NUR 112 final exam

The nurse is conducting a teaching session regarding flu, the nurse explains to the group. Who is essential for vax?

3 year CF baby 65 year old Diabetic

A 16-year-old female client has post-chemotherapy alopecia. This prompts the nursing diagnoses of Disturbed Body Image and Situational Low Self-Esteem. Which response by the client would best indicate improved coping related to these diagnoses? A. Requests that her family bring her makeup and a wig B. Begins to discuss the future with her family C. Reports less disruption from pain and discomfort D. Cries openly when discussing her disease

A

A client has been brought to the emergency department by paramedics after being found unconscious. The client's MedicAlert bracelet indicates that the client has type 1 diabetes and the client's blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention? A. IV administration of 50% dextrose in water B. Subcutaneous administration of 10 units of Humalog C. Subcutaneous administration of 12 to 15 units of regular insulin D. IV bolus of 5% dextrose in 0.45% NaCl

A

A client has questioned the nurse's administration of intravenous (IV) normal saline, asking, "Wouldn't sterile water be a more appropriate choice than saltwater?" Under what circumstances would the nurse administer electrolyte-free water intravenously? A. Never, because it rapidly enters red blood cells, causing them to rupture. B. When the client is severely dehydrated, resulting in neurologic signs and symptoms C. When the client is in excess of calcium and/or magnesium ions D. When a client's fluid volume deficit is due to acute or chronic kidney disease

A

A client presents to the clinic reporting symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes? A. Fasting plasma glucose greater than or equal to 126 mg/dL (7.0 mmol/L) B. Random plasma glucose greater than 150 mg/dL (8.3 mmol/L) C. Fasting plasma glucose greater than 116 mg/dL (6.4 mmol/L) on two separate occasions D. Random plasma glucose greater than 126 mg/dL (7.0 mmol/L)

A

A client who is being treated for pneumonia reports sudden shortness of breath. An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 24 mm Hg. Which condition does the ABG reflect? A. Respiratory acidosis B. Metabolic alkalosis C. Respiratory alkalosis D. Metabolic acidosis

A

A client with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this client's plan of care? A. Limit the time that visitors spend at the client's bedside. B. Teach the client to perform all aspects of basic care independently. C. Assign male nurses to the client's care whenever possible. D. Situate the client in a shared room with other clients receiving brachytherapy.

A

A client with a long-standing diagnosis of type 1 diabetes has a history of poor glycemic control. The nurse recognizes the need to assess the client for signs and symptoms of peripheral neuropathy. Peripheral neuropathy constitutes a risk for what nursing diagnosis? A. Infection B. Acute pain C. Acute confusion D. Impaired urinary elimination

A

A client with long-standing obesity has been prescribed phentermine/topiramate-ER. What statement by the client suggests that further health education is necessary? A. "I'm so relieved to start this medication. I really don't like having to exercise or change what I eat." B. "It's hard to believe that there are actually medications that can treat obesity." C. "I'm a bit nervous to start this medication because I know I'll need blood tests sometimes." D. "I'm going to have to do some rearranging of my finances to make sure I can afford this medication."

A

A medical nurse is providing end-of-life care for a client with metastatic bone cancer. The nurse notes that the client has been receiving oral analgesics for pain with adequate effect, but is now having difficulty swallowing the medication. What should the nurse do? A. Request the health care provider to prescribe analgesics by an alternative route. B. Crush the medication in order to aid swallowing and absorption. C. Administer the client's medication with the meal tray. D. Administer the medication rectally.

A

A nurse is caring for a 6-year-old client with cystic fibrosis. To enhance the child's nutritional status, which priority intervention should be included in the plan of care? A. Pancreatic enzyme supplementation with meals B. Provision of five to six small meals per day rather than three larger meals C. Total parenteral nutrition (TPN) D. Magnesium, thiamine, and iron supplementation

A

A nurse is caring for a client newly diagnosed with type 1 diabetes. The nurse is educating the client about self-administration of insulin in the home setting. The nurse should teach the client to do what action? A. Avoid using the same injection site more than once in 2 to 3 weeks. B. Avoid mixing more than one type of insulin in a syringe. C. Cleanse the injection site thoroughly with alcohol prior to injecting. D. Inject at a 45-degree angle.

