Test 3 433 ATI book questions

A nurse is performing health screenings at a health fair. Which of the following clients are at risk for osteoporosis? (SATA) A. A 40-yr-old client who takes prednisone for asthma B. A 30-yr-old client who runs 3 miles daily C. A 45-yr-old client who takes phenytoin for seizures D. A 65-yr-old client who has a sedentary lifestyle E. A 70-yr-old client who has smoked for 50 years

A. A 40-yr-old client who takes prednisone for asthma C. A 45-yr-old client who takes phenytoin for seizures D. A 65-yr-old client who has a sedentary lifestyle E. A 70-yr-old client who has smoked for 50 years

A nurse is assessing a client who has a casted compound fracture of the femur. Which of the following findings is a manifestation of a fat emboli? A. Altered mental status B. Reduced bowel sounds C. Swelling of the toes distal to the injury D. Pain with passive movement of the foot distal to the injury

A. Altered mental status

A nurse is completing discharge teaching to a client who had a wound debridement for osteomyelitis. Which of the following information should the nurse include in the teaching? A. Antibiotic therapy should continue for 3 months B. Relief of pain indicates the infection is eradicated C. Airborne precautions are used during wound care D. Expect paresthesia distal to the wound

A. Antibiotic therapy should continue for 3 months

A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information? (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 beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following should the nurse expect? (SATA) A. Areas of paresthesia B. Involuntary eye movements C. Alopecia D. Increased salivation E. Ataxia

A. Areas of paresthesia B. Involuntary eye movements E. Ataxia

A nurse is reviewing trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in this review? (SATA) A. Avoid overwhelming fatigue B. Remove caffeinated products from the diet C. Limit looking at flashing lights D. Perform aerobic exercises E. Limit episodes of hypoventilation F. Use of aerosol hairspray is recommended

A. Avoid overwhelming fatigue B. Remove caffeinated products from the diet C. Limit looking at flashing lights

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse expect? (SATA) A. Decreased serum sodium B. Urine specific gravity 1.001 C. Serum osmolarity 230 most/L D. Polyuria E. Increased thirst

A. Decreased serum sodium C. Serum osmolarity 230 most/L

A nurse is providing discharge teaching to a client who has experienced diabetic ketoacidosis. Which of the following information should the nurse include in the teaching? (SATA) A. Drink 2L fluid daily B. Monitor blood glucose every 4 hr when ill C. Administer insulin as prescribed when ill D. Notify the provider when blood glucose is 200mg/dL E. Report ketones in the urine after 24 hr of illness

A. Drink 2L fluid daily B. Monitor blood glucose every 4 hr when ill C. Administer insulin as prescribed when ill E. Report ketones in the urine after 24 hr of illness

A nurse is presenting information to a group of clients about nutrition habits that prevent type 2 diabetes mellitus. Which of the following should the nurse include in the information? (SATA) A. Eat less meat and processed foods B. Decrease intake of saturated fats C. Increase daily fiber intake D. Limit saturated fat intake to 15% of daily caloric intake E. Include omega-3 fatty acids in the diet

A. Eat less meat and processed foods B. Decrease intake of saturated fats C. Increase daily fiber intake E. Include omega-3 fatty acids in the diet

A nurse is providing teaching for a client who has a history of low back injury. Which of the following instructions should the nurse give the client to prevent future problems with low back pain? (SATA) A. Engage in regular exercise including walking B. Sit for up to 10hr each day to rest the back C. Maintain weight within 25% of ideal body weight D. Create a smoking cessation plan E. Wear low-heeled shoes

A. Engage in regular exercise including walking D. Create a smoking cessation plan E. Wear low-heeled shoes

A nurse in a provider's office is assessing a client who has hypothyroidism and recently began treatment with thyroid hormone replacement therapy. Which of the following findings should indicate to the nurse that the client might need a decrease in the dosage of the medication? A. Hand tremors B. Bradycardia C. Pallor D. Slow speech

A. Hand tremors

A nurse is planning care for a client who's dysphagia and a new dietary prescription. Which of the following should the nurse include in the plan of care? (SATA) A. Have suction equipment available for use B. Feed the client thickened liquids C. Place food on he unaffected side of the client's mouth D. Assign an assistive personnel to feed the client slowly E. Teach the client to swallow with her neck flexed

A. Have suction equipment available for use B. Feed the client thickened liquids C. Place food on he unaffected side of the client's mouth E. Teach the client to swallow with her neck flexed

