partner was too drunk to go to work. The nurse assesses these comments as: 1. Codependence. 2. Assertiveness. 3. Role reversal. 4. Homeostasis.
Codependence.
A nurse is providing care for a client with Parkinson disease. When assessing the client's current condition, what should the nurse ask about? (Select all that Apply). Cognitive changes Difficulty waking Response to medications Dizziness when sitting
Cognitive changes Response to medications
The nurse is providing education to a client who has been prescribed alendronate sodium (Fosamax) for the treatment of osteoporosis. Which adverse effect will the nurse educate the client to expect while taking this medication? Hot flashes Constipation Sinusitis Dyspepsia
Dyspepsia
The nurse is caring for a client who reports trouble breathing and sever itching after receiving a flu vaccination. Which medication does the nurse prepare for the client? Triple antibiotic ointment Epinephrine Acetaminophen Ibuprofen
Epinephrine
For which complication should the nurse monitor a client with portal hypertension? Steatohepatitis Hep C Esophageal varices Hepatic encephalopathy
Esophageal varices
The mother of a 12-year-old female client is concerned that the client is growing too rapidly. What hormone should the nurse explain as being responsible for bone growth in puberty? Estrogen Calcitonin Thyroid Catecholamines
Estrogen
The nurse is caring for a client with cirrhosis of the liver. Which risk factors should the nurse expect to find in the client's history? (Select all that apply.) Excessive alcohol use Hepatitis E infection Biliary atresia Injection drug use Hepatitis C infection
Excessive alcohol use Injection drug use Hepatitis C infection
The nurse is assessing an older client and observes that both eyes are bulging anteriorly. What is the significance of this observation? Acute shock, indicating possible thyroiditis Fluid retention, indicating possible myxedema Exophthalmos, indicating possible Graves disease Goiters, indicating possible thyroid hyperplasia
Exophthalmos, indicating possible Graves disease
The spouse of a client who passed away a few moments ago is sitting in the room staring into space. When asked if there is anything that can be done at this time, the spouse begins to laugh. Which terms should the nurse use to describe the spouse's affect at this time? Select all that apply: Flat Appropriate Inappropriate Over-reactive Dramatic
Flat Inappropriate
A nurse is caring for a client newly diagnosed with heart failure. The client is placed on venous pressure monitoring. Which information about the heart function does venous pressure monitoring provide? Select all that apply: Fluid status Left ventricular and cardiac functioning Right heart filling pressures Normal range, 2 to 6 mmHg Direct and continuous arterial blood pressures
Fluid status Right heart filling pressures Normal range, 2 to 6 mmHg
The nurse is monitoring the fluid and electrolyte status of a client receiving intravenous colloids. The nurse understands that it is priority to monitor the client for manifestations of which imbalance? 1. Hyperkalemia 2. Fluid volume deficit 3. Fluid volume overload 4. Hypernatremia
Fluid volume overload
The mother of twin toddler girls asks the nurse to separate them at the time of annual inoculations because they will both open "fly off the handle" at the same time, making it difficult to control the situation. Which information about affect is this mother describing to the nurse? Genetic influence Fear of injections Normal toddler behavior Copycat behavior
Genetic influence
A patient tells the nurse, 'Air Force jets flying overhead are looking for me. They want to capture me.' The patient has not previously verbalized this information. The nurse's initial interventions should: set firm limits on disruptive behaviors. Gently voice doubt about delusions without arguing. forcefully refute all perceptual distortions. encourage complete description of delusions.
Gently voice doubt about delusions without arguing.
A nurse is assessing a client with peripheral vascular disease (PVD). Which clinical manifestation will the nurse expect to find on assessment? Spoon-shaped toenails Pallor in lower extremities when in the dependent position Dark red color to extremities when elevated Hairless lower extremities
Hairless lower extremities
Which behaviors would demonstrate a strong possibility for successful rehabilitation for a patient with a substance abuse-related diagnosis? 1. States that, "I promise I'll never use drugs again." 2. Has shown ability to use effective coping mechanisms 3. Control over emotions resulting in aggressive behavior 4. Plans to associate with old friends "only when they aren't drinking"
Has shown ability to use effective coping mechanisms
The nurse is preparing an educational seminar on depression for a community health fair. Which strategies should the nurse include to reduce depressive episodes? Select all the apply: Ingest alcohol on a daily basis Have regular visits with the healthcare provider Obtain adequate rest Be aware of family risk factors Build a strong support system
Have regular visits with the healthcare provider Obtain adequate rest Be aware of family risk factors Build a strong support system
A nurse is providing care to a client diagnosed with heart failure. Which interventions should the nurse implement when monitoring the client's fluid volume? Select all that apply: Record hourly urine outputs. Weigh the client daily. Allow for rest periods. Monitor intake and output. Auscultate lung sounds every 4 hours.
Record hourly urine outputs. Weigh the client daily. Monitor intake and output. Auscultate lung sounds every 4 hours.