A

A nurse is working for the summer at a camp for adolescents with diabetes. When providing information on the prevention and management of hypoglycemia, what action should the nurse promote? A. Always carry a form of fast-acting sugar. B. Perform exercise prior to eating whenever possible. C. Eat a meal or snack every 8 hours .D. Check blood sugar at least every 24 hours.

A

A pediatric nurse practitioner is caring for a 2-year-old client who has just been diagnosed with asthma. The nurse has provided the parents with information that includes potential causative agents for an asthmatic reaction. Which potential causative agent that may trigger an attack should the nurse describe? A. Household pets B. Inadequate sleep C. Psychosocial stress D. Bacteria

A

Of the following choices which is most often associated with aplastic anema? A excessive bleeding B increased risk of thrombosis C elevated hemoglobin levels D hyperactive bone marrow activity

A

The nurse is assessing a client whose spouse died 16 months ago. The client tells the nurse about joining a hiking group, volunteering as a college mentor, and thinking about joining a hiking group, volunteering as a college mentor, and thinking about dating again. The nurse deteremines that the client is in which stage of Rando's process of mourning? A. Reinvestment B. Recognition of the loss C. Recollection and reexperiencing the deceased D. Relinquishing old attachments to the deceased

A

The nurse is assessing a client with obesity who has been taking naltrexone/bupropion for the past several weeks. What assessment finding most clearly suggests that the medication is having a desired effect? A. The client reports a diminished appetite and fewer cravings. B. The client is having one to two bowel movements daily, with fat present in stool. C. The client is losing at least 6 pounds (2.7 kg) per week, on average. D. The client is able to adhere to a low-carbohydrate, high-protein diet.

A

The nurse is caring for a client admitted with a diagnosis of acute kidney injury. When reviewing the client's most recent laboratory reports, the nurse notes that the client's magnesium levels are high. The nurse should prioritize assessment for what health problem? A. Diminished deep tendon reflexes B. Tachycardia C. Cool, clammy skin D. Acute flank pain

A

The nurse is caring for a client who has been involved in a motor vehicle accident. The client's labs indicate a minimally elevated serum creatinine level. The nurse should further assess which body system for signs of injury? A. Renal B. Cardiac C. Pulmonary D. Nervous

A

The nurse is caring for a client who is to receive IV daunorubicin, a chemotherapeutic agent. The nurse starts the infusion and checks the insertion site as per protocol. During the most recent check, the nurse observes that the IV has infiltrated so the nurse stops the infusion. What is the nurse's priority concern with this infiltration? A. Extravasation of the medication B. Discomfort to the client C. Blanching at the site D. Hypersensitivity reaction to the medication

A

The nurse is caring for a hospitalized client who has class II obesity and who has limited mobility. The nurse should address the client's risk for skin breakdown by: A. cleaning and drying regularly within the client's skin folds. B. avoiding the use of pillows to position the client. C. making a referral to physical therapy D. ensuring the client receives a high-calorie, high-protein diet.

A

The nurse is evaluating a newly admitted client's laboratory results, which include several values that are outside of reference ranges. Which of the following alterations would cause the release of antidiuretic hormone (ADH)? A. Increased serum sodium B. Decreased serum potassium C. Decreased hemoglobin D. Increased platelets

A

The nurse is providing care for a client who has recently been diagnosed with chronic obstructive pulmonary disease. When educating the client about exacerbations, the nurse should prioritize which topic? A. Identifying specific causes of exacerbations B. Prompt administration of corticosteroids during exacerbations C. The importance of prone positioning during exacerbations D. The relationship between activity level and exacerbations

A

The nurse is providing care for a client with chronic obstructive pulmonary disease. When describing the process of respiration, the nurse explains to a newly licensed nurse how oxygen and carbon dioxide are exchanged between the pulmonary capillaries and the alveoli. The nurse is describing which process? A. Diffusion B. Osmosis C. Active transport D. Filtration

A

A diabetes nurse educator is teaching a group of clients with type 1 diabetes about "sick day rules." What guideline applies to periods of illness in a diabetic client? A. Do not eliminate insulin when nauseated and vomiting. B. Report elevated glucose levels greater than 150 mg/dL (8.3 mmol/L). C. Eat three substantial meals a day, if possible. D. Reduce food intake and insulin doses in times of illness.

