Promo B
The nurse is preparing a preoperative teaching plan for a client who is undergoing a bilateral breast reduction. Which aspect of the plan is the priority? a) Psychosocial integrity. b) Reduction of risk potential. c) Physiologic adaptation. d) Health promotion and maintenance.
a) Psychosocial integrity.
A nurse is teaching a client who is receiving radiation treatment for left lower lobe lung cancer. Which client statement indicates a need for further teaching? a) "Most of the adverse effects should go away shortly after my last radiation treatment." b) "I'll use hats to protect my head from the sun when my hair falls out." c) "I'll allow myself plenty of time to rest between activities." d) "If I get nauseous, I'll try to eat several small, bland meals each day."
b) "I'll use hats to protect my head from the sun when my hair falls out."
When caring for a client with myasthenia gravis, the nurse should assess the client for which of the following manifestations of cholinergic crisis? Select all that apply. a) Decreased secretions and saliva b) Ptosis c) Abdominal cramps d) Increased heart rate e) Fasciculation f) Respiratory rate of 6 and irregular
b) Ptosis c) Abdominal cramps e) Fasciculation f) Respiratory rate of 6 and irregular
When providing health teaching to a primigravid client, the nurse tells the client that she's likely to experience Braxton Hicks contractions. When does a client typically start to feel these contractions? a) Between 32 and 35 weeks' gestation b) Between 28 and 31 weeks' gestation c) Between 23 and 27 weeks' gestation d) Between 18 and 22 weeks' gestation
c) Between 23 and 27 weeks' gestation
A client underwent surgery to repair an abdominal aortic aneurysm. The surgeon made an incision that extends from the xiphoid process to the pubis. At 12 noon 2 days after surgery, the client has abdominal distention. The nurse checks the progress notes in the medical record, as shown. What is most likely contributing to the client's abdominal distention? a) IV fluid intake. b) Ice chips. c) Morphine. d) Nasogastric (NG) tube.
c) Morphine.
A nurse discusses with parents the procedures that will be performed on their neonate immediately after birth. The nurse determines that the instructions have been understood when the client states that which of the following will be done to the neonate first? a) The neonate will be given oxygen. b) The neonate will be dried and stimulated to cry. c) The neonate will be suctioned. d) The neonate's umbilical cord will be cut.
c) The neonate will be suctioned.
A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his son's testicle is missing. Which of the following explanations would be most appropriate? a) "Although the testes should have descended by now, it is not a cause for worry." b) "The testes are present in the scrotal sac at birth, but surgery can remedy the situation." c) "The testes often do not descend until age 6 months, but let's check to see whether the testes are present." d) "Although the testes normally descend by 1 year of age, I can understand your concern."
d) "Although the testes normally descend by 1 year of age, I can understand your concern."
The nurse teaches a female client who has cystitis methods to relieve her discomfort until the antibiotic takes effect. Which of the following responses by the client would indicate that she understands the nurse's instructions? a) "I will place ice packs on my perineum." b) "I will drink a cup of warm tea every hour." c) "I will void every 5 to 6 hours." d) "I will take hot tub baths."
d) "I will take hot tub baths."
Which activity should a 2-year-old child be able to do? a) Wash and dry his hands. b) Point out a picture. c) Build a tower of eight cubes. d) Remove a garment.
d) Remove a garment.