Adaptive Quiz #1 SP 22

A nurse is providing postoperative teaching about the management of dumping syndrome to a client who had a partial gastrectomy. Which of the following instructions should the nurse include in the teaching?

"Eat protein with each meal."

A nurse is caring for a client whose surgeon informed him postoperatively that he has a metastasizing malignant neoplasm in the colon. Which of the following statements by the client should the nurse identify as an indication that the client understands this information?

"I have cancer of the colon that has begun to spread."

A nurse is providing discharge teaching about foot care to a client who has diabetic neuropathy. Which of the following statements by the client demonstrates an understanding of the teaching?

"I will wash my feet daily and apply lotion, except between my toes."

A nurse is preparing a client who is postoperative following total hip arthroplasty for discharge. Which of the following statements indicates that the client understands the instructions?

"I'll use a reacher to help me pick up anything I drop on the floor."

A nurse is teaching a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia (PCP). Which of the following pieces of information should the nurse include in the teaching?

"PCP results from an impaired immune system."

A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide?

"The chemotherapy medications act at different stages of cell divisions so more tumor cells are destroyed."

A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly licensed nurse. Which of the following pieces of information should the nurse include about osteoarthritis?

"osteoarthritis can impair a joint on a single side of the body."

A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm^3. Which of the following foods should the nurse prohibit the family members from bringing to the client?

A fresh fruit basket

A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications?

Acyclovir

A nurse is caring for a client who has regular occupational exposure to sunlight and presents for evaluation of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma?

An irregularly shaped brown lesion with light blue areas on the neck

A nurse in the emergency department is caring for a client who has a fruity breath odor, a dry mouth, and extreme thirst. Which of the following assessments should the nurse make?

Blood glucose level

A nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a therapeutic effect of the procedure?

Calcium

A nurse responds to a call from an assistive personnel that a client just had a seizure and is unconscious. Which of the following assessments is the nurse's priority?

Check airway patency

A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the client's electrolyte values

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Crackles in the lung bases

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?

Dependent edema

A nurse in a rehabilitation center is performing an assessment for a client who is recovering from a left-hemisphere stroke. Which of the following findings should the nurse expect?

Difficulty with speech

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

Empty the drainage bag when half-full of urine

A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Enlarged lymph nodes

A nurse is teaching a group of clients about skin cancer. The nurse should explain that basal cell carcinoma originates from which of the following tissues?

Epidermis

A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. When checking the client's laboratory results, which of the following values should the nurse identify as contributing to the client's fatigue and pallor?

Hgb 6.5 g/dL

A nurse in the emergency department is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications?

Hydrocortisone

A nurse is assessing a client who has heart failure and is taking daily furosemide. The client's apical pulse is weak and irregular. The nurse should identify these findings as manifestations of which of the following electrolyte imbalances?

Hypokalemia

A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of receiving blood transfusions. For which of the following complications should the nurse monitor?

Iron toxicity

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. The nurse notes no drainage in the client's urinary drainage bag over 1 hr. Which of the following actions should the nurse take?

Irrigate the indwelling urinary catheter with a syringe

A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following findings should the nurse expect?

Kussmaul respirations

A nurse is a provider's office is assessing a client who states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis?

Night sweats

A nurse is caring for a client who has pseudomembranous colitis due to Clostridium difficile infection. Which of the following interventions is the nurse's priority?

Performing hand hygiene before and after contact with the client

A nurse is assessing a client for manifestations of aplastic anemia. Which of the following findings should the nurse expect?

Petechiae and ecchymosis

A nurse is caring for a client with heart failure whose telemetry reading displays a flattening of the T wave. Which of the following laboratory results should the nurse anticipate as the cause of this ECG change?

Potassium 2.8 mEq/L

A nurse is caring for a client who is extremely anxious and is hyperventilating. The client's ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3-25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?

Respiratory alkalosis

A nurse is caring for client who has human immunodeficiency virus. (HIV). Which of the following types of isolation should the nurse implement to prevent the transmission of HIV?

Standard precautions

A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of pulmonary embolism?

Sudden onset of dyspnea

A nurse is reviewing the medical history of a client who is scheduled for a magnetic resonance imaging (MRI) examination of the cervical vertebra. Which of the following pieces of information in the client's history is a contraindication to this procedure?

The client has a pacemaker

A nurse is caring for a client who is recovering from a recent stroke. which of the following assessments is the nurse's priority?

The client's ability to clear oral secretions

A nurse enters a client's room and notes smoke coming from a wastebasket in the adjacent bathroom. Which of the following actions should the nurse take first?

Transport the client to an area away from the smoke

A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal fluid is not adequately draining. Which of the following actions should the nurse take?

Turn the client from side to side

A nurse is caring for a client who has pernicious anemia. Which of the following factors should the nurse identify with this condition?

Vitamin B12 deficiency

A nurse is caring for a client who is scheduled to receive peritoneal dialysis. Which of the following actions should the nurse take?

Warm the dialysate solution prior to administration

A nurse is assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse expect?

Weakness of the lower extremities