Final exam 200
A 42-year-old female client arrives in the emergency department exhibiting RUQ pain radiating to the right shoulder, chills, tachycardia, and vomiting. The nurse suspects the client will be diagnosed with which condition? a. Cholecystitis. b. Pancreatitis. c. Ulcerative colitis. d. Crohn's disease.
a
A client has pneumonia with a urinary tract infection (UTI) and has been hospitalized for 2 days. When the nurse begins her shift, she assesses that the client's temperature is 102.5F, BP 70/38, HR 140, RR 38, very weak, has chills, a slow capillary refill, cool, pale, clammy skin, and labs reveal a WBC of 19,000. Which of these does the nurse suspect the client has developed? a. Septic shock from sepsis b. Cardiogenic shock from heart failure c. Anaphylactic shock from a drug reaction d. Neurogenic shock from a spinal cord injury
a
A client questions the nurse about his prescription of famotidine for peptic ulcers. Which statement by the nurse appropriately explains the action of this medication? a. "Famotidine works by decreasing stomach acid production." b. "Famotidine works by neutralizing gastric secretions." c. "Famotidine binds to the ulcer surface to protect the stomach." d. "Famotidine increases mucus to protect the stomach from ulceration."
a
A nurse is caring for a client with HIV who inquires about a CD4 level. The best response from the nurse would be: a. "CD4 cells fight infection and the level is used to check the health of the immune system in people who are HIV positive." b. "The CD4 level measures how much HIV is in a drop of blood." c. "This level is the amount of specific genetic mutations that are known to cause resistance to certain drugs." d. "This level is used to confirm HIV infection when the antibody screen test is positive."
a
The ambulance brings a client with multiple bee stings to the ED. The client is exhibiting dyspnea, hives over the body, and hypotension. Which of these would the nurse implement as priority? a. Epinephrine b. Albuterol sulfate c. Dexamethasone d. Diphenhydramine
a
The nurse contacts the healthcare provider about a client's assessment following chest tube removal and reports tracheal deviation away from the affected side, agitation, and neck vein distention, all signs of a tension pneumothorax. Which action will the nurse perform while waiting for re-insertion of the chest tube? a. Release the dressing covering the open chest wound. b. Administer oxygen at 80% FiO2. c. Place the client in trendelenburg position. d. Perform arterial blood gas.
a
The nurse goes into the room of a client with a chest tube. The nurse notices that the thoracic catheter has dislodged. Which action would the nurse take next? a. Cover insertion site with petroleum jelly, apply firm pressure, notify the health care provider (HCP). b. Reconnect the thoracic catheter to the tubing or suction using clean technique. c. Obtain an order for a chest x-ray to identify malposition of the endotracheal tube. d. Administer supplemental oxygen via facemask and contact the health care provider (HCP).
a
The nurse is caring for a client in the intensive care unit who has been on a ventilator set on 80% FiO2 for three days. The nurse will observe the client for risk of having which condition as a result of prolonged ventilator settings with 80% FiO2? a. Pulmonary fibrosis. b. Pleural effusion. c. Pneumonia. d. Legionnaires Disease.
a
The nurse is caring for a client on a ventilator and is preparing to administer acetylcysteine (Mucomyst). Which action will the nurse perform following administration of acetylcysteine? a. Suctioning excess secretions. b. Turn, cough, and deep breathe the client. c. Instruct the client that the medication may cause bradycardia. d. Remove any acetaminophen from the medication administration record.
a
The nurse is caring for a client who has undergone subtotal thyroidectomy. Which post-operative assessment should receive the highest priority? a. Swallowing reflex b. Swelling in lower extremities c. Respiratory rate of 22 breaths/min d. Heart rate of 98 beats/min
a
The nurse is caring for a client with hypothyroidism who receives levothyroxine daily and is scheduled for a procedure under sedation. The nurse contacts the health care provider (HCP) because of the risk of adverse effects when administering which of the ordered medication? a. Benzodiazepine premedication b. Proton pump inhibitor premedication c. Diphenhydramine premedication d. Metoclopramide premedication
a
The nurse is providing discharge education on fluid balance monitoring to a client with a new diagnosis of right-sided heart failure. The nurse will stress which priority instruction for monitoring fluid balance? a. Weigh daily at the same time in similar clothing b. Take self-pulse rates and report findings below 60 c. Take blood pressure at the same time daily d. Bowel movements should be logged
a
The nurse is providing discharge planning for a client with a peptic ulcer. Which statement by the client indicates more discharge teaching is required? a. "I will eat larger meals less often to prevent symptoms." b. "I will avoid alcohol and caffeinated drinks." c. "I will report bloody or black stools to my health care provider (HCP)." d. "I will tell my health care provider (HCP) if I experience severe stomach pain."
