Week 5 Passpoint

A client seeks medical care for severe sunburn. Which teaching should the nurse provide to reduce the client's risk of skin damage from sun exposure?

"Apply sunscreen even on overcast days."

A client in a semiprivate room is diagnosed with pediculosis corporis. A nurse will initiate treatment after moving the client to another room. The client's roommate asks the nurse for information about the client. How should the nurse respond?

"I'm sorry, but I can't share confidential information."

A client with rheumatoid arthritis reports gastrointestinal irritation after taking piroxicam. To prevent gastrointestinal upset, the nurse should provide which instruction?

"Take piroxicam with food or an antacid."

The recipient of a donated organ asks the nurse, "What did the donor die from?" Which response by the nurse is most appropriate?

"The transplant coordinator can give you information about the donor's medical history."

A client recruited to participate in a clinical trial to treat non-Hodgkin's lymphoma voices concerns about the adverse effects of the treatment preventing the completion of the trial. What will the nurse tell the client to protect the principle of autonomy?

"You may withdraw at any time."

A client has been hospitalized with pancreatitis for 3 days. The nurse assesses the client and documents the accompanying results. The nurse realizes these findings are a manifestation of what sign?

Cullen's sign

The nurse is teaching a client with stomatitis about managing oral discomfort. Which instruction is most appropriate?

Eat a soft, bland diet.

A nurse is caring for a client with bronchogenic carcinoma. Which nursing intervention takes highest priority?

removing pulmonary secretions

Which is an appropriate outcome for a client with rheumatoid arthritis who is receiving anti-inflammatory drugs and physical therapy? The client will:

manage joint pain and fatigue to perform activities of daily living.

A client has the following arterial blood gas values: pH, 7.52; PaO2, 50 mm Hg (6.7 kPa); PaCO2, 28 mm Hg (3.72 kPa); HCO3- 24 mEq/L (24 mmol/L). Based upon the client's PaO2, which nursing clinical judgment should the nurse make?

`The client is severely hypoxic.

Which registered nurse should be assigned to the client who had a chest tube inserted yesterday?

a registered nurse who use to work on the cardiovascular unit

A nurse is examining a client's scalp for evidence of lice. The nurse should pay particular attention to which part of the scalp?

behind the ears

A client who had a cholecystectomy has a T-tube for drainage. The nurse measures the amount of bile drainage from the T tube at the end of each shift. How should the nurse record the drainage?

charting it separately on the output record

The nurse is caring for a client with cardiomyopathy. Which diagnosis should the nurse make a priority to guide this client's care?

decreased cardiac output related to reduced myocardial contractility

A client has just been diagnosed with cancer. During the initial stage of adaptation to the diagnosis and its treatment, the nurse can facilitate the client's adaptation by using which strategy?

encouraging the client to maintain her usual role

The nurse is planning an educational program about the prevention of osteoporosis for a group of women. Which preventive measures would be appropriate for the nurse to include in the teaching plan?

encouraging weight-bearing exercise on a regular basis

Passive range-of-motion (ROM) exercises for the legs and assisted ROM exercises for the arms are part of the care regimen for a client with a spinal cord injury. Which observation by the nurse would indicate a successful outcome of this treatment?

free, easy movement of the joints

When the nurse is developing a plan of care to manage a client's pain from cancer, what should the nurse plan to do?

Individualize the pain medication regimen for the client.

A client has been taking prescribed aspirin in large doses and reports having stomach irritation, sometimes with vomiting. Which food or beverage noted from the client's diet history should the nurse suggest the client avoid?

glass of wine

The nurse is assigned to a client in the ICU. During the initial assessment, the nurse notes jugular vein distention and recognizes that the plan of care will follow which disorder?

heart failure

The nurse is teaching a client about risk factors for the development of colon cancer. What risk factor would the nurse include in the discussion?

history of inflammatory bowel disease

During surgery, a patient develops hypothermia. The circulating nurse would monitor the patient closely for which finding?

metabolic acidosis

Prochlorperazine is prescribed postoperatively. The nurse should evaluate the drug's therapeutic effect when the client expresses relief from which symptom?

nausea

Which goal is a priority for the diabetic client who is taking insulin and has nausea and vomiting from a viral illness or influenza?

obtaining adequate food intake

A client with second-degree atrioventricular heart block is admitted to the coronary care unit. The nurse closely monitors the client's heart rate and rhythm. When interpreting the client's electrocardiogram (ECG) strip, the nurse knows that the QRS complex represents

ventricular depolarization.

A client reports a firm, red nodule with a scaly crust on the back. What is the best nursing intervention?

Notify the healthcare provider.

A client is to have radiation therapy following a mastectomy. What should the nurse tell the client to expect as a normal local tissue response to radiation?

redness of the surface tissue.

The nurse is admitting an older adult to the hospital. The echocardiogram report revealed left ventricular enlargement. The nurse notes 2+ pitting edema in the ankles when getting the client into bed. Based on this finding, what should the nurse do first?

Assess respiratory status.