A The most important issue to teach clients with diabetes who become ill is not to eliminate insulin doses when nausea and vomiting occur. Rather, they should take their usual insulin or oral hypoglycemic agent dose, and then attempt to consume frequent, small portions of carbohydrates. In general, blood sugar levels will rise but should be reported if they are greater than 300 mg/dL (16.6 mmol/L).

. A gerontologic nurse is teaching students about the high incidence and prevalence of dehydration in older adults. Which factors contribute to this phenomenon? Select all that apply. A. Decreased kidney mass B. Increased conservation of sodium C. Increased total body water D. Decreased renal blood flow E. Decreased excretion of potassium

A D E

When excessive bleeding occurs, which of the following causes BP to fall? A. amount of fluid left in blood vessels is insufficient B the bodys 02 supply has increased C. the iron in the blood is decreased D. production of red blood cells increases

A amount of fluid left in blood vessels is insufficent

Addison's disease causes various effects to the patients body, which can be seen through blood work. The following three values are indicators of Addison's disease? SATA A hyponatremia B low cortisol C hyperkalemia D hypokalemia E hypernatremia

A, B, C

How can you as a member in the society advocate for people or families with thalassemia within your community? A ensuring access to comprehensive care and specialized services B educating the community about the unique needs and challenges faced by patients with thalassemia C collaborating with interdisciplinary teams to develop individualized care plans relating to thalassemia D supporting policy initiates to improve access to treatment, treatment, medications, and resources for patients with thalassemia E empowering the youth to go on demonstrates against thalassemia health workers

A, B, C, D

What are the potential complications associated with thalassemia? A iron overload leading to heart and liver damage B infections due to suppressed immune function C skeletal abnormalities and growth spurts D transfusion reactions or alloimmunization E psychosocial issues such as depression or anxiety

A, B, D, E

Which of the following are included in nursing interventions for a patient with addisons disease? A monitoring weight B monitoring fluid and electrolytes C assessing for hypertension D monitoring for hypotension E monitoring for hypoglycemia

A, B, D, E

The nurse is providing discharge education to a client who had hypophosphatemia while in the hospital. The client has a diet prescribed that is high in phosphate. Which foods should the nurse teach this client to include in the diet? Select all that apply. A. Milk B. Beef C. Potatoes D. Green vegetables E. Liver

A, B, E

What signs and symptoms may be included with a client who has addisons disease? SATA A weight gain B acute abdominal pain C anexoria D acute diarrhea

A, C

The nurse is providing care for an adult client who has sought care for the treatment of obesity. When performing an assessment of this client, the nurse should address what potential contributing factors? Select all that apply. A. Activity level B. Neurologic factors C. Family history and genetics D. Endocrine factors E. Microbiota

A, C, D, E

How can you effectivley educate patients and families about thalassemia and its management? SATA A providing clear and understandable information about the condition, including its etiology, symptoms, treatment options B using visual aids, written materials, and multimedia resources to enhance understanding C tailoring education to the individual needs and preferences of patients and families D encouraging active participation in treatment decision making and self management strategies.

All of them

What are the key considerations when caring for a person with thalassemia? SATA A monitoring hemoglobin levels and transfusion reactions B educate person on the importance of adherence to medication and treatment regimens C look out for complications such as iron overload, infections, or organ damage D providing emotional support and counseling to persons and families dealing with chronic illness E talk to your health care professionals about any issues regarding your health and treatment

All of them

Medications commonly used to treat panic disorders?