a
The nursing student recalls which is produced in the healthy liver? a. Albumin b. Potassium c. Erythropoietin d. White blood cells
a
Which will the nurse anticipate following surgery for stage 1 esophageal cancer? a. Jejunal feeding tube b. Deep vein thrombosis c. 3+ periorbital edema d. Hospice consultation
a
While providing care to a client with a chest tube drainage system, the nurse detects redness around the insertion site of the tube along with subcutaneous crepitus. Upon palpation, the client denies any pain. Which action is best? a. Use a skin marker to identify the borders of the redness and continue to monitor. b. Notify the client's health care provider (HCP) of this new development. c. Document the findings and change the dressing. d. Tape all the connections from the insertion site to the unit.
a
A client is admitted to the unit with cardiogenic shock from a heart attack. After receiving health care provider orders, which intervention medications will the nurse anticipate preparing? Select all that apply. a. Dopamine b. Digoxin c. Diphenhydramine d. Daunorubicin e. Dexamethasone
a, b
Which body fluids carry the highest risk of contracting HIV? Select all that apply. a. Blood b. Semen c. Vaginal secretions d. Breast milk e. Saliva
a, b
A client is admitted to the hospital with the following rhythm. Which of these co-morbidities could be the cause of this rhythm? Select all that apply. a. Valvular disease. b. Heart failure. c. Chronic obstructive pulmonary disease. d. Pulmonary hypertension. e. Bacterial pneumonia.
a, b, c, d
A nurse receives a client status post-kidney transplantation. Which clinical signs of graft rejection will the nurse monitor? Select all that apply. a. A 2-3 lbs weight gain in 24 hours. b. Edema. c. Hypertension. d. Pain over grafted kidney. e. Bladder distention.
a, b, c, d
A client has been newly diagnosed with chronic renal failure and will be receiving hemodialysis. Which statement describes the function of hemodialysis? Select all that apply. a. Cleans the blood of waste products. b. Rids the body of excess fluids. c. Removes protein by-products. d. Abolishes the acid-base balance. e. Restores electrolyte levels.
a, b, c, e
A nurse is providing education to a client with a peptic ulcer. Which might the nurse include in the teaching? Select all that apply. a. Avoid caffeine and chocolate. b. Avoid smoking and drinking alcohol. c. Find ways to reduce stress. d. Lie down after meals. e. Do not take aspirin or NSAIDs.
a, b, c, e
The nurse receives a client from the recovery room after having a thyroidectomy. What most important interventions will the nurse perform during the next four hours? Select all that apply. a. Keep 10% calcium gluconate available b. Assess back of neck c. Have tracheostomy set-up nearby d. Ambulate within 4 hours e. Assess the client's respiratory rate and rhythm
a, b, c, e
The nurse is preparing a teaching plan for a client with a new diagnosis of hypothyroidism and prescription for levothyroxine. Which adverse side effects will the nurse instruct the client? Select all that apply. a. Palpitations and/or racing heart b. Sudden weight loss c. Delirium d. Diarrhea e. Weight gain
a, b, d
The client has been newly diagnosed with diverticulitis and is ready to be discharged. Gathering the client's discharge papers, the nurse should review what the client can do to reduce a recurrence. Which education will you review with the client? Select all that apply. a. Increasing fiber in the diet. b. Exercise for at least 90 minutes per week. c. Increase daily intake of fatty red meat d. Take an OTC stool softener to prevent constipation e. Increase daily fluid intake to at least 2 Liters.
a, b, d, e
The nurse is assessing the chest tube drainage of a client with a hemothorax following a motor vehicle accident. Which findings will be expected in a normally functioning chest tube system? Select all that apply. a. Presence of an occlusive dressing over the insertion area. b. Tidaling in the water-seal chamber with respirations. c. Continuous bubbling in the water-seal chamber. d. 100mL sanguineous blood in the drainage collection chamber. e. The chest tube secured to the floor beside the client's bed.
a, b, d, e
Which steps help to manage infection control with PICC line dressing changes? Select all that apply. a. Ensure the client and nurse wear a mask prior to beginning the dressing change. b. Don sterile gloves after removing previous dressing. c. Use skin prep to help secure dressing to skin and to protect the skin. d. Scrub skin with chlorhexidine using sterile gauze to hold the line in place. e. Use alcohol sponge to clean skin around Statlock.
