Health and Illness: exam 3 practice questions
Which finding during an otoscopic exam of the tympanic membrane would confirm the presence of otitis media? (Select all that apply.) A. Bleeding B. Bulging C. Amber color D. Semi-transparent E. Movement
A bleeding B bulging C amber color
The nurse advises a client with the flu to rest in bed. Which is the reason the nurse made this recommendation? (Select all that apply.) A. To boost the immune system B. To reduce cough C. To prevent the spread of infection D. To prevent dehydration E. To reduce malaise
A to boost the immune system C to prevent the spread of infection E to reduce malaise
The nurse discusses the treatment of fibromyalgia with a group of staff nurses. Which information about the treatment of this disorder should the nurse include? A. Fibromyalgia treatment can be provided only in a hospital or outpatient setting. B. The treatment that works for one client may not work for another. C. Treatment only includes analgesic medications. D. Fibromyalgia treatment follows an algorithm that is used for every client.
B. The treatment that works for one client may not work for another.
A client is admitted with cellulitis. Which manifestation should the nurse monitor? (Select all that apply.) A. Itching B. Headache C. Fever D. Malaise E. Chills
B C D E
A client with inflammation is prescribed naproxen. Which information should the nurse include when teaching about thismedication? (Select all that apply.) A. "This medication increases the risk for infection." B. "Do not abruptly discontinue this medication." C. "Watch for bleeding or bruising while on this medication." D. "Take this medication with food or milk." E. "This medication might interact with diuretics."
C. "Watch for bleeding or bruising while on this medication." D. "Take this medication with food or milk." E. "This medication might interact with diuretics."
A client has an area of eschar over a wound. What is the reason the nurse expects this wound to be debrided? A. To approximate the wound edges B. To promote healing of deep tissues before superficial tissues C. To remove dead tissue D. To dry the tissues of the wound
C. to remove dead tissue
he nurse is preparing a community initiative to help reduce the rate of inflammatory bowel disease (IBD). On which behavior should the nurse focus? A. Smoking cessation B. Making lifestyle changes to a low-fat diet C. Eliminating alcohol use D. Increasing daily exercise habits
A. Smoking cessation
The nurse collects a drainage sample to be cultured from the affected area of a client with cellulitis. Which organism should the nurse suspect is the most likely cause of the cellulitis? A. Staphylococcus aureus B. Escherichia coli C. Bacillus subtilis D. Group A Streptococcus
A. Staphylococcus aureus
The nurse is performing an assessment on a newly admitted client with cancer to a nursing care facility. Which observation leads the nurse to suspect the client has acute conjunctivitis? (Select all that apply.) A. Photophobia B. Reddened eyes C. Dry eyes D. Itchy eyes E. Mucoid discharge
A B D E
A client asks what causes gallstones to form. Which factor should the nurse explain as being present when these stones are formed? (Select all that apply.) A. Abnormal bile composition B. Inflammation of the gallbladder C. Biliary stasis D. Rapid weight gain E. Excess cholesterol
A. Abnormal bile composition B. Inflammation of the gallbladder C. Biliary stasis E. Excess cholesterol
A client is recovering from a laparoscopic cholecystectomy. Which nursing action should the nurse use to reduce this client's risk of infection? (Select all that apply.) A. Administer antibiotics as prescribed. B. Coach to take deep breaths every 1dash-2 hours while awake. C. Monitor vital signs, including temperature, every 4 hours. D. Assess the abdomen every 4 hours. E. Place in Fowler position.
A. Administer antibiotics as prescribed. B. Coach to take deep breaths every 1dash-2 hours while awake. C. Monitor vital signs, including temperature, every 4 hours. D. Assess the abdomen every 4 hours.
