NURA 1500 test 5-endocrine and musculoskeletal

A nurse is assessing a client who has OA of the knees and fingers. Which clinical manifestations should the nurse expect? SATA a. Herberden's nodes b. swelling of joints c. small body frame d. enlarged joint size e. limp when walking

a. Herberden's nodes d. enlarged joint size e. limp when walking

A nurse is providing teaching to a client who has a new dx of DI. Which statement by the client requires further teaching? a. I can drink up to 2 quarts of fluid a day b. I should expect to urinate frequently at night c. I may have headaches d. I may have dry mouth

a. I can drink up to 2 quarts of fluid a day

Nurse is teaching a client how to manage an external fixation device. Which statements by client indicates an understanding of safe management? SATA a. I will clean the pins twice a day b. I will use a separate swab for each pin c. I will report loosening of pins to the dr. d. I will move my leg by lifting the device in the middle e. I will remove any crusting that forms at the pin site

a. I will clean the pins twice a day b. I will use a separate swab for each pin c. I will report loosening of pins to the dr.

A nurse is reviewing labs for someone with Addison's. Which findings are typical? SATA a. Na 130 b. K 6.1 c. Ca 11.6 d. Mg 2.5 e. glucose 65 mg

a. Na 130 b. K 6.1 c. Ca 11.6 e. glucose 65 mg

A nurse is completing discharge teaching to a client who had a wound debridement for osteomyelitis . Which info would the nurse include? a. antibiotic therapy should continue for 3 months b. relief of pain indicates infection is eradicated c. contact precautions are used during wound care d. dressing changes are performed aseptically

a. antibiotic therapy should continue for 3 months

A nurse is providing info to a client who has OA of the hip and knee. Which info should the nurse include in the info? SATA a. apply heat to joints to alleviate pain b. ice inflamed joints following activity c. install an elevated toilet seat d. take tub baths e. complete high-energy activities in the morning

a. apply heat to joints to alleviate pain b. ice inflamed joints following activity c. install an elevated toilet seat e. complete high=energy activities in the morning

A nurse is planning care for a client who is post op following an arthroscopy of the knee. Which is an appropriate action by the nurse? (SATA) a. assess color and temp of extremity b. apply warm compress to incision sites c. elevate extremity d. admin opiods e. assess pulse and sensation in foot

a. assess color and temp c. elevate extremity d. admin opiods e. assess pulse and sensation in foot

A nurse is assessing a client with Cushing's. Which is the priority assessment? a. daily weights b. fatigue c. fragile skin d. joint pain

a. daily weights

A nurse is planning care for a client with Cushing's. The nurse should recognize that clients who have Cushing's are at risk for which? SATA a. infection b. ulcers c. renal calculi d. bone fractures e. dysphagia

a. infection d. bone fractures e. dysphagia

A nurse is reviewing a record of a client who has SIADH. Which lab finding should the nurse anticipate? SATA a. low serum Na b. high serum K c. decreased urine osmolality d. high urine Na e. increased urine-specific gravity

a. low serum Na d. high urine Na e. increased urine-specific gravity

A nurse is planning care for a client who has a new dx of Graves' disease and a script for methimazole (Tapazole). Which should the nurse include in the plan of care? SATA a. monitor CBC b. monitor T3 c. inform that med should not be taken for more than 3 months d. advise client to take med same time every day e. an adverse effect is iodine toxicity

a. monitor CBC b. monitor T3 d. advise to take med same time every day

A nurse is assessing a client who has a casted compound fracture of the right forearm. Which finding is an early indication of neurovascular compromise? a. paresthesia b. pulselessness c. paralysis d. pallor

a. parasthesia

A nurse is preparing to receive a client from the client from the PACU who is post op following a thyroidectomy. The nurse should ensure that which equipment is available? SATA a. suction b. humidified air c. flashlight d. trache tray e. o2 equipment

a. suction b. humidified air e. o2 equipment

A nurse in the ED is planning care for a client with a right hip fracture. Which device should the nurse anticipate in the plan of care? a. skeletal traction b. Buck's traction c. halo traction d. Gardner-Wells traction

