EAQ - Various Questions

An older client who has been taking Lorazepam for several years is scheduled for a procedure that requires the client to be awake for the duration. The client has a history of violence and hypotension. Which antipsychotic medication is appropriate to administer to the client during the procedure. Select all that apply Loxapine Risperidone Haloperidol Perphenazine Olanzapine IM Chlorpromazine

Haloperidol Perphenazine

A client with multiple myeloma is scheduled to have a chest x-ray and bone scan. Which action is the priority responsibility of the nursing and radiology staff? Explain the procedures and their purposes Provide rest periods during the procedures Handle the client with supportive movements Monitor the client for dyspnea and tachycardia

Handle the client with supportive movements

A client has been receiving phenytoin for epilepsy and is newly prescribed haloperidol. Which information should be included when teaching the client about the interaction of these medications? Masking of haloperidol's therapeutic effect Interference with haloperidol's absorption Enhancement of haloperidol's rate of metabolism Potentiation of haloperidol's central nervous system depressant effect

Potentiation of haloperidol's CNS depressant effect

Which explanation would the nurse provide to a client about transient ischemic attacks? Temporary episodes of neurological dysfunction Intermittent attacks caused by multiple small clots Ischemic attacks that result in progressive neurological deterioration Exacerbations of neurological dysfunction alternating with remissions

Temporary episodes of neurological dysfunction

Which instructions would the nurse give to an adolescent to prevent sexually transmitted infections? Select all that apply Use condoms or barrier methods every time Abstain from any kind of sexual activity Be sure to stay up to date with vaccinations It is safest if you and your partner are monogamous Remember to have regular screenings for STIs

Use condoms or barrier methods every time Be sure to stay up to date with vaccinations It is safest if you and your partner are monogamous

Which statement made by the client indicates understanding after teaching about measures to decrease the risk for abx resistant infections? Select all that apply I should wash my hands frequently I should skip doses when I am completely well I should avoid taking abx to treat the common cold I should save unfinished abx for later emergency use I should avoid taking abs without asking the primary HCP

Wash hands frequently Avoid taking abx to treat the common cold Avoid taking abx without asking the primary HCP

When a client with a health care-acquired respiratory tract infection asks the nurse what this means, which response will the nurse give? You developed an infection that requires antibiotics this is a highly contagious infection requiring isolation An infection you had beginning treatment has flared up Your infection occurred because of exposure to a health care facility

Your infection occurred because of exposure to a health care facility

Which intervention would the nurse expect to be included in the plan of care of a client diagnosed with Multiple Myeloma? Radiotherapy on outpatient basis Human leukocyte interferon therapy Surgery to remove the invasive lesions Chemotherapy employing a combination of medications

chemotherapy employing a combination of medications

Which nursing action would the nurse monitor during the initial recovery phase of a client returning to the postanesthesia care unit with a 3 way indwelling catheter and a continuous bladder irrigation after a transurethral prostatectomy (TURP)? observe suprapubic dressing for drainage maintain client in a semi-fowler position monitor for bright red blood in the urinary drainage bag encourage fluids by mouth as soon as the gag reflex returns

monitor for bright red blood in urinary drainage bag

Which intervention is most beneficial in preventing a catheter-associated UTI in a postop client? Pouring warm water over perineum Ensuring the patency of the catheter Removing the catheter within 24 hrs Cleaning catheter insertion site

removing the cathter within 24 hrs

Which condition would the nurse expect to teach about when a client with a reddish-blue generalized skin alteration is hospitalized and laboratory findings show an increase in the overall amount of Hgb? Albinism Addison Disease Polycethemia Vera Methemoglobinemia

Polycthemia Vera

Which instruction would the nurse include when teaching a client with MS about managing urinary retention? Select all that apply Using the Crede maneuver Using an indwelling catheter Using anticholinergic meds Monitoring and restricting fluid intake to 800 mL daily Monitoring and reporting sxs of UTI

Using the Crede maneuver Monitoring for and reporting sxs of UTI

Which information would the nurse include when teaching a client with multiple myeloma who has questions about the disease and treatment? Blood transfusions may be necessary Calcium supplements are typically prescribed Fluid restrictions are frequently needed Avoidance of ultraviolent rays is recommended

blood transfusions may be necessary

Which clinic manifestation would the nurse expect to find in a client with HIV? Select all that apply Malaise Confusion Constipation Swollen lymph glands Oropharyngeal candidiasis

Malaise Swollen lymph glands

Which instruction regarding nutrition will the nurse give a client discharged after a short hospitalization for an episode of a TIA related to hypertension who is on a regimen that includes chlorothiazide? Eat more dark green, leafy vegetables such as spinach Substitute a K+ salt substitute for table salt Return to previous eating habits Increase intake of dairy products

Eat more dark green, leafy vegetables such as spinach

Which nursing intervention is the priority when a client receiving chemotherapy develops a temperature of 102.2 F (39 C) when the temperature 6 hours ago was 99.2 F (37.3 C)? Assess the amount and color of urine, obtain a specimen for a urinalysis and culture Administer the prescribed antipyretic and notify the HCP of change Note the consistency of respiratory secretions and obtain a specimen of culture and sensitivity Obtain the respirations, pulse, blood pressure when rechecking the temp in 1 hour

