402 Midterm part 2
Which of the following should be encouraged for clients who have cholelithiasis? (select all that apply)
regular exercise program no smoking low-fat diet
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
0.9% sodium chloride IV bolus
A nurse is reviewing the laboratory results of an adolescent female client and notes a WBC count of 16,000/mm³ with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results?
An acute infectious process
A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?
Encourage ambulation once fully awake.
A client with HIV encephalopathy should have the following precaution implemented.
Implement seizure precautions
A nurse is teaching a female client who has a new dx of Systemic Lupus Erythematosus (SLE). The nurse should recognize the client understands the disease process when the client indicates the following as factors that can exacerbate SLE?
Pregnancy Infection Sunlight
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Tingling of the extremities
Which of the following manifestations would indicate a delayed hypersensitivity reaction?
Tissue damage at the site.
A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?
amylase
A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?
Avoid crowds
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Chvostek's sign
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
CD4-T-cell count 190 cells/mm3
A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Check the tubing for kinks.
A nurse is reviewing the laboratory results of a client who is postoