EAQ Adult Questions

The nurse is caring for a client on antiretroviral therapy who has Pneumocystis jiroveci pneumonia. Which action is priority? Assisting the client in eating and drinking Maintaining fluid balance in the client Providing adequate oxygenation for the client Encouraging the client to perform breathing exercise

Providing adequate oxygenation for the client

A nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos should the nurse include in the teaching plan? A C D E

c

A registered nurse is teaching a student nurse regarding the interventions for a client with human immunodeficiency virus (HIV) infection. Which statement by the student nurse indicates the nurse needs to follow up? "I will ask the client to avoid exposure to new infectious agents." "I will ask the client about intake of vitamins and micronutrients." "I will ask the client to avoid involvement in community activities." "I will ask the client if he or she is up to date with recommended vaccines."

"I will ask the client to avoid involvement in community activities."

The nurse administers a pneumococcal vaccine to a 70-year-old client. The client asks "Will I have to get this every year like I do with the flu shot?" How should the nurse respond? "You need to receive the pneumococcal vaccine every other year." "The pneumococcal vaccine should be received in early autumn every year." "You should get the flu and pneumococcal vaccines at your annual physical examination." "It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."

"It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."

A client with multiple sclerosis is admitted to the hospital. The client's exacerbations have become more frequent and more severe. One day, the client's partner confides to the nurse, "Life is getting very hard and depressing, and I am upset with myself for thinking about a nursing home." After listening to the partner's concerns, which is the bestresponse by the nurse? "You may be able to lessen your feelings of guilt by seeking counseling." "It would be helpful if you become involved in volunteer work at this time." "I recognize it's hard to deal with this, but try to remember that this too shall pass." "Joining a support group of people who are coping with this problem may be helpful."

"Joining a support group of people who are coping with this problem may be helpful."

Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains 0.6 mg. How many tablets should the nurse administer? Record your answer using a whole number. _____

2

Following a cholecystectomy to remove a cancerous gallbladder, the client has a T-tube in place. The T-tube drains 300 mL of bile-colored fluid during the first 24 hours after surgery. What should the nurse do? Clamp the tube intermittently to slow the drainage. Increase the rate of intravenous fluids to compensate for this loss. Empty the portable drainage system and reestablish negative pressure. Consider this an expected response after surgery and record the results.

Consider this an expected response after surgery and record the results

After assessing a client with an involuntary loss of urine, the nurse suspects overflow incontinence. Which symptom supports the nurse's suspicion? Constant dribbling of urine Abrupt and strong urge to void Loss of urine with physical exertion Large amount of urine loss with each occurrence

Constant dribbling of urine

A nurse reviews the laboratory results of a client with acute pancreatitis. Which test is most significant in determining the client's response to treatment? Platelet count Amylase level Red blood cell count Erythrocyte sedimentation rate

Amylase level the amylase level is elevated up to three times over baseline; serum amylase usually returns to expected adult levels within three days after treatment begins. The platelet count is not an indicator of the response to treatment for pancreatitis; platelets are important in the control of bleeding. The red blood cell count is unchanged in acute pancreatitis, unless hemorrhage is present. The erythrocyte sedimentation rate is not an indicator of a response to treatment for pancreatitis.

Which hormonal deficiency causes diabetes insipidus in a client? Prolactin Thyrotropin Luteinizing hormone (LH) Antidiuretic hormone (ADH)

Antidiuretic hormone (ADH)

A client with Guillain-Barré syndrome has been hospitalized for three days. Which assessment finding would the nurse expect and need to monitor frequently in this client? Localized seizures Skin desquamation Hyperactive reflexes Ascending weakness

Ascending weakness

A client with myasthenia gravis has been receiving neostigmine and asks about its action. What information about its action should the nurse consider when formulating a response? Stimulates the cerebral cortex Blocks the action of cholinesterase Replaces deficient neurotransmitters Accelerates transmission along neural sheaths

Blocks the action of cholinesterase

A client who has been diagnosed with human immunodeficiency virus (HIV) tells the nurse, "I have taken this as a challenge, and I will be able to fight this tough battle." This is an example of which concept of spiritual health? Hope Faith Religion Connectedness

Hope

he client's pituitary gland must be removed. Which surgery will the client undergo? Mastectomy Prostatectomy Thyroidectomy Hypophysectomy

Hypophysectomy

A client is undergoing diagnostic testing to determine if the client has myasthenia gravis. The nurse understands that the test that is most specific for determining the presence of this disease is what? Electromyography Pyridostigmine test History of physical deterioration Edrophonium chloride test

Edrophonium chloride test

Which treatment intervention should be provided to a client diagnosed with Cushing's disease? Increase cortisol levels Increase sodium levels Decrease blood glucose levels Decrease serum calcium levels

Decrease blood glucose levels

What is a common characteristic of Sjögren's syndrome (SS)? Dry eyes Muscle cramping Urinary tract infection Elevated blood pressure

Dry eyes

A nurse is caring for a client with quadriplegia. Which nursing intervention will decrease the occurrence of pressure ulcers? Avoiding leg massages Frequent repositioning of client Increasing fiber content in food Encouraging weight-bearing exercises

Frequent repositioning of client

A nurse is caring for an adult client with acromegaly. What clinical manifestation does the nurse expect the client to exhibit? Prominent jaw Decreased pulse Increased height Increased sodium

Prominent jaw

A client with rheumatoid arthritis of the knee has undergone knee replacement surgery. What actions by the nurse and other members of the health care team help to provide efficient client care? Select all that apply. Provide financial assistance to the client. Follow interventions to reduce hospital stay. Encourage the client to use herbal therapy. Provide cost-effective treatment to the client. Help the client in making health care decisions.

Provide cost-effective treatment to the client. Follow interventions to reduce hospital stay.

Which parameter monitoring should be the nurse's priority while caring for a client with hypothyroidism? Pulse rate Blood pressure Respiratory rate Body temperature

Respiratory rate

Which neurologic manifestation in a client is associated with hyperthyroidism? Confusion Hearing loss Tremors Slowness of speech

Tremors

A client is diagnosed with chronic pancreatitis. Which dietary instruction is most important for the nurse to share with the client? Eat a low-fat, low-protein diet Avoid foods high in carbohydrates Avoid ingesting alcoholic beverages Eat a bland diet with no snacks in between

Avoid ingesting alcoholic beverages

A nurse is counseling a client with amyotrophic lateral sclerosis (ALS) about management of this disorder. What important suggestion should the nurse make to the client? "Eye surgery may improve your vision." "Activities should be spaced throughout the day." "Opioids may be necessary for the pains in your legs." "Leg restraints will decrease the chance of physical injury."

"Activities should be spaced throughout the day."

A client is admitted to the hospital with a tentative diagnosis of Guillain-Barré syndrome. Which question by the nurse will best elicit information that supports this diagnosis? "Have you experienced an infection recently?" "Is there a history of this disorder in your family?" "Did you receive a head injury during the past year?" "What medications have you taken in the last several months?"

"Have you experienced an infection recently?"

A client is newly diagnosed with multiple sclerosis. The client is obviously upset with the diagnosis and asks, "Am I going to die?" Which is the nurse's best response? "Most individuals with your disease live a normal life span." "Is your family here? I would like to explain your disease to all of you." "The prognosis is variable; most individuals experience remissions and exacerbations." "Why don't you speak with your healthcare provider? You probably can get more details about your disease."

"The prognosis is variable; most individuals experience remissions and exacerbations."

A client with myasthenia gravis is to receive immunosuppressive therapy. What assures the nurse that this therapy will be effective? Inhibits the breakdown of acetylcholine at the neuromuscular junction Stimulates the production of acetylcholine at the neuromuscular junction Decreases the production of autoantibodies that attack acetylcholine receptors Promotes the removal of autoantibodies that impair the transmission of impulses

Decreases the production of autoantibodies that attack acetylcholine receptors

What is the action of the vasopressin hormone released from the client's posterior pituitary? Helps produce concentrated urine Causes tubular secretion of sodium Promotes potassium secretion in the collecting duct Enhances sodium reabsorption in the distal convoluted tubule

Helps produce concentrated urine

A nurse is caring for a client who is admitted to the hospital with ascites and a diagnosis of cirrhosis of the liver. What does the nurse conclude is the probable cause of ascites? Impaired portal venous return Inadequate secretion of bile salts Excess production of serum albumin Decreased interstitial osmotic pressure

Impaired portal venous return

A client with jaundice associated with hepatitis expresses concern over the change in skin color. What does the nurse explain is the cause of this color change? Stimulation of the liver to produce an excess quantity of bile pigments Inability of the liver to remove normal amounts of bilirubin from the blood Increased destruction of red blood cells during the acute phase of the disease Decreased prothrombin levels, leading to multiple sites of intradermal bleeding

Inability of the liver to remove normal amounts of bilirubin from the blood

The nurse is providing education to a client with systemic lupus erythematosus. Which education will the nurse consider as high priority? Instructing about ways to protect the skin Helping the client to identify coping strategies Teaching methods to monitor body temperature Teaching about the effects of the disease on lifestyle

Instructing about ways to protect the skin

What clinical manifestations does a nurse expect a client with systemic lupus erythematosus (SLE) mostlikely to exhibit? Select all that apply. Joint pain Facial rash Pericarditis Weight gain Hypotension

Joint pain Facial rash Pericarditis

To reduce the risk of recurrent painful gout attacks, the nurse teaches the client to avoid which foods? Select all that apply. Eggs Liver Cheese Salmon Shellfish

Liver Shellfish

Which is the first medication approved to reduce the risk of human immunodeficiency virus (HIV) infection in unaffected individuals? Truvada Abacavir Cromolyn Methdilazine

Truvada

A client returns from surgery after an abdominal cholecystectomy for a gangrenous gallbladder. For which postoperative complication, associated with the location of the surgical site, should the nurse assess the client? Atelectasis Hemorrhage Paralytic ileus Wound infection

Atelectasis

A postmenopausal woman has been administered raloxifene for osteoporosis. Which parameter should be assessed to ensure the efficacy of the drug and thus its continuation of use? Body weight Bone density Calcium levels in urine Esophageal functioning

Bone density

The nurse is providing care to a client with ascites secondary to liver failure. What is appropriate to include in this client's care? Select all that apply. High protein diet Low sodium diet Daily abdominal girth measurements Encourage increased by mouth fluid intake Daily weights

Low sodium diet Daily abdominal girth measurements Daily weights

The nurse is providing postoperative care to a kidney transplant recipient. What is the nurse's first priority during this period? Teaching signs of rejection to the client Maintaining fluid and electrolyte balance Providing emotional support to the recipient Advising the client to have frequent blood testing

Maintaining fluid and electrolyte balance

A client is admitted to the hospital with a diagnosis of cirrhosis of the liver. For which assessment signs of hepatic encephalopathy should the nurse assess this client? Select all that apply. Mental confusion Increased cholesterol Brown-colored stools Flapping hand tremors Musty, sweet breath odor

Mental confusion Flapping hand tremors Musty, sweet breath odor

A client reports pain four hours after a liver biopsy. The nurse identifies that there is leakage of a large amount of bile on the dressing over the biopsy site. What should the nurse do first? Tell the client to remain flat on the back. Medicate the client for pain as prescribed. Monitor the client's vital signs every 10 minutes. Notify the primary healthcare provider immediately.

Notify the primary healthcare provider immediately.

Which assessment finding is characteristic of a client with hypoparathyroidism? Serum phosphorus of 5 mg/dL (1.61 mmol/L); serum magnesium of 0.9 mEq/L (0.9 mmol/L) Serum phosphorus of 4 mg/dL (1.29 mmol/L); serum magnesium of 2.4 mEq/L (2.4 mmol/L) Serum phosphorus of 3 mg/dL (0.97 mmol/L); serum magnesium of 3.3 mEq/L (3.3 mmol/L) Serum phosphorus of 2 mg/dL (0.65 mmol/L); serum magnesium of 4.1 mEq/L (4.1 mmol/L)

Serum phosphorus of 5 mg/dL (1.61 mmol/L); serum magnesium of 0.9 mEq/L (0.9 mmol/L)

Which finding would the nurse expect in the urinalysis report of a client with diabetes insipidus? pH of urine: 9 Specific gravity of urine: 0.4 Red blood cells in urine: 6 hpf White blood cells in urine: 8 hpf

Specific gravity of urine: 0.4

A client's laboratory report reveals a CD4+ T-cell count of 520 cells/mm3. According to the Centers for Disease Control and Prevention (CDC), which stage of human immunodeficiency virus (HIV) disease is present in the client? Stage 1 Stage 2 Stage 3 Stage 4

Stage 1

A client is scheduled for a cholecystectomy and asks the primary nurse about the function of the gallbladder. What should the nurse identify is the function of the gallbladder when providing preoperative teaching? Stores and concentrates bile Releases bile into the pancreatic duct Connects the common bile duct and the pancreas Controls the flow of fat through the sphincter of Oddi

Stores and concentrates bile

A client seeks help for dealing with incontinence. A nursing intervention is to teach Kegel exercises. Which type of incontinence is the client most likely experiencing? Reflex incontinence Stress incontinence Overflow incontinence Functional incontinence

Stress incontinence

A child who has been undergoing prolonged steroid therapy takes on a cushingoid appearance. What will the nursing assessment probably reveal? Select all that apply. Truncal obesity Thin extremities Increased linear growth Loss of hair on the body Decreased blood pressure

Truncal obesity Thin extremities

A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take? Wear a gown when entering the client's room. Use caution when bringing in the client's food. Use gloves when removing the client's bedpan. Wear a protective mask when entering the client's room.

Use gloves when removing the client's bedpan.

A client with a history of pancreatitis is scheduled for surgery to excise a pseudocyst of the pancreas. The client asks, "What is a pseudocyst?" Which information should the nurse include in a response to this question? Malignant growth Pocket of undigested food particles Sac filled with pus from necrotic pancreatic tissue Walled-off space of pancreatic enzymes and exudate

Walled-off space of pancreatic enzymes and exudate

What is the etiology for the development of pressure ulcers in an 80-year-old client? Atrophy of the sweat glands Decreased subcutaneous fat Stiffening of the collagen fibers Degeneration of the elastic fibers

Decreased subcutaneous fat

Parents are considering a bone marrow transplant for their child who has recurrent leukemia. The parents ask the nurse for clarification about the procedure. What is the best response by the nurse? "Bone marrow transplantation is rarely performed in children these days." "The hematopoietic stem cells are surgically implanted in the bone marrow." "Your child's immune system must be destroyed before the transplantation can take place." "It is a simple procedure with little preparation needed, and the stem cells are infused as in a blood transfusion."

"Your child's immune system must be destroyed before the transplantation can take place."

What should the nurse include when teaching a client with severe Parkinson's Disease about carbidopa-levodopa? Multivitamins should be taken daily. Alcohol consumption should be moderate. The medication can be taken with meals. A high-protein diet should be followed.

The medication can be taken with meals.

A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have what drug available? Atropine Phenytoin Neostigmine Diphenhydramine

Atropine

A nurse is taking the health history of a client who is to have surgery in one week. The nurse identifies that the client is taking ibuprofen for discomfort associated with osteoarthritis and notifies the healthcare provider. Which drug does the nurse expect will most likely be prescribed instead of the ibuprofen? Naproxen Aspirin Ketorolac Acetaminophen

Acetaminophen

A client who has been experiencing double vision, drooping of the eyelids, and fatigue visits the neurologic clinic. A diagnosis of myasthenia gravis is made, and the healthcare provider prescribes pyridostigmine. The nurse should teach the client that it is important to take this drug based on what schedule? On an empty stomach One hour before meals According to muscle strength At the exact time intervals prescribed

At the exact time intervals prescribed

A nurse is caring for an elderly client with dementia who has developed dehydration as a result of vomiting and diarrhea. Which assessment best reflects the fluid balance of this client? Skin turgor Intake and output results Client's report about fluid intake Blood lab results

Blood lab results

A client was admitted to the hospital with blunt trauma as a result of a collision with the steering wheel during a motor vehicle accident. The client was treated for a lacerated liver and abdominal hemorrhage. Which clinical findings should the nurse be alert for when assessing the client for peritonitis during the recovery period? Select all that apply. Jaundice Boardlike abdomen Abdominal tenderness Decreased bowel sounds Rapid decrease in coagulation ability

Boardlike abdomen Abdominal tenderness Decreased bowel sounds

A client with systemic lupus erythematosus is taking prednisone. The nurse anticipates that the steroid may cause hypokalemia. What food will the nurse encourage the client to eat? Broccoli Oatmeal Fried rice Cooked carrots

Broccoli

An older client with the diagnosis of dementia, Alzheimer type, is admitted to a nursing home. The client is confused and forgetful, wanders, and has intermittent episodes of urinary incontinence. How should the nurse plan to meet this client's elimination needs? By pointing out the behavior to the client By obtaining incontinence pads for the client By taking the client to the bathroom at regular intervals By encouraging the client to call for help when there is an urge to urinate

By taking the client to the bathroom at regular intervals

What nursing intervention is anticipated for a client with Guillain-Barré syndrome? Providing a straw to stimulate the facial muscles Maintaining ventilator settings to support respiration Encouraging aerobic exercises to avoid muscle atrophy Administering antibiotic medication to prevent pneumonia