b. Buck's traction

A nurse is caring for a client with DI. Which urinalysis lab findings should the nurse anticipate? a. absence of glucose b. decreased specific gravity c. presence of ketones d. presence of RBC

b. decreased specific gravity

A nurse is reviewing a record of a client being evaluated for Graves' disease. Which is an expected lab finding? a. decreased thyrotropin receptor antibodies b. decreased thyroid stimulating hormone c. decreased free thyroxine index d. decreased triiodothyronine

b. decreased thyroid stimulating hormone

A nurse is reviewing manifestations of hyperthyroidism with a client. Which of the findings should the nurse include? SATA a. dry skin b. heat intolerance c. constipation d. palpitations e. weight loss f. bradycardia

b. heat intolerance d. palpitations e. weight loss

A nurse is admitting an older adult client who has suspected osteoporosis. Which is an expected clinical finding? SATA a. hx of consuming one glass of wine b. loss of height of 2 inches c. BMI of 24 d. kyphotic curve at upper thoracic spine e. hx of lactose intolerance

b. loss of height of 2 inches c. BMI of 24 d. kyphotic curve at upper thoracic spine e. hx of lactose intolerance

A nurse is collecting admission hx from a female client with hypothyroidism. Which are expected findings? SATA a. diarrhea b. menorrhagia c. dry skin d. increased libido e. hoarseness

b. menorrhagia c. dry skin

A nurse is caring for a client with Addison's who is taking hydrocortisone (Cortef). Which med instructions should she give? SATA a. take on empty stomach b. notify provider of illnesses c. report weakness or dizziness d. do not discontinue med suddenly e. eat low sodium diet

b. notify provider of illnesses c. report weakness or dizziness d. do not discontinue med suddenly

Nurse is assessing a client who is to undergo a right knee arthroplasty. Which are expected findings? SATA a. skin reddened b. pain when bearing weight c. joint crepitus d. swelling of affected joint e. limited joint motion

b. pain when bearing weight c. joint crepitus d. swelling of affected joint e. limited joint motion

The nurse is providing care for a client who had a vertebroplasty of the t-spine. Which is an appropriate action by the nurse? a. apply heat to puncture site b. place client in supine position c. turn every 4 hours d. ambulate the client within the first hour post-op

b. place client in supine position

A nurse is preparing a plan of care to prevent a client from developing flexion contractons following a below-the-knee amputation 24 hrs ago. Which should the nurse include in the plan of care? a. elevate the limb on a pillow b. position the client prone several times a day c. wrap the stump in a figure 8 pattern d. encourage sitting in a chair during the day

b. position the client prone several times a day

Nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which foods should the nurse include in the instructions? a. white bread b. white beans c. white meat of chicken d. white rice

b. white beans

A nurse is assessing a client with SIADH. Which findings indicate the client is experiencing a complication? a. decreased CVP b. increased urine output c. distended neck veins d. extreme thirst

c. distended neck veins

A nurse is caring for a client that is post op transsphenoidal hypophysectomy. The nurse should test nasal drainage for which? a. RBC's b. ketones c. glucose d. streptococcus

c. glucose

A client who had an above-the-amputation reports having sharp, stabbing type of phantom pain. Which is an appropriate action by the nurse? a. facilitate counseling services b. encourage use of cold therapy c. question whether the pain is real d. admin an antiepileptic

c. question whether the pain is real

A nurse is assessing a client who is 12 hr post op thyroidectomy. Which findings are indicative of a thyroid crisis? SATA a. bradycardia b. hypothermia c. tremors d. abdominal pain e. mental confusion

c. tremors d. abdominal pain e. mental confusion

A nurse is teaching a client for a bone scan. Which statement by the nurse is appropriate? a. procedure will take about an hr b. will be placed in tubelike structure c. need to take precautions with urine for 24 hrs d. a radioactive substance will be injected before procedure

d. a radioactive substance will be injected before procedure

Nurse is reviewing a client who is to undergo total joint arthroplasty. The nurse should recognize which finding as a contraindication to this procedure? a. age of 78 b. hx of cancer c. previous jt. replacement d. bronchitis 2 weeks ago

d. bronchitis 2 weeks ago

A nurse is providing teaching to a client scheduled for phentolamine blocking test. This test supports a dx for which? a. Addison's b. DM c. Cushing's d. pheochromocytoma

d. pheochromocytoma

The community health nurse visits a client at home. Prednisone, 10 mg orally daily, has been prescribed for the client and the nurse teaches the client about the medication. Which statement, if made by the client, indicates that further teaching is necessary? 1. I can take aspirin or my antihistamine if I need it. 2. I need to take the medication every day at the same time. 3. I need to avoid coffee, tea, cola, and chocolate in my diet. 4. If I gain more than 5 pounds a week, I will call my HCP.