Administer the prescribed antipyretic and notify the HCP of change

Which diagnostic test result will the nurse expect when caring for a client with multiple myeloma? Occult blood in the stool Low serum calcium levels Bence Jones protein in the urine Positive bacterial culture of sputum

Bence Jones protein in the urine

Which finding will the nurse expect during the assessment when a client with a hx of chronic myelogenous leukemia and splenomegaly is admitted to the hospital? increased urinary output report of recent weight gain left upper quadrant tenderness elevated number of erythrocytes

LUQ tenderness

Which health problem history would increase an older adult's risk for experiencing a CVA? Glaucoma Hypothyroidism Continuous nervousness, stress Transient ischemic attacks (TIAs)

TIAs

Which finding will be most important to communicate to the health care provider when the nurse is assessing a client with osteolytic lesions caused by multiple myeloma? Bruising at injection sites Calcium level 10.2 Elevated urine protein level New onset weakness in both legs

new onset weakness in both legs

Which clinical indicator is the nurse most likely to identify when exploring the hx of a client with open-angle glaucoma? Constant blurring Abrupt attacks of acute pain Sudden, complete loss of vision Impairment of peripheral vision

Impairment of peripheral vision

Which assessment finding indicates that a client has had a stroke? Select all that apply Lopsided smile Unilateral vision Incoherent speech Unable to raise right arm Symptoms started 2 hours ago

Lopsided smile Unilateral vision Incoherent speech Unable to raise right arm Symptoms started 2 hours ago

Which finding for a client who has a diagnosis of paroxysmal atrial fibrillation is most important to report quickly to the HCP Irregular heartbeat Right arm weaknesss Client report of palpitations Client report of lightheadedness

Right arm weakness

Which clinical manifestation would the nurse expect to find in a client with a new diagnosis of acute lymphocytic leukemia (ALL)? alopecia insomnia ecchymosis hypertension

ecchymosis

A client asks the nurse what causes the sudden loss of vision common in persons with MS. Which factor would the nurse include in the explanation? Virus-induced iritis Intracranial pressure Closed-angle glaucoma Optic nerve inflammation

optic nerve inflammation

Which immunomodulatory agent is beneficial for the tx of clients with MS? Interleukin 2 Interleukin 11 Beta interferon Alpha interferon

Beta interferon

Which medication used in the tx of clients with glaucoma is a prostaglandin agonist? Carteolol Bimatoprost Brinzolamide Apraclonidine

Bimatoprost

Which statement indicates the need for further learning after the nurse teaches a client self-management care in preventing and spreading MRSA? Select all that apply I can share athletic equipment I can participate in contact sports I should sit on upholstered furniture I should use antibacterial soaps for bathing I should wash all infected skin areas before covering those areas

I can share athletic equipment I can participate in contact sports I should sit on upholstered furniture

Which response reported by an older adult client would the nurse identify as consistent with the dx of macular degeneration? My vision is best when I dim the lights I always see halos around lights, especially at night I can't see objects in my periphery vision I can't see objects in the center of my vision field

I can't see objects in the center of my vision field

Which statement indicates effective discharge teaching for a client with osteomyelitis? Select all that apply I will take the abx at same time every day I will take the abx regularly until my sxs subside I will take the abx with food if I develop gastric distress when on the medication I will notify the HCP and stop taking the medication if I develop a rash or SOB I will need to change my diet to avoid milk and milk products while on these abx

I will take abx at same time every day I will take abx with food if I develop gastric distress when on the abx I will notify my HCP and stop taking medication if I develop a rash or SOB

Which intervention would be a priority for the nurse to include in the plan of care for a client with a gunshot wound who has severe hemiplegia associated with abnormal body posturing and fixed and dilated pupils? Monitoring skin integrity Monitoring bowel patterns Monitoring respiratory rate Monitoring nutrition status

Monitoring respiratory rate

A client diagnosed with Bell palsy has many questions about the course of the disorder. Which information would the nurse share with the client? Cool compresses decrease facial involvement Pain occurs with TIAs Most clients recover from the effects in several weeks Body changes should be expected with residual effects

Most clients recover from effects in several weeks

Which topic will the nurse include when teaching a client who has a new diagnosis of polycthemia vera? Need for high fluid intake Purpose for iron supplements Avoidance of any aspirin use Self-administration of erythropoietin

Need for high fluid intake

Which action would the nurse implement for a client scheduled for surgery who reports a hx of MRSA in a healed surgical site from 9 months ago Notify infection control officer and obtain blood cultures Inform the operating room of MRSA infection Obtain order for a polymerase chain reaction (PCR) screen Call the surgeon for an infectious disease consultation

Obtain an order for a polymerase chain reaction (PCR) screen

Which behavior would the nurse include when teaching a family what to expect from a client who experienced a stroke on the left side of the brain? Select all that apply Impaired judgement Spatial-perceptual deficits Slow performance and caution Impaired speech/language aphasias Tendency to deny or minimize problems Awareness of deficits with depression and anxiety

Slow performance and caution Impaired speech/language aphasias Aware of deficits with depressions and anxiety

Which laboratory tests would the nurse review for a client suspected of rheumatoid arthritis? Pancreatic lipase Bence Jones Protein Antinuclear antibody Alkaline phosphatase

antinuclear antibody