The nurse is preparing to instruct a client on the newly prescribed medication risedronate sodium (Actonel). What should the nurse include in this teaching? (Select all that apply.) Remain upright for 30 minutes Take on an empty stomach first thing in the morning with water Take 1 hour before meals or 2 hours after meals Dilute in water or orange juice Do not eat or drink anything else for 30 minutes after taking
Remain upright for 30 minutes Take on an empty stomach first thing in the morning with water Do not eat or drink anything else for 30 minutes after taking
A client has questions about surgery to replace the need to take insulin several times a day. Which is a surgical intervention that can be considered for clients with diabetes mellitus? (Select all that apply.) Replacing the pancreas Islet cell transplantation Replacing pancreatic cells Removing the spleen Replacing a part of the liver
Replacing the pancreas Islet cell transplantation Replacing pancreatic cells
The nurse is providing care to a client who is exhibiting clinical manifestations of a severe fluid and electrolyte imbalance. Based on this data, which health care provider prescriptions does the nurse prepare to implement? Select all that apply. 1. Administer antibiotics. 2. Initiate intravenous therapy. 3. Administer diuretics. 4. Administer red blood cells.
Initiate intravenous therapy. Administer diuretics.
A client is being admitted for treatment of major depressive disorder. Which symptom should the nurse anticipate the client would experience during hospitalization? Insomnia Increased libido Enhanced energy Euphoria
Insomnia
The nurse is caring for a 70-year-old client admitted for possible type 2 diabetes mellitus. When obtaining the client's history, which conditions are potential indicators of diabetes mellitus in this older client? (Select all that apply.) Periodontal disease Impotence Gastroparesis Hypertension Glaucoma
Periodontal disease Impotence Gastroparesis Glaucoma
The nurse is planning care for a client with seasonal affective disorder (SAD). After which intervention would the nurse expect to see improvement in emotional stability? Yoga Electroconvulsive therapy Phototherapy Massage therapy
Phototherapy
Which priority problem should the nurse include when planning care for a client diagnosed with major depressive disorder? Impaired self-care Disturbed body image Risk for violence directed at self Risk for social isolation
Risk for violence directed at self
An elderly client is admitted to the hospital after a fall. The client appears intermittently confused. What is a primary concern of the nurse regarding fluid and electrolytes when caring for this client? 1. Risk of dehydration 2. Risk of kidney damage 3. Risk of stroke 4. Risk of bleeding
Risk of dehydration
A client with diabetes mellitus is admitted to the medical unit for chronic complications. The nurse ensures that the client's room is free of clutter and has a night light, and checks the water temperature before bathing the client. Which potential problem do these interventions address when caring for this client? Risk of infection Acute pain Ineffective coping Risk of injury
Risk of injury
Which lifestyle choice can increase a client's risk of developing osteoporosis? (Select all that apply.) Consumption of milk products Moderate exercise Sedentary lifestyle Excessive alcohol consumption Smoking
Sedentary lifestyle Excessive alcohol consumption Smoking
A nurse is conducting an admission assessment on a client with alcohol abuse. The assessment findings include a recent fall at home, decreased appetite, complaints of blurred vision, and a denial that alcohol has negative effects on the body. When developing the plan of care for this client, the nurse should indicate which nursing diagnosis as the priority? 1. Potential for injury 2. Knowledge deficit 3. Alteration in sensory perception 4. Nutritional imbalance
Potential for injury
At the conclusion of a health interview and physical assessment, the nurse suspects that an older client is experiencing hyperthyroidism. Which assessment finding supports the nurse's conclusion? Nodular thyroid tissue Lower extremity paresthesias Decreased deep tendon reflexes Presence of exophthalmos
Presence of exophthalmos
The nurse is caring for a client newly admitted to the medical-surgical unit with glomerulonephritis. Which classic manifestations of this disorder should the nurse expect to assess in this client? Select all that apply. Proteinuria Edema Hematuria Acute flank pain Weight loss
Proteinuria Edema Hematuria
Which assessment demonstrates the nurse's understanding of the relationship between substance abuse and the development of symptoms characteristic of withdrawal? 1. Determining the patient's age and gender 2. Evaluating the patient's food and fluid intake over the last 48 hours 3. Observing the patient for fine tremors of the hands, especially the fingers 4. Determining the amount of alcohol the patient ingested in the last 24 hours
Determining the amount of alcohol the patient ingested in the last 24 hours
The nurse is assessing a client who is undergoing diagnostic testing to determine whether the immune system is functioning properly. Which item will be included in the health history portion of the nursing assessment? Inspecting the skin for bruising Palpating the joints Determining the date of the last tuberculin skin test Observing for stiffness during movement
Determining the date of the last tuberculin skin test
A 30-year-old female client is seen in the clinic for a wellness checkup. The client states that her mother had a stroke recently. The client asks the nurse about risk factors for stroke. Which risk factors would the nurse consider pertinent for this particular client? Select all that apply: Insomnia Sedentary lifestyle Menopause Family history of stroke Oral contraceptive use
Sedentary lifestyle Family history of stroke Oral contraceptive use
A client with depression is prescribed an omega-3 fatty acid supplement. What should the nurse suggest when the client takes this supplement? Take with orange juice Do not use with prescribed antidepressants Take 30 minutes before meals Do not use prior to physical activity
Take with orange juice
What would be the priorities for the nurse to include in the teaching plan for a client with Graves disease? (Select all that apply.) Tape eyelids shut at night Eat a low-calorie diet Drink six to eight glasses of water a day Take antithyroid drug as prescribed Take weight daily
Tape eyelids shut at night Drink six to eight glasses of water a day Take antithyroid drug as prescribed Take weight daily
The nurse is planning care for a client diagnosed with situational depression. Which intervention is essential to include when planning care? Encourage the client to freely discuss negative feelings. Provide negative reinforcement when needed. Teach assertiveness techniques. Isolate the client from others.
