quiz 3

1. A nurse administers the drug Desmopressin acetate (DDAVP) to a client High with diabetes insipidus what should the nurse monitor to evaluate the effectiveness of the drug? a. intake and output b. arterial blood pH c. Pulse and respiratory rates d. fasting serum glucose

a

1. A nurse is assessing A patient with leukemia who is undergoing chemotherapy which side effect is the nurse anticipate? a. Increased temperature b. Flushed skin c. Epistaxis d. Tachycardia

a

1. A nurse is caring for a patient who is undergoing chemotherapy to treat leukemia what is the priority nurse action? a. Using techniques to minimize risk of infection b. encouraging food that will improve nutritional status c. providing emotional support for the child and family members d. promoting optimum growth and development

a

1. The nurse is completing an assessment on a couple seeking genetic counseling for sickle cell anemia both prospective parents carry sickle cell traits the nurse recognized at the couple has what chance of having a child who develops disease? a. 25% b. 75% c. 50% d. 100%

a

1. Which drug can cause diabetes insipidus? a. Demeclocycline b. Diabinese c. Metyrapone d. Aminoglutethimide

a

1. While receiving a blood transfusion a client developed acute dyspnea, generalized urticaria, a heart rate of 128 and a blood pressure of 70 / 38. What type of reaction does the nurse conclude that the client is probably experiencing? a. Anaphylactic b. Pyrogenic c. Panic d. hemolytic

a

1. Which iron rich foods should the nurse recommend for a patient who is diagnosed with iron deficiency? (select all that apply) a. Raisins b. Carrots c. lean steak d. whole milk e. oatmeal

A and C

1. After surgical clipping of a ruptured cerebral aneurysm a client develops the syndrome of inappropriate secretion of anti-diuretic hormone SIADH where manifestations are exhibited with excessive levels of anti-diuretic hormone?

Hyponatremia and decreased urine output

A 6 year old child with sickle cell disease is admitted for a vaso-occlusive crisis (painful episode). What are the PRIORITY nursing concerns? Select all that apply. 1. Nutrition 2. Hydration 3. Pain Management 4. Prevention from infection 5. Oxygen Supplementation

a,d,e

A nurse is caring for a newly admitted client with a diagnosis of Graves' disease in preparing a teaching plan the nurse anticipates which diet will be prescribed for this client? a. low sodium diet b. high rugauge det c. high calorie diet d. mechanical soft diet

c. high calorie diet

1. The nurse assesses a client for development of pernicious anemia after reviewing the client's history which condition did the nurse most likely find in the history? a. diabetes mellitus b. partial gastrectomy c. Acute gastritis d. unhealthy dietary habits

b

1. Which of the following statements made by patient with iron deficiency anemia indicates the need for further teaching? a. I can prevent the Constipation by increasing the intake of fiber and fluid. b. I should stop taking the medicine if my stools turn black c. I should return to the clinic if my stomach upsets worsen with this medication d. I should dilute the liquid iron preparation and used raw when taking it

b

A nurse is examining the nails of four Clients. Which client does the nurse suspect of having iron deficiency? a. Client A the nail shape is clubbing clinical finding the nail bed is spongy when palpated. b. Client B koilonychia clinical finding flattening of the nail plate with an increased smoothness of nail surface. c. Client C Beau's grooves. Grooves on nail plate growth by arrest. d. Client D pitting. Small multiple pits in the nail plates.

b

1. The nurse is planning discharge instructions for a client who has had a thyroidectomy what signs and symptoms with the client exhibit with surgically induced hypothyroidism? (select all that apply) a. intolerance to heat b. fatigue c. Dry skin d. insomnia e. excitability weight loss

b and c

1. what interventions should the nurse implement when caring for a client with syndrome of inappropriate anti diuretic hormone? (select all that apply) a. place in the client in high fowlers position b. monitoring and reporting neurologic changes c. providing frequent oral care d. instituting fall precautions e. restrict fluids to 2 liters per day

b,c,d

1. A nurse is caring for a client with Addison disease. Which dietary instruction should the nurse teach the client to follow? a. Omit protein foods at each meal b. Restrict the daily intake of fluids to one liter c. add extra salt to food d. consume high potassium foods

c

1. The nurse is caring for some clients with chronic anemia who are on blood transfusion therapy the nurse notices that one of the clients requires immediate treatment which client is the nurse addressing in this situation? a. client with itching b. client with pruritus c. client with wheezing d. client with flushing

c

1. While caring for a client receiving blood transfusion care the nurse notices that the client is having chest tightness, urticaria, dyspnea, lumbar pain and hematuria. What is the priority nursing intervention in this situation? a. maintain a patient ID with a Saline solution b. report to the Primary Health provider c. stop the blood transfusion immediately d. recheck identifying tags an numbers on the client

c

1. A 24 hour urine test is prescribed for a client who has had tentative diagnosis of pheochromocytoma what should the nurse do first? a. Insert a urinary retention catheter to promote the collection of urine b. discard the last voiding in the 24 hour time period for the test c. strain the urine following each voiding before adding the urine to the container d. start the time of the test after discarding the first voiding

d

1. A nurse is caring for a client with a diagnosis of polycythemia Vera the client asks: "why do I have an increased tendency to develop blood clots?". Which effect of the Polycythemia Vera should the nurse include in teaching session? a. Fragility of blood cells b. Immaturity of blood cells c. Elevated blood pressure d. Increased blood viscosity

d

1. Polycythemia is frequently associated with chronic obstructive pulmonary disease which should the nurse monitor for when assessing this complication? a. decreased hematocrit b. pallor and cyanosis c. dyspnea on exertion d. elevated hemoglobin

d

1. When discussing the therapeutic regimen of vitamin B12 for pernicious anemia with a client what teaching does the nurse provide? a. daily intramuscular injections are required for control b. vitamin B12 tablets taken daily will provide symptom control c. weekly Z track injections provide needed control d. intramuscular injections once a month will maintain control

d

1. What medication does a nurse expect to administer to control bleeding in a patient with hemophilia? a. frozen fresh frozen plasma b. factors II, VII, VIIII, X complex c. albumin d. factor VIII concentrate

d. factor VII concentrate

1. A nurse who works in the fertility clinic is discussing the inheritance pattern of sickle cell disease with the parents of a school aged child with the disease. The parents are planning to have a second child what does the nurse know is the parental Genotypic make up? a. father homozygous no sickle trait b. mother heterozygous sickle trait c. mother homozygous or father heterozygous d. mother homozygous father homozygous e. Father heterozygous mother heterozygous

e

The client is diagnosed with Cushing syndrome which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome?

glucose level