A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (SATA) A. Heberden's nodes B. Swelling of all joints C. Small body frame D. Enlarged joint size E. Limp when walking

A. Heberden's nodes D. Enlarged joint size E. Limp when walking

A nurse is teaching a client how to manage an external fixation device upon discharge. Which of the following statements by the client indicates an understanding of the teaching? (SATA) A. I will clean the pins twice daily B. I will use a separate cotton swab for each pin C. I will report loosening of the pins to my doctor D. I will move my leg by lifting the device in the middle E. I wil report increased redness at the pin sites

A. I will clean the pins twice daily B. I will use a separate cotton swab for each pin C. I will report loosening of the pins to my doctor E. I wil report increased redness at the pin sites

A nurse is caring for a client who has experienced right-hemispheric stroke. Which of the following are expected findings?(SATA) A. Impulse control difficulty B. Left hemiplegia C. Loss of depth perception D. Aphasia E. Lack of situational awareness

A. Impulse control difficulty B. Left hemiplegia C. Loss of depth perception E. Lack of situational awareness

A nurse is providing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include the teaching? A. Increase intake of deep yellow and orange vegetables B. Administer eye drops twice daily C. Avoid bending at the waist D. Wear an eye patch at night

A. Increase intake of deep yellow and orange vegetables

A nurse is assessing a client who had an external fixation device applied 2 hr ago for a fracture pf the left tibia and fibula. Which of the following findings is a manifestation of compartment syndrome? (SATA) A. Intense pain when the clients left foot is passively moved B. Capillary refill of 3 sec on the client's left toes C. Hard, swollen muscle in the client's left leg D. Burning and tingling of the clients left foot E. Client report of minimal pain relief following a second dose of opioid medication

A. Intense pain when the clients left foot is passively moved C. Hard, swollen muscle in the client's left leg D. Burning and tingling of the clients left foot E. Client report of minimal pain relief following a second dose of opioid medication

A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first? A. Keep the client in a side-lying position B. Document the duration of the seizure C. Reorient the client to the environment D. Provide client hygiene.

A. Keep the client in a side-lying position

A nurse is reviewing the health record of a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory findings should the nurse expect? (SATA) A. Low sodium B. High potassium C. increased urine osmolality D. High urine sodium E. Increased urine specific gravity

A. Low sodium C. increased urine osmolality D. High urine sodium E. Increased urine specific gravity

A nurse is a providers office is planning care for a client who has a new diagnosis of Graves disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? (SATA) A. Monitor CBC B. Monitor triiodothyronine C. Instruct the client to increase consumption of shellfish D. Advise the client to take the medication at the same time every day E. Inform the client that n adverse effect of this medication is iodine toxicity

A. Monitor CBC B. Monitor triiodothyronine D. Advise the client to take the medication at the same time every day

A nurse is caring for a client who has primary adrenal insufficiency and is preparing to undergo an ACTH stimulation test. Which of the following findings should the nurse expect after an IV injection of cosyntropin? A. No change in plasma cortisol B. Elevated fasting blood glucose C. Decrease in sodium D. Increase in urinary output

A. No change in plasma cortisol

A nurse in an intensive care unit is planning care for a client who has myxedema coma. Which of the following actions should the nurse include? (Select all that apply.) A. Observe cardiac monitor for dysrhythmias. B. Observe for evidence of urinary tract infection. C. Initiate IV fluids using 0.9% sodium chloride. D. Administer a levothyroxine IV bolus. E. Provide warmth using a heating pad.

A. Observe cardiac monitor for dysrhythmias. B. Observe for evidence of urinary tract infection. C. Initiate IV fluids using 0.9% sodium chloride. D. Administer a levothyroxine IV bolus.

A nurse is assessing a client who has a seizure disorder. The client reports he thinks he is about to have a seizure. Which of the following actions should the nurse implement? (SATA) A. Provide privacy B. Ease the client to the floor if standing C. Move furniture away from the client D. Loosen the client's clothing E. Protect the client's head with padding F. Restrain the client

A. Provide privacy B. Ease the client to the floor if standing C. Move furniture away from the client D. Loosen the client's clothing E. Protect the client's head with padding

A nurse is planning discharge teaching on home safety for an older adult client who has osteoporosis. Which of the following information should the nurse include in the teaching? (SATA) A. Remove throw rugs in walkways B. Use prescribed assistive devices C. Remove clutter from the environment D. Walk with caution on icy surfaces E. Maintain lighting of doorway areas

A. Remove throw rugs in walkways B. Use prescribed assistive devices C. Remove clutter from the environment E. Maintain lighting of doorway areas

A nurse is reinforcing teaching with a client who has Parkinson's disease and has a new prescription for bromocriptine. Which of the following instructions should the nurse include in the teaching? A. Rise slowly when standing B. Expect urine to become dark-colored C. Avoid foods containing tyramine D. Report any skin discoloration.

