Fam Com Quiz 1

The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to mote specifically in this disorder? 1. Increased calcium level 2. Increased white blood cells 3. Decreased blood urea nitrogen level 4 Decreased number of plasma cells in the bone marrow

1. Increased calcium level

A client is admitted with a recent history of severe anxiety following a home invasion and robbery. During the initial assessment interview, which statement by the client should indicate to the nurse the possible diagnosis of posttraumatic stress disorder? Select all that apply. "I'm afraid of spiders." "I keep reliving the robbery." "I see his face everywhere I go." "I don't want anything to ear now." "I might have died over a few dollars in my pocket." "I have to wash my hands over and over again many times."

"I keep reliving the robbery." "I see his face everywhere I go." "I might have died over a few dollars in my pocket."

A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. During the admission assessment, the nurse expects to note which finding? 1. An inflammation of the epidermis only 2. A skin infection of the dermis and underlying hypodermis 3. An acute superficial infection of the dermis and lymphatics 4. An epidermal and lymphatic infection caused by Staphylococcus

2. A skin infection of the dermis and underlying hypodermis

A psychiatric patient has been acting up in a unit by threatening staff and other patients. This patient constantly yells and invades other people's personal space. After attempting to talk to the patient he still remains agitated and aggressive. How is this behavior best controlled by the nurses on the unit? Select all that apply A. Take the other patients back to their rooms and close the doors B. Place them in solitude for the remainder of the day C. Offer a PRN to the patient D. Distract the patient and attempt to direct them to a quieter place on the unit

C. Offer a PRN to the patient D. Distract the patient and attempt to direct them to a quieter place on the unit

Which characteristic shown by a four-month-old child, helps the nursing staff to know that the child is NOT reaching their development milestones on track? A. The child knows that their hand is their own. B. The child can track the nurse 180 degrees across the room. C. The child can pull themselves to a sitting position with their head following after. D. The child turns to the sound of a rattle.

C. The child can pull themselves to a sitting position with their head following after.

You are a labor and delivery nurse assessing your patient two hours after a vaginal delivery. Upon your abdominal assessment, you find that the fundus is soft. What is your priority action? A. Administer mag sulfate B. Assess your patient's blood pressure C. Do nothing as this is a normal finding at this point in recovery D. Massage the fundus

D. Massage the fundus

The emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction should be included in the discharge instructions? Information regarding shelters. Instructions regarding calling the police. Instructions regarding self-defense classes. Explaining the importance of leaving the violent situation.

Information regarding shelters.

OLDCARTS=

Onset, Location, Duration, Character, Alleviate/Aggravate, Radiating/Relieving, Timing, Severity

A sixth month old patient enters the floor. The patient seems agitated. The nurse aide takes a set of vitals. RR 18 HR114 TEMP 36.8 O2 94%. Which vital sign poses the most concern? Heart rate Temperature Oxygen Respiratory Rate

Respiratory Rate

The nurse manager is planning the clinical assignments for the day. Which staff member cannot be assigned to care for a client with herpes zoster? Select all that apply. The nurse who never had roseola The nurse who never had mumps The nurse who never had chickenpox The nurse who never had German measles The nurse who never received the varicella-zoster vaccine.

The nurse who never had chickenpox The nurse who never received the varicella-zoster vaccine.