Comprehensive Review
Client who has recurrent cystitis ask the nurse about preventing future episodes. For which of the following statements should the nurse provide further reinforcement of teaching? - "I drink at least 2 L of fluid per day." - "I prefer tub baths to showering." - "I urinate after sexual relations." - "I wipe from front to back after urinating."
"I prefer tub baths to showering."
Reinforcing teaching with a client who has spinal cord injury and will need to perform intermittent urinary self catherization at home after discharge. Which of the following statements indicates that the client understands the procedure? - "I must use sterile technique to do each of the cathertization." - "I should stop the catherization when I have removed 150 mL of urine." - "I will perform intermittent self catherization every 2-3 hours."
"I will perform intermittent self catherization every 2 to 3 hours." Not sterile technique because doing it at home means they do not have as much of a greater risk for infection than at home.
toddler who is undergoing insertion of tympanovstomy tubes. Which of the following statements should the nurse include? - "The doctor will replace the tubes routinely about every 2 years." - "The tubes should stay in place until they fall out on their own." - "Now that the tubes are in place, she should not have any further problems with hearing."
"The tubes should stay in place until they fall out on their own." Tubes allow for drainage from the and ventilation to the middle ear. usually fall out on their own 6-12 months after. Most do not need tubes after one year
A presentation to clients about how to use a diaphragm. Which of the following information should the nurse plan to include in the session? - "Use spermicidal jelly whenever you use a diaphragm." - "Insert the diaphragm about 8 hours before sexual activity." - "You should remove the diagram 30 mins after intercoarse." - "A diaphragm comes in one size and does not require fitting."
"Use spermicidal jelly whenever you use a diaphragm." A diaphragm is a barrier device that helps prevent pregnancy. use of spermicidal jelly with it increases the effectivenss of the device.
Admission of a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After the admission history of myelomengocele. After admission history is complete, which of the following actions should the nurse recommend? - Attach latex allergy alert identification band. - Initiate contact precautions - Administer folic acid with meals
Attach a latex allergy alert identification band. Myelomeningocele is a serious complication of spina bifida, a neural tube defect. Clients with neural tube defects are at risk for latex allergy
Client who has a new diagnosis of acute systemic lupus erythematous and is to begin medication therapy. Which of the following types of medication should the nurse expect to administer? - Corticosteriods - Antihistamines - Antivirals
Corticosteriods such as prednisone are the treatment of choice SLE b/c of their rapid anti inflammatroy action.
Older adult client who has an in the canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as a source for this sound? - Low battery powder - Excessive wax in the ear canal - A volume setting that is too low
Excessive wax in the ear canal
A nurse is caring for a client who has dehydration. Which of the following lab values should the nurse expect for this client? -BUN 18 mg - Hct 55% - Urine specific gravity 1.001
Hct 55% elevated Hct indicates Dehydration. A low urine specific gravity indicates OVERHYDRATION
The parent asks why her child has to inhale glucocorticoids instead of taking it orally. Which of the following information should the nurse provide the parent? - Oral glucocorticoids are hazardous during times of stress - Oral glucocorticoids are more likely to slow linear growth in children - Inhaled glucocorticoids are more effective for acute bronchospasm
Oral glucocorticoids are more likely to slow linear growth in children Oral glucocorticoids in high doses by children can result in decreased linear growth.
Client who has presbyopia. With which of the following activities should the nurse expect the client to have difficulty? - Finding bathroom at night. - Driving at night - Seeing numbers on highway signs - Reading the newspaper
Reading the newspaper. Presbyopia, the lens are unable to change shape to focus on objects close up. Develops with ageing and results from decreased elasticity of the lens
A nurse is preparing to administer 10 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take? - Verify with the provider about giving insulin glargine at 1700 - Ensure the insulin glargine is a cloudy suspension. - Request a prescription for giving insulin glargine twice daily - Use separate syringes for administering insulin glargine and NPH insulin
Use separate syringes for administering insulin glargine and NPH insulin. The nurse should not mix insulin glargine with any other insulin. Glargine insulin can be taken any time of the day but only once in a 24 hr period.
