Comprehensive Final Quiz

A nurse is assessing a client who has AIDS and is taking Zidovudine. Which of the following findings is the priority for the nurse to report to the provider?

Decreased hemoglobin

A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of the medication should the nurse monitor?

Diarrhea

A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following information about the function of cochlear implants?

Direct stimulation of auditory nerve fibers

A nurse is caring for a client who has MRSA. A dietary assistant asks the nurse what precautions are necessary for entering the client's room with the lunch tray. Which of the following instructions should the nurse give the dietary assistant?

Don gloves when entering the room and use hand sanitizer when exiting the room

A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as the source for this sound?

Excessive wax in the canal

A nurse is assessing a client who is receiving hemodialysis for the first time. Which of the following findings indicates to the nurse that the client is developing dialysis disequilibrium syndrome?

Headache

A nurse is teaching a client who has a spinal cord injury to perform intermittent urinary self-catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure?

I will perform intermittent self-catheterization every 2-3 hours

A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. Which of the following actions should the nurse take first?

Initiate bag-valve-mask ventilation

A charge nurse is coordinating the evacuation of clients from a facility following a bomb threat. Which of the following actions should the nurse take when implementing the evacuation process?

Instruct clients who are able to ambulate to leave

A nurse is caring for an infant who is experiencing dehydration. Which of the following assessments is the nurse's priority?

Measure the client's weight daily

A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following medication prescriptions should the nurse verify with the provider?

Meperidine

A nurse is planning care for a client who is postoperative following a hip arthroplasty. In the client's medical record, the nurse notes a history of COPD. Which of the following oxygen-delivery methods should the nurse plan to use for this client?

Nasal cannula

A nurse is teaching a parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why their child has to inhale the medication instead of taking it orally. Which of the following information should the nurse provide the parent?

Oral glucocorticoids are more likely to slow linear growth in children

A nurse at a long-term care facility notes that a client who has dementia is having problems with orientation. Which of the following actions should the nurse take to improve the client's level of orientation?

Post a large calendar on the bulletin board

A nurse is teaching a client who has chronic kidney disease about predialysis dietary recommendations. The nurse should include information about restricting his intake of which of the following nutrients?

Protein

A nurse is planning to delegate the postoperative care of a patient following an appendectomy. Which of the following actions should the nurse assign to an AP?

Record urinary output after emptying the indwelling urinary catheter.

A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should the nurse anticipate with bladder distention?

The bladder fluctuates with palpation

A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy. Which of the following responses should the nurse make?

The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common

S nurse is planning care for a client who has SIADH with mild manifestations. The nurse should expect that the provider will prescribe which of the following medications?

Tolvaptan

A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving a transfusion of PRBCs. Which of the following interventions should the nurse use to prevent these manifestations with the client's next transfusion?

Use a transfusion pup to regulate and maintain the transfusion at a slower rate

A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Use separate syringes for administering insulin glargine and NPH insulin

A nurse is providing teaching to a client who has come to the family planning clinic requesting an IUD. Which of the following information should the nurse provide to the client?

Your risk for ectopic pregnancy increases with an IUD