Care of the Adult Practice questions exam 3

The hospitalized client with GERD is complaining of chest discomfort that feels like heartburn following a meal. After administering an ordered antacid, the nurse encourages the client to lie in which of the following positions? 1. Supine with the head of the bed flat 2. On the stomach with the head flat 3. On the left side with the head of the bed elevated 30 degrees 4. On the right side with the head of the bed elevated 30 degrees.

3

1. A nurse has provided instructions to a female client with cystitis about measures to prevent recurrence. The nurse determines that the client needs further instruction if the client verbalizes to: a. Take bubble baths for more effective hygiene b. Wear underwear made of cotton or with cotton panels c. Drink a glass of water and void after intercourse d. Avoid wearing pantyhose while wearing socks

A

1. A nurse is caring for a client who has just returned to the nursing unit after an intravenous pyelogram (IVP). The 1. nurse determines that which of the following is important in the post-procedure care of this client? a. encouraging increased intake of oral fluids b. ambulating the client in the hallway c. encouraging the client to try to avoid frequently d. maintaining the client on bedrest

A

Jerod is experiencing an acute episode of ulcerative colitis. Which is priority for this patient? Replace lost fluid and sodium. 2. Monitor for increased serum glucose level from steroid therapy. 3. Restrict the dietary intake of foods high in potassium. 4. Note any change in the color and consistency of stools.

A

Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort? Give tepid baths. 2. Avoid lotions and creams. 3. Use hot water to increase vasodilation. 4. Use cold water to decrease the itching.

A

Risk factors for the development of hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications can cause increased abdominal pressure? 1. Obesity 2. Volvulus 3. Constipation 4. Intestinal obstruction

A

A female client who has just been diagnosed with hepatitis A asks, "How could I have gotten this disease?" What is the nurse's best response? A. "You may have eaten contaminated restaurant food." B. "You could have gotten it by using I.V. drugs." C. "You must have received an infected blood transfusion." D. "You probably got it by engaging in unprotected sex."

A. "You may have eaten contaminated restaurant food."

1. A male patient with a diagnosis of Parkinson's disease (PD) has been admitted recently to a long-term care facility. Which action should the health care team take in order to promote adequate nutrition for this patient? a. Provide a diet that is low in complex carbohydrates and high in protein. b. Provide small, frequent meals throughout the day that are easy to chew and swallow c. Provide the patient with a minced or pureed diet that is high in potassium and low in sodium. d. Request placement of a feeding tube to prevent aspiration

B

1. A nurse is developing a plan of care for a client with nephrotic syndrome. The nurse documents that which important parameter needs to be assessed on a daily basis? a. Total protein levels b. Weight c. Blood urea nitrogen (BUN) d. Activity level

B

1. The nurse provides information to the caregiver of a 68-year-old man with epilepsy who has tonic-clonic seizures. Which statement, if made by the caregiver, requires further teaching? a. "It is normal for a person to be sleepy after a seizure. b. "I should call 911 if breathing stops during the seizure." c. "The jerking movements may last for 30 to 40 seconds." d. "Objects should not be placed in the mouth during a seizure."

B

A client with a peptic ulcer reports epigastric pain that frequently awakens her at night, a feeling of fullness in the abdomen, and a feeling of anxiety about her health. Based on this information, which nursing diagnosis would be most appropriate? 1. Imbalanced Nutrition: Less than Body Requirements related to anorexia. 2. Disturbed Sleep Pattern related to epigastric pain 3. Ineffective Coping related to exacerbation of duodenal ulcer 4. Activity Intolerance related to abdominal pain

B

A male client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note: severe abdominal pain radiating to the shoulder. B. anorexia, nausea, and vomiting. C. eructation and constipation. D. abdominal ascites.

B

1. A nurse has collected nutritional data from a client with a diagnosis of cystitis. The nurse determines that which beverage needs to be eliminated from the client's diet to minimize the recurrence of cystitis? a. fruit juice b. tea c. water d. lemonade

B caffeine is a bladder irritant

Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He's jaundiced and reports weakness. Which intervention will you include in his care? Regular exercise. 2. A low-protein diet. 3. Allow patient to select his meals. 4. Rest period after small, frequent meals

D

1. A client with pyelonephritis is being discharged from the hospital, and the nurse provides instructions to the client to prevent recurrence. The nurse determines that the client understands the information that was given if the client states an intention to: a. increase fluids for 2 days if signs and symptoms of a urinary tract infection develop b. take the prescribed antibiotics until all symptoms subside c. return to the physician's office for scheduled follow-up urine cultures d. decrease fluid intake if frequent urination occurs

C

A female client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should: A. place the client in a private room. B. wear a mask when handling the client's bedpan. C. wash the hands after touching the client. D. wear a gown when providing personal care for the client.

C

A female client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are: whole blood and albumin. B. platelets and packed red blood cells. C. fresh frozen plasma and whole blood. D. cryoprecipitate and fresh frozen plasma.

D

The client with GERD complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions? 1. Development of laryngeal cancer 2. Irritation of the esophagus 3. Esophageal scar tissue formation 4. Aspiration of gastric contents

D

Which of the following conditions can cause a hiatal hernia? 1. Increased intrathoracic pressure 2. Weakness of the esophageal muscle 3. Increased esophageal muscle pressure 4. Weakness of the diaphragmatic muscle

D

You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient? "Now I can never get hepatitis again." 2. "I can safely give blood after 3 months." 3. "I'll never have a problem with my liver again, even if I drink alcohol." 4. "My family knows that if I get tired and start vomiting, I may be getting sick again."

D