NurseLogic 2.0: Testing and Remediation Beginnner

8) A nurse is performing a respiratory examination on a client whio has pneumonia. Which of the following sounds should be elicted over areas of consolidation during percussion?

Dullness

4) A nurse is preparing to administer a tap water enema to a client. In which of the following positions should the nurse place the client?

Sim's

1) A nurse is reinforcing to a client who was recently prescribed a 2,000 mg sodium-restricted diet. Which of the following nutritional selections by the client indicates a need for further testing?

¾ cup of canned tomato juice

A nurse is caring for a client who is scheduled for a biopsy of a tumor located in the left lower lobe of the lung. The client states, "I will quit smoking if the results don't come back positive for cancer." This statement indicated the client is in which of the following stages of grief?

Bargaining

6) A nurse is caring for a client who is immobile and has developed a pressure ulcer. Which of the following characteristics is associated with a stage II pressure ulcer?

Partial-thickness skin loss

7) A nurse on a Peds unit is caring for an infant who is diagnosed w/laryngotracheobronchitis. While performing a respiratory exam, the nurse hears the sound in the provided audio clip. Based on this finding, the nurse should conclude the client is exhibiting which of the following breath sounds?

Stridor

A nurse is assisting with the admission of a client who is scheduled for a surgical procedure. The nurse administers a prescribed dose of lorazepam (Ativan) preoperatively. Which of the following statements by the client indicates the med has been effective?

"I feel very relaxed"

A nurse is preparing to administer an IM injection to an adult who has a BMI of 30. Which of the following needle lengths is appropriate to administer the injection in the ventrogluteal muscle?

1 1/2 inch

A nurse is reinforcing teaching to a client who is newly diagnosed w/Lyme disease. The nurses should include that the disease is transmitted in which of the following ways?

Vector

A nurse on a rehab unit is caring for a client who was admitted 3 days ago. Upon review of the client's med record, which of the follwoign actions should the nurse take?

restrict fluid intake

A nurse is reinforcing teaching to a client who has a fractured ankle and is learning to walk up stairs. Identify the sequence of actions the client should be taught when using a modified 3-point crutch gait.

1st- to stand and bear weight on the unaffected leg 2nd- transfer body weight to the crutches 3rd- advance the unaffected leg between the crutches 4th- shift weight from the crutches to the unaffected leg 5th- align crutches on the stair

2) A nurse in a provider's office is reinforcing teaching to the parents of a child who has allergies and is prescribed Benadryl 25 mg every 6hrs as needed. Available is Benadryl 12.5mg/5mL. How many teaspoons of Benadryl does the nurse instruct the parents to administer per dose?

2 tsp

3) A nurse is caring for a client who has been prescribed a full liquid diet. Which of the following is appropriate to include in the client's diet? (select all that apply)

Grape juice, ice cream

A nurse is caring for a client who is receiving Vancomycin for a beta-hemolytic streptococci infection. For which of the following adverse effects should the nurse monitor?

Hearing loss

19) A nurse us collecting data on a newly admitted client who is reporting abdominal discomfort. When examining the abdomen, which of the following techniques should the nurse perform first? a) Inspection

Inspection

A nurse is preparing to auscultate a client's heart. Which of the following positions is best for detecting low-pitch diastolic murmur?

Left lateral recumbent position

5) A nurse in a provider's office is caring for a client who has depression and is taking St. John's Wort. The herbal supplement is thought to improve which of the following?

Mood

A nurse on a rehab. unit is caring for a client who was admitted 3 days ago. Upon review of the client's medical record, which of the following actions should the nurse take? (Serum Lab Results - Hemoglobin: 15.4g/dL, Protein: 7.2g/dL, BUN 8mg/dL, Glucose 72 mg/dL A) Request prescription for iron supplement B) Administer 4 oz. of orange juice C) Restrict fluid intake D) Encourage bed rest

Restrict fluid intake

A nurse is preparing to transfer a client from the bed to a chair. The nurse should take which of the following actions to prevent a lift injury?

Stand close to patient

A nurse on a pediatric unit is caring for an infant who is diagnosed with laryngotracheobronchitis (croup). While performing a respiratory examination, the nurse hears the sound in the provided audio clip. Based on this finding, the nurse should conclude the client is exhibiting which of the following breath sounds? A) Rochi B) Crackles C) Stridor 4) Wheezing

Stridor

9) A nurse is preparing to measure the blood pressure of a client who has hypertension. Which of the following actions by the nurse when taking the blood pressure can result in an inaccurately low reading?

Using a cuff that is too wide