Maintaining ventilator settings to support respiration

A- uric acid 8.5mg/dl B- C reactive protein (CRP) 800mcg/dL C- Anti-DNA antibody 90IU/mL D-Erythrocyte sedimentation rate 65 mm hour A nurse is reviewing the laboratory reports of four clients. Which client most likely has rheumatoid arthritis? Client A Client B Client C Client D

Client D -Erythrocyte sedimentation rate 65 mm hour

A client is admitted with acute gouty arthritis. Which medication does the nurse anticipate the healthcare provider may prescribe to prevent and treat an acute attack of gout? Ibuprofen Colchicine Probenecid Hydrocortisone

Colchicine

A client is diagnosed with myasthenia gravis, and the anticholinesterase medication pyridostigmine is prescribed. When teaching the client about this medication, the nurse explains to expect an increase in what function? Intestinal peristalsis Salivary and gastric secretions Contraction of skeletal muscles Secretion and discharge of tears

Contraction of skeletal muscles

Which manifestations may indicate a client has systemic lupus erythematosus (SLE)? Select all that apply. Pericarditis Esophagitis Fibrotic skin Discoid lesions Pleural effusions

Pericarditis Discoid lesions Pleural effusions

What should the nurse consider as the goal of therapy when administering allopurinol to a client with gout? Increase bone density Decrease synovial swelling Decrease uric acid production Prevent crystallization of uric acid

Decrease uric acid production

A client with osteoarthritis is admitted to the hospital for evaluation of a possible hip replacement. To prevent flexion contractures, the nurse recommends that, when in bed, the client should lie in the supine or prone position. The client voices hesitation, stating that these positions are uncomfortable for the knees and hips. What action should the nurse take? Encourage the client to maintain extension for specific periods of time. Allow the client to lie in whatever position is most comfortable. Insert a pillow under the client's knees to relieve discomfort. Place the client in the semi-Fowler position most of the time.

Encourage the client to maintain extension for specific periods of time.

After treatment with propylthiouracil for hyperthyroidism, a client has the thyroid ablated with131I. On a visit to the endocrine clinic, the client exhibits signs and symptoms of thyrotoxic crisis (thyroid storm). What does the nurse identify as the likely cause of thyrotoxic crisis? Deficiency of iodine Decreased serum calcium Increased sodium retention Excessive hormone replacement

Excessive hormone replacement

The parents of a young man suspected of having Cushing syndrome express anxiety about their son's condition. What should the nurse tell the parents to help them better understand the illness? He will need to take exogenous steroids for several months. His condition will indicate improvement when he gains weight. He may have mood swings or depression as a result of his illness. His physical changes are permanent but may improve with therapy.

He may have mood swings or depression as a result of his illness.

The nurse is preparing an individualized teaching plan for a client with osteoarthritis. The nurse recognizes which abnormality specific to osteoarthritis? Ulnar drift Heberden nodes Swan-neck deformity Boutonnière deformity

Heberden nodes

A nurse is completing the health history of a client admitted to the hospital with osteoarthritis. The nurse expects the client to report that which joints were involved initially? Select all that apply. Hips Knees Ankles Shoulders Metacarpals

Hips Knees

A nurse is assessing a client with severe liver disease. Which assessment finding will the nurse expect to observe? Icterus Urticaria Uremic frost Hemangioma

Icterus

A nurse is caring for a group of clients with myasthenia gravis, Guillain-Barré syndrome, and amyotrophic lateral sclerosis (ALS). Which information should the nurse consider when planning care for this group of clients? Progressive deterioration until death Deficiencies of essential neurotransmitters Increased risk for respiratory complications Involuntary twitching of small muscle groups

Increased risk for respiratory complications

The registered nurse instructs the nursing student about caring for a hospitalized client with a human immunodeficiency (HIV) infection. Which action made by the nursing student indicates effective learning? Keeping fresh flowers in the client's room Encouraging the client to eat fresh fruits and vegetables Keeping a dedicated disposable glove box in the client's room Changing gauze-containing wound dressings every other day

Keeping a dedicated disposable glove box in the client's room

A client with type 2 diabetes develops gout, and allopurinol is prescribed. The client is also taking metformin and an over-the-counter nonsteroidal antiinflammatory drug (NSAID). When teaching about the administration of allopurinol, what should the nurse instruct the client to do? Decrease the daily dose of NSAIDs. Limit fluid intake to one quart a day. Take the medication on an empty stomach. Monitor blood glucose levels more frequently.