The healthcare provider is not sure about the cause of fatigue in a client whose symptoms are inconsistent and prescribes tests to narrow down possible causes. For which health problem should the nurse expect tests to be prescribed for thisclient? (Select all that apply.) A. Anemia B. Hypertension C. Kidney functioning D. Liver dysfunction E. Hormone levels
A. Anemia C. Kidney functioning D. Liver dysfunction E. Hormone levels
A client with cholelithiasis is not a surgical candidate at this time. Which pharmacologic treatment should the nurse expect to be prescribed for this client? (Select all that apply.) A. Antibiotics B. Antipyretics C. Ursodiol D. Chenodiol E. Cholestyramine
A. Antibiotics C. Ursodiol D. Chenodiol E. Cholestyramine
The nurse is providing discharge teaching to a client who is recovering from an uncomplicated appendectomy. Which information should the nurse include? (Select all that apply.) A. Caring for the wound B. Increasing physical activity. C. Avoiding nonsteroidal anti-inflammatory drugs (NSAID) D. Notifying the healthcare provider with changes E. Recognizing manifestations of infection
A. Caring for the wound B. Increasing physical activity. D. Notifying the healthcare provider with changes E. Recognizing manifestations of infection
The nurse is reviewing risk factors for peptic ulcer disease (PUD) with a group of community members. Which factor should the nurse include in the presentation? (Select all that apply.) A. Chronic H. pylori infection B. Unsanitary living conditions C. Cigarette smoking D. Chronic alcohol abuse E. Chronic use of NSAIDs
A. Chronic H. pylori infection B. Unsanitary living conditions C. Cigarette smoking E. Chronic use of NSAIDs
The nurse is preparing a presentation on infections. Which factor regarding chronic infections should be included? A. Chronic infections can persist for long periods. B. Chronic infections do not affect young children. C. Chronic infections generally appear suddenly. D. Chronic infections only affect susceptible hosts.
A. Chronic infections can persist for long periods.
A pregnant client of American Indian heritage experiences mild gastric distress and nausea after eating large meals and constant sharp abdominal pain. Which additional information should the nurse collect during the interview? (Select all that apply.) A. Current diet B. History of chronic diseases C. Length of time the symptoms last and when they occur D. Expected due date E. Smoking history F. Other symptoms
A. Current diet B. History of chronic diseases C. Length of time the symptoms last and when they occur F. Other symptoms
The nurse is caring for an older adult client on a medical-surgical unit who had abdominal surgery for mass removal one day ago. Which clinical manifestation of pain should the nurse expect to assess in this client? A. Decreased energy B. Changes in sleep patterns C. Loss of appetite D. Guards abdomen E. Cries inconsolably
A. Decreased energy C. Loss of appetite
The nurse is caring for a client with severe systemic inflammation. Which medication should the nurse expect to find listed on the client's medication administration record (MAR)? A. Dexamethasone B. Regular insulin C. Esomeprazole D. Sumatriptan
A. Dexamethasone
The nurse is reviewing assessment data for a client hospitalized with peptic ulcer disease (PUD). Which assessment information should indicate to the nurse that the client may be experiencing an obstruction secondary to the ulcer? (Select all that apply.) A. Electrolyte imbalances B. Hematemesis C. Nausea and vomiting D. Blood in the stool E. Complaints of feeling full
A. Electrolyte imbalances C. Nausea and vomiting E. Complaints of feeling full
A client is admitted with acute appendicitis. Which nursing diagnosis may be appropriate for this client? (Select all thatapply.) A. Fluid Volume: Deficit, Risk for B. Tissue Perfusion: Peripheral, Ineffective C. Pain, Acute D. Infection, Risk for E. Nutrition, Imbalanced: Less than Body Requirements
A. Fluid Volume: Deficit, Risk for C. Pain, Acute D. Infection, Risk for
The infection control nurse points out to a group of staff nurses that the H1N1 influenza virus received genes from more than one source. Which source should the nurse explain contributed to the H1N1 virus? (Select all that apply.) A. Genes from flu viruses found in pigs B. Genes from flu viruses found in cats C. Bird genes D. Human genes E. Pig genes
A. Genes from flu viruses found in pigs C. Bird genes D. Human genes
A client presents with bleeding behind the tympanic membrane. Which term should the nurse use when documenting this condition? A. Hemotympanum B. Insufflation C. Vertigo D. Myringotomy
A. Hemotympanum
The nurse prepares a teaching plan for a client with fibromyalgia. Which area should the nurse include in this teaching? (Select all that apply.) A. Identification of resources and support systems B. Examples of mild to moderate exercise C. The importance of adhering to an around-the-clock schedule of narcotic analgesics D. Strategies for improving quality of sleep E. Nonpharmacologic methods of pain relief
A. Identification of resources and support systems B. Examples of mild to moderate exercise D. Strategies for improving quality of sleep E. Nonpharmacologic methods of pain relief
A client with the flu has been producing thick sputum. Which intervention should the nurse suggest? A. Increasing fluid intake B. Taking cold showers C. Staying on bedrest D. Taking a cough suppressant
A. Increasing fluid intake
