PrepU Quizzes

A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? a)"I've had a fever and noticed I've been running to the bathroom more often." b) "I'm waking up at night to urinate and I've noticed some burning, too." c) "I've had trouble getting started when I urinate, often straining to do so." d) "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."

"I've had trouble getting started when I urinate, often straining to do so"

An older adult develops sudden onset of confusion and is hospitalized. The family expresses concern that their loved one is developing Alzheimer disease. What response by the nurse is most appropriate? a) "What concerns you most about Alzheimer disease?" b) "Alzheimer disease can be a great burden on the family. What community resources do you know about?" c) "Once the underlying cause of the confusion is found and treated, your loved one will be better than ever." d) "Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion."

"Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion"

A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? a) "I'll have to stay in the hospital for about 3 to 4 days after the surgery." b) "I'll have a small incision on my lower abdomen after the procedure." c) "The surgeon is going to remove the entire prostate gland." d) "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

"The surgeon is going to insert a scope through my urethra to remove a portion of the gland"

The nurse is planning discharge instructions for the client with osteomyelitis. What instructions should the nurse include in the discharge teaching? a) "Use your continuous passive motion machine (CPM) 2 hours each day." b) "You need to perform weight-bearing exercises twice a week." c) "You need to limit the amount of protein and calcium in your diet." d) "You will receive IV antibiotics for 3 to 6 weeks."

"You will receive IV antibiotics for 3 to 6 weeks"

When fluid intake is normal, the specific gravity of urine should be a)1.000. b) less than 1.010. c) greater than 1.025. d) 1.010 to 1.025.

1.010 to 1.025

When administering heparin anticoagulant therapy, the nurse needs to make certain that the activated partial thromboplastin time (aPTT) is within the therapeutic range of: a) 1.5 to 2.5 times the baseline control. b) 2.5 to 3.0 times the baseline control. c) 3.5 times the baseline control. d) 4.5 times the baseline control.

1.5 to 2.5 times the baseline control

An older adult patient had a hip replacement. When should the patient begin with assisted ambulation with a walker? a) 24 hours b) 72 hours c) 1 week d) 2 to 3 weeks

24 hours

What abnormal postoperative urinary output should the nurse report to the physician for a 2-hour period? a) <30 mL b) Between 75 and 100 mL c) Between 100 and 200 mL d) >200 mL

<30mL

An older adult client visits the clinic for a blood pressure (BP) check. The client's hypertension is not well controlled, and a new blood pressure medicine is prescribed. What is important for the nurse to teach this client about the blood pressure medicine? a) Take the medicine on an empty stomach. b) A possible adverse effect of blood pressure medicine is dizziness when you stand. c) There are no adverse effects from blood pressure medicine. d) A severe drop in blood pressure is possible.

A possible adverse effect of blood pressure medicine is dizziness when you stand

When assessing a client's risk for pressure ulcer development, which finding would alert the nurse to an increased risk?

Anemia, edema, diaphoresis

A nurse in a busy emergency department provides care for many clients who present with contusions, strains, or sprains. What are treatment modalities that are common to all of these musculoskeletal injuries?

Applying ice, compression dressings, resting the affected extremity, elevating the injured limb

The wife of a patient who was admitted 3 days ago with an exacerbation of chronic obstructive pulmonary disease (COPD) states that she is worried about her husband because he appears to be breathing "really hard." The nurse performs a respiratory assessment. Which of the following findings would indicate a need for further interventions? a) BP 122/82, HR 102, R 24, noted barrel chest b) Patient states, "It always seems like I just can't catch my breath." c) Pale, paper-thin skin, O2 at 2L/min via nasal cannula d) BP 122/80, HR 116, R 24, pale and clammy skin, temp 101.3 degrees F

BP 122/80, HR 116, R 24, pale and clammy skin, temp 101.3 degrees F

Clients must contend with chronic illness daily. Nurses relate more effectively to clients when they understand the following as characteristics of chronic illness.