Antihypertensives Benzos

A client newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe? A. Pruritis (itching) B. Nausea and vomiting C. Altered glucose metabolism D. Confusion

B

A client was diagnosed with cancer several weeks ago and family members describe the client as "utterly distraught." The client has fully withdrawn from social and family contact. What is the nurse's best action? A. Reassure the client and the family that these types of responses to cancer are common. B. Refer the client to the appropriate mental health provider. C. Educate the client about the mental health benefits of exercise. D. Reassure the family that the client is grieving and will eventually come to terms with the diagnosis.

B

A client with a history of type 1 diabetes has just been admitted to the critical care unit (CCU) for diabetic ketoacidosis. The CCU nurse should prioritize what assessment during the client's initial phase of treatment? A. Monitoring the client for dysrhythmias B. Maintaining and monitoring the client's fluid balance C. Assessing the client's level of consciousness D. Assessing the client for signs and symptoms of venous thromboembolism

B

A client with obesity has been taking orlistat for the past several days. During the client's most recent follow-up assessment with the nurse, the client states, "I'm embarrassed to even say it, but I've had a few episodes of leaking stool since I've started this medication." What is the nurse's best response? A. "I'm sure that must be difficult for you. That's actually a sign that your body is breaking down fat tissue. "B. "That sounds stressful for you. That's definitely one of the adverse effects of this medication." C. "Wearing an adult incontinence pad in the short term should resolve that problem for you." D. "Have you made any changes in your diet that might be contributing to this problem?"

B

A client with obesity is early in the process of preparing for a Roux-en-Y gastric bypass (RYGB). The client states, "After the surgery, the amount of food that I consume will be limited and I'll absorb fewer calories from what I do eat." When responding to the client, the nurse should: A. explain that the surgery will not affect the absorption of nutrients. B. validate what the client understands about the surgical procedure. C. teach the client that RYGB does not restrict food intake. D. encourage the client to discuss the procedure with the surgeon.

B

A client's most recent diagnostic imaging has revealed that lung cancer has metastasized to the bones and liver. What is the most likely mechanism by which the client's cancer cells spread? A. Apoptosis B. Lymphatic circulation C. Invasion D. Angiogenesis

B

A nurse in the neurologic ICU has received a prescription to infuse a hypertonic solution into a client with increased intracranial pressure. This solution will increase the number of dissolved particles in the client's blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the blood volume. This process is best described with which of the following terms? A. Hydrostatic pressure B. Osmosis and osmolality C. Diffusion D. Active transport

B

A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self-administer insulin? A. Ask the client to describe the process in detail .B. Observe the client drawing up and administering the insulin. C. Provide a health education session reviewing the main points of insulin delivery. D. Review the client's first hemoglobin A1C result after discharge.

B

A nurse is caring for a client with type 1 diabetes. The client's medication administration record includes the administration of regular insulin three times daily. Knowing that the client's lunch tray will arrive at 11:45 AM, when should the nurse administer the client's insulin? A. 10:45 AM B. 11:30 AM C. 11:45 AM D. 11:50 AM

B

A nurse is reviewing the pathophysiology of cystic fibrosis (CF) in anticipation of a new admission. The nurse should identify what characteristic aspects of CF? A. Alveolar mucus plugging, infection, and eventual bronchiectasis B. Bronchial mucus plugging, inflammation, and eventual bronchiectasis C. Atelectasis, infection, and eventual COPD D. Bronchial mucus plugging, infection, and eventual COPD

B

An occupational health nurse is screening a group of workers for diabetes. What statement should the nurse interpret as being suggestive of diabetes? A. "I've always been a fan of sweet foods, but lately I'm turned off by them." B. "Lately, I drink and drink and can't seem to quench my thirst." C. "No matter how much sleep I get, it seems to take me hours to wake up." D. "When I went to the washroom the last few days, my urine smelled odd."

