Med Surg LPN Final Exam

A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following?

"I need to use an electric shaver when shaving my right armpit."

A client has been diagnosed with infectious mononucleosis. He asks the nurse how he contracted the illness. Which of the following would the nurse accurately identify as possible causes of the client's condition? Select all that apply.

-Kissing -Sharing cigarettes -Being coughed or sneezed on

The nurse is caring for a client newly admitted to the unit with a diagnosis of lymphangitis. What interventions would the nurse institute to help promote the resolution of the lymphangitis? Select all that apply.

-Note the response to antibiotic therapy -Encourage independent activities of daily living. -Elevate the area. -Apply warm soaks/compresses to the area.

Which of the following are associated with compartment syndrome? Select all that apply.

-Trauma from accidents -Surgery -Tight bandages -Crushing injuries

The nurse is assessing a newly admitted medical client and notes there is a depression in the lower portion of the client's sternum. This client's health record should note the presence of what chest deformity?

A funnel chest

The nurse is admitting a client to the unit who is scheduled to have an ossiculoplasty. What postoperative assessment will best determine whether the procedure has been successful?

Audiometry

The nurse should prioritize what assessment for a client who has just undergone catheter ablation therapy?

Cardiac monitoring

Question 60 of 111 A client injured in a motor vehicle accident has sustained a fracture to the diaphysis of the right femur. Of which tissue is the diaphysis of the femur mainly constructed?

Cortical bone

A client has undergone enucleation. What complication of enucleation should be addressed by the nurse?

Hemorrhage

The pharmacology instructor is diagramming the nervous and endocrine systems. What organ would the instructor diagram as the connector between the nervous and endocrine systems?

Hypothalamus

Which action should the nurse recommend to a client with blepharitis?

Keep lid margins clean

A nurse teaches a client with newly diagnosed hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function. Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy?

Levothyroxine (Synthroid)

The nurse is assisting with the administration of a caloric stimulation test. Which client response would the nurse document as an expected response?

Nystagmus

Which test uses a tuning fork shifted between two positions to assess hearing?

Rinne

The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium?

Spironolactone

The nurse is caring for a client with hypoxia. What does the nurse understand is true regarding the client's oxygen level and the production of red blood cells?

The kidneys sense low oxygen levels in the blood and produce erythropoietin, stimulating the bone marrow to produce more red blood cells.

A client arrives at the clinic and reports a very sore throat as well as a fever. A rapid strep test returns a positive result and the client is given a prescription for an antibiotic. How did the streptococcal organism gain access to the client to cause this infection?

Through the mucous membranes of the throat

Macular degeneration is suspected in a client experiencing blurred vision when reading. The nurse performs an ophthalmoscopic examination. Which finding would the nurse identify as helping to support this suspicion?

Yellow areas with indistinct edges beneath the retina

A client is having a caloric stimulation test to assess vestibular reflexes of the inner ear that control balance. Which response would indicate a disorder is present?

diminished response in one eye

A 2-year-old child was brought to the physician's office due to elevated temperature. As part of assessment, the nurse places the back of a hand on the client's forehead to see how warm the client feels. Which assessment technique is the nurse using?

palpation