Chronic illness affects the entire family, the management of chronic conditions is a process of discovery, managing chronic conditions must be a collaborative process

The surgical nurse is preparing to send a client from the presurgical area to the OR and is reviewing the client's informed consent form. What are the criteria for legally valid informed consent?

Consent must be freely given, consent must normally be obtained by a physician, signature must be witnessed by a professional staff member.

The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions?

Decreased sensory function, excruciating pain, loss of motion

An 84-year-old client has returned from the post-anesthetic care unit (PACU) following hip arthroplasty. The client is oriented to name only. The client's family is very upset because, before having surgery, the client had no cognitive deficits. The client is subsequently diagnosed with postoperative delirium. What should the nurse explain to the client's family? a) This problem is self-limiting and there is nothing to worry about. b) Delirium involves a progressive decline in memory loss and overall cognitive function. c) Delirium of this type is treatable and her cognition will return to previous levels. d) This problem can be resolved by administering antidotes to the anesthetic that was used in surgery.

Delirium of this type is treatable and her cognition will return to previous levels.

A nurse is applying an ostomy appliance to the ileostomy of a client with ulcerative colitis. Which action is appropriate? a) Cutting the faceplate opening no more than 2? larger than the stoma b) Gently washing the area surrounding the stoma using a facecloth and mild soap c) Scrubbing fecal material from the skin surrounding the stoma d) Maintaining wrinkles in the faceplate so it doesn't irritate the skin

Gently washing the area surrounding the stoma using a facecloth and mild soap

The nurse has instructed a client on how to perform pursed-lip breathing. The nurse recognizes the purpose of this type of breathing is to accomplish which result? a) Promote more efficient and controlled ventilation and to decrease the work of breathing b)nImprove oxygen transport; induce a slow, deep breathing pattern; and assist the client to control breathing c) Promote the strengthening of the client's diaphragm d) Promote the client's ability to take in oxygen

Improve oxygen transport; induce a slow, deep breathing pattern; and assist the client to control breathing

A client asks about the purpose of withholding food and fluid before surgery. Which response by the nurse is appropriate? a) It prevents overhydration and hypertension. b) It decreases urine output so that a catheter will not be needed. c) It prevents aspiration and respiratory complications. d) It decreases the risk of elevated blood sugar and slow wound healing.

It prevents aspiration and respiratory complications

After undergoing retropubic prostatectomy, a client returns to his room. The client is on nothing-by-mouth status and has an IV infusing in his right forearm at a rate of 100 ml/hour. The client also has an indwelling urinary catheter that's draining light pink urine. While assessing the client, the nurse notes that his urine output is red and has dropped to 15 ml and 10 ml for the last 2 consecutive hours. How can the nurse best explain this drop in urine output? a) It's a normal finding caused by blood loss during surgery. b) It's a normal finding associated with the client's nothing-by-mouth status. c) It's an abnormal finding that requires further assessment. d) It's an abnormal finding that will correct itself when the client ambulates.

It's an abnormal finding that requires further assessment

A nurse is providing preoperative teaching to a client who will soon undergo a cardiac bypass. The nurse's teaching plan includes exercises of the extremities. What is the purpose of teaching a client leg exercises prior to surgery? a) Leg exercises increase the client's muscle mass postoperatively. b) Leg exercises improve circulation and prevent venous thrombosis. c) Leg exercises help to prevent pressure sores to the sacrum and heels. d) Leg exercise help increase the client's level of consciousness after surgery.

Leg exercises improve circulation and prevent venous thrombosis

A patient has had surgery to create an ileal conduit for urinary diversion. What is a priority intervention by the nurse in the postoperative phase of care? a) Turn the patient every 2 hours around the clock. b) Administer pain medication every 2 hours. c) Monitor urine output hourly and report output less than 30 mL/hr. d) Clean the stoma with soap and water after the patient voids.