A. Rise slowly when standing

A nurse is reviewing laboratory results for a client who has Addison's disease. Which of the following laboratory results should the nurse expect for this client? (SATA) A. Sodium 130 mEq/L B. Potassium 6.1 mEq/l C. Calcium 11.6 mg/dl D. Blood urea nitrogen 28 mg/dl E. Fasting blood glucose 148 mg/dL

A. Sodium 130 mEq/L B. Potassium 6.1 mEq/l C. Calcium 11.6 mg/dl D. Blood urea nitrogen 28 mg/dl

A nurse is caring for a client who has global aphasia (both receptive and expressive). Which of the following should the nurse include in the client's plan of care?(SABA) A. Speak to the client at a slower rate B. Assist the client house flash cards with pictures C. Speak to the client in a loud voice D. Complete sentences that the client cannot finish E. Give instructions one step at a time

A. Speak to the client at a slower rate B. Assist the client house flash cards with pictures E. Give instructions one step at a time

A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (SATA) A. Suction equipment B. Humidified oxygen C. Flashlight D. Tracheostomy tray E. Chest tube tray

A. Suction equipment B. Humidified oxygen D. Tracheostomy tray

A nurse is reviewing the laboratory findings for a client who might have hyperthyroidism. The nurse should identify an elevation which of the following substances as an indication that the client has this disorder? A. Triodothyronine B. Plasma-free metanephrine C. Urine cortisol D. Urine osmolality

A. Triodothyronine

A nurse is preparing to administer a morning dose of insulin apart to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse implement? A. Check blood glucose immediately after breakfast B. Administer insulin when breakfast arrives C. Hold breakfast for 1 hr after insulin administration D. Clarify the prescription because insulin should not be administered at this time.

B. Administer insulin when breakfast arrives

A nurse in the emergency department is planning care for a client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care? A. Skeletal traction B. Buck's traction C. Halo traction D. Bryants traction

B. Buck's traction

A nurse in a providers office is reviewing laboratory results of a client who is being evaluated for secondary hypothyroidism. Which of the following laboratory findings is expected for a client who has this condition? A. elevated serum t4 B. Decreased serum T3 C. Elevated serum thyroid stimulating hormone D. Decreased serum cholesterol

B. Decreased serum T3

A nurse is caring for a client who has diabetes insidious. Which of the following urinalysis laboratory findings should the nurse anticipate? A. Presence of glucose B. Decreased specific gravity C. Presence of ketones D. Presence of red blood cells

B. Decreased specific gravity

A nurse in a provider's office is reviewing the health record of a client who is being evaluated for Graves disease. The nurse should identify that which of the following laboratory results is an expected finding? A. Decreased thyrotropin receptor antibodies B. Decreased thyroid-stimulating hormone (TSH) C. Decreased free thyroxine index D. Decreased triiodothyronine

B. Decreased thyroid-stimulating hormone (TSH)

A nurse is assessing a client who has diabetic ketoacidosis and ketones in the urine. The nurse should expect which of the following findings? (SATA) A. Weight gain B. Fruity breath or odor C. Abdominal pain D. Kussmaul respirations E. metabolic acidosis

B. Fruity breath or odor C. Abdominal pain D. Kussmaul respirations E. metabolic acidosis

A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease? (SATA) A. Gender B. Genetic predisposition C. Hypertension D. Age E. Diabetes mellitus

B. Genetic predisposition C. Hypertension D. Age E. Diabetes mellitus

A nurse is caring for a client who asks why the provider bases his medication regimen on his HbA1c instead of his log of morning fasting blood glucose results. Which of the following responses should the nurse make? A. HbA1c measures how well insulin is regulating your blood glucose between meals B. HbA1c indicates how well your have regulated your blood glucose over the past 120 days C. HbA1c is the first test your doctor prescribed to determine that you have diabetes D. HbA1c determines if the your doctor should adjust your insulin dosage