B

The community health nurse is performing a home visit to a client who has obesity, peripheral vascular disease, and type 2 diabetes. The client has expressed a desire to lose weight. What is the nurse's best initial action? A. Teach the client about the relationship between lifestyle and body weight B. Identify the client's desired goals for weight loss C. Teach the client exercises that are physically achievable and easy to perform D. Review the client's most recent blood glucose and hemoglobin A1c results

B

The community health nurse is performing a home visit to an 80-year-old client recovering from hip surgery. The nurse notes that the client seems uncharacteristically confused at times and has dry mucous membranes. When asked about fluid intake, the client states, "I stop drinking water early in the day because it is just too difficult to get up during the night to go to the bathroom." What would be the nurse's best response? A. "I will need to have your medications adjusted, so you will need to be readmitted to the hospital for a complete workup." B. "Limiting your fluids can create imbalances that can result in confusion, so let's try adjusting the timing of your fluids." C. "It is normal to be a little confused following surgery, and it is safe not to urinate at night." D. "Confusion and bladder issues are a normal consequence of aging, so I am not too concerned."

B

The nurse caring for a client post colon resection is assessing the client on the second postoperative day. The nasogastric tube remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low? A. Diarrhea B. Paresthesias C. Increased muscle tone D. Joint pain

B

The nurse is caring for a client that has undergone bariatric surgery. Which indication is a complication from the surgery? A. Dumping syndrome B. Cushing syndrome C. Malnutrition D. Diverticulitis

B

The nurse reviews foot care with an older adult client. Why would the nurse feel that foot care is so important to this client? A. An older adult client with foot ulcers experiences severe foot pain due to the diabetic polyneuropathy. B. Avoiding foot ulcers may mean the difference between institutionalization and continued independent living. C. Hypoglycemia is linked with a risk for falls; this risk is elevated in older adults with diabetes. D. Oral antihyperglycemics have the possible adverse effect of decreased circulation to the lower extremities.

B

The surgical nurse is caring for a client who is postoperative day 1 following a thyroidectomy. The client reports tingling in the lips and fingers. The client also reports an intermittent spasm in the wrist and hand and exhibits increased muscle tone. Which electrolyte imbalance should the nurse first suspect? A. Hypophosphatemia B. Hypocalcemia C. Hypermagnesemia D. Hyperkalemia

B

Which of the following anwser choices would be used in confirming the diagnosis of aplastic anema? A elevated erythropoietin levels B bone morrow biopsy C increased peripheral blood counts D leukocytosis

B

Which of the following best describes aplastic anemia? A excessive production of blood cells B bone marrow failure leading to decreased blood cell production C overproduction of platelets D increased red blood cell production

B

A client's rapid cancer metastases have prompted a shift from active treatment to palliative care. When planning this client's care, the nurse should identify what primary aim? A. To prioritize emotional needs B. To prevent and relieve suffering C. To bridge between curative care and hospice care D. To provide care while there is still hope

B Palliative care, which is conceptually broader than hospice care, is both an approach to care and a structured system for care delivery that aims to prevent and relieve suffering and to support the best possible quality of life for clients and their families, regardless of the stage of the disease or the need for other therapies. Palliative care goes beyond simple prioritization of emotional needs; these are always considered and addressed. Palliative care is considered a "bridge," but it is not limited to just hospice care. Hope is something clients and families have even while the client is actively dying.

A client has just been diagnosed with type 2 diabetes. The health care provider has prescribed an oral antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the control of blood glucose. What type of oral antidiabetic agent did the health care provider prescribe for this client? A. A sulfonylurea B. A biguanide C. A thiazolidinedione D. An alpha-glucosidase inhibitor

B Sulfonylureas exert their primary action by directly stimulating the pancreas to secrete insulin, and therefore require a functioning pancreas to be effective. Biguanides inhibit the production of glucose by the liver and are in used in type 2 diabetes to control blood glucose levels. Thiazolidinediones enhance insulin action at the receptor site without increasing insulin secretion from the beta cells of the pancreas. Alpha-glucosidase inhibitors work by delaying the absorption of glucose in the intestinal system, resulting in a lower postprandial blood glucose level.