A middle-aged female client who is obese has been experiencing right upper quadrant abdominal pain for the past several hours. For which risk factors of gallstone development should the nurse assess this client during the health history? (Select all that apply.) A. Inflammation of the gallbladder B. Excess cholesterol C. Biliary stasis D. Biliary colic E. Abnormal bile composition
A. Inflammation of the gallbladder B. Excess cholesterol C. Biliary stasis E. Abnormal bile composition
Which assessment finding leads the nurse to suspect that an older client may have appendicitis? (Select all that apply.) A. Internal rotation of the left hip increases pain B. Pain migrating from the lower left to the upper right quadrant C. Confusion D. Tenderness when pressing McBurney point E. No abdominal pain
A. Internal rotation of the left hip increases pain C. Confusion D. Tenderness when pressing McBurney point
The nurse discusses fibromyalgia with a group of community members during a health fair. Which characteristic of pain should the nurse explain to this group? (Select all that apply.) A. Is not the result of inflammation or damage B. Increased response to painful stimuli C. Sensitivity to stimuli that are not normally painful D. Often described as superficial or achy E. Occurs mainly in fingers and toes
A. Is not the result of inflammation or damage B. Increased response to painful stimuli C. Sensitivity to stimuli that are not normally painful
The nurse is planning care for a female client with ulcerative colitis (UC). Which characteristic should the nurse recognize? (Select all that apply.) A. Left lower quadrant cramping is relieved by defecation. B. Vomiting is the predominant manifestation. C. Mild to moderate symptoms includes six or fewer stools per day. D. It affects more women than men. E. It may include arthritis involving one or several joints.
A. Left lower quadrant cramping is relieved by defecation. C. Mild to moderate symptoms includes six or fewer stools per day. E. It may include arthritis involving one or several joints.
The nurse is caring for a client with localized inflammation. Which finding should the nurse expect to assess in this client? (Select all that apply.) A. Localized edema B. Tenderness with palpation or movement C. Oral temperature of 101degrees°F D. White blood cell count of 15,000 E. Palpable warmth of the extremity
A. Localized edema B. Tenderness with palpation or movement E. Palpable warmth of the extremity
The nurse prepares to complete a physical assessment of a client with fatigue. On which area will the nurse focus during thisassessment? (Select all that apply.) A. Muscle strength B. Health education C. Hydration D. Mobility E. Body mass index
A. Muscle strength C. Hydration D. Mobility
A client reports sudden muscle and leg weakness and excessive fatigue despite sleeping 7 hours a night. Which sleep disorder should the nurse suspect this client is experiencing? A. Narcolepsy B. Insomnia C. Sleep loss D. Restless leg syndrome
A. Narcolepsy
A client with fibromyalgia is prescribed a serotonindash-norepinephrine reuptake inhibitor. Which side effect of the medication should the nurse include when teaching the client about this medication? (Select all that apply.) A. Nausea B. Dizziness C. Increased sleepiness D. Diarrhea E. Dry mouth
A. Nausea B. Dizziness E. Dry mouth
A nurse is caring for a young child with Reye syndrome who has had the flu. The nurse notes signs of rising intracranial pressure, alerts the healthcare provider, and should prepare to administer which medication? A. Osmotic diuretic B. Intravenous therapy with D5NS C. Antipyretic D. Antitussive
A. Osmotic diuretic
The nurse is questioning a client with Crohn disease about the presence of current symptoms. Which symptom should the nurse expect to find in the client? (Select all that apply.) A. Persistent diarrhea B. Blood in the stool C. Fissures, ulcers, fistulas, and abscesses of the anorectal area D. Malaise E. Left lower quadrant abdominal pain relieved by defecation
A. Persistent diarrhea B. Blood in the stool C. Fissures, ulcers, fistulas, and abscesses of the anorectal area D. Malaise
A client with inflammation asks about foods or supplements that can reduce inflammation. Which nutrient should the nurse list as being beneficial to the client? (Select all that apply.) A. Probiotics B. Foods rich in cholesterol C. Antioxidant vitamins D. Omega-3 fatty acids E. Saturated fats
A. Probiotics C. Antioxidant vitamins D. Omega-3 fatty acids
The nurse is providing home care instructions to a client with chronic pain. Which item should the nurse include in the teaching session? (Select all that apply.) A. Using assistive devices B. Maintaining adequate hydration C. Having resuscitation equipment ready for use, if necessary D. Administering pain medications by the intramuscular (IM) route E. Eating a balanced diet
A. Using assistive devices B. Maintaining adequate hydration E. Eating a balanced diet
A client with bacterial conjunctivitis is experiencing copious amounts of purulent eye drainage. Which treatment should the nurse expect to be prescribed for this client? (Select all that apply.) A. Warm clean cloths. B. Eye irrigations C. Antibiotic eye drops D. Eyelid soaks E. Topical antihistamines
A. Warm clean cloths. B. Eye irrigations C. Antibiotic eye drops D. Eyelid soaks
A client having difficulty sleeping asks if there is an herbal supplement that can help. How should the nurse respond to thisclient? A. "Chamomile tea is very soothing and may help you sleep." B. "Valerian root can be taken daily and you should start sleeping better within a few days." C. "Chloral hydrate is an excellent choice to utilize as a sleep aid." D. "Melatonin is a very useful sleep aid."
