adult health exam #3 revised

A provider orders rifampin 8 mg/kg once daily, IV. The patient weighs 90 Kg. The pharmacy provides 50 mg/mL

14.4 mL

A provider orders 12 mg/m2 one dose. 160 lbs 62 inches.

21

A provider orders azathioprine 5 mg/kg once daily. The patient weighs 65 kg. The pharmacy provides in vials containing 100 mg/mL

3.4 mL

A nurse who provides care in an ambulatory clinic integrates basic cancer screening into admission assessments. What client most likely faces the most immediate risk of oral cancer?

A 65-year old man with alcoholism who smokes

A 56-year old client is at a screening event has a blood pressure reading of 146/96. Upon hearing the reading, the client states, "My pressure has never been this high. Do you think my doctor will prescribe medication to reduce it?" What is the nurse's best response?

A single elevated blood pressure does not confirm hypertension. Diagnosis requires multiple elevated readings.

The nurse's comprehensive assessment of an older adult involves the assessment of the patient's gait. How should the nurse best perform this assessment? A) Instruct the patient to walk heel-to-toe for 15 to 20 steps. B) Instruct the patient to walk in a straight line while not looking at the floor. C) Instruct the patient to walk away from the nurse for a short distance and then toward the nurse. D) Instruct the patient to balance on one foot for as long as possible and then walk in a circle around the room.

C) Instruct the patient to walk away from the nurse for a short distance and then toward the nurse.

A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until the femur can be rodded in surgery. For what complications should the nurse monitor this client? SATA

DVT compartment syndrome fat embolism

A nurse is caring for a newly admitted client with a suspected GI bleed. The nurse assessed the client's stool after a bowel movement and notes it to be tarry-black in color. This finding is suggestive of bleeding from what location?

Upper GI tract

The triage nurse in the emergency department is assessing a client who reports pain and swelling in the right lower leg. The client's pain became much worse last night and appeared along with fever, chills, and sweating. The client states, "I hit my leg on the car door 4 or 5 days ago and it has been sore ever since." The client has a history of chronic venous insufficiency. Which intervention should the nurse anticipate for this client?

antibiotics to treat cellulitis

A nurse is assessing a client who has just been admitted to the post surgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize?

assess for a patent airway

The nurse is providing care for a client with a diagnosis of hypertension. The nurse should consequently assess the client for signs and symptoms of which other heart problem?

atherosclerosis

A client presents to the ED reporting severe substernal chest pain radiating down the left arm. The client is admitted to the coronary care unit with a diagnosis of myocardial infarction. What nursing assessment activity is a priority on admission to the CCU?

begin ECG monitoring

A client has been admitted to the medical unit with signs and symptoms suggestive of endocarditis. The health care provider's choice of antibiotics would be primarily based on what diagnostic test?

blood cultures

A client has symptoms of osteoporosis and is being assessed during an annual physical examination. The assessment shows that the client will require further testing related to a possible exacerbation of osteoporosis. The nurse would anticipate which diagnostic test?

bone densitometry

A client tells the nurse that they have pain and numbness in the thumb, first finger, of the right hand . The nurse discovers that the client is employed in auto mechanic, and that the pain is increased while working. This may indicate that the client has what health problem?

carpal tunnel

A nurse is working with a client who has chronic constipation. What should be included in client teaching to promote normal bowel function?

consume high residue high fiber foods

A client admitted with acute diverticulitis has experienced a sudden increase in temperature and reports a sudden onset of exquisite abdominal tenderness. The nurse's rapid assessment reveals that the client's abdomen is uncharacteristically rigid on palpitation. What is the nurse's best response?

contact the primary care provider promptly and report these signs or perforation

A nurse is caring for a client who is exhibiting ventricular tachycardia because the client is pulse-less the nurse should prepare for what intervention?

defibrillation

A client is scheduled for catheter ablation therapy. When describing the procedure to the client's family the nurse should address which aspect of the treatment?

destruction of specific cardiac cells.

The client is experiencing painful oral lesions following radiation for oropharyngeal cancer. Which intervention should the nurse give this client?

eat soft or liquid foods

A nurse is caring for a client who just has been diagnosed with a peptic ulcer. When teaching the client about his new diagnosis, how should the nurse best describe it?

erosion of the lining of the stomach or intestine

A client has sustained traumatic injuries that involve several bone fractures. A fracture of what type of bone may interfere with the protections of the client's vital organs?

flat bones

The management of the client's gastrostomy is an assessment priority for the homecare nurse. What statement would indicate that the client is managing the tube correctly?

i flush my tube with water before and after each medicaiton

The nursing care plan for a client in traction specifies regular assessment for venous thromboembolism. When assessing a clients lower limbs what sign of symptom is suggestive of deep vein thrombosis?

increased warmth of the calf

The nurse is taking a health history of a new client who reports pain in the left lower leg and foot when walking. This pain is relieved with rest and the nurse observes that the left lower leg is slightly edematous and is hairless. When planning this client's care, the nurse should most likely address which health problem?

intermittent claudication

The nurse is caring for a client who is scheduled to undergo mechanical valve replacement. Client education would include coverage of which intervention?

long-term anti-coagulation therapy

The nurse is caring for a client scheduled for a colonoscopy. The nurse would assist the client into what position during the diagnostic test?

lying on the left side with legs drawn toward the chest

A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes?

maintaining fluid and electrolyte balance

A client with type 2 diabetes and hypertension has a routine follow-up appointment after a cardiac stent placement. On assessment the nurse notes the client weighs 250 lb, with a waist circumference of 40 inches, blood pressure is 162/64, and fasting blood glucose is 220. Based on these findings, which syndrome should the nurse suspect?

metabolic syndrome

The client has just returned to the floor after balloon vulvuloplasty of the aortic valve and the nurse is planning appropriate assessments. The nurse would assess for indicators of which potential complications? SATA

mitral valve damage emboli ventricular dysrythmia

A client comes to the clinic reporting pain in the epigastric region. What statement by the client is specific to the presence of a duodenal ulcer?

my pain resolves when I have something to eat

A 10-year old client is growing at a rate appropriate for the client's age. Which cells are responsible for the secretion of bone matrix, which eventually results in bone growth?

osteoblasts

A nurse is promoting increased protein intake to enhance a client's wound healing. What is the enzyme that will initiate the digestion of the protein that the client consumes?

pepsin

Diagnostic imaging and physical assessment have revealed that a client with peptic ulcer disease has suffered a perforated ulcer. The nurse recognizes that emergency interventions must be performed as soon as possible in order to prevent the development of what complication?

peritonitis

A nurse is caring for an older adult who has been experiencing severe clostridium difficile related diarrhea. When reviewing the client's most recent laboratory tests, the nurse should prioritize which finding?

potassium level

The nurse notes that a client has developed dyspnea, a productive mucoid cough, peripheral cyanosis, and noisy, moist sounding, rapid breathing. These signs and symptoms suggest which health problem?

pulmonary edema

A nurse is writing a care plan for a client admitted to the emergency department with an open fracture, the nurse will assign priority to what nursing diagnosis for a client with an open fracture of the radius?

risk for infection

A nurse in the critical care unit is caring for a client with heart failure who has developed an intracardiac thrombus. The nurse should assess for signs and symptoms of which sequela?

stroke

A client is admitted to the cardiac unit with a diagnosis of syncope. Orthrostatic blood pressures are ordered every 8 hours. Which blood pressure readings would best indicate that the nurse should notify the provider of a positive finding?

supine 138/76 sitting 132/66 standing 122/52

A nurse is caring for a client with a bone tumor. The nurse is preparing education to help the client reduce the risk for pathologic fractures. What should the nurse teach the client?

support the affected extremity with external supports such as splints.

The nurse is providing health education to a client with gastrointestinal disorder. What should the nurse describe as a major function of the GI tract?

the absorption into the bloodstream of nutrient molecules produced by digestion

A client with a history of peptic ulcer disease has presented to the emergency department in distress. What assessment finding would lead the ED nurse to suspect that the client has a perforated ulcer?

the client has a rigid board like abdomen that is tender

An orthopedic nurse is caring for a client who is postoperative day 1 following foot surgery. What nursing intervention should be included in the client's subsequent care?

the foot should be elevated in order to prevent edema

The nurse is caring for a client admitted with angina who is scheduled for cardiac catheterization. The client is anxious and asks the reason for this test. The nurse should explain that cardiac catheterization is most commonly done for which purpose?

to assess how blocked or open a client's coronary arteries are

A client who is a candidate for an implantable cardioverter defibrillator asks the nurse about the purpose of this device. What would be the nurse's best response?

to detect and treat dysrhythmias such as ventricular fibrillation and ventricular tachycardia.

A client is admitted to the orthopedic unit in skeletal traction for a fractured proximal femur. Which explanation should the nurse give the client about skeletal traction?

traction involves passing a pin through the bone

A nurse is assessing a new client who is diagnosed with peripheral artery disease. The nurse cannot feel the pulse in the client's left foot. How should the nurse proceed with assessment?

use doppler ultrasound to identify the pulses

A nurse is teaching an educational class to a group of older adults at a community center in an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended intake of which nutrients? SATA

vitaminD Calcium