A client with hypokalemia is to receive intravenous (IV) potassium replacement. Which action should the nurse take when administering potassium intravenously? Select all that apply. A. Administer potassium by IV push. B. Assess blood urea nitrogen (BUN) and serum creatinine prior to potassium administration. C. Monitor complete blood count during potassium infusion. D. Follow the facility policy for infusion of potassium. E. Report a reduced urinary output to the health care provider

B D E

A client is brought to the emergency department. The client is a type 2 diabetic and is experiencing hyperglycemic hyperosmolar syndrome (HHS). The nurse should identify what components of HHS? Select all that apply. A. Leukocytosis B. Glycosuria C. Dehydration D. Hypernatremia E. Hyperglycemia

B, C, E

How much blood loss can occur before losing consciousness? A. 15-20% B. 30-40% C. 50-60% D. 70-80%

B. 30-40%

A client on the oncology unit is receiving carmustine, a chemotherapy agent, and the nurse is aware that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse assess for in clients at risk for thrombocytopenia? A. Interrupted sleep pattern B. Hot flashes C. Epistaxis D. Increased weight

C

A client with cancer has just been told that the disease is now terminal. The client tearfully states, "I can't believe I am going to die. Why me?" What is the nurse's best response to elicit more information from the client? A. "I know how you are feeling." B. "You have lived a long life; that should bring you peace." C. "Tell me more about how you feel about this news." D. "Life can be so unfair."

C

A client with type 1 diabetes mellitus is seeing the nurse to review foot care. What would be a priority instruction for the nurse to give the client? A. Examine feet weekly for redness, blisters, and abrasions. B. Avoid the use of moisturizing lotions. C. Avoid hot-water bottles and heating pads. D. Dry feet vigorously after each bath.

C

A diabetes educator is teaching a client about type 2 diabetes. The educator recognizes that the client understands the primary treatment for type 2 diabetes when the client states what? A. "I read that a pancreas transplant will provide a cure for my diabetes." B. "I will take my oral antidiabetic agents when my morning blood sugar is high." C. "I will make sure to follow the weight loss plan designed by the dietitian." D. "I will make sure I call the diabetes educator when I have questions about my insulin."

C

A nurse is providing discharge teaching for a client with COPD. What should the nurse teach the client about breathing exercises? A. Lie supine to facilitate air entry. B. Avoid pursed-lip breathing unless absolutely necessary. C. Use diaphragmatic breathing. D. Use chest breathing.

C

A pregnant client has been diagnosed with gestational diabetes. The client is shocked by the diagnosis, stating that they are conscientious about their health, and asks the nurse what causes gestational diabetes. The nurse should explain that gestational diabetes is a result of what etiologic factor? A. Increased caloric intake during the first trimester B. Changes in osmolality and fluid balance C. The effects of hormonal changes during pregnancy D. Overconsumption of carbohydrates during the first two trimesters

C

A school nurse is caring for a 10-year-old client who is having an asthma attack. What is the preferred intervention to alleviate this client's airflow obstruction? A. Administer corticosteroids by metered dose inhaler. B. Administer inhaled anticholinergics. C. Administer an inhaled beta-adrenergic agonist. D. Use a peak flow monitoring device.

C

A student with diabetes reports feeling nervous and hungry. The school nurse assesses the student and finds the child has tachycardia and is diaphoretic with a blood glucose level of 50 mg/dL (2.8 mmol/L). What should the school nurse administer? A. A combination of protein and carbohydrates, such as a small cup of yogurt B. Two teaspoons of sugar dissolved in a cup of apple juice C. Half of a cup of juice, followed by cheese and crackers D. Half a sandwich with a protein-based filling

C

The nurse is assessing a client whose respiratory disease is characterized by chronic hyperinflation of the lungs. Which physical characteristic would the nurse most likely observe in this client? A. Signs of oxygen toxicity B. A moon face C. A barrel chest D. Long, thin fingers

