Reduce Risk Potential Quiz 2

Which lecithin/sphingomyelin (L/S) ratio is indicative of fetal lung maturity?

2:1

A client who just returned from a cardiac catheterization reports to the nurse that the pressure bandage on the right groin is tight. Which action would the nurse take?

Assess the circulatory status of the extremity.

Which is the priority nursing action when a client at 40 weeks' gestation has an amniotomy performed to facilitate labor?

Assessing the fetal heart rate

Which findings in a client who has had major abdominal surgery indicate a possible venous thrombosis of the leg?

Edema of the ankle Tender area in the posterior lower leg Warmth along the course of the involved vessel

Which laboratory test will be elevated in a client with inflammatory arthritis?

Erythrocyte sedimentation rate (ESR)

Which laboratory finding on a client at 24 weeks' gestation would the nurse report to the health care provider?

Hemoglobin: 10.8 g/dL (108 mmol/L)

A client is admitted to the hospital with the diagnosis of cancer of the thyroid, and a thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period?

Hoarseness and airway obstruction may result from laryngeal nerve damage.

When a client with chronic dyspnea is scheduled for computed tomography (CT) using contrast, which assessment information would the nurse communicate to the health care provider before the procedure?

Metformin taken today Serum creatinine 2.1 mg d/L (185.6 µmol/L) Shellfish allergy

Which condition is detected by an alpha-fetoprotein test?

Neural tube defects

Which action would the nurse take first when a client with acute bronchitis and emphysema reports feeling anxious and short of breath?

Obtain the oxygen saturation

The nurse shares the discharge instructions with a client who has prostate cancer. The client asks, "How much more blood will they need? Don't they have enough?" Which laboratory test would the nurse discuss the need to monitor throughout the course of the disease?

Prostate-specific antigen (PSA)

A client experiences clay-colored stools. The nurse identifies that the assessment finding relates to an increase in which process?

Prothrombin time

Which outcome is the main focus of treatment for a client with Addison disease?

Restoration of electrolyte balance

A 42-year-old client is scheduled for an amniocentesis during the 15th week of gestation because of concerns regarding Down syndrome. Which other fetal problem, if present, would an examination of the amniotic fluid reveal at this time?

Sickle cell disease

The nurse is caring for a client who is scheduled for gastric bypass to treat morbid obesity. To minimize clinical manifestations of dumping syndrome, the client will be placed on which type of dietary plan?

Small, frequent feeding schedule

A health care provider prescribes clozapine to a client with schizophrenia. Which parameters would the nurse assess before administering the medication?

Body mass index White blood cell count Absolute neutrophil count

Which finding led the nurse to conclude that a client has experienced postoperative complications as a result of a medical error after undergoing a permanent tracheostomy?

The client has a hole in the thyroid gland

The nurse is providing instructions to a client who has glaucoma. Which statements by the client indicate that the nurse needs to intervene?

"I can lift objects that weigh more than 10 lb (4.5 kg)." "I should keep my head in a dependent position."

The nurse would assess the client for early clinical manifestations of which complication that is specific to a hypophysectomy?

Increased intracranial pressure

A client who had a laryngectomy for cancer of the larynx is being transferred from the postanesthesia care unit to a surgical unit. Which is the most important equipment that the nurse would place in the client's room?

Suction supplies

During preoperative teaching for a thyroidectomy, which specific instruction about postoperative care would the nurse provide the client?

Support the head with the hands when changing position

The nurse is caring for a preterm infant who is receiving oxygen therapy. Which would the nurse do to prevent retinopathy of prematurity (ROP)?

Support the neonate's oxygen saturation while providing minimal FiO 2.

When caring for a client with acute coronary syndrome who has frequent premature ventricular complexes (PVCs), the nurse will be most concerned about PVCs occurring in which phase of the cardiac cycle?

T wave

When a client at 39 weeks' gestation arrives at the birthing suite she says, "I've been having contractions for 3 hours, and I think my water broke." Which action would the nurse take to confirm that the membranes have ruptured?

Test the leaking fluid with nitrazine paper

Which is included in the care of a newborn infant whose mother has had untreated syphilis since the second trimester of pregnancy?

Testing for congenital syphilis