1. I can take aspirin or my antihistamine if I need it.

A client with hyperthyroidism has been given methimazole (Tapazole). Which nursing considerations are associated with this medication? SATA 1. administer with food 2. place client on a low-calorie, low-protein diet 3. assess the client for unexplained bruising or bleeding 4. instruct the client to report side/adverse effects such as sore throat, fever, or headaches 5. use special radioactive precautions when handling urine the first 24 hours

1. administer with food 3. assess the client for unexplained bruising or bleeding 4. instruct client to report side/adverse effects such a sore throat, fever, or headaches

Allopurinol is prescribed for a client and the nurse provides med instruction to the client. Which instruction should the nurse provide? 1. drink 3000 mL of fluid a day 2. take med on an empty stomach 3. effect of the med will occur immediately 4. any swelling of the lips is a normal expected response

1. drink 3000 mL of fluid a day

A client has been diagnosed with hyperthyroidism. Which signs and symptoms may indicate thyroid storm, a complication of this disorder? SATA 1. fever 2. nausea 3. lethargy 4. tremors 5. confusion 6. bradycardia

1. fever 2. nausea 4. tremors 5. confusion

The nurse is caring for a client who has had spinal fusion, with the insertion of hardware. The nurse would be most concerned with which assessment finding? 1. temp of 101.6 2. complaints of discomfort during repositioning 3. old, bloody drainage outlined on the surgical dressing 4. discomfort during coughing and deep-breathing exercises

1. temp of 101.6

The nurse is caring for a client with pheochromocytoma who is scheduled for adrenalectomy. In the pre-op period, what should the nurse monitor as the priority? 1. vital signs 2. intake and output 3. BUN results 4. urine for glucose and ketones

1. vital signs

The nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil(PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which condition? 1. myxedema 2. Graves' 3. Addison's 4. Cushing's

2. Graves'

The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should be included in the teaching plan? 1. restrict fluid intake 2. avoid the use of alcohol 3. stop med if diarrhea occurs 4. notify HCP if fatigue occurs

2. avoid use of alcohol

A client is complaining of LBP that radiates down the left posterior thigh. The nurse should ask the client if the pain is worsened or aggravated by which factor? 1. bed rest 2. bending or lifting 3. application of heat 4. ibuprofen (Motrin IB)

2. bending or lifting

colchicine isi prescribed for a client with gout. The nurse reviews the client's record, knowing that this med would be used with caution in which disorder? 1. myxedema 2. kidney disease 3. hypothyroidism 4. DM

2. kidney disease

A client is admitted to an ED and a diagnosis of myxedema coma is made. Which action would the nurse prepare to carry out initially? 1. warm the client 2. maintain patent airway 3. administer thyroid hormone 4. administer fluid replacement

2. maintain patent airway

The nurse provides medication instructions to a client who is taking levothyroxine (Synthroid) and should tell the client to notify the HCP if which problem occurs? 1. fatigue 2. tremors 3. cold intolerance 4. excessively dry skin

2. tremors

A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the med and should instruct the client that which time is best to take this med? 1. at noon 2. at bedtime 3. early morning 4. any time, same time, each day

3. early morning

The nurse provides isntructions to a client who is taking levothyroxine (Synthroid). The nurse should tell the client to take the medication at which time? 1. with food 2. at lunchtime 3. on an empty stomach 4. at bedtime with a snack