A. "Chamomile tea is very soothing and may help you sleep."
The nurse evaluates a client's understanding of discharge teaching following a laparoscopic cholecystectomy. Which client statement indicates teaching has beeneffective? (Select all that apply.) A. "I will take my pain medicine on an empty stomach to get the maximum benefit." B. "I will increase the protein in my diet by drinking whole milk." C. "I can have some hot chocolate with my breakfast." D. "I will be sure to get up and walk every hour."
A. "I will take my pain medicine on an empty stomach to get the maximum benefit." B. "I will increase the protein in my diet by drinking whole milk." D. "I will be sure to get up and walk every hour."
Which action by a client can increase the risk of developing barotitis media? A. Deep-sea diving B. Bottle feeding while lying down C. Smoking cigarettes D. Swimming in a lake
A. Deep-sea diving
A nurse is caring for a client with severe cough and nasal congestion. Which nursing diagnosis should the nurse use to guide this client's care? (Select all that apply.) A. Infection, Risk for B. Swallowing, Impaired C. Fatigue D. Airway Clearance, Ineffective E. Breathing Pattern, Ineffective
A. D. E. ineffective breathing pattern
Which clinical manifestation should the nurse assess for in a client with a diagnosis of chronic conjunctivitis related to scarring of the conjunctival eyelid? A. Entropion B. Moderately dilated pupils C. Cloudy corneas D. Blurred vision
A. entropion
The nurse wants to help with a terminally ill client's discomfort. Which complementary and alternative therapy should the nurse consider for this client? (Select all that apply.) A. Simple touch B. Biofeedback C. Massage D. Acupressure E. Yoga
A. simple touch C. massage
The nurse prepares to complete a health history with a client experiencing symptoms of the flu. Which information should the nurse include when completing thishistory? (Select all that apply.) A. History of influenza B. History of influenza vaccination C. Recent colds D. Presence of productive cough E. Chronic diseases
B, D, E chronic diseases
The nurse encourages the parents of a child with fatigue to keep a journal about the child's behavior. Which items should the parents include in that diary? (Select all that apply.) A. Temper tantrums B. Breakfast and other meals C. Morning wake time D. Evening sleep time E. Favorite toys
B. Breakfast and other meals C. Morning wake time D. Evening sleep time
The nurse notes that a client with inflammatory bowel disease (IBD) has a stoma with a nipple valve. Which type of ostomy should the nurse document that this clienthas? A. Temporary ostomy B. Continent ileostomy C. Ileostomy D. Loop ostomy
B. Continent ileostomy
A nurse is working at a gastroenterologist's office. Which distinction between inflammatory bowel diseases (IBD) in the pediatric population should the nurse understand as important? A. Most pediatric clients have little colonic involvement with Crohn disease. B. IBD is more common in boys than in girls. C. Children often present with fistulizing or structuring Crohn disease. D. Surgery is not usually required in the pediatric population.