Monitor blood glucose levels more frequently.

A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? Select all that apply. Nausea and vomiting Hyperthermia Bradycardia Increased weight Decreased serum sodium Decreased level of consciousness

Nausea and vomiting Increased weight Decreased serum sodium Decreased level of consciousness

A client complains of joint pain with deformities. On assessing the client, the nurse suspects that the client has acromegaly. Which medication is beneficial to the client? Octreotide Carbamazepine Chlorpropamide Cyclophosphamide

Octreotide

A nurse is caring for a client with chronic inflammation of the bowel. Which most serious complication should the nurse monitor for in this client? Ileus Pain Perforation Obstruction

Perforation

A nurse is caring for a client newly diagnosed with Guillain-Barré syndrome. The nurse expects which procedure will be considered as a treatment option? Hemodialysis Plasmapheresis Thrombolytic therapy Immunosuppression therapy

Plasmapheresis

A nurse is providing postoperative care for a client who has begun taking levothyroxine after undergoing a thyroidectomy. Which findings in the client may indicate potential thyrotoxic crisis? Elevated serum calcium Sudden drop in pulse rate Hypothermia and dry skin Rapid heartbeat and tremors

Rapid heartbeat and tremors

A client is admitted to the hospital with a diagnosis of acute Guillain-Barré syndrome. Which assessment is priority? Urinary output Sensation to touch Neurologic status Respiratory exchange

Respiratory exchange

A nurse is teaching a client about human immunodeficiency virus (HIV). What are the various ways HIV is transmitted? Select all that apply. Mosquito bites Sharing syringe needles Breastfeeding a newborn Dry kissing the infected partner Anal intercourse

Sharing syringe needles Breastfeeding a newborn Anal intercourse

What symptoms will the nurse identify when assessing a client with Graves disease? Constipation, dry skin, and weight gain Lethargy, weight gain, and forgetfulness Weight loss, exophthalmos, and restlessness Weight loss, protruding eyeballs, and lethargy

Weight loss, exophthalmos, and restlessness

The healthcare provider prescribes neostigmine for a client with myasthenia gravis. The nurse evaluates that the client understands the teaching about this drug when the client makes what statement regarding drug management plans? "Keep the drug in a container in the refrigerator." "Take the drug at the exact time that is listed on the prescription." "Plan to take the drug between meals to promote absorption." "Expect that the onset of the action of the drug will occur several hours after I take it."

"Take the drug at the exact time that is listed on the prescription."

A nurse is providing counseling to a client with the diagnosis of systemic lupus erythematosus (SLE). Which recommendations are essential for the nurse to include? Select all that apply. "Wear a large-brimmed hat." "Take your temperature daily." "Balance periods of rest and activity." "Use a strong soap when washing the skin." "Expose the skin to the sun as often as possible."

"Wear a large-brimmed hat." "Take your temperature daily." "Balance periods of rest and activity."

A client with urinary incontinence is prescribed amitriptyline. Which instruction should the nurse provide to the client? "You should avoid dehydration." "You should monitor your urine output." "You should rise slowly when getting up from a sitting or lying position." "You should periodically check your blood pressure when starting the medication."

"You should rise slowly when getting up from a sitting or lying position."

Which concentration of a client's serum calcium level will stimulate the release of parathyroid hormone? 8.5 mg/dL (0.47 mmol/L) 9.0 mg/dL (0.5 mmol/L) 9.5 mg/dL (0.53 mmol/L) 10.0 mg/dL (0.56 mmol/L)

8.5 mg/dL (0.47 mmol/L)

A client who had previously signed a consent form for a liver biopsy reconsiders and decides not to have the procedure. What is the nurse's best initial response? "Why did you sign the consent form originally?" "I can understand why you changed your mind." "Can you tell me your reasons for refusing the procedure?" "You must be afraid about something concerning the procedure."

Can you tell me your reasons for refusing the procedure?"