B. HbA1c indicates how well your have regulated your blood glucose over the past 120 days

A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following findings should the nurse include? (SATA) A. Anorexia B. Heat intolerance C. Constipation D. Palpations E. Weight loss F. Bradycardia

B. Heat intolerance D. Palpations E. Weight loss

A nurse is providing information about capsaicin cream to a Clint who reports continuous knee pain from osteoarthritis. Which of the following information should the nurse include in the discussion? A. Continuous pain relief is provided B. Inspect for skin irritation and cuts prior to application C. Cover area with tight bandages after application D. Apply the medication every 2 hr during the day

B. Inspect for skin irritation and cuts prior to application

A nurse is admitting an older adult client who has suspected osteoporosis. Which of the following is an expected finding? (SATA) A. History of consuming one glass of wine daily B. Loss in height of 2 in C. Body mass index of 21 D. Kyphotic curve at upper thoracic spine E. History of lactose intolerance

B. Loss in height of 2 in C. Body mass index of 21 D. Kyphotic curve at upper thoracic spine E. History of lactose intolerance

A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? A.Fluctuations in bp B. Loss of cognitive function C. Ineffective cough D. Drooping eyelids

B. Loss of cognitive function

A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching? (SATA) A. Weight gain is expected while taking this medication B. Medication should not be discontinued without the advice of the provider C. Follow-up serum TSH levels should be obtained D. Take the medication on an empty stomach E. Use fiber laxatives for constipation

B. Medication should not be discontinued without the advice of the provider C. Follow-up serum TSH levels should be obtained D. Take the medication on an empty stomach

A nurse is collecting an admission history from a female client who has hypothyroidism. Which of the following findings should the nurse expect? (SATA) A. Diarrhea B. Menorrhagia C. Dry skin D. Increased libido E. Hoarseness

B. Menorrhagia C. Dry skin E. Hoarseness

A nurse is caring Foran older adult client who has diabetes mellitus and reports gradual loss of peripheral vision. The nurse should recognize this as a manifestation which of the following diseases? A. Cataracts B. Open-angle glaucoma C. Macular degeneration D. Angle-losure glaucoma

B. Open-angle glaucoma

A nurse is assessing a client during a water deprivation test. For which of the following complications should the nurse monitor the client? A. Bradycardia B. Orthostatic hypotension C. Neck vein distention D. Crackles in lungs

B. Orthostatic hypotension

A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are expected findings? (SATA) A. Decreased vision B. Pill-rolling tremor of the fingers C. Shuffling gait D. Drooling E. Bilateral ankle edema F. Lack of facial expression

B. Pill-rolling tremor of the fingers C. Shuffling gait D. Drooling F. Lack of facial expression

A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? A. Teach the client to turn to the right to see objects on the right side of her body B. Place the bedside table on the right side of the bed C. Orient the client to the food on her plate using the clock method D. Place the wheelchair on the client's left side

B. Place the bedside table on the right side of the bed

A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following is an appropriate action by the nurse? A. Apply heat to the puncture site B. Place the client in a supine position C. Turn the client every 1 hr D. Ambulate the client within the first hour post procedure

B. Place the client in a supine position

A nurse is developing a plan of care for the nutritional needs of a client who has stage 4 Parkinson's disease. Which actions should the nurse include in the plan of care? (SATA) A. Provide three large balanced meals daily B. Record diet and fluid intake daily C. Document weight every other week D. Place the client in Fowler's position to eat E. Offer nutritional supplements between meals

B. Record diet and fluid intake daily E. Offer nutritional supplements between meals

A nurse is caring for a client who injured her lower back during a fall and describes sharp pain in her back and down her left leg. In which of the following positions should the nurse plan to place the client to attempt to decrease her pain? A. Prone without use of pillows B. Semi-fowler's with a pillow under the knees C. High-fowler's with the knees flat on the bed D. Supine with the head flat

B. Semi-fowler's with a pillow under the knees

A nurse is providing instructions to a client who has Graves disease and has a new prescription for propranolol. Which of the following information should the nurse include? A. An adverse effect of this medication is jaundice B. Take your pulse before each dose C. The purpose of this medication is to decrease production of thyroid hormone D. You should stop taking this medication if you have a sore throat

B. Take your pulse before each dose

A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following 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 caring for a client who's a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? (SATA) A. Eye pain B. Floating spots C. Blurred vision D. White pupils E. Bilateral red reflexes