Monitor urine output hourly and report output less than 30 mL/hr

A gerontologic nurse is teaching a group of medical nurses about the high incidence and mortality of pneumonia in older adults. What is a contributing factor to this that the nurse should describe? a) Older adults have less compliant lung tissue than younger adults. b) Older adults are not normally candidates for pneumococcal vaccination. c) Older adults often lack the classic signs and symptoms of pneumonia. d) Older adults often cannot tolerate the most common antibiotics used to treat pneumonia.

Older adults often lack the classic signs and symptoms of pneumonia

Which intervention should the nurse implement with the client who has an external fixator?

Perform pin care as ordered, supervise the client during transfers, perform neurovascular assessment, inspect pin sites for signs of infection

A client is diagnosed with a right-sided stroke. The client is now experiencing hemianopsia. How might the nurse help the client manage her potential sensory and perceptional difficulties? a) Keep the lighting in the client's room low. b) Place the client's clock on the affected side. c) Approach the client on the side where vision is impaired. d) Place the client's extremities where she can see them.

Place the client's extremities where she can see them

A client with Alzheimer's disease is admitted for hip surgery after falling and fracturing the right hip. The client's spouse tells the nurse about feeling guilty for letting the accident happen and reports not sleeping well lately because the spouse has been getting up at night and doing odd things. Which nursing diagnosis is most appropriate for the client's spouse? a) Relocation stress syndrome related to hospitalization b) Defensive coping related to diagnosis of Alzheimer's disease c) Risk for caregiver role strain related to increased client care needs d) Decisional conflict related to lack of relevant treatment information

Risk for caregiver role strain related to increased client care needs

Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis? a) Deficient knowledge about osteoporosis and the treatment regimen b) Acute pain related to fracture and muscle spasm c) Risk for constipation related to immobility d) Risk for injury related to fractures due to osteoporosis

Risk for injury related to fractures due to osteoporosis

The nurse is educating a patient with chronic venous insufficiency about prevention of complications related to the disorder. What should the nurse include in the information given to the patient?

Sleep with the foot of the bed elevated about 6 inches, avoid constricting garments, elevate the legs above the heart level for 30 minutes every 2 hours

A surgical client has been in the PACU for the past 3 hours. What are the determining factors for the client to be discharged from the PACU?

Stable blood pressure, sufficient oxygen saturation, adequate respiratory function

A nurse notes that an older female client has lost 2 inches in height since her appointment last year. The client reports lumbar back pain as unchanged. Which of the following would the nurse instructs the client?

Take calcium and vitamin D supplements daily, increase intake of foods that are high in calcium, obtain the prescribed bone density screening

The nurse is educating an 80-year-old client diagnosed with heart failure about his medication regimen. What should the nurse to teach this client about the use of oral diuretics? a) Avoid drinking fluids for 2 hours after taking the diuretic. b) Take the diuretic in the morning to avoid interfering with sleep. c) Avoid taking the medication within 2 hours consuming dairy products. d) Take the diuretic only on days when experiencing shortness of breath.

Take the diuretic in the morning to avoid interfering with sleep

The nurse is providing instructions to a client scheduled for a gastroscopy. What should the nurse be sure to include in the instructions?

The client must fast for 8 hours before the examination, the throat will be sprayed with a local anesthetic, after gastroscopy, the client cannot eat or drink until the gag reflex returns (1 to 2 hours).

A client who suffered an ischemic stroke now has disturbed sensory perception. What principle should guide the nurse's care of this client? a) The client should be approached on the side where visual perception is intact. b) Attention to the affected side should be minimized in order to decrease anxiety. c) The client should avoid turning in the direction of the defective visual field to minimize shoulder subluxation. d) The client should be approached on the opposite side of where the visual perception is intact to promote recovery.