A client with follicular non-Hodgkin lymphoma is to be treated with rituximab, a targeted monoclonal antibody. The nurse should monitor the client for what common side effect of rituximab? Polyphagia Leukopenia Constipation Hypertension

Leukopenia

A nurse administers carbidopa-levodopa to a client with Parkinson disease. Which therapeutic effect does the nurse expect the medication to produce? Increase in acetylcholine production Regeneration of injured thalamic cells Improvement in myelination of neurons Replacement of a neurotransmitter in the brain

Replacement of a neurotransmitter in the brain

A client with cirrhosis of the liver has a prolonged prothrombin time and a low platelet count. A regular diet is prescribed. What should the nurse instruct the client to do considering the client's condition? Avoid foods high in phytonadione. Check the pulse several times a day. Drink a glass of milk when taking aspirin. Report signs of bleeding no matter how slight.

Report signs of bleeding no matter how slight.

The nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which finding in the client is consistent with the diagnosis? Preservation of salt Retention of water Decrease of vasopressin Presence of pedal edema

Retention of water SIADH is manifested in the form of retention of free water. This is because of excessive secretion of vasopressin causing reabsorption of water in renal tubules. There is hyponatremia and dilution of serum sodium in SIADH. Decreased vasopressin is seen in diabetes insipidus. Generally pedal (dependent) edema is not seen in SIADH despite the water retention.

A home care nurse is counseling a client with amyotrophic lateral sclerosis (ALS). What information should the nurse include in the discussion? Select all that apply. Space activities throughout the day. Engage in social interactions with large groups. Request an opioid if leg pain becomes excessive. Anticipate the use of alternate ways to communicate. Use leg restraints to decrease the risk of physical injury.

Space activities throughout the day. Anticipate the use of alternate ways to communicate.

A client is discharged from the hospital after receiving a lung transplant. Which medical device should the client use to monitor his or her lung function at home? Oximetry Spirometry Capnography Ventilation-perfusion

Spirometry

A client with Addison disease is receiving cortisone therapy. What complications does the nurse expect if the client abruptly stops the medication? Select all that apply. Diplopia Dysphagia Tachypnea Bradycardia Hypotension

Tachypnea Hypotension

Discharge planning for a client with chronic pancreatitis includes dietary teaching. Which statement indicates to the nurse that the client needs more teaching? "I must eat foods high in calories." "I should avoid alcoholic beverages." "I will eat more often but in smaller amounts." "I can eat foods high in fat now that the acute stage is over."

"I can eat foods high in fat now that the acute stage is over."

What interventions should the nurse implement when caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH)? Select all that apply. Providing frequent oral care Instituting fall risk precautions Restricting fluids to 2 L per day Placing the client in high-Fowler position Monitoring for and reporting neurologic changes

Providing frequent oral care Instituting fall risk precautions Monitoring for and reporting neurologic changes Fluids are restricted to no more than 1000 mL and to no more than 500 mL for the client with severe hyponatremia. Treatment of SIADH includes placing the bed flat or elevating the head of the bed no more than 10 degrees. This position promotes venous return to the heart, which increases left ventricular filling pressure. Increasing left ventricular filling pressure stimulates osmoreceptors to send a message to the pituitary (via the hypothalamus) that antidiuretic hormone release should be decreased.

After assessing a client with rheumatoid arthritis, the nurse suspects Sjögren's syndrome. Which manifestations are consistent with Sjögren's syndrome? Select all that apply. Iritis Scleritis Xerostomia Baker's cyst Keratoconjunctivitis sicca

Xerostomia Keratoconjunctivitis sicca

A client with liver dysfunction states, "My gums have been bleeding spontaneously." The nurse identifies small hemorrhagic lesions on the client's face. Which vitamin does the nurse conclude the client needs? Vitamin D Vitamin E Vitamin A Vitamin K

vitamin k

Which symptoms are observed in a client with Sjögren's syndrome? Select all that apply. Angioedema Tooth decay Corneal ulcers Vaginal dryness Pulmonary hemorrhage

Tooth decay Corneal ulcers Vaginal dryness

A nurse is teaching the client about dietary control of gout. Which information from the client indicates successful learning? "I will avoid eating eggs." "I will avoid eating shellfish." "I will avoid eating fried poultry." "I will avoid eating cottage cheese."

"I will avoid eating shellfish."

The family member of a client with newly diagnosed Guillain-Barré syndrome comes out to the nurse's station and informs the nurse that the client is having difficulty breathing. What is the first action the nurse should do? Notify the healthcare provider. Go with the family member to assess the client. Send the nursing assistive personnel to take vital signs. Assure the family member this is a normal response for this disease.

Go with the family member to assess the client.