Final Exam

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A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching?

-I can take this medication with/without food -I will eat 5 small meals each day

A nurse is teaching a client who has hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching?

-I will consume less caffeine and fewer spicy foods -I will sleep with the head of the bed elevated -I will try not to gain weight

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information?

-affects weight bearing joints -crepitus can occur in affected joints -causes joint stiffness -cause joint pain

A nurse is caring for a client who has osteoarthritis and asks about the use of glucosamine. Which of the following statements should the nurse make?

-glucosamine might increase bleeding -glucosamine can increase blood glucose levels -clients who have shellfish allergies might experience reactions when taking glucosamine

A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use?

A Papanicolaou test

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?

Alcohol

A nurse is caring for a client who is 5 hr postoperative following transurethral resection of the prostate (TURP). The nurse notes that the following clients indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Check the tubing for kinks

A nurse is providing teaching for a client who has a new diagnosis of GERD. The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid?

Chocolate

A nurse is caring for a client who has a new diagnosis of SLE. The client is at risk for developing?

Chronic fatigue and photosensitivity

A nurse is teaching a client who is starting to take methotrexate to treat RA. Which of the following instructions should the nurse include?

Drink at least 2L of water daily

A nurse is providing teaching for a client who has GERD about ways to manage his condition. Which of the following instructions should the nurse include?

Eat 4 small meals each day

A nurse is caring for a client who has BPH. Which of the following medications should the nurse plan to administer?

Finasteride

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan?

Grilled chicken breast with white rice

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?

Hemorrhage

A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

I will limit my alcohol intake

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Leuprolide

A nurse is providing teaching to a client who has a new diagnosis of fibromyalgia. Which of the following client statements indicates an understanding of the teaching?

Low impact aerobics can help reduce episodes of pain

A nurse is teaching a client who has a new prescription for cyclosporine oral solution to treat RA. Which of the following information should the nurse include in the teaching?

Mix with chocolate milk

A nurse is planning care for a client who has manifestations of C. diff. Which of the following actions should the nurse plan to do?

Place the client on contact precautions

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

Poor

A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?

Postmenopausal bleeding

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start low lactose diet. Which of the following foods is the best choice for the client?

Soy milk

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

Spider angiomas

A nurse is teaching a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching?

Take Tylenol as the primary medication to treat the pain

A nurse is caring for a client who is postoperative following a right sided mastectomy and has a drain connected to a portable drainage evacuator. Which of the following actions should the nurse?

Take blood pressures on the clients non affected arm

A nurse is caring for a client who has Crohns disease. Which of the following food choices would follow the recommended diet for clients who have Crohns disease?

Toast with jelly

A nurse is assessing a client who is postoperative following a vaginal hysterectomy. Which of the following findings is a manifestation of DVT?

Unilateral leg edema

A nurse is caring for a client whois to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following response should the nurse make?

What is it about the adverse effects that concern you?

A nurse is contributing to the plan of care for clients who have RA. Which of the following plans incorporates integrative health?

provide massage therapy and corticosteroid medications to clients


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