Week 6 MS2 questions

A nurse is providing discharge instructions to a client who has a new prescription for phenytoin. Which of the following information should the nurse include?

take the medication at the same time every day

A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Then nurse should expect a prescription for which of the following medications?

tamsulosin

A nurse in a clinic is reviewing the facility's testing process and procedures for HIV with a new employee. Which of the following information should the nurse include?

the western blot assay is used to confirm diagnosis of HIV

A nurse is developing a plan of care for a client who is scheduled for cerebral angiography with contrast media. Which of the following statements by the client should the nurse report to the provider? SATA

*I think I might be pregnant *I take warfarin *I am allergic to shrimp *I ate a light breakfast this morning (NPO 4-6hrs prior)

A nurse is beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect? SATA

*areas of paresthesia (loss of skin sensation) *involuntary eye movements *ataxia

A nurse is caring for a client who is postprocedure following lumbar puncture and reports a throbbing headache when witting upright. Which of the following actions should the nurse take? SATA

*assist the client to a supine position *administer an opioid medication *encourage the client to increase fluid intake

A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should the nurse include? SATA

*avoid heavy lifting for approximately 2 weeks after the procedure *avoid the use of tampons for 2 weeks after the procedure

A nurse is reviewing trigger factors that cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in the review? SATA

*avoid overwhelming fatigue *remove caffeinated products from the diet *limit looking at flashing lights

A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse expect? SATA

*blurred vision *white pupils

A nurse is caring for a client who has Alzheimer's disease. A family member of the client asks the nurse about risk factors for the disease. Which of the following should be included in the nurse's response? SATA

*exposure to metal waste products *previous head injury *history of herpes infection

A nurse in a provider's office is obtaining a history from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? SATA

*frequent UTIs *hematuria *urinary incontinence

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

*genetic predisposition *hypertension *age *diabetes mellitus

A nurse is planning care for a client who has dysphagia and a new dietary prescription. Which of the following should the nurse include in the plan of care? SATA

*have suction equipment available for use *feed the client thickened liquids *place food on the unaffected side of the client's mouth *teach the client to swallow with the neck flexed

A nurse is providing discharge instructions to a client who is postoperative following a TURP. Which of the following instructions should the nurse include? (SATA)

*if urine appears bloody, stop activity and rest *avoid drinking caffeinated beverages *take a stool softener once a day

A nurse is caring for a client who has experienced a right-hemispheric stroke. The nurse should expect the client to have difficulty with which of the following? SATA

*impulse control *moving the left side *depth perception *situational awareness

A nurse is instructing a client how to perform Kegel exercises. Which of the following instructions should the nurse include? SATA

*perform exercises about 50 times each day *contract the circumvaginal and/or perirectal muscles *gradually increase the contraction period to 10 seconds *follow each contraction with at least a 10-second relaxation period *perform while sitting, lying, standing

A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are expected findings? SATA

*pill-rolling tremor of the fingers *shuffling gait *drooling *lack of facial expression

A nurse at a provider's office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow-up is needed in regard to the prostate gland? SATA

*prostate-specific antigen (PSA) is 7.1 ng/mL (should be no greater than 4 ng/mL) *a digital rectal exam (DRE) reveals an enlarged and nodular prostate *the client reports weak urine stream

A nurse is assessing a client who has a seizure disorder. The client tells the nurse, "I am about to have a seizure." Which of the following actions should the nurse implement? SATA

*provide privacy *ease the client to the floor if standing *move furniture away from the client *loosen the client's clothing

A nurse is developing a plan of care for the nutritional needs of a client who has stage IV Parkinson's disease. Which of the following actions should the nurse include? SATA

*record diet and fluid intake daily *offer cold fluids such as milkshakes *offer nutritional supplements between meals

A nurse is making a home visit to a client who has AD. The client's partner states that the client is often disoriented to time and place, is unsteady, and has a history of wondering. Which of the following safety measures should the nurse review with the partner? SATA

*remove floor rugs *provide increased lighting in stairwells *install handrails in the bathroom *place the mattress on the floor

A nurse is caring for a client who has global aphasia. Which of the following should the nurse include in the client's plan of care? SATA

*speak to the client at a slower rate *assist the client to use cards with pictures *give instructions one step at a time

A nurse is performing a preoperative assessment for a client who is scheduled for an anterior colporrhaphy. Which of the following client statements should the nurse expect as an indication for this procedure?

I have had frequent UTIs

A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first?

Keep the client in a side-lying position

A nurse is caring for a client who has AD and falls frequently. Which of the following actions should the nurse take first to keep the client safe?

Place the client in a room close to the nurses station

A nurse working in long-term care facility is planning care for a client who has moderate Alzheimer's. Which of the following interventions should be included in the plan of care?

Reorient the client to self and current events

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?

This medication can cause you to experience dizziness

A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the next day. Which of the following information should the nurse include in the teaching?

Try to stay awake most of the night prior to the procedure (creates cranial stress)

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?

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

A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include?

sound waves will be used to create a picture of your prostate

A nurse is preparing to discharge a client following an anterior and posterior colporrhaphy. Which of the following instructions should the nurse provide?

do not engage in intercourse for at least 6 weeks

A nurse is providing instructions to a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure?

do not use or apply any deodorant the day of the exam

A nurse in a provider's office is reviewing a client's lab results, which shows a positive rapid plasma regain (RPR). Which of the following tests will be administered to confirm the diagnosis of syphilis?

fluorescent treponemal antibody absorbed (FTA-ABS)

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?

give the client extra time to perform activities

A nurse is assessing a client. Which of the following findings indicates that the client has experienced a left-hemispheric stroke?

inability to recognize familiar objects

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 in the teaching?

increase intake of deep yellow and orange vegetables

A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?

infection (can lead to meningitis)

A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect?

loss of cognitive function

A nurse is caring for a client who has diabetes mellitus and reports a gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases?

open-angle glaucoma

A nurse in a provider's office is reviewing the medical record of a client who has fibrocystic breast condition. Which of the following findings should the nurse expect?

palpable rubberlike lump in the upper outer quadrant

A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention?

place the bedside table on the right side of the bed

A nurse is reviewing the medical record of a client who has a cystocele. Which of the following findings should the nurse identify as a risk factor for the development of this disorder?

postmenopausal

A nurse is caring for a client who displays manifestations of state III Parkinson's disease. Which of the following actions should the nurse include?

provide a walker for ambulation

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?

rise slowly when standing

A nurse is providing teaching to the partner of a client who has Alzheimer's disease and has a new prescription for donepezil. Which of the following statements by the partner indicates the teaching is effective?

this medication should help my husband's daily function

A nurse is providing education to a client prior to an initial Pap test. Which of the following statements should the nurse make?

you may experience some bleeding after the procedure

A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about postoperative care. Which of the following information should the nurse include in the teaching?

you might have a continuous sensation of needing to void even though you have a catheter

A nurse is providing postoperative teaching to a client following cataract surgery. Which of the following statements should the nurse include in the teaching?

you need to limit your housekeeping activities