The client should be approached on the side where visual perception is intact

A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason? a) The client may develop inflammatory bowel disease. b) The client may develop arthritis or arthralgia. c) The client's natural bowel function may become sluggish. d) The client may lose his appetite.

The client's natural bowel function may become sluggish

A client who must begin oxygen therapy asks the nurse why this treatment is necessary? What would the nurse identify as the goals of oxygen therapy?

To provide adequate transport of oxygen in the blood, to decrease the work of breathing, to reduce stress on the myocardium

The nurse teaches the client with a high risk for osteoporosis about risk-lowering strategies, including which action? a) Increase fiber in the diet b) Walk or perform weight-bearing exercises c) Reduce stress d) Decrease the intake of vitamins A and D

Walk or perform weight-bearing exercises

The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding constitutes an early sign of deterioration? a) Generalized pain b) Alteration in level of consciousness (LOC) c) Tonic-clonic seizures d) Shortness of breath

alteration in level of consciousness (LOC)

The school nurse notes a 6-year-old running across the playground with his friends. The child stops in midstride, freezing for a few seconds. Then the child resumes his progress across the playground. The school nurse suspects what in this child? a) An absence seizure b) A myoclonic seizure c) A partial seizure d) A tonic-clonic seizure

an absence seizure

A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. Which nursing action is the first priority? a) Applying a sterile, moist dressing b) Monitoring vital signs c) Inserting a nasogastric (NG) tube d) Putting the client on nothing-by-mouth (NPO) status

applying a sterile, moist dressing

Which drug is considered a stimulant laxative? a) Magnesium hydroxide b) Bisacodyl c) Mineral oil d) Psyllium hydrophilic mucilloid

bisacodyl

A client is following up after a visit to the emergency department where testing indicated that the client had suffered a transient ischemic attack. To prevent the occurrence of a more serious cerebrovascular accident, which lifestyle changes would the neurologist to prescribe?

blood pressure control, weight loss, smoking cessation

Which of the following is a characteristic of an arterial ulcer? a) Border regular and well demarcated b) Brawny edema c) Ankle-brachial index (ABI) > 0.90 d) Edema may be severe

border regular and well demarcated

A post op client reports severe abdominal pain. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. What is the nurse's priority action? a) Re-attempt to auscultate bowel sounds. b) Prepare to insert a nasogastric tube. c) Call the health care provider. d) Prepare to administer a stool softener.

call the health care provider

Which is the most common presenting symptom of colon cancer? a) Fatigue b) Change in bowel habits c) Anorexia d) Weight loss

change in bowel habits

A registered nurse who is responsible for coordinating and documenting client care in the operating room is a a) circulating nurse. b) scrub nurse. c) anesthetist. d) anesthesiologist.

circulating nurse

An age-related change associated with the cardiovascular system is a) decreased cardiac output. b) decreased blood pressure. c) increased compliance of heart muscle. d) thinner heart valves.

decreased cardiac output

Which factor alters urinary elimination patterns in older adults? a) Decreased residual volume b) Increased bladder capacity c) Decreased muscle tone d) Active lifestyle

decreased muscle tone

You are caring for a client who has been diagnosed with viral pneumonia. You are making a plan of care for this client. What nursing interventions would you put into the plan of care for a client with pneumonia? a) Give antibiotics as ordered. b) Place client on bed rest. c) Encourage increased fluid intake. d) Offer nutritious snacks 2 times a day.

encourage increased fluid intake

The nurse is providing care for a client who has had a below-the-knee amputation. The nurse enters the client's room and finds the client resting in bed with his residual limb supported on pillow. What is the nurse's most appropriate action? a) Inform the surgeon of this finding. b) Explain the risks of flexion contracture to the client. c) Transfer the client to a sitting position. d) Encourage the client to perform active ROM exercises with the residual limb.

explain the risks of flexion contracture to the client

A nurse is communicating with a client who has aphasia after having a stroke. Which action should the nurse take? a) Use one long sentence to say everything that needs to be said. b) Keep the television on while she speaks. c) Talk in a louder than normal voice. d) Face the client and establish eye contact.