C. Blurred vision D. White pupils

A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who has a blood glucose 278 mg/dL. Which of the following actions should the nurse take? A. Draw up the regular insulin and then the glargine insulin in the same syringe B. draw up the glargine insulin then the regular insulin in the same syringe C. Draw up and administer regular and glargive insulin in separate syringes D. Administer the regular insulin, wait 1 hr, and then administer the glargine insulin

C. Draw up and administer regular and glargive insulin in separate syringes

A nurse is assessing a client who is 12 hr post operative following a thyroidectomy. The nurse should identify which of the following findings as indicative of thyroid crisis? (SATA) A. Bradycardia B. Hypothermia C. Dyspnea D. Abdominal pain E. Mental confusion

C. Dyspnea D. Abdominal pain E. Mental confusion

A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following is an expected finding? A. Impulse control difficulty B. Poor judgement C. Inability to recognize familiar objects D. Loss of depth perception

C. Inability to recognize familiar objects

A nurse is teaching foot care to a client who has diabetes mellitus. Which of the following information should the nurse include in the teaching? (SATA) A. Remove calluses using over-the counter remedies B. Apply lotion between toes C. Perform nail care after bathing D. Trim toenails straight across E. Wear closed-toe shoes

C. Perform nail care after bathing D. Trim toenails straight across E. Wear closed-toe shoes

A nurse is caring for a client who has blood glucose 52 mg/dL. The client is lethargic but arousable. Which of the following actions should the nurse perform first? A. Recheck blood glucose in 15 min B. Provide a carbohydrate and protein food C. Provide 4 oz grape juice D. Report findings to the provider.

C. Provide 4 oz grape juice

A nurse is caring for a client who displays signs of stage 3 Parkinson's disease. Which of the following actions should the nurse include in the plan of care? A> Recommend a community support group B. Integrate a daily exercise routine C.Provide a walker for ambulation D. Perform ADLs for the client

C. Provide a walker for ambulation

A nurse is preparing to administer IV fluids to a client who has diabetic ketoacidosis. Which of the following actions should the nurse take? A. Administer an IV infusion of regular insulin at 0.3 unit/kg/hr B. Administer an IV infusion of 0.45 sodium chloride C. Rapidly administer an IV infusion of 0.9 sodium chloride D. Add glucose to the IV infusion when serum glucose is 350 mg/dL

C. Rapidly administer an IV infusion of 0.9 sodium chloride

A nurse is providing discharge instructions to a female client who has a prescription for phenytoin. Which of the following information should the nurse include? A. Consider taking oral contraceptives when on this medication B. Watch for receding gums when taking this medication C. Take the medication at the same time everyday. D. Provide a urine sample to determine therapeutic levels of the medication

C. Take the medication at the same time everyday.

A nurse is completing discharge teaching to a client who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following statements should the nurse include in the teaching? A. It is safe to use microwaves that are 1,200watts or less B. You should avoid the use of CT scans with contrast C. You should place magnet over the implantable device when you feel an aura occurring D. It is recommended that you use ultrasound diathermy for pain management

C. You should place magnet over the implantable device when you feel an aura occurring

A nurse is teaching a client who has multiple sclerosis and a new prescription for baclofen. Which of the following statements should the nurse include in the teaching? A. "This medication will help you with your tremors." B. "This medication will help you with your bladder function." C."This medication may cause your skin to bruise easily" D. "This medication may cause you to experience weakness."

D. "This medication may cause you to experience weakness."

A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse? A. Teach the client to walk more quickly when ambulating B. Complete passive range of motion exercises daily C. Place client on a low-protein, low calorie diet D. Give the client extra time to perform activities

D. Give the client extra time to perform activities

A nurse is providing teaching to a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates an understanding of the teaching? A. I can drink up to 2 quarts of fluid a day B. I will need to use insulin to control my blood glucose levels C. I should expect to gain weight during this illness D. Muscle weakness is a symptom of diabetes insipidus

D. Muscle weakness is a symptom of diabetes insipidus

A nurse is planning care for client who has cromegaly and is post operative following a transsphenoidal hypophysectomy. Which of the following interventions should the nurse include in the plan? A. Maintain the client in a low-fowler's position B. Encourage deep breathing and coughing C. Encourage the client to brush his teeth when awake and alert D. Observe dressing drainage for the presence of glucose

D. Observe dressing drainage for the presence of glucose

A nurse is providing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching? A. You can resume playing golf in 2 days B. You need to tilt your head back when washing your hair C. You can get water in your eyes in 1 day D. You need to limit your housekeeping activities

D. You need to limit your housekeeping activities