B. IBD is more common in boys than in girls.
A nurse is preparing to obtain a health history from a client with peptic ulcer disease (PUD). Which factor should the nurse include in this portion of the nursingassessment? (Select all that apply.) A. History of a high-fat diet B. Presence of nausea and vomiting C. History of smoking D. Complaints of heartburn E. History of chronic use of NSAIDs
B. Presence of nausea and vomiting C. History of smoking D. Complaints of heartburn E. History of chronic use of NSAIDs
A nurse receives report that a client with a new diagnosis of Guillain-Barré will be admitted to the unit. Which equipment should the nurse place at the bedside? A. Chest tube insertion kit B. Rapid intubation kit C. Foley catheter kit D. Central line insertion kit
B. Rapid intubation kit
The nurse cares for a client who is approaching the end of life. Which sign indicates that the client is nearing death? (Select all that apply.) A. Periods of intense hunger B. Restlessness C. Apneic periods D. Increase in confusion E. Increase in sleeping
B. Restlessness C. Apneic periods D. Increase in confusion E. Increase in sleeping
During a home visit, the nurse identifies conjunctivitis in both eyes of a 14-day-old infant. Which additional information does the nurse need to determine the cause of this infant's eye infection? A. Type of shampoo that is being used on the infant B. Results of mother's testing for sexually transmitted infections C. Frequency that the infant breastfeeds D. Detergent that is used to clean the baby's clothing
B. Results of mother's testing for sexually transmitted infections
Which clinical manifestation displayed by the child would necessitate the insertion of tympanostomy tubes? (Select all that apply.) A. Barotitis media for those who frequently fly B. Serous otitis media lasting longer than 4 months C. Recurrent episodes of acute otitis media D. Persistent conductive hearing loss E. Severe otitis media unresponsive to antibiotics
B. Serous otitis media lasting longer than 4 months D. Persistent conductive hearing loss
The nurse conducts screening for inflammatory diseases with clients of a community health clinic. Which test should the nurse perform? A. MRI B. Skin test C. Urine test D. X-ray
B. Skin test
The nurse prepares to assess a client for pain. Which structures, as per the nurse's recollection, receive pain impulses from the site of injury? A. Tendons and ligaments B. Spinal cord and brain C. Muscles and spinal cord D. Brain and muscles
B. Spinal cord and brain
The healthcare provider prescribes erythropoietin for a client experiencing chronic fatigue. What should the nurse realize as the purpose for this medication? A. Stimulate white blood cell production B. Stimulate red blood cell production C. Stimulate the release of stored ferritin D. Increase the affinity of iron to hemoglobin
B. Stimulate red blood cell production
Which pathogen is the most common causative agent of otitis media? A. Escherichia coli B. Streptococcus pneumoniae C. Pseudomonas aeruginosa D. Methicillin-resistant Staphylococcus aureus (MRSA)
B. Streptococcus pneumoniae
The nurse is teaching a group of expectant women about situations that increase an infant's risk of developing otitis media. Which situation should the nurse include? (Select all that apply.) A. Breastfeeding B. Using a pacifier C. Allergies D. Down syndrome E. Attending daycare
B. Using a pacifier C. Allergies D. Down syndrome E. Attending daycare
A client with cellulitis asks the nurse if it is okay to try an herbal supplement their herbalist recommended instead of the antibiotic. Which response by the nurse best addresses this question? A. "Many herbal supplements are analogous to prescription medications. Which one are you considering?" B. "It is best to take the antibiotic because the supplement may actually increase the risk for a bad outcome." C. "Herbal supplements have a lot of myths surrounding them. They are not appropriate in any situation, let alone one this serious." D. "If that is what you prefer to do, I think it would be okay for you to try it for a few days and see if it works. If not, then you can start the antibiotic."
B. "It is best to take the antibiotic because the supplement may actually increase the risk for a bad outcome."
A client who is coughing has blood in the sputum. In which phase of the nursing process should the nurse document these findings? A. Implementation B. Assessment C. Diagnosis D. Evaluation
B. Assessment
A client with an upper respiratory infection is receiving radiation treatments. What is the reason the nurse explains the risk of infection to the client? A. Radiation is only destructive to tissue. B. Radiation kills both cancerous and healthy cells. C. Radiation only kills the targeted cells. D. Radiation is lethal to only cancerous cells.