face the client and establish eye contact

The nurse teaches a client scheduled for a colonoscopy. Which instruction should be included as part of the preparation for the procedure? a) Consume at least 3 quarts of water 30 minutes before the test. b) Do not void for at least 30 minutes before the test. c) Follow the dietary and fluid restrictions and bowel preparation procedures. d) Spray or gargle with a local anesthetic.

follow the dietary and fluid restrictions and bowel preparation procedures

Which infection control equipment is necessary for the client diagnosed with Clostridium difficile diarrhea? a) Gloves b) Mask c) Face shield d) N-95 respirator

gloves

A nurse is presenting a safety program to a group of older adults at a continuing care retirement community. The nurse emphasizes measures to reduce the risk of falls based on the understanding that which type of fracture is the most common? a) Forearm b) Hip c) Femur d) Ankle

hip

The nurse is providing care for a client who has recently been diagnosed with COPD. When educating the client about exacerbations, the nurse should prioritize what topic? a) Identifying specific causes of exacerbations b) Prompt administration of corticosteroids during exacerbations c) The importance of prone positioning during exacerbations d) The relationship between activity level and exacerbations

identifying specific causes of exacerbations

The nurse is caring for a client at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the client. What is an example of a first-line measure to minimize atelectasis? a) Incentive spirometry b) Intermittent positive-pressure breathing (IPPB) c) Positive end-expiratory pressure (PEEP) d) Bronchoscopy

incentive spirometry

A client reports urinary frequency, urgency, and dysuria. Which of the following would the nurse most likely suspect? a) Obstruction of the lower urinary tract b) Acute renal failure c) Infection d) Nephrotic syndrome

infection

Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain. Venography reveals deep vein thrombosis (DVT). When assessing this client, the nurse is likely to detect: a) pallor and coolness of the left foot. b) a decrease in the left pedal pulse. c) loss of hair on the lower portion of the left leg. d) left calf circumference 1" (2.5 cm) larger than the right.

left calf circumference 1" (2.5 cm) larger than the right

What clinical manifestations does the nurse recognize when a patient has had a right hemispheric stroke? a) Left visual field deficit b) Aphasia c) Slow, cautious behavior d) Altered intellectual ability

left visual field deficit

The nurse is providing discharge instructions to a client with heart failure preparing to leave the following day. What type of diet should the nurse request the dietitian to discuss with the client? a) Low-fat diet b) Low-potassium diet c) Low-cholesterol diet d) Low-sodium diet

low-sodium diet

With a severe degree of peripheral arterial insufficiency, leg pain during rest can be reduced by: a) Elevating the limb over the heart level. b) Lowering the limb so that it is dependent. c) Massaging the limb after application of cold compresses. d) Placing the limb in a plane horizontal to the body.

lowering the limb so that it is dependent

The nurse is providing discharge education to a client diagnosed with heart failure. What should the nurse teach this client to do to assess fluid balance in the home setting? a) Monitor and record blood pressure daily b) Monitor and record radial pulses daily c) Monitor weight daily d) Monitor bowel movements

monitor weight daily

A nurse has been asked to speak to a local women's group about preventing cystitis. Which of the following would the nurse include in the presentation? a) Need to wear underwear made from synthetic material b) Importance of urinating every 4 to 6 hours while awake c) Suggestion to take tub baths instead of showers d) Need to urinate after engaging in sexual intercourse

need to urinate after engaging in sexual intercourse

Students are preparing a class presentation on elder abuse. Which of the following would they include as the most common type of elder abuse? a) Neglect b) Emotional c) Financial d) Sexual

neglect

The nurse teaches the client which intervention to avoid hip dislocation after replacement surgery? a) Keep the knees together at all times b) Never cross the affected leg when seated c) Avoid placing a pillow between the legs when sleeping d) Bend forward only when seated in a chair