C

The nurse is caring for a client admitted to the medical unit 72 hours ago with pyloric stenosis. A nasogastric tube was placed upon admission, and since that time the client has been on low intermittent suction. Upon review of the morning's blood work, the nurse notices that the client's potassium is below reference range. The nurse should assess for signs and symptoms of what imbalance? A. Hypercalcemia B. Metabolic acidosis C. Metabolic alkalosis D. Respiratory acidosis

C

While assessing a client's peripheral IV site, the nurse observes edema and coolness around the insertion site. How should the nurse document this observation? A. Air embolism B. Phlebitis C. Infiltration D. Fluid overload

C

You are providing diet teaching to a patient with low iron levels. Which foods would you encourage the patient to eat regularly? A herbal tea, watermelon, apples B sweet pot, packaged meat, artichoke C egg yolks, legumens, beef D chocolate, cornbread, cabbage

C

A hospice nurse is caring for a young adult client with a terminal diagnosis of leukemia. When updating this client's plan of nursing care, what should the nurse prioritize? A. Interventions aimed at maximizing quantity of life B. Providing financial advice to pay for care C. Providing realistic emotional preparation for death D. Making suggestions to maximize family social interactions after the client's death

C Hospice care focuses on quality of life but, by necessity, it usually includes realistic emotional, social, spiritual, and financial preparation for death. Financial advice and actions aimed at post-death interaction would not be appropriate priorities.

Which of the following causes of chronic blood loss may not cause noticeable symptoms? A. Bleeding from the kidneys B. Heavy periods C. Intestinal Pollips D. Ruptured blood vessels

C intestinal pollips

What diagnostic test to determine for pneumonia?

CXR sputum culture CBC Blood test

A patient with acute abdominal pain is scheduled for an appendectomy in 3 hours, while waiting he states the pain has subsided, what priority action is taken by the nurse?

Call provider for possible rupture

Patient taking prednisone, what statement by the patient indicates learning?

Causes insomnia, take in the morning

Post surgical patient has an order for ketorlac (Torodol) she inquires how the medication eases her pain, what is the nurses best response?

Changes the conversion of fatty acid to prostaglandin in the pathway.

Assessing a patient DX with COPD which of the following assessments would you expect to see?

Chronic cough Barrel chest Shortness of breath Weight loss

A nurse in a providers office is assessing an older adult patient, which of the following is a manifestation of pneumonia in older adults?

Confusion

A 62-year-old woman diagnosed with breast cancer is scheduled for a partial mastectomy. The oncology nurse explained that the surgeon will want to take tissue samples to ensure the disease has not spread to adjacent axillary lymph nodes. The client has asked if they will have her lymph nodes dissected, like her mother did several years ago. What alternative to lymph node dissection will this client most likely undergo? A. Lymphadenectomy B. Needle biopsy C. Open biopsy D. Sentinel node biopsy

D

A client with obesity has been prescribed liraglutide by the primary provider. When providing the client with health education, the nurse should teach the client: A. that the medication should be taken 30 minutes before each meal. B. about the need to avoid grapefruit and grapefruit juice. C. the signs and symptoms of acute kidney injury. D. how to self-administer subcutaneous injections.

D

A client's most recent laboratory results show a slight decrease in potassium. The health care provider has opted to forgo drug therapy but has suggested increasing the client's dietary intake of potassium. What should the nurse recommend? A. Apples B. Fish C. Rice D. Spinach

D

A diabetes nurse educator is presenting current recommendations for levels of caloric intake. What are the current recommendations that the nurse would describe? A. 10% of calories from carbohydrates, 50% from fat, and the remaining 40% from protein B. 10% to 20% of calories from carbohydrates, 20% to 30% from fat, and the remaining 50% to 60% from protein C. 20% to 30% of calories from carbohydrates, 50% to 60% from fat, and the remaining 10% to 20% from protein D. 50% to 60% of calories from carbohydrates, 20% to 30% from fat, and the remaining 10% to 20% from protein

D

A medical nurse is aware of the need to screen specific clients for their risk of hyperglycemic hyperosmolar syndrome (HHS). In what client population does this syndrome most often occur? A. Clients who are obese and who have no known history of diabetes B. Clients with type 1 diabetes and poor dietary control C. Adolescents with type 2 diabetes and sporadic use of antihyperglycemics D. Middle-aged or older people with either type 2 diabetes or no known history of diabetes