B. Radiation kills both cancerous and healthy cells.
A client admitted for treatment of cellulitis appears very ill to the nurse. A WBC count has already been ordered. Which additional diagnostic test does the nurse anticipate being ordered for this client? A. Electrolyte panel B. Blood cultures C. Erythrocyte sedimentation rate D. C-reactive protein
B. blood cultures
The nurse reviews the problem list for a client with a sleepdash-rest disorder. Which problem should the nurse identify as the priority for this client? A. Fatigue B. Insomnia C. Stress overload D. Ineffective coping
B. insomnia
Which home care measure should the nurse instruct the client to treat conjunctivitis? A. Restrict protein intake. B. Increase activity. C. Wear sunglasses. D. Avoid bright light. E. Avoid reading.
C D E
A pregnant client is prescribed iron supplements to treat iron-deficiency anemia. Which foods should the nurse instruct the client to ingest to help with this health problem? A. Apples and bananas B. Yogurt and milk C. Broccoli and potatoes D. Beans and meat
C. Broccoli and potatoes
A client presents to the healthcare provider's office with cellulitis on the lower leg. Other than the inflammation of the leg, the client has no other symptoms. To determine the causative organism, the nurse anticipates an order for which test? A. WBC count B. RBC count C. Drainage culture D. Blood culture
C. Drainage culture
The nurse is teaching a client about prevention methods for pain. Which item should the nurse include in the teachingsession? (Select all that apply.) A. Taking medications as prescribed B. Ignoring symptoms C. Eating a balanced diet D. Avoiding risky behaviors E. Exercising daily
C. Eating a balanced diet D. Avoiding risky behaviors E. Exercising daily
The nurse is caring for a child who is suspected of having an inflammatory disorder involving internal organs. Which diagnostic test should the nurse expect will be ordered for the child? A. Bronchoalveolar lavage B. Bronchoscopy C. Exhaled breath condensates D. Blood tests
C. Exhaled breath condensates
A female client seeks medical attention for fatigue, weight gain, muscle weakness, and joint stiffness. Which etiology is most likely associated with the client's clinical manifestations? A. Chronic fatigue syndrome B. Iron-deficiency anemia C. Hypothyroidism D. Chronic fatigue
C. Hypothyroidism
A client with inflammatory bowel disease is prescribed sulfasalazine. Which information should the nurse instruct the client about this medication? (Select all that apply.) A. Reduce intake of sodium when taking this. B. The main side effect is appetite stimulation. C. It blocks the production of prostaglandin to reduce inflammation. D. Use sunscreen when taking this. E. It reduces the number of stools per day to maintain fluid balance.
C. It blocks the production of prostaglandin to reduce inflammation. D. Use sunscreen when taking this
The nurse reviews collected data and suspects that a client is experiencing chronic fatigue. Which finding supports this health problem? (Select all that apply.) A. No response to sedatives B. Temporary condition C. Mental or physical exhaustion D. Quick resolution E. No response to night of sleep
C. Mental or physical exhaustion E. No response to night of sleep
A client presents to the clinic with inflammation of the inner ear. How should the nurse communicate this condition to colleagues? A. "Otitis media" B. "Otitis externa" C. "Labyrinthitis" D. "Swimmer's ear"
C. "Labyrinthitis" (or otitis interna)
The nurse is assessing a client. What is the reason the nurse asks the client to rate the level of stress experienced over the last 6 months? A. To determine if the client can use a health scale rating B. To document the client's ability to answer difficult questions C. To measure the client's severity of emotional stressors D. To determine if the client remembers events in the last 6 months
C. To measure the client's severity of emotional stressors
The emergency department nurse is preparing discharge instructions for a client with conjunctivitis related to herpes simplex. Which medication should the nurse include in the instructions? A. Topical nonsteroidal anti-inflammatory B. Antibiotic eyedrops C. Topical antihistamine D. Antiviral agent
D. Antiviral agent
A client with fibromyalgia asks which type of exercise would be most effective. Which response should the nurse make to this client? A. Isometric strength training B. Gym-based program C. Stretching exercises D. Aquatic therapy
D. Aquatic therapy
The nurse cares for a client newly diagnosed with inflammation. Which laboratory test should the nurse expect to be prescribed? A. Prothrombin time (PT) B. Serum chemistries C. Hemoglobin and hematocrit (H/H) D. Erythrocyte sedimentation rate (ESR)
D. Erythrocyte sedimentation rate (ESR)
At the conclusion of a fluorescein stain, a client is diagnosed with conjunctivitis. Which test result should the nurse expect to be documented in the client's medicalrecord? A. Fluorescein stain green B. Fluorescein stain orange C. Fluorescein stain yellow and blue D. Fluorescein stain absence of color
D. Fluorescein stain absence of color
The nurse is providing dietary teaching to a client with a history of gallstones. Which diet should the nurse recommend? (Select all that apply.) A. High carbohydrate B. High vitamin C C. Low sodium D. High protein E. Low fat
D. High protein E. Low fat
Which intervention should the nurse suggest to the parents of a toddler with recurrent conjunctivitis? A. Ask for oral antibiotics instead of eye drops. B. Admonish the toddler for rubbing. C. Have the toddler wear sunglasses when outside. D. Place mittens on the toddler.