never cross the affected leg when seated

Following admission of the postoperative client to the clinical unit, which of the following assessment data requires the most immediate attention? a) Blood pressure of 94/62 mm Hg b) Respiratory rate of 12 breaths per minute c) Oxygen saturation of 82% d) Urine output of 60 ml/hr

oxygen saturation of 82%

An elderly client who lives in a retirement community is having a mild depressive episode over the past few weeks. The nurse intervenes by recommending a) Participation in a social activity b) Watching television in a darkened room c) Decreasing walking from 1 mile to 1/2 mile daily d) Taking an antidepressant medication

participation in a social activity

A client has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, the nurse should encourage which of the following? a) Pelvic floor exercises b) Intermittent urinary catheterization c) Reduced physical activity d) Active range of motion exercises

pelvic floor exercises

A client is on call to the OR for an aortobifemoral bypass and the nurse administers the prescribed preoperative medication. After administering a preoperative medication to the client, what should the nurse do? a) Encourage light ambulation. b) Place the bed in a low position with the side rails up. c) Tell the client that he will be asleep before he leaves for surgery. d) Take the client's vital signs every 15 minutes.

place the bed in a low position with the side rails up

It is important for the nurse to monitor serum electrolytes in a patient with acute diarrhea. Select the electrolyte result that should be immediately reported. a) Chloride of 100 mEq/L b) Sodium of 136 mEq/L c) Calcium of 9 mg/dL d) Potassium of 2.8 mEq/L

potassium of 2.8 mEq/L

Which client requires immediate nursing intervention? The client who: a) complains of epigastric pain after eating. b) complains of anorexia and periumbilical pain. c) presents with a rigid, board-like abdomen. d) presents with ribbonlike stools.

presents with a rigid, board-like abdomen

A client is admitted to the hospital with systolic left-sided heart failure. The nurse knows to look for which assessment finding for this client? a) Pulmonary congestion b) Pedal edema c) Nausea d) Jugular venous distention

pulmonary congestion

During a community health fair, a nurse is teaching a group of seniors about promoting health and preventing infection. Which intervention would best promote infection prevention for senior citizens who are at risk of pneumococcal and influenza infections? a )Receive vaccinations b) Exercise daily c) Drink six glasses of water daily d) Take all prescribed medications

receive vaccinations

A woman comes to her health care provider's office with signs and symptoms of kidney stones. Which of the following should be the primary medical management goal? a) Determine the stone type. b) Relieve any obstruction. c) Relieve the pain. d) Prevent nephron destruction.

relieve the pain

Based on a client's vague explanations for recurring injuries, the nurse suspects that a community-dwelling older adult may be the victim of abuse. What is the nurse's primary responsibility? a) Report the findings to adult protective services. b) Confront the suspected perpetrator. c) Gather evidence to corroborate the abuse. d) Work with the family to promote healthy conflict resolution.

report the findings to adult protective services

A nurse is giving instructions to a client who's going home with a leg cast. Which teaching point is most critical? a) Using crutches properly b) Exercising joints above and below the cast, as ordered c) Avoiding walking on a leg cast without the health care provider's permission d) Reporting signs of impaired circulation

reporting signs of impaired circulation

Following a generalized seizure in a client, which nursing assessment is a priority for detailing the event? a) Seizure began at 1300 hours. b) The client cried out before the seizure began. c) Seizure was 1 minute in duration including tonic-clonic activity. d) Sleeping quietly after the seizure

seizure was 1 minute in duration including tonic-clonic activity

A nurse is planning the care of a client with emphysema who will soon be discharged. What teaching should the nurse prioritize in the plan of care? a) Taking prophylactic antibiotics as prescribed b) Adhering to the treatment regimen in order to cure the disease c) Avoiding airplanes, buses, and other crowded public places d) Setting realistic short- and long-term goals

setting realistic short and long term goals

A client has been living with a diagnosis of anemia for several years and has experienced recent declines in her hemoglobin levels despite active treatment. What assessment finding would signal complications of anemia? a) Venous ulcers and visual disturbances b) Fever and signs of hyperkalemia c) Epistaxis and gastroesophageal reflux d) Shortness of breath and peripheral edema

shortness of breath and peripheral edema

Which principle applies to the client in traction? a) Weights should rest on the bed. b) Skeletal traction is never interrupted. c) Knots in the ropes should touch the pulley. d) Weights are removed routinely.