3. on an empty stomach

The nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's disease. Which statement by the student indicates an accurate understanding of this disorder? 1. Cushing's disease results from an oversecretion of insulin 2. Cushing's disease results from an undersecretion of corticotropic hormones 3. Cushing's disease rsults from an undersecretion of mineralcorticoid hormones 4. Cushing's disease results from an increased pituitary secretion of adrenocorticotropic hormone

4. Cushing's results from an increased pituitary secretion of adrenocorticotropic hormone

The nurse has given instructions to a client returning home after knee arthoscopy. Which statement by the client indicates that the instructions are understood? 1. I can resume regular exercise tomorrow 2. I can't eat food for the remainder of the 3. I need to stay off the leg entirely for the rest of the day 4. I need to report a fever or site inflammation to my HCP

4. I need to report fever or site inflammation to my HCP

The nurse is performing an assessment on a client with pheochromocytoma. Which assessment data would indicate a potential complication associated with this disorder? 1. a coag time of 5 minutes 2. a urinary output of 50 mL/hr 3. a BUN level of 20 mg/dL 4. a heart rate that is 90 bpm and irregular

4. a heart rate that is 90 bpm and irregular

The nurse is caring for a client who has an above-the-knee amputation 2 days ago. The residual limb was wrapped with an elastic compression bandage, which has come off. Which immediate action should the nurse take? 1. apply ice 2. call HCP 3. apply a dry, sterile bandage 4. rewrap the residual limb with an elastic compression bandage

4. rewrap the residual limb with an elastic compression bandage

The nurse is one of several persons who witnessed a vehicle hit a pedestrian at fairly low speed on a small street. The victim is dazed and tries to get up. The leg appears fractured. Which intervention should the nurse take? 1. try to reduce the fracture manually 2. assist the victim to get up 3. leave the victim for a few moments to call an ambulance 4. stay with the victim and encourage the person to remain still

4. stay with the victim and encourage the person to remain still

Aledondronate (Fosamax) is prescribed for a client with osteoporosis and the nurse is providing instructions on admin of the med. Which instruction should the nurse provide? 1. take med at bedtime 2. take med in morning with breakfast 3. lie down for 30 minutes after taking 4. take med with full glass of water after rising in the morning

4. take med with full glass of water after rising in the morning

A client is being discharged to home after application of a plaster leg cast. Which statement indicates that the client understands proper care of the cast? 1. I need to avoid getting the cast wet. 2. I need to cover the casted leg with warm blankets. 3. I need to use my fingertips to lift and move my leg. 4. I need to use something like a padded coat hanger end to scratch under the cast if it itches.

1. I need to avoid getting the cast wet.

The nurse has given a client instructions about crutch safety. Which client statement indicates that the client understand the instructions? SATA 1. I should not use someone else's crutches. 2. I need to remove any scatter rugs at home. 3. I can use crutch tips even when they are wet. 4. I need to have spare crutches and tips available. 5. When I'm using the crutches my arms need to be completely straight.

1. I should not use someone else's crutches 2. I need to remove any scatter rugs at home 4. I need to have spare crutches and tips available.

The nurse is caring for a client being treated for fat embolus after multiple fractures. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolus? 1. clear mentation 2. minimal dyspnea 3. oxygen saturation of 85% 4. arterial oxygen level of 78 mm Hg

1. clear mentation

Cyclobenzaprine hydrochloride (Flexeril) is prescribed for a client for muscle spasms and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the HCP about the admin of this med? 1. glaucoma 2. glaucoma 3. hypothyroidism 4. DM

1. glaucoma

The nurse is monitoring a client receiving levothyroxine sodium (Synthroid) for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? SATA 1. insomnia 2. weight loss 3. bradycardia 4. constipation 5. mild heat tolerance

1. insomnia 2. weight loss 5. mild heat tolerance

Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? SATA 1. keep cast clean and dry 2. allow cast 24-72 hours to dry 3. keep cast and extremity elevated 4. expect tingling and numbness 5. use a hair dryer to dry the cast 6. use a soft padded object to scratch the skin

1. keep cast clean and dry 2. allow cast 24-72 hours to dry 3. keep cast and extremity elevated

The nurse is caring for a postop parathyroidectomy client. Which client complain would indicate that a life-threatening complication may be developing, requiring notification of the HCP immediately? 1. laryngeal stridor 2. abdominal cramps 3. difficulty in voiding 4. mild to moderate incisional pain

