Gero practice hesi remediation questions

when a client is admitted w/ dehydration, which clinical manifestations would the nurse expect to find? Select all that apply a. oliguria b. dyspnea c. hypotension d. pulmonary crackles e. tenting skin turgor

a,c,e

which action would the nurse take to prevent knee deformities in a client who has an exacerbation of arthritis? Select all that apply. a. encourage motion of the joint b. maintain a brace on the leg c. keep the client on a regimen of bed rest d. maintain joints in functional alignment when resting e. immobilize the joint w/ pillows until pain subsides

a,d

which information would the nurse provide a/b respite care services?select all that apply a. services are offered at home, in a day care setting, or in a health care institution that provides overnight care. b. they include services such as laundry, assistance w/ meals and personal care, 24 hr oversight, and housekeeping. c. a group of residents live together, but each resident has their own room and shares dining and social activity areas. d. medicare health care plans do not cover this service, and medicaid has strict requirements for services and eligibility. e. it is a service that provides short-term relief or time off for people, providing home care to an ill, disables, or frail OA.

a,d,e

which integumentary manifestations can be noticed in a client w/ serum creatinine value of 7 mg/dL and a BUN value of 240 mg/dL? select all that apply a. pruritis b. clubbing c. cyanosis d. ecchymosis e. uremic frost

a,d,e

which approach would the nurse use for an OA client w/ Alzheimer disease who frequently switches from being pleasant and happy to being hostile and unhappy w/out apparent cause? a. pointing out reality to the client b. providing nursing care when the client is receptive c. encouraging the client to talk about personal feelings d. restraining the client when hostility is being exhibited

b

which clinical sign is the most important indication of an accurate degree of dehydration? a. dry skin b. weight loss c. sunken fontanel d. decreased UO

b

which data would the nurse use to determine a client's score on the braden scale to predict a client's risk for developing pressure injuries? Select all that apply. a. age b. anorexia c. hemiplegia d. hx of diabetes e. urinary incontinence

b, c, d, e

which precipitating factor for depression would be common in the OA w/out neurocognitive problems? Select all that apply. a. dementia b. multiple losses c. declines in health d. a milestone birthday e. a traumatic injury

b,c

which clinical indicator would the nurse expect for a client who has end stage renal disease? select all that apply. a. polyuria b. jaundice c. azotemia d. HTN e. polycythemia

b,c,d

A client w. left sided weakness is learning how to use a cane. The nurse would demonstrate proper use of the cane by holding it where? a. on alternating sides b. on the right side c. on the side w/ weakness d. on the side of the client's choice

c

when taking the health hx for a client admitted w/ HF, which assessment finding will the nurse expect the client to report? a. losing weight over the past week b. tingling in the upper extremities c. using several pillows at night to sleep d. wheezing when exposed to dust or pollen

c

Which vital sign obtained by the nurse indicates a positive outcome of COPD therapy? a. radial pulse 70 bpm b. temp 98.6 F (37C) c. RR 14 breaths per min d. bp 110/70 e. O2 sat 92%

c,d,e

which response would the nurse provide to a client who asks about what to expect post-op before a TURP (transurethral resection of the prostate)? a. your urine will be pink and free of clots. b. you will have an abdominal incision and a dressing. c. there will be an incision btw your scrotum and rectum. d. there will be a urinary catheter and a continuous bladder irrigation.

d

which action will the nurse take when a client's x-ray shows atelectasis? a. administer O2 b. suction the upper airway c. position for postural drainage d. encourage incentive spirometer use

d atelectasis- alveolar collapse

which nursing action would the nurse monitor during the initial recovery phase of a client returning to the PACU w/ a 3-way indwelling catheter and continuous bladder irrigation after a TURP? a. observe suprapubic dressing for drainage b. maintain the client in a semi-fowler position c. monitor for bright red blood in the urinary drainage bag d. encourage fluids by mouth as soon as the gag reflex returns

c

which finding in the OA client is associated w/ a UTI? select all that apply. a. dysuria b. urgency c. confusion d. incontinence e. slight rise in temp

c,d,e

which client statement indicates risk of breast cancer? select all that apply? a. I had late onset of menarche. b. My first child was born when I was 32. c. I noticed a slight discharge from a nipple. d. I perform self breast exams frequently. e. I consume 2 to 4 glasses of alcohol a day.

b,c,e

which factor would the nurse consider when counseling an OA on how often to take a tub bath? a. condition of the skin b. ability of the client to provide self-care c. degree of orientation to the environment d. type of allergic rx experienced by the client

a

which instruction would the nurse provide a client needing to collect a clean-catch urine specimen? a. urinate a small amount, stop flow, and then fill one-half of the specimen cup. b. collect a sample of the last urine voided during the night. c. if anticipating a delay during delivery, keep the urine sample in a warm, dry, area. d. send the urine sample to the lab w/in 6 hrs of collection.

a

which intervention would the nurse incorporate into the plan of care for the OA experiencing chronic pain? a. exercise b. distraction c. heat therapy d. trigger point massage

a

which combination of foods would the nurse encourage a child w/ glomerulonephritis to choose for a meal? a. corn, roast chx, peach b. tuna salad, cheese melt, milk c. hamburger, baked potato, banana d. bologna sandwich, salad, vanilla malted

a low sodium

which statement by a client w/ htn who has been prescribed furosemide indicates a need for further teaching? a. this can decrease my vitamin K level. b. I will take the med in the morning c. I will contact my HCP if I notice muscle weakness. d. I plan to take medication even when my bp is normal.

a vitamin K is diff than K+

which foods would the nurse teach the client who has gout to avoid? Select all that apply. a. eggs b. liver c. cheese d. salmon e. shellfish

a,b,c

the nurse is providing instructions about foot care for a client w/ DM. Which would the nurse include in the instructions? Select all they apply a. wear shoes out of bed b. soak feet in warm water daily c. dry btw toes after bathing d. remove corns as soon as they appear e. use a heating pad when the feet feel cold.

a,c

which clinical findings would the nurse expect when assessing a client w/ chronic kidney failure? select all that apply. a. polyuria b. lethargy c. hypotension d. muscle twitching e. respiratory acidosis

b,d

Which response will the nurse provide when a client taking a loop diuretic asks the nurse why changing positions slowly is necessary? a. Your high bp may cause headaches w/ position changes. b. you will experience potassium fluctuations that will affect your balance. c. you will need to rush to the br while on the diuretic and we want to ensure you are safe. d. your bp may drop w/ position changes, leading to dizziness and risk of falling.

d

the nurse is teaching pursed lip breathing to a client w/ COPD. The client asks a/b the benefit of exercises. Which explanation would the nurse give? a. prevents complications associated w/ COPD b. relieves SOB by increasing the breath rate c. increases the amount of air that the client inhales w/ each breath d. keeps the airway open longer to decrease the work that goes into breathing

d