a, b, d, e
A client was brought into the emergency department for smoke inhalation following a house fire. The nurse will monitor for which signs of acute respiratory distress syndrome (ARDS)? Select all that apply. a. Low oxygen saturation with oxygen delivery at 80% FiO2. b. Blood-tinged mucus and blood gases showing respiratory alkalosis. c. Tachypnea and use of accessory muscles. d. Bluish nail beds and restlessness. e. A productive cough with green sputum.
a, c, d
A client with diabetes type 1 is admitted to the emergency room with COVID-19-like symptoms. Which symptoms should the nurse report immediately? Select all that apply. a. Blood glucose of 475 mg/dL b. Coughing and temperature of 99.8 F c. Deep rapid breathing d. Abdominal cramping e. ABGs with pH of 7.45
a, c, d
The nurse explains to the client which medical history places the client at an increased risk for esophageal cancer? Select all that apply. a. Barrett's esophagus b. Esophageal atresia c. Gastroesophageal reflux disease d. Human papillomavirus e. Tobacco and alcohol use
a, c, d, e
The nurse provides hospital discharge instruction on preventing infection to a client on dialysis. Which statement by the client indicates understanding on infection prevention? Select all that apply. a. "I will keep the catheter bandage clean and dry." b. "I will make sure all visitors in my home wear masks to protect me." c. "I will check my vascular access daily for redness, pus, or swelling." d. "All people at my home including me will keep hands washed followed by gel sanitizer." e. "I will not scratch my skin or pick at scabs."
a, c, d, e
Which of the following is utilized to treat cholecystitis? Select all that apply. a. Lithotripsy. b. Home remedies to dislodge the stone. c. Medications to break up the stone. d. Laparoscopic cholecystectomy. e. Open cholecystectomy.
a, d, e
The home care nurse observes that the client's supply of levothyroxine has 20 extra doses in the medication bottle. What assessment finding would be most consistent with underuse of the medication levothyroxine? a. Constipation and fatigue b. Diarrhea and agitation c. Tachycardia and weight loss d. Exophthalmos and fine tremors e. Feeling cold and depressed
a, e
The nurse is providing education for a client diagnosed with angina pectoris. Further education is needed after the client verbalizes which statement after teaching is provided? a. "I know that exercise may increase the heart's oxygen demands, and may cause angina; however, moderate exercise is beneficial." b. "Exercise must be avoided at all costs, and I will be more comfortable in my chair during the day." c. "I can log symptoms and activities that precipitate angina attacks." d. "If I experience angina, I will stop the activity and sit or lie down to reduce oxygen requirements until the pain subsides."
b
A client arrives in the emergency department with chest pain #7 out of #10 on the pain scale; a troponin level of 0.01 ng/ml on the first lab draw. When placed on the ECG monitor reveals the following rhythm: Which is the priority intervention by the nurse? a. Continue to monitor the client for a heart attack since the cardiac rhythm and troponin level is abnormal. b. Continue to assess the client on the cardiac monitor, but ask the health care provider to check other options since the cardiac rhythm is normal sinus rhythm and the troponin level is low. c. Rush the client to the cardiac catheter lab to be catheterized since both the rhythm and troponin levels are abnormal. d. Administer nitroglycerin 0.4 mg SL every 5 minutes X 3 and if no relief, give Morphine 2 mg IVP as ordered.
b
A client is brought into the emergency department with a gunshot wound to the chest. The nurse observes that the chest appears larger on one side and she hears crackling sounds as the client breathes and the client has jugular vein distention. The resident reports there is hyperresonance on percussion. Which action will most likely take place next? a. Placement of a sterile occlusive dressing. b. Needle thoracostomy at the bedside. c. Immediate chest x-ray. d. Placement of oxygen with a nonrebreather.
b
A client is brought to the hospital with fluid-filled shiny blisters over the trunk, arms, legs, and perineum that are extremely painful. Which type of burn is the client experiencing? a. First-degree burn b. Second-degree burn c. Third-degree burn d. Fourth-degree burn
b
A client on the rehabilitation unit goes for hemodialysis for four hours. Upon return from dialysis, the nurse assesses the client's vital signs. The temperature is 100.3°. Which statement best reflects interpretation of the temperature following dialysis? a. The nurse should notify the health care provider to rule out infection. b. Continue to monitor since rise in temperature is normal after dialysis. c. The nurse will call the laboratory for white blood cell count and differential. d. The nurse will call the laboratory for blood cultures from three separate sites.