1. laryngeal stridor

The nurse is providing discharge instruction to a client who has Cushing's syndrome. Which client statement indicates that instruction r/t dietary mgmt. are understood? 1. I will need to limit the amount of protein in my diet 2. I should eat foods that have a lot of potassium in them 3. I am fortunate that I can eat all the salty foods I enjoy 4. I am fortunate that I do not need to follow any special diet

2. I should eat foods that have a lot of potassium in them.

A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the arm for extra support. The nurse responds knowing that which would mot likely result from this improper crutch measurement? 1. a fall and further injury 2. injury to the brachial plexus nerves 3. skin breakdown in the area of the axilla 4. impaired range of motion while the client ambulates

2. injury to the brachial plexus nerves

The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. Which client complaint would be characteristic of this disorder? 1. diarrhea 2. polyuria 3. polyphagia 4. weight gain

2. polyuria

The nurse is evaluating the pin sites of client in skeletal traction. The nurse would be least concerned with which finding? 1. inflammation 2. serous drainage 3. pain at a pin site 4. purulent drainage

2. serous drainage

The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. The nurse should take which initial action? 1. lower the head of the bed 2. test drainage for glucose 3. obtain a culture of drainage 4. continue to observe

2. test the drainage for glucose

Prednisone is prescribed for a client with DM who I taking Humulin NPH insulin daily. Which prescription change does the nurse anticipate during therapy with the prednisone? 1. an additional dose of prednisone daily 2. a decreased amount of daily NPH 3. an increased amount of daily NPH 4. the addition of an oral hypoglycemic medication daily

3. an increased amount of daily NPH

The nurse is administering an IV dose of methocarbamol (Robaxin) to a client with MS. For which side/adverse effects should the nurse monitor? 1. tachycardia 2. hypertension 3. rapid pulse 4. bradycardia

3. bradycardia

The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which symptoms are associated with this diagnosis? SATA 1. tremors 2. weight loss 3. feeling cold 4. loss of body hair 5. persistent lethargy 6. puffiness of the face

3. feeling cold 4. loss of body hair 5. persistent lethargy 6. puffiness of the face

A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse elevates the limb, applies an ice bag, and administers an analgesic, with little relief. Which problem may be causing this pain? 1. infection under the cast 2. anxiety of the client 3. impaired tissue perfusion 4. recent occurrence of the fracture

3. impaired tissue perfusion

After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse performs an assessment on the client, knowing that which symptom s most indicative of this disorder? 1. fatigue 2.diarrhea 3. polydipsia 4. weight gain

3. polydipsia

The nurse is assessing the casted extremity of a client. Which sign is indicative of infection? 1. dependent edema 2. diminished distal pulse 3. presence of a "hot spot" on the cast 4. coolness and pallor of the extremity

3. presence of a "hot spot" on the cast

A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the priority for this client? 1. hypoglycemia 2. hoarseness 3. respiratory distress 4. edema at the surgical site

3. respiratory distress

The nurse is instructing a client regarding intranasal desmopressin. The nurse should tell the client what which occurrence is a side effect of the medication? 1. headache 2. vulval pain 3. runny nose 4. flushed skin

3. runny nose

The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder? 1. 25 y.o. woman who jogs 2. 36 y.o. man with asthma 3. 70 y.o. mn who consumes excess alcohol 4. a sedentary 65 y.o. woman who smokes cigarettes

4. a sedentary 65 y.o. woman who smokes cigarettes

A client is diagnosed with pheochromocytoma. The nurse understands that pheochromocytoma is a condition that has which characteristic? 1. causes profound hypotension 2. is manifested by severe hypoglycemia 3. is not curable and is treated symptomatically 4. causes the release of excessive amounts of catecholamines

4. causes the release of excessive amounts of catecholamines

The nurse is admitting a client with multiple trauma to the nursing unit. The client has a leg fracture and had a plaster cast applied. Which position would be best for the casted leg? 1. flat for 12 hours, then elevated for 12 hours 2. elevated for 3 hours and then elevated for an hour 3. flat for 3 hours and then elevated for an hour 4. elevated on pillows continuously for 24 to 48 hours