skeletal traction is never interrupted

A nurse caring for a patient with regional enteritis knows to assess for this most serious systemic complication. What is that complication? a) Pyelonephritis b) Megacolon c) Small bowel obstruction d) Nephrolithiasis

small bowel obstruction

A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients with hypertension?

smoking, diabetes mellitus, physical inactivity

A patient comes to the clinic for the third time in 2 months with chronic bronchitis. What clinical symptoms does the nurse anticipate assessing for this patient? a) Chest pain during respiration b) Sputum and a productive cough c) Fever, chills, and diaphoresis d) Tachypnea and tachycardia

sputum and a productive cough

A patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. What type of incontinence does the nurse recognize the patient is experiencing? a) Urge incontinence b) Functional incontinence c) Stress incontinence d) Iatrogenic incontinence

stress incontinence

A patient has a serum study that is positive for the rheumatoid factor. What does the nurse understand is the significance of this test result? a) Diagnostic for Sjögren's syndrome b) Diagnostic for SLE c) Specific for RA d) Suggestive of RA

suggestive of RA

The nurse is preparing health education for a client who is being discharged after hospitalization for a hemorrhagic stroke. What content should the nurse include in this education? a) Mild, intermittent seizures can be expected. b) Take ibuprofen for complaints of a serious headache. c) Take antihypertensive medication as prescribed. d) Drowsiness is normal for the first week after discharge.

take antihypertensive medication as prescribed

A client is having a tonic-clonic seizure. What should the nurse do first? a) Elevate the head of the bed. b) Restrain the client's arms and legs. c) Place a tongue blade in the client's mouth. d) Take measures to prevent injury.

take measures to prevent injury

Which nursing instruction is correct to provide the client following a barium enema? a) The client will maintain a low residue diet. b) The stools may be a white or clay colored. c) Sips of fluid may be increased if tolerated. d) An enema will be used to clear the bowel.

the stools may be a white or clay colored

Which is an accurate rationale for why older adults are more susceptible to serious infections? a) They are less aware of how to control infections. b) They have less efficient defense mechanisms. c) They have increased social contact. d) They do not have easy access to antibiotics.

they have less efficient defense mechanisms

A client who suffered a stroke is too weak to move on his own. To help the client maintain skin integrity, the nurse should: a) turn him frequently. b) perform passive range-of-motion (ROM) exercises. c) reduce the client's fluid intake. d) encourage the client to use a footboard.

turn him frequently

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence? a) Stress b) Urge c) Overflow d) Functional

urge

A client with a severe exacerbation of COPD requires reliable and precise oxygen delivery. Which mask will the nurse expect the health care provider to prescribe? a) Non-rebreather air mask b) Tracheostomy collar c) Venturi mask d) Face tent

venturi mask

A nurse is preparing to provide care for a client whose exacerbation of ulcerative colitis has required hospital admission. During an exacerbation of this health problem, the nurse would anticipate that the client's stools will have what characteristics? a) Watery with blood and mucus b) Hard and black or tarry c) Dry and streaked with blood d) Loose with visible fatty streaks

watery with blood and mucous

A nurse providing education to a community group about hypertension is reviewing appropriate lifestyle modifications. Which of the following are among changes that can help prevent and control hypertension?

weight reduction, increased physical activity, substituion of low-fat for whole dairy products in diet