b
A client was moved from the ED to the burn unit and is the acute phase of burn management. The client has full-thickness burns to the anterior trunk, perineum, and sacral areas of the body. The nurse is creating a care plan for the client. Which is the most appropriate priority diagnosis at this time? a. Risk for fluid volume overload b. Risk for infection c. Impaired skin integrity d. Impaired physical mobility
b
The nurse is assessing a client admitted to the telemetry unit from the Emergency Department with complaints of increasing shortness of breath, and is coughing pink-tinged frothy sputum. During the history assessment, the nurse documents a history of left-sided heart failure. The nurse recognizes the presenting signs and symptoms of which health problem? a. Right-sided heart failure b. Acute pulmonary edema c. Bacterial pneumonia d. Myocardial infarction
b
The nurse is assisting the health care provider in the removal of a chest tube. How will the nurse instruct the client during the procedure? a. "Breathe in and out while concentrating on a fixed object in the room." b. "Hold your breath and bear down while the tube is being removed to keep air from entering back into the area." c. "Do pursed-lip breathing then short huffing breaths while the tube is being removed to keep air from entering into the area." d. "Hold my hand and close your eyes while the tube is being removed since anxiety will cause you to breathe too quickly.
b
The nurse is caring for a client in acute respiratory failure who has been placed on mechanical ventilation assistance. Which action by the nurse is the best way to protect the client from infection? a. Obtain order for prophylactic antibiotic therapy. b. Institute measures to reduce ventilator-associated pneumonia. c. Observe for signs of barotrauma. d. Consult respiratory therapy for chest physiotherapy.
b
The nurse is caring for a client with a pneumothorax and observes continuous bubbling in the water seal chamber. Which action by the nurse is best? a. Continue to monitor. Continuous bubbling is expected. b. Notify the health care provider (HCP) of the continuous bubbling. c. Encourage coughing and deep breathing. d. Change the client's position to promote ventilation.
b
The nurse is caring for a hospitalized client with admitting diagnosis of right-sided heart failure (HF). What assessment finding is most consistent with the client's diagnosis? a. Pulmonary edema b. Distended neck veins c. Dry hacking cough d. Orthopnea
b
Which client is at most risk for acute respiratory distress syndrome? a. Client with asthma. b. Client in the hospital with sepsis. c. Client experiencing anaphylaxis. d. Client recovering from pneumonia.
b
The nurse is caring for a client with heart failure who is receiving a prescribed angiotensin-converting enzyme inhibitor (ACE inhibitor). The client is asking how the drug works for heart failure. What will the nurse include in teaching the client about this medication? Select all that apply a. The ACE inhibitor reduces fluid volume b. The ACE inhibitor relaxes blood vessels and lowers blood pressure c. The ACE inhibitor reduces workload on the heart d. The ACE inhibitor decreases pulmonary venous pressure. e. The ACE inhibitor prevents vasoconstriction and secretion of aldosterone.
b, c
A client with diabetes mellitus type 1 admitted with DKA asks the nurse, "What causes DKA to happen?" The nurse correctly explains which common causes of DKA? Select all that apply. a. Not taking oral antiglycemic medications b. Personal stress, such as starting college c. A recent, serious infection d. Having a recent stomach virus e. Taking too much regular insulin
b, c, d
The nurse provides care for a client who is diagnosed with ascites and finds that the client's abdominal girth has increased by 7 cm over the past three days. The nurse determines the reasons for increased size includes which finding? (Select all that apply.) a. Thirst occurs causing excess fluid intake b. Hyperaldosteronism increase sodium and fluid retention c. Liver is unable to synthesize albumin and decreased colloid oncotic pressure occurs d. Blood proteins are pushed out of the blood vessels, causing leakage into the peritoneal cavity e. Low blood pressure in the portal vein causing increased fluid retention
b, c, d
A client has been admitted to the hospital unit with angina. The client's spouse expresses understanding of the condition when the nurse overhears the family member making which statement on the phone? a. "He has had a small heart attack and is causing him pain" b. "The reduced blood flow to his heart muscle is causing pain." c. "The heart valve is blocked and causing pain in his heart." d. "He has a clot in his lung causing pain in his chest."