4. elevated on pillows continuously for 24 to 48 hours

A client with a hip fracture asks the nurse why Buck's (extension) traction is being applied before surgery. The nurse provides a response based on which purpose of Buck's (extension) traction? 1. allows bony healing to begin before surgery 2. provides rigid immobilization of the fx site 3. lengthens the fractured leg to prevent severing of blood vessels 4. provides comfort by reducing muscle spasms and provides fracture immobilization

4. provides comfort by reducing muscle spasms and provides fracture immobilization

A nurse is evaluating lab findings in a client who has suspected hyperthyroidism. An elevation of which supports this dx? a. T3 b. VMA c. ACTH d. Hba1c

a. T3

A nurse is providing education on glucosamine at a health fair. Which should the nurse include in the teaching? a. decreased amount of synovial fluid b. med aids in rebuilding of cartilage c. script is required d. med is injected into joint to decrease pain

b. med aids in rebuilding of cartilage

A nurse is reinforcing teaching for Synthroid treat hypothyroidism. Which should the nurse include? SATA a. wt gain is expected b. med should not be discontinued without advice of provider c. follow up serum TSH levels needed d. take med on empty stomach e. use fiber laxatives for constipation

b. med should not be discontinued without advice of provider c. follow up serum TSH levels needed d. take med on empty stomach

A nurse is admitting someone with acute adrenal insufficiency to the ICU. Which scripts should she anticipate? SATA a. IV therapy with 0.45% NaCl b. regular insulin c. hydrocortisone sodium succinate (Solu-Cortef) d. Kayexalate e. furosemide (Lasix)

b. regular insulin c. hydrocortisone sodium succinate (Solu-Cortef) d. Kayexalate e. furosemide (Lasix)

A nurse is providing instructions to a client who has Graves' disease and has prescription for propranolol. Which info should the nurse include? a. an adverse effect is jaundice b. take your pulse before each dose c. this med decreases production of thyroid hormone d. you should stop taking this med if you have a sore throat

b. take your pulse before each dose

A nurse is reviewing labs for a client with Cushing's. Which are expected? SATA a. sodium 150 b. K 3.3 c. Ca 8.0 d. lymphocyte 35% e. fasting glucose 145 mg

a. Na 150 b. K 3.3 c. Ca 8.0 e. fasting glucose 145 mg

A nurse is planning care for a client who is to have an EMG. Which should the nurse include in plan of care? SATA a. assess for bruising b. apply ice c. determine whether client takes muscle relaxant d. instruct the client to flex muscles while needle is being inserted e. expect swelling, redness, tenderness at insertion sites

a. assess for bruising b. apply ice c. determine whether client takes muscle relaxant d. instruct the client to flex muscles while needle is being inserted

A nurse is planning discharge teaching for a client who had a total hip arthroplasty. Which should the nurse include in teaching? SATA a. clean incision daily with soap and water b. turn toes inward when sitting/lying c. sit in straight-backed armchair d. bend at wrist when putting on socks e. use a raised toilet seat

a. clean incision daily with soap and water c. sit in straight-backed armchair e. use a raised toilet seat

A nurse is caring for a client with primary adrenal insufficiency. Which finding should the nurse anticipate after an IV injection of ACTH 1.0 mg? a. decrease in serum plasma cortisol b. elevated glucose c. decrease in serum Na d. increase in urine output

a. decrease in serum plasma cortisol

A nurse is caring for a client with SIADH. Which findings should the nurse expect? SATA a. decreased serum Na b. urine specific gravity 1.001 c. serum osmol 230 d. polyuria e. increased thirst

a. decreased serum Na c. serum osmol 230

The nurse is caring for a client following a below-the-knee amputation. Which actions are appropriate for the nurse? SATA a. encourage dependent positioning of residual limb b. inspect for presence and amount of drainage c. implement shrinkage intervention d. wrap limb in circular pattern e. assess for feeling of body image changes

a. encourage dependent positioning of residual limb b. inspect for presence and amount of drainage c. implement shrinkage intervention e. assess for feeling of body image changes

A nurse is completing a preop teaching plan for a client who is to have a total hip arthroplasty. Which should the nurse include in teaching plan? SATA a. encourage complete autologous blood donation b. sitting in a low reclining chair c. have client roll onto the operative hip d. use an abductor pillow when turning e. performing isometric exercises

a. encouraging complete autologous blood donation d. using an abductor pillow when turning e. performing isometric exercises

A nurse is completing an assessment of a client who had an external fixation device applied 2 hrs ago for a fracture of the left tibia and fibula. Which indicate compartment syndrome? SATA a. intense pain when left foot is passively moved b. edematous left toes compared to the right c. hard, swollen muscle in the left leg d. burning and tingling of the distal left foot e. minimal pain relief following a second dose of opiod med

a. intense pain when left foot is passively moved c. hard, swollen muscle in the left leg d. burning and tingling of the distal foot e. minimal pain relief following a second dose of opiod med

Nurse is admitting client to the orthopedic unit follow a total knee arthroplasty. Which of the actions are appropriate by the nurse? SATA a. maintain continuous passive motion device b. palpate dorsopedal pulses c. place pillow behind knee d. elevate heels off bed e. apply heat to incision

a. maintain continuous passive motion device b. palpate dorsopedal pulses d. elevate heels off bed

A nurse in ICU is admitting a client with myxedemacoma. Which should the nurse anticipate? SATA a. observe cardiac monitor for inverted T wave b. observe for evidence of UTI c. initiate IV fluids using NS d. expect a script for Synthroid IV bolus e. provide warmth using heating pad

a. observe cardiac monitor for inverted T wave b. observe for evidence of UTI c. initiate IV fluids using NS d. expect a script for Synthroid IV bolus

Nurse is planning discharge teaching on home safety for an older adult client who has osteoporosis. Which should the nurse include in teaching? SATA a. remove throw rugs b. use assistive devices c. remove clutter from environment d. walk with caution on icy surfaces e. maintain lighting of doorway areas

a. remove throw rugs b. use assistive devices c. remove clutter from environment e. maintain lighting of doorway areas

A nurse is caring for a client with DI. Which manifestations should the nurse expect to find? SATA a. serum sodium of 155 b. fatigue c. serum osmol of 250 d. polyuria e. nocturia

a. serum sodium of 155 b. fatigue d. polyuria e. nocturia

A nurse is educating clients about DEXA scans. Which should nurse include in teaching? SATA a. test requires contrast material b. hip and spine are usual areas to be scanned c. scan used to detect osteoarthritis d. bone pain may indicate need for scan e. at age 40, baseline is recommended

b. hip and spine are usual areas to be scanned d. bone pain may indicate need for scan e. at age 40, baseline is recommended

The nurse is completing preop teaching for a client who is to undergo arthroscopy to repair injury to a shoulder. Which statement by the nurse is appropriate? a. avoid damage or moisture to the cast on your arm b. inspect your incision daily for infection c. resume normal activity d. position affected extremity in dependent position e. perform isometric exercises as directed

b. inspect incision daily for infection e. perform isometric exercises as directed

A nurse is planning to teach a client who is being evaluated for Addison's about the ACTH stimulation test. The nurse should base her instructions on which of the following? a. the test measures the response by the kidneys to ACTH b. in the presence of primary adrenal insufficiency, plasma cortisol levels rise in response to the admin of ACTH c. ACTH is a hormone produced by the pituitary gland d the client is instructed to take a dose of ACTH by mouth the evening before the test

c. ACTH is a hormone produced by the pituitary gland

A nurse is giving discharge instructions for a client who has a transsphenoidal hypophysectomy. Which should she include? SATA a. brush teeth after every meal or snack b. avoid bending at the knees c. eat a high fiber diet d. notify provider if he has a sweet tasting drainage e. notify provider if he has diminished sense of smell

c. eat a high fiber diet d. notify provider if he has a sweet tasting drainage

A client is being evaluated for primary hypothyroidism. Which lab finding is expected for a client who has this condition? a. serum T4 10 mcg b. serum T3 200 ng c. hct 34% d. serum cholesterol 180 mg

c. hct 34%