Teach assertiveness techniques.
A nurse is planning care for a client with peripheral vascular disease (PVD) who is hospitalized due to increased pain associated with intermittent claudication. Which independent nursing intervention will the nurse implement to help the client's condition? Administer pain medications as ordered Assess client pain every 12 hours using standard scale Encourage the client to walk the halls, regardless of pain Teach the client guided imagery
Teach the client guided imagery
The home care nurse is evaluating the care provided to an 18-month-old child recovering at home from bronchiolitis caused by respiratory syncytial virus (RSV). Which observation indicates that the parents have provided adequate care? The child's oxygen saturation is 98% on room air The child becomes drowsy while eating lunch The child has moderate nasal flaring with respiration The child has a faint wheeze upon auscultation
The child's oxygen saturation is 98% on room air
A nurse is caring for a client with peripheral vascular disease (PVD) who asks the nurse, "Is there anything other than medication to help slow this disease?" What is the nurse's best response? "A diet high in protein has been shown to slow the progression of PVD." "Yoga has been shown to slow the progression of PVD." "Aromatherapy has been shown to slow the progression of PVD." "Garlic supplements have been shown to slow the progression of PVD."
"Aromatherapy has been shown to slow the progression of PVD."
A nurse is doing discharge teaching with a client who has been newly diagnosed with diabetes mellitus type 2. Which statement from the client indicates the need for additional teaching? "I need to be alert for infections." "As long as I'm in my house I can walk barefoot." "I need to stay hydrated during the day." "It is important to test my blood sugar at least four times a day."
"As long as I'm in my house I can walk barefoot."
A client is admitted to a mental health unit for depression. After a week, the client continues to withdraw from others. Which statement by the nurse would most likely promote interaction with other clients? "I will put the television on for you to watch." "It is important to participate in group activities." "You will feel better if you participate in activities." "Come and play cards with me."
"Come and play cards with me."
During a health history assessment, the nurse first believed that a client was experiencing manifestations of grief until a specific comment was made. What did the client state that helped the nurse determine that the client is experiencing depression? "I know that I did everything that I could." "I would like to go out to lunch sometime." "I have so much pain and feel empty." "I am a complete failure."
"I am a complete failure"
During a home visit, the nurse evaluates teaching provided to a client newly diagnosed with type 1 diabetes mellitus. Which client statement indicates that additional medication instructions are required? "I can refrigerate extra vials of insulin until I need to use them." "I store the vial of insulin that I am using away from sunlight" "I have to take insulin until my blood glucose levels are normal." "I have to throw out any medication past the expiration date."
"I have to take insulin until my blood glucose levels are normal."
The nurse provides teaching on the diagnosis Risk for Deficient Fluid Volume to a client with ulcerative colitis. Which client statement indicates understanding of this information? "I will drink 1 liter of fluid each day." "If I have two liquid stools in any day, I will report this to my health care provider." "I will continue to use a moisturizer on my skin." "I should report dry patches of skin immediately to my doctor."
"I will drink 1 liter of fluid each day."
A nurse is caring for a couple that is grieving over the death of their infant, who is suspected to have died as a result of sudden infant death syndrome (SIDS). Which responses made by the nurse support the couple's psychosocial needs and provide the couple with collaborative therapy resources? (Select all that apply.) "Is there a pastor or clergy member you would like me to call?" "What funeral home would you like me to contact?" "I will provide you with a list of local grief counselors." "The infant loss support group meets every Tuesday." "I am sorry you are going through this. Would you like to talk to me about your child?"
"Is there a pastor or clergy member you would like me to call?" "I will provide you with a list of local grief counselors." "The infant loss support group meets every Tuesday." "I am sorry you are going through this. Would you like to talk to me about your child?"
A home health nurse is visiting a client who recently delivered a healthy, term baby boy. The nurse is providing postpartum care and observation of the newborn. The client tells the nurse, "I think my son sleeps longer when he is placed on his tummy for naps." What response by the nurse is most correct? "It is fine to place your son on his tummy for naps as long as you are in the same room with him." "It is fine to place your son on his tummy for naps but not for sleep at night." "It is not acceptable to place your son on his tummy for sleep because this can make your son lose his protective reflexes." It is not acceptable to place your son on his tummy for sleep because this can make your son spit up and he can aspirate.
"It is not acceptable to place your son on his tummy for sleep because this can make your son lose his protective reflexes."
A nurse is caring for a client who will undergo an endarterectomy due to severe peripheral vascular disease (PVD). When reviewing this procedure with the client, which statement will the nurse include? "This is considered a nonsurgical procedure that treats your occluded vessel." "The plaque from your occluded vessel will be removed by heat." This procedure re-routes blood flow around your occluded vessel." "The plaque from your occluded vessel will be surgically removed."
"The plaque from your occluded vessel will be surgically removed."
A nurse is caring for a client with peripheral vascular disease (PVD) who presents to the primary care clinic complaining of a burning pain in the legs, which occurs at night in bed. What is the best response from the nurse? "This is known as intermittent claudication. Wearing compression socks to bed may help your pain." "This is known as rest pain. Elevating your legs may help your pain." "This known as intermittent claudication. Elevating your legs may help your pain." "This is known as rest pain. Dangling your legs off your bed may help your pain."
"This is known as rest pain. Dangling your legs off your bed may help your pain."
The nurse is caring for a client diagnosed with schizophrenia who states, "I decided not to take my medication because I realize that it really can't help me. Only I can help myself." Which question asked by the nurse has the best therapeutic value? "Would you tell me what it was like before you started your medication?" "You've decided not to take your medication. Is that right?" "Why do you think this is a wise decision?" "I don't understand. Only you can help you?"
"Would you tell me what it was like before you started your medication?"
Which statement by the nurse will have the greatest impact on medication adherence for a client with schizophrenia and depressed mood? "I can see about getting your medication for free if you promise to take it." "Taking this medication will help you with your goal of starting to enjoy the time you spend with your grandchildren again." "Take your medication and the depressed feeling you are having right now will go away and you'll be your old self again." "You will feel so much better if you take your medication as we've discussed."
"You will feel so much better if you take your medication as we've discussed."
A client, who has been diagnosed with schizophrenia, tells the nurse that she is upset because she has chlamydia from sleeping with a married man. The nurse had already reviewed the client's chart this morning and the results were negative for chlamydia. Which one of the following responses would be best? 'Let's talk about how you came to be in this hospital at this time.' 'You may think you have chlamydia but it is part of your delusional thinking.' 'I can show you the lab report. You don't have chlamydia or other STIs.' 'It is good that you don't have a disease that is incurable. Chlamydia is curable.'
'Let's talk about how you came to be in this hospital at this time.'
The nurse notes that a client is prescribed a dietary consult as part of treatment for inflammation. What assessment findings should the nurse expect to see in this client? Body mass index 42 Blood pressure 138/80 mmHg Reduction in pedal pulses Cool and mottled extremities
Body mass index 42
The nurse is caring for a client diagnosed with osteoporosis. The client has asked the health care provider for a medication that does not require daily dosing. Which medication does the nurse anticipate will be prescribed for this client? Skelid Fosamax Boniva Actonel
Boniva
A nurse is receiving a client from the emergency department diagnosed with an acute exacerbation of ulcerative colitis (UC). The nurse anticipates the client may present with which clinical characteristics? Steady right lower quadrant or periumbilical pain 5+ diarrhea stools per day with blood and mucus No fever or chills Tenderness and mass noted in right lower quadrant
5+ diarrhea stools per day with blood and mucus
A client with osteoporosis has been prescribed calcium supplements. About which subject should the nurse educate this client? Adequate fluid intake Possible depression Increase iron supplements Decrease caloric intake
Adequate fluid intake
Which intervention will the nurse plan for when managing the detoxification of a patient diagnosed with alcohol use disorder? 1. Low-protein diet to minimize risk of kidney failure 2. Seclusion to help manage aggression towards others 3. Transporting patient to scheduled 12-step support group meetings 4. Administering Ativan (lorazepam) to manage alcohol withdrawal symptoms
Administering Ativan (lorazepam) to manage alcohol withdrawal symptoms
A nurse is preparing discharge teaching for a client newly diagnosed with heart failure. Which information should the nurse include in this teaching? Eat three large meals daily. Strenuous exercise is encouraged as manifestations improve. Allow rest periods throughout the day. Restrict sodium intake to 3 g/day.
Allow rest periods throughout the day.
A home health nurse is seeing a client with congestive heart failure. The client is taking furosemide (Lasix). The nurse reviews the client's most recent serum potassium, which was 3.4 mEq/L. Which food would the nurse encourage this client to choose from the dinner menu? 1. Peas 2. Iced tea 3. Banana 4. Donut
Banana
During a home visit, the community health nurse becomes concerned that a 2-year-old child is at risk for contracting respiratory syncytial virus (RSV). Which observations would lead the nurse to this conclusion? Select all that apply: Both parents unemployed Both parents smoke cigarettes Absence of soap at the kitchen sink Toddler shares drinking cup with older brother Toddler wearing clean but rumpled pants and shirt
Both parents unemployed Both parents smoke cigarettes Absence of soap at the kitchen sink Toddler shares drinking cup with older brother
The nurse is caring for a client with cirrhosis. Which assessment findings correlate with expected laboratory findings in the client? (Select all that apply.) Bruising easily Confusion Peripheral edema Frequent infections Spider angiomas
Bruising easily Confusion Peripheral edema Frequent infections
The nurse is monitoring a client who has undergone a thyroidectomy. The nurse suspects the parathyroid glands may have been inadvertently removed if imbalances are seen in which serum electrolyte level? 1. Calcium & Magnesium 2. Magnesium & Potassium 3. Sodium & Chloride 4. Chromium & Calcium
Calcium & Magnesium
A nurse is caring for a couple whose infant has died from sudden infant death syndrome (SIDS). Which nursing interventions are appropriate for the nurse to implement? (Select all that apply.) Calling the parents' church leader after a request from the parents. Calling the hospital chaplain and requesting his presence immediately. Offering to contact a grief counselor to help the parents Calling the police to begin the death investigation. Offering to contact the parents' other children to discuss the infant's death
Calling the parents' church leader after a request from the parents. Offering to contact a grief counselor to help the parents
At the conclusion of a health interview, the nurse suspects a middle-aged adult female client is experiencing seasonal-affective disorder. What did the nurse assess to make this determination? Select all that apply: Crying Negative thoughts Irritability Constant fatigue Sadness
Crying Irritability Constant fatigue Sadness
The nurse is assessing a client during a routine check-up. The client is concerned that he is at risk for stroke. Which item will the nurse include in the health history to determine the client's risk? Assess the level of consciousness Auscultate breath sounds Monitor skin integrity Determine a history of smoking
Determine a history of smoking
The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis. What should the nurse assess to learn the most accurate indication of this client's fluid balance? Question options: Vital signs Intake and output records Daily weight Serum sodium levels
Daily weight
A nurse is performing an assessment on a client with peripheral vascular disease (PVD). The nurse notes that the client's blood pressure is 142/86 mmHg. What additional manifestation, unique to PVD, will the nurse find upon physical examination of the nursing assessment of this client? Decreased sensation of the upper extremities Delayed capillary refill in the lower extremities Dilated blood vessels in the eye Wheezing upon auscultation of the lungs
Delayed capillary refill in the lower extremities
The nurse is teaching the parents of a 3-year-old child with respiratory syncytial virus (RSV) on ways to help the child recover quickly from the disorder. What should the nurse include in this teaching? Select all that apply: Help the child to blow the nose to clear the airway Provide frequent small meals throughout the day Limit visits by other friends until the infection clears Wash hands thoroughly after caring for the child Permit the child to rest and nap throughout the day
Help the child to blow the nose to clear the airway Provide frequent small meals throughout the day Wash hands thoroughly after caring for the child Permit the child to rest and nap throughout the day
The nurse is reviewing laboratory values for a client with hyperthyroidism. Which component of the complete blood count will be most useful to the nurse in determining the client's fluid status? 1. Hematocrit 2. Red blood cell count 3. White blood cell count 4. Platelet count
Hematocrit
A novice nurse is conducting an assessment interview for a pregnant client seeking help for substance abuse. Which question posed by the novice nurse would require the preceptor to intervene? 1. On average, how many days per week do you use drugs? 2. What drug did you take before coming to the hospital? 3. How could you use heroin while you are pregnant? 4. How much have you used since becoming pregnant?
How could you use heroin while you are pregnant?
The nurse is presenting a public health presentation about how common foods and spices can contribute to health. Which disease is prevented by the addition of iodine to salt? Hypothyroidism Thyroiditis Hyperthyroidism Exophthalmos
Hypothyroidism
During the assessment of an older client, the nurse notes areas of hypopigmentation over the arms and legs. Which alterations in metabolism should the nurse focus on when continuing the assessment? Select all that apply: Hypothyroidism Diabetes Mellitus Hyperthyroidism Osteoporosis Obesity
Hypothyroidism Diabetes Mellitus Hyperthyroidism
While at the healthcare provider's office, a pregnant client shares that she is a recovering alcoholic and new to the area. The client is looking for information regarding group supportive therapy. Which response by the nurse would be most appropriate? 1. I can see if the provider can refer you to an Medication-Assisted Treatment (MAT) program. 2. We can speak to the provider about prescribing you Antabuse. 3. Have you considered inpatient treatment so that you can experience a recovery environment? 4. I will provide you with some information on the community's Alcoholics Anonymous meetings.
I will provide you with some information on the community's Alcoholics Anonymous meetings
The nurse is caring for a client who was diagnosed with rheumatoid arthritis last year. The client has recently been place on prednisone for treatment. The nurse is teaching the client about safe medication administration. Which statement made by the client indicates that the medication teaching was successful? I will not have to limit my consumption of canned vegetables I will not need to monitor my blood sugar more frequently while on this medication I will take this medication on a full stomach to enhance absorption I will take the ordered dose at the same time every day
I will take the ordered dose at the same time every day
A client with cirrhosis is being evaluated for discharge. Which outcome and nursing observation indicate the client is ready for discharge home? Improved coagulation studies Only slightly elevated liver function tests Only slight bruising Easily reoriented to person
Improved coagulation studies
While reviewing laboratory results, the nurse notes that a client has an elevated C-reactive protein level. What diagnosis might the nurse identify for this client? COPD Inflammation Diabetes Acute Liver Failure
Inflammation
Laboratory results for a client show a serum potassium level of 2.2 mEq/L. Which of the following nursing actions is of highest priority for this client? 1. Keep the client on bed rest. 2. Initiate cardiac monitoring. 3. Start oxygen at 2 L/min. 4. Initiate seizure precautions.
Initiate cardiac monitoring.
A nurse on the rehabilitation unit is planning discharge teaching for a client who is 6 weeks post-stroke. The client currently requires some assistance for mobility and is also able to self-feed with some assistance. The family plans to take the client home. What would the nurse include in discharge teaching for this client and family? Instruct the family to install grab bars next to the toilet. Tell the client and family that the client should not need to continue the inpatient therapy plan of care. Instruct the family members to encourage the client to adhere to the existing family routine. Tell the client and family the client will return to original level of mobility over the next year
Instruct the family to install grab bars next to the toilet.
A client is diagnosed with type 2 diabetes mellitus. Which information about type 2 diabetes mellitus should the nurse include when providing client education? Insulin resistance occurs in peripheral tissues. Metabolism of dietary carbohydrates is enhanced. The liver suppresses the release of glucose. The onset of hyperglycemia is rapid.
Insulin resistance occurs in peripheral tissues.
A nurse assesses a client who has Fluid Volume Excess (FVE). Which of the following manifestations indicates FVE? Select all that apply. 1. Jugular Vein Distention 2. Decreased hematocrit 3. Hypotension 4. Increased heart rate 5. Fever
Jugular Vein Distention Decreased hematocrit Increased heart rate
Which is a specific recommendation for exercise for a client with diabetes mellitus? (Select all that apply.) Keep the exercise brief and moderate Exercise no more than 60 minutes a week Stay hydrated during exercise Exercise at least 150 minutes per week Keep sessions short, as prolonged sessions cause hypoglycemia
Keep the exercise brief and moderate Stay hydrated during exercise Exercise at least 150 minutes per week
The client had a thyroidectomy 2 weeks previously. What is an expected, priority outcome for this client? Client sleeps 8 hours. Client gains 10 pounds. Lab values are within normal limits. Incision is red and swollen.
Lab values are within normal limits.
A nurse is caring for a client who was admitted to the hospital with an exacerbation of rheumatoid arthritis. The client states that her pain is a 3 on a scale from 1-10 today. What non-pharmacological interventions can the nurse provide? Discourage any position changes. Immobilize the extremity. Massage Relaxation techniques Provide diversional activities
Massage Relaxation techniques Provide diversional activities
The nurse is completing a health history on a client with seasonal affective disorder (SAD). What data should the nurse obtain during this interview? Select all that apply: Medical history Feelings of guilt Anhedonia Sexual history Sleep disturbances
Medical history Feelings of guilt Anhedonia Sleep disturbances
The nurse is planning a presentation on osteoporosis to clients in an assisted-living center. Which group will the nurse not include in the presentation as being at risk of developing this disease process? Asian women Postmenopausal women Smokers Men with high testosterone levels
Men with high testosterone levels
The nurse is caring for a client who is being discharged following an appendectomy. Which instruction is the most important for the nurse to teach this client regarding wound healing? 1. Add more fruits and vegetables to your diet 2. Thoroughly irrigate the wound with hydrogen peroxide once a day 3. Notify the physician if you notice swelling, warmth, or tenderness at the wound site 4. Apply a lubricating lotion to the edges of the wound twice a day
Notify the physician if you notice swelling, warmth, or tenderness at the wound site
The nurse is concerned that a 9-month-old child being treated for bronchiolitis caused by respiratory syncytial virus (RSV) is developing respiratory distress. Which assessment findings support this concern? Select all that apply: Onset of expiratory grunting Visible intercostal retractions with ventilations Femoral pulse weak and 120 beats per minute Respiratory rate increased from 30 to 48 a minute Systolic blood pressure 10 mmHg less than previous measurement
Onset of expiratory grunting Visible intercostal retractions with ventilations Respiratory rate increased from 30 to 48 a minute
A client with Parkinson disease (PD) states to the nurse, "It is 1950 and I am late for work." What action should the nurse take at this time? Orient the client, provide a calendar, and place a clock in the room Ask the client what life is like in 1950 Medicate for confusion Apply restraints so the client will not attempt to get out of bed to go to work
Orient the client, provide a calendar, and place a clock in the room
Participants in a health survey request information about diet and exercise to be included in the next health seminar. For which alterations in metabolism should the nurse link these modifiable risk factors? (Select all that apply.) Osteoporosis Type 2 diabetes mellitus Obesity Thyroid disorders Cirrhosis
Osteoporosis Type 2 diabetes mellitus Obesity
A client has completed the full course of antibiotics prescribed to treat otitis media. Which primary manifestation of the disorder will be relieved as evidence that treatment has been effective? Impaired hearing Dizziness Pain Nausea and vomiting
Pain
The nurse is providing care for a client diagnosed with osteoporosis who is recovering from a wrist fracture. When planning care for this client, which goal is the priority? Weight loss Weight gain Relaxation Pain relief
Pain relief
What are the most appropriate physical assessment methods that the nurse would use to identify thyroid problems? (Select all that apply.) Palpation Observation Auscultation Percussion Medication history
Palpation Observation
A nurse is performing passive range of motion exercises for a client with Parkinson's Disease. Which nursing goals does this intervention address? (Select all that apply.) Question options: The client will participate in physical therapy to improve walking and balance The client will remain free of injury The client will demonstrate normal bowel elimination patterns The client will participate in speech therapy for swallowing and verbal communication
The client will participate in physical therapy to improve walking and balance The client will remain free of injury
A nurse is involved in investigating the death of an infant. A SIDS-related death is suspected. What is true regarding the process of investigating this type of death? The focus of the investigation is on the infant's parental behavior. The focus of the investigation involves determining the cause of infant death. The focus of the investigation is to determine blame for the infant's death. The focus of the investigation does not involve the infant's family
The focus of the investigation involves determining the cause of infant death.
A nurse is caring for a client who has newly been diagnosed with rheumatoid arthritis (RA). The client asks the nurse what the difference is between RA and osteoarthritis (OA). The nurse's best response includes: Select all that apply. The affected joints in RA feel cold to touch wile the joints affected by OA are warm or hot to touch. The pain and stiffness with RA is with activity; OA pain and stiffness is predominant upon arising. OA is slowly progressive while RA is characterized by exacerbations and remissions. The onset of OA is gradual while the onset of RA may be rapid With OA, multiple joints are affected symmetrically; RA affects one joint at a time
The pain and stiffness with RA is with activity; OA pain and stiffness is predominant upon arising. OA is slowly progressive while RA is characterized by exacerbations and remissions. The onset of OA is gradual while the onset of RA may be rapid
The nurse is helping the client with Graves disease understand how her goiter occurred. Which factors would the nurse include? (Select all that apply.) The thyroid gland enlarges. The thyroid cells become hypoactive. The client's tissues form antigens. The client's tissues form antibodies. Antibodies bind to the thyroid stimulating hormones.
The thyroid gland enlarges. The client's tissues form antibodies. Antibodies bind to the thyroid stimulating hormones.
A nurse is describing the pathophysiology of heart failure to a client. Which changes caused by compensatory mechanisms in the development of heart failure should the nurse describe? select all that apply: The ventricles in the heart remodel and develop hypertrophy because of the chronic increase in fluid volume. The kidneys release renin to retain sodium and water in an attempt to maintain cardiac output. Increased cardiac output causes the aortic baroreceptors to stimulate the sympathetic nervous system. Hypertension causes the cardiac muscles to overstretch and cause temporarily increased cardiac output. Atrial natriuretic peptide is released by the cardiac cells to help delay cardiac decompensation.
The ventricles in the heart remodel and develop hypertrophy because of the chronic increase in fluid volume. The kidneys release renin to retain sodium and water in an attempt to maintain cardiac output. Hypertension causes the cardiac muscles to overstretch and cause temporarily increased cardiac output. Atrial natriuretic peptide is released by the cardiac cells to help delay cardiac decompensation.
A client with end-stage cirrhosis is brought to the emergency department with declining functional status. Which treatment will relieve the client's symptoms of portal hypertension and reduce the onset of esophageal varices and ascites? Sengstaken-Blakemore tube Transjugular intrahepatic portosystemic shunt (TIPS) Minnesota tube Paracentesis
Transjugular intrahepatic portosystemic shunt (TIPS)
A client is prescribed electroconvulsive therapy as treatment for depression. What should the nurse review with the client about these treatments? Treatment targets the left prefrontal cortex. Symptoms will improve within 1 to 2 weeks. A magnetic field is passed through the skull. Treatments will be 3 times a week for 12 treatments.
Treatments will be 3 times a week for 12 treatments
The nurse is caring for a client with cirrhosis of the liver. Which dietary support does this client need? (Select all that apply.) Vitamin supplements High-fiber diet Regular diet Sodium-restricted diet Fluid-restricted diet
Vitamin supplements Sodium-restricted diet Fluid-restricted diet
The school nurse is planning a teaching session with the parents of students to reduce the spread of the flu virus throughout the school. Which of the following should the nurse NOT include when teaching the parents of a diverse population aboutinfection-control techniques? 1. Sanitizing high-touch items to kill pathogens 2. Withholding immunizations for children with comprimised immune systems 3. Cover your cough education 4. You cannot get the flu from the influenze vaccine
Withholding immunizations for children with comprimised immune systems
A nurse is caring for a 72-year-old male client admitted to the hospital with pneumonia. The client asks the nurse if there are things he can do to decrease the risk for developing pneumonia in the future. Which would be the most appropriate response by the nurse? 1. There is nothing that you can do to decrease your risk of pneumonia in the future 2. You should drink a yogurt drink once a day that is supplemented with L. casei immunitas cultures 3. You can get the pneumonia vaccination, which may help to decrease your risk in the future 4. Make sure to wear a mask when around other people
You can get the pneumonia vaccination, which may help to decrease your risk in the future
The newly pregnant woman is told it is safe for her to consume which level of alcohol? 1. no alcohol 2. 1 drink a week 3. 1 drink a day 4. as much as she chooses
no alcohol
A patient displays disorganized speech and behavior as well as a flat affect. The patient prefers to sit alone and often appears to be listening and responding to unseen stimuli. To begin a therapeutic relationship, the nurse should: offer a simple activity and sit with the patient. ask the patient what the voices are saying. take the patient to a medication education class. quietly watch television with the patient.
offer a simple activity and sit with the patient.
A patient diagnosed with schizophrenia has difficulty completing tasks and seems forgetful and disinterested in activities. A nurse can best select successful strategies by understanding that these behaviors are due to: lack of self-esteem. problems in cognitive functioning. manipulative tendencies. shyness and embarrassment.
problems in cognitive functioning.
A client reports weakness, fatigue, and decreased exercise tolerance. Based on the reported symptoms, the nurse anticipates that the healthcare provider will diagnose the client as having which classification of heart failure? Diastolic Systolic Right-sided Left-sided
systolic
The nurse is providing care to a client recovering from a transient ischemic attack (TIA). Which medication order would the nurse question for this client? Ticlid tPA Aspirin Plavix
tPA
A nurse is caring for a client who delivered a healthy, term baby girl 8 hours ago. The nurse is providing the client information about sudden infant death syndrome (SIDS) as a part of discharge instructions. The client asks the nurse, "Why does breastfeeding help to prevent my child from developing SIDS?" Which response by the nurse is the most appropriate? "Breastfed infants are thought to breathe easier than infants who are fed formula." "Breastfed infants are thought to be larger than infants who are fed formula." "Breastfed infants are thought to sleep longer than infants who are fed formula." "Breastfed infants are thought to arouse easier from sleep than infants who are fed formula."
"Breastfed infants are thought to arouse easier from sleep than infants who are fed formula."
A nurse is caring for a pregnant client during a routine prenatal visit. While performing the assessment, which statement by the client may indicate the infant is at a greater risk for sudden infant death syndrome (SIDS)? "My sister died during infancy while we were sleeping." "I miscarried my fist pregnancy at ten weeks." "My father was diagnosed with diabetes last year." "I delivered my first baby vaginally."
"My sister died during infancy while we were sleeping."
A client is seen in the emergency department (ED) for manifestations of stroke that resolved soon after the client entered the ED. The client was diagnosed with a transient ischemic attack (TIA). The client asks the nurse in the ED what TIA means. What is the most accurate response by the nurse? "TIAs are caused by blood clots that break off from larger clots in the body." "TIAs usually involve one large artery in the brain prior to stroke." "TIA causes brain cells to die and leaves a small cavity in the brain tissue." "TIA can be a warning sign of an impending larger stroke."
"TIA can be a warning sign of an impending larger stroke."
A nurse on the medical-surgical unit is providing care for a client scheduled for carotid endarterectomy. The client asks the nurse how carotid endarterectomy will help blood supply to the brain. What is the best response by the nurse? "The healthcare provider will remove the clot in your carotid artery either manually or by suctioning." "The healthcare provider will insert a balloon into your carotid artery to make it wider and place a stent." "The healthcare provider will establish a bypass around the plaque buildup in your carotid artery." "The healthcare provider will remove plaque from your carotid artery, and this will improve perfusion to the brain."
"The healthcare provider will remove plaque from your carotid artery, and this will improve perfusion to the brain."
The nurse is caring for an adolescent client diagnosed with depression. Which assessment findings support this diagnosis? Whininess Boredom Self-neglect Threats to run away
Self-neglect