c
A client in the intensive care unit (ICU) with acute kidney injury is found to have tall, peaked T waves on the electrocardiogram (ECG). An order for administration of polystyrene sulfonate (Kayexalate) is prescribed. The nurse will continue to monitor for which complication the client is experiencing? a. Hypokalemia. b. Hypercalcemia. c. Hyperkalemia. d. End stage renal failure.
c
The nurse caring for a client with acute pancreatitis notices a carpal spasm while assessing blood pressure. Which action will the nurse perform next? a. Call the health care provider for a blood glucose level STAT. b. Call the health care provider for amylase and lipase levels. c. Call the health care provider for a calcium level STAT. d. Call the health care provider for a potassium level STAT.
c
The nurse correctly tells the client and family member how angioplasty with stenting is utilized to treat angina by using which explanation? a. "The blocked artery is bypassed to an area where there is proper blood flow for the heart muscle." b. "The blood clot or plaque is dissolved, allowing adequate blood flow and oxygen to flow to the heart muscle." c. "A tiny balloon is used to open the blocked artery and a wire mesh coil is placed to keep the artery open." d. "A tiny blade is used to cut away the plaque buildup and a stent is placed to keep blood flowing properly."
c
The nurse is assessing a client with a history of cirrhosis and receives a report that the abdomen enlarged by 3 cm over the past 24 hours. The nurse contacts the health care provider because of which priority finding? a. Pitting edema to lower extremities. b. Reddened 3 cm area to sacrum. c. Muffled heart sounds. d. Jaundice.
c
The nurse is assessing an elderly client admitted with a diagnosis of chronic heart failure (HF). The spouse asks the nurse the primary cause for HF, and the nurse responds that HF may be caused by: a. Endocarditis b. Pleural effusion c. Atherosclerosis d. Atrial-septal defect
c
The nurse is caring for a client just admitted to the intensive care unit for diabetic ketoacidosis (DKA). Which three priority treatments are critical during diabetic ketoacidosis? a. Potassium replacement, insulin replacement, amiodarone therapy b. Fluid replacement, bicarb replacement, hypertonic saline infusion c. Fluid replacement, insulin therapy, and electrolyte correction d. Oral rinses, fluid replacement, bicarb replacement
c
The nurse is caring for a client who has a chest tube following cardiac surgery and observes a dramatic decrease in chest tube drainage from the first hour to the second hour after surgery. Evaluation of the chest tube system indicates which problem? a. The lungs are not at risk and are fully inflated. b. The client is recovering without further drainage. c. There may be tube obstruction due to a drainage clot. d. Tension pneumothorax is pending, so call the health care provider immediately.
c
The nurse is caring for a client who underwent thyroidectomy with removal of parathyroid tissue following a diagnosis of thyroid cancer. The nurse notices twitches and spasms along the left lateral facial region. The nurse suspects which adverse outcome of the surgery? a. Hypercalcemia b. Hyperkalemia c. Hypocalcemia d. Spread of cancer to mandibular glands
c
The nurse is caring for a postoperative client 24 hours following a partial thyroidectomy for persistent hyperthyroidism. What assessment data should the nurse immediately report to the health care provider? a. Change in Pulse Oximeter from 93% to 91% b. Change in respiratory rate from 30 to 22 c. Change in temperature from 99 F to 100.2 F d. Change in apical heart rate from 72 beats per minute to 94 beats per minute
c
The nurse is scheduling a client for a cardiac catheterization. The client has type 2 diabetes and takes metformin. Which action will the nurse take prior to scheduling the procedure? a. The nurse will instruct the client to have a fasting A1C and glucose tolerance test prior to the procedure. b. The nurse will instruct the client to eat a low carbohydrate diet three days prior to the procedure. c. The nurse will instruct the client to hold the metformin for 24 hours before the procedure and 48 hours after the procedure. d. The nurse instructs the client to take all medications the morning of the procedure but not to drink or eat afterwards.
c
The nurse provides care for a client with chronic kidney disease (CKD) who receives dialysis every third day. The nurse notices that atenolol (Tenormin) is ordered daily in the morning. The nurse places an alert on the client's medication record to reflect which important intervention regarding administration of the prescribed medication? a. Do not administer on dialysis days. b. Give the medication just prior to leaving for dialysis. c. Administer the medication on return from dialysis. d. Send the medication with the client for the dialysis nurse to administer.
c
Which statement best explains the goal of HAART (highly active antiretroviral therapy) when used for HIV/AIDS? a. The goal of HAART is to decrease the viral load by restricting CD4 cells. b. The purpose of HAART is to activate immune cells that kill infected cells and result in viral replication (that is CD8 cells or cytotoxic cells). c. The goal of HAART is to halt the replication of the virus to prohibit the increase in viral load (CD4 cells produce cytokines). d. HAART is used to treat HIV by destroying the cells in the body, the good with the bad, in order to keep the virus from spreading within.