D

A nurse is assessing a client who has diabetes for the presence of peripheral neuropathy. The nurse should question the client about what sign or symptom that would suggest the possible development of peripheral neuropathy? A. Persistently cold feet B. Pain that does not respond to analgesia C. Acute pain, unrelieved by rest D. The presence of a tingling sensation

D

A school nurse is teaching a group of high school students about risk factors for diabetes. What action has the greatest potential to reduce an individual's risk for developing diabetes? A. Have blood glucose levels checked annually. B. Stop using tobacco in any form. C. Undergo eye examinations regularly. D. Lose weight, if obese.

D

An older adult client with type 2 diabetes is brought to the emergency department by the clients daughter. The client is found to have a blood glucose level of 600 mg/mL (33.3 mmol/L). The client's daughter reports that the client recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made. What nursing action would be a priority? A. Administration of antihypertensive medications B. Administering sodium bicarbonate intravenously C. Reversing acidosis by administering insulin D. Fluid and electrolyte replacement

D

The nurse is caring for a client with a secondary diagnosis of hypermagnesemia. What assessment finding would be most consistent with this diagnosis? A. Hypertension B. Kussmaul respiration's C. Increased DTRs D. Shallow respiration's

D

Which issue has most often presented challenging ethical issues, especially in the context of palliative care? A. Increased cultural diversity B. Staffing shortages in health care and questions concerning quality of care C. Increased costs of health care coupled with inequalities in access D. Ability of technology to prolong life beyond meaningful quality of life

D

A client is in a hospice receiving palliative care for lung cancer which has metastasized to the client's liver and bones. For the past several hours, the client has been experiencing dyspnea. What nursing action is most appropriate? A. Administer a bolus of normal saline, as prescribed. B. Initiate high-flow oxygen therapy. C. Administer high doses of opioids. D. Administer bronchodilators and corticosteroids, as prescribed.

D Bronchodilators and corticosteroids help to improve lung function, as do low doses of opioids. Low-flow oxygen often provides psychological comfort to the client and family. A fluid bolus is unlikely to be of benefit.

Diagnostic testing has been prescribed to differentiate between normal anion gap acidosis and high anion gap acidosis in an acutely ill client. What health problem often precedes normal anion gap acidosis? A. Metastases B. Excessive potassium intake C. Water intoxication D. Excessive administration of chloride

D Normal anion gap acidosis results from the direct loss of bicarbonate, as in diarrhea, lower intestinal fistulas, ureterostomies, and use of diuretics; early renal insufficiency; excessive administration of chloride; and the administration of parenteral nutrition without bicarbonate or bicarbonate-producing solutes (e.g., lactate). Based on these facts, the other listed options are incorrect.

A nurse is caring for a patient with pneumonia, the patient experiencing dyspnea, what intervention does the nurse identify as a priority for a patient with ineffective breathing pattern?

Give oxygen as ordered

A patient has prescribed levoflaxoxin for DX of CAP what topic should the nurse include in patient education?

Possible tendon rupture (BBW)

A patient is admitted with acute exacerbation of COPD which assessment finding is most indicative of assessment findings?

Restless and anxious (not getting enough O2)

Which would be the best intervention for a patient having a panic attack?

Stay with the patient

Are inhaled corticosteriods the most potent? True or False

True

Which of the following appendicitis assessments indicates rebound tenderness?

When RLQ is palpated then released (McBurneys point)

The nurse is caring for a client who is being treated on the oncology unit with a diagnosis of lung cancer with bone metastases. The client reports a new onset of weakness with abdominal pain, and further assessment suggests that the client likely has a fluid volume deficit. The nurse should recognize that this client may be experiencing which electrolyte imbalance? A. Hypernatremia B. Hypomagnesemia C. Hypophosphatemia D. Hypercalcemia

d. hypercalcemia