Individual Final

The nurse is caring for a client in the early stages of RA. Which med would the nurse expect to be ordered?

NSAIDs

A nurse is working in behavioral health facility and cares for clients with various symptoms. Based on symptoms, which client would be identified as being at an increased risk for suicide?

A family history of suicide

A 45 year old client was diagnosed with MS 10 years ago. The client has difficulty ambulating and is seeking a prescription for a wheelchair. The nurse assesses the type of disability has as:

Acquired

A patient is complaining of increased SOB. The nurse assessing the patient notes a history of left sided HF. The patient is agitated and occasionally coughing up pink-tinged, foamy sputum. The nurse should recognize the signs and symptoms of what health problem?

Acute pulmonary edema

A client has been diagnosed with chronic HF and being taught how to live with this chronic condition. The ability to meet this goal will primarily depend on her ability to do which of the following?

Adapt her lifestyle to accommodate her symptoms

A participant in the health fair has asked the nurse about the role of drugs in liver disease. What health promotion teaching has the most potential to prevent drug-induced hepatitis?

Adhere to dosing recommendations of OTC analgesics

The nurse is providing care for an 82 yr old man whose s/s of Parkinson disease have become more severe. The client tells the nurse that he can no longer do as many things for himself as he used to. What factor should the nurse recognize as impacting the patients life most significantly?

Loss of independence

A nurse is providing education to a patient with iron deficiency anemia who has been prescribed iron supplements. What should you include in health education?

Iron will cause the stools to darken in color

To protect a client from injury during an episode of delirium, the most appropriate action by the nurse to do?

Assign a staff member to stay with the patient

The view that health and illness are not static states but that they exist on a continuum is central to professional health care systems. When planning care, this view aids the nurse in appreciating which of the following?

A person's state of health is ever changing

A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?

Astrexia

A student nurse is caring for a patient who has a diagnosis of acute pancreatitis and who is receiving parenteral nutrition. The student should prioritize which of the following assessments

Blood glucose levels

Which of the following statements is a misconception about chronic disease?

Chronic illness cannot be prevented

During a health education session, a participant has asked about the hep E virus. What prevention measure should the nurse recommend for preventing infection with this virus?

Following proper handwashing techniques

A patient with portal HTN has been admitted to the medical floor. The nurse should prioritize which of the following assessments related to the manifestations of this health problem?

Daily weights and weights and abdominal girth measurements

The nurse is caring for a client with stage 4 chronic kidney disease. The nurse reviewing the clients lab results expects the client's lab results will reveal:

Decreased calcium

A client visits her physician with flu-like symptoms that have persisted for nearly a month. She complains of headaches, malaise, anorexia, and fever. She is a childcare worker at a local daycare with children aging from 6 months to 5 years. Based on the associated risk factors and mode of transmission, which condition is the client most likely experiencing?

Hep A

A patient with ESRD is scheduled for his first hemodialysis treatment. The patient asks the nurse what common complications might occur from his treatment. What would be the nurses best reply?

Hypotension and cramping may occur (electrolyte imbalances)

A client has been admitted to the neurologic unit for the treatment of a newly diagnosed brain tumor. The client has just exhibited seizure activity for the first time. What is the nurse's priority response to this event?

Implement precautions to ensure the client's safety

A man with a newly diagnosed renal failure is asking for salt with his meal. In addition with a dietitian consult the nurse explains that a salt restriction diet is necessary because increases in sodium levels may lead to:

Increases in fluid retention

A patient is being treated on the acute medical unit for acute pancreatitis. The nurse has identified a diagnosis of ineffective breathing pattern related to pain. What intervention should the nurse perform in order to best address this diagnosis?

Maintain the patient in a semi-fowlers position whenever possible

During the late stages of healing and rehab, which intervention helps burn wounds heal with minimal scarring?

Maintaining compression over area (decreases mobility of that area and promotion of blood flow to that area and there is less area for the scar tissue to form in the first place)

A patient with a history of cirrhosis is admitted to the ICU with a diagnosis of bleeding esophageal varices; an attempt to stop the bleeding has been only partially successful. What would the critical care nurse expect the care team to order for this patient?

Packed red blood cells (PRBCs)

A patient has been diagnosed with pancreatic cancer and has been admitted for care. Following initial treatment the nurse should be aware that the patient is most likely to require which of the following?

Palliative and hospice

Which connective tissue disease is an autoimmune disease that is inflammatory in nature and results in phagocytosis, producing enzymes within the joint that breaks down collagen and causes edema?

Rheumatoid arthritis

Which client would the nurse prepare for the skin biopsy?

Scleroderma

Falls, which are a major health problem in the elderly, occur from multifactorial causes. When implementing a comprehensive plan to reduce the incidence of falls on the geriatric unit, what risk factor should the nurses identify?

Sensory impairment

The nurse is providing med education to a client with early stage alzheimers and his family. The client has been prescribed donepezil hydrochloride (Aricept). What should the nurse explain to the patient and family about this drug?

Slows the progression of AD

What are common triggers of headaches?

Stress, sleep deprivation, dehydration, chocolate, wine, caffeine, lack of caffeine, smells, bright lights, hypoglycemia, hunger, withdrawal

Which of the following health care strategies would be appropriate for the nurse to suggest that the client with cirrhosis add to the daily routine at home?

Supplement the diet with daily multivitamins

An initiative has been launched in a large hospital to promote the use of "people-first" language in formal and informal communication. What is the significance to the client when the nurse uses people first language?

The client is of more importance to the nurse than the disability

A 55 yr old man has been newly diagnosed with acute pancreatitis and admitted to the acute med unit. How should the nurse most likely explain the pathophys of the health problem?

The enzymes that your pancreas produces have damaged the pancreas itself

A patient has been implanted with an LVAD for HF. Their family asks what the benefit is. How would the nurse best respond?

This is meant to extend quantity and improve quality of life

The nurse is working in cardiac rehab where he/she is supervising a patient who had an MI and is now active in the cardiac rehab program. What would the nurse teach this patient about self-monitoring his/her activities and when to stop exercising?

When the patient experiences chest pain, palpitations, or dyspnea