c
A client arrives at the hospital with full-thickness burns to the front and back of the right and left leg, the back of the right arm, and the anterior trunk. Upon arrival, the client's weight is 63 kg. Using the Parkland Burn Formula, how much IV fluids should the client receive during the first 24 hours? a. 11,340 ml b. 13,104 ml c. 14.144 ml d. 14,742 ml
d
A client comes into the Emergency Department (ED) with full-thickness electrical burns covering the hands, arms, and frontal trunk. According to the Rule of 9's, what is the client's total body surface area (TBSA)? a. 18% TBSA b. 25% TBSA c. 30% TBSA d. 36% TBSA
d
A client is admitted for acute pancreatitis. Which symptoms will the nurse expect the client to demonstrate? a. Flu-like symptoms of malaise and fatigue. b. Indigestion, belching, and flatulence. c. Intense abdominal pain at McBurney's point. d. Abdominal pain with radiation to the back.
d
A client is admitted for observation following complaints of intermittent chest pain while mowing the grass. The pain persisted for an hour following the activity. All cardiac labs, electrocardiogram, and radiologic studies were normal and the client was provided nitroglycerin for a new diagnosis of angina pectoris. Discharge education includes information that angina is most often attributable to what cause? a. Decreased workload on the heart b. Atrial septal defect c. Infarction of the myocardium d. Coronary arteriosclerosis
d
A client is being evaluated for pancreatitis. Which labs in the comprehensive metabolic panel, if critical will indicate to the nurse a diagnosis of pancreatitis? a. RBCs and WBCs b. BUN and creatinine c. ALT, SGPT d. Amylase and lipase
d
A client is brought to the emergency department with a T5 spinal cord injury from a car wreck. Which of these vital signs should the nurse expect to see the client exhibiting? a. HR 120, RR 20, BP 100/68. b. HR 100, RR 16, BP 120/72. c. HR 62, RR 18, BP 110/50. d. HR 50, RR 32, BP 78/45.
d
The nurse assesses a client with renal failure who receives peritoneal dialysis. The nurse observes cloudy drainage fluid. Which is the nurse's priority action following observation of the cloudy dialysate drainage? a. Give 250 mL bolus of normal saline to help flush kidneys. b. Do nothing but monitor as cloudy dialysate drainage is normal. c. Remove the peritoneal tubing and change the entire set-up with sterile technique. d. Contact the health care provider and continue monitoring for further signs of infection.
d
The nurse is caring for an older client who was admitted for extreme weakness, dizziness, and orthopnea. A diagnosis of heart failure is confirmed. Which of the following tests is helpful in determining the diagnosis of heart failure? a. Electrolyte Panel b. Liver Function Panel c. 12-lead Electrocardiogram d. Brain natriuretic peptide (BNP)
d
The nurse is performing an assessment on a client with a history of cardiovascular disease, diabetes, hypertension, and hypothyroidism. The client is experiencing exhaustion with simple activities of daily living and short ambulation, and states a 5 pound weight gain over 4 days. Assessment reveals 4+ edema to lower extremities and jugular distention. The nurse will report findings to the health care provider and anticipates which medical condition? a. Acute pericarditis b. Myocardial infarction c. Left-sided heart failure d. Right-sided heart failure
d
The nurse is performing discharge teaching to a client who was diagnosed with acute pancreatitis. Which symptom of pancreatitis should the client report to the health care provider (HCP)? a. Abdominal tenderness b. Weight gain c. Foamy urine d. Clay-colored stools
d
Which client is at the highest risk for pancreatitis? a. A 45-year-old female with rheumatoid arthritis. b. A 22-year-old female diagnosed with cholelithiasis. c. A 62-year-old male post-ERCP (endoscopic retrograde cholangiopancreatography). d. A 35-year-old male with long-standing alcohol abuse.
d
Which is the biggest cause of ulcers of the stomach and duodenum? a. NSAIDs b. Stress c. Alcohol d. H. pylori
d
Why should PICC lines be changed every 7 days and prn? a. The nurse supervisor mandates a weekly dressing change. b. Tests have proven that no infection will begin before a week. c. The dressing begins to irritate the skin of the client after a week. d. The client is at a high risk for infection at the insertion site.
d