D. Place mittens on the toddler.
A pregnant client is diagnosed with an inflammatory disorder. Which disorder should the nurse monitor for in the client? A. Preterm birth B. Low-birth-weight infant birth C. Placenta previa D. Preeclampsia
D. Preeclampsia
The nurse completes discharge teaching for a client recovering from complications related to peptic ulcer disease (PUD). Which information should the nurse include about over-the-counter (OTC) medications? A. Obtain healthcare provider approval for use of any OTC meds while receiving PPIs. B. Avoid any OTC medications containing decongestants or antihistamines. C. Avoid all OTC vitamin and mineral supplements until the ulcer is healed. D. Read OTC medication labels for possible aspirin content.
D. Read OTC medication labels for possible aspirin content.
A client recovering from a tonsillectomy to treat sleep apnea is being discharged. Which should the nurse identify as the major concern for this client? A. The client is unable to utilize a CPAP machine. B. The treatment may be ineffective. C. The client may need further surgery if apnea continues. D. The client is at increased risk for adverse events.
D. The client is at increased risk for adverse events.
The nurse is caring for an older adult client with influenza. At which timeframe does the nurse identify the client to be at greatest risk of developing viral pneumonia? A. Within 24 hours after recovery B. The first 24 hours after the onset C. Within 48 hours after recovery D. The first 48 hours after the onset
D. The first 48 hours after the onset
The nurse is planning care for a client in the early stages of ulcerative colitis. Which part of the colon should the nurse understand to be initially affected by ulcerativecolitis? A. The ileocecal junction B. The transverse colon C. The duodenum D. The rectosigmoid area
D. The rectosigmoid area
For which client should the nurse consider skipping step 1 (nonopioid +/dash- adjuvant) and step 2 (opiate for mild to moderatepain, +/dash- nonopioid, +/dash- adjuvant) of the World Health Organization's (WHO) three-step approach to administering painrelief? A. The 45-year-old male client with gout B. The 10-year-old male client with a sprained wrist C. The 45-year-old female client with chronic back pain D. The 30-year-old female client with several first-degree burns
D. The 30-year-old female client with several first-degree burns
The nurse is assessing the affected area for a client hospitalized for treatment of cellulitis. During the assessment, the nurse notes that redness in the affected area extends a bit beyond the border traced during the previous assessment. Which action should the nurse take based on this finding? A. Immediately notify the healthcare provider of this change. B. Increase the elevation level of the affected body part. C. Ask the client if they have noticed any change in pain. D. Trace along the new border with a marker.
D. Trace along the new border with a marker.
During a home visit, the family caregiver asks what can be done to help the older client get a good night's sleep. Which should the nurse suggest? A. Wear light-weight clothing. B. Play relaxing music at bedtime. C. Withhold fluids in the evening to decrease the need to void. D. Use flannel sheets to maintain warmth.
D. Use flannel sheets to maintain warmth.
The nurse notes that a pediatric client with irritable bowel disease (IBD) has had poor growth since the last examination. Which suggestion should the nurse make to the client's parents? A. "Increase fiber intake to add bulk to stools." B. "Decrease fluid intake to reduce diarrhea." C. "Add daily probiotic supplements." D. "Administer liquid dietary supplements."
D. "Administer liquid dietary supplements."
While recovering from delivery, the mother of the newborn asks the nurse why the baby needs so much medication to treat a herpes simplex virus of the eye. Which response by the nurse is most appropriate? A. "A detached retina can occur, and the baby will need surgery." B. "The eyelashes will fail to develop, and the eye will not be protected." C. "The cornea can perforate, and the child will be blind." D. "Corneal scarring and permanent vision loss can occur."
D. "Corneal scarring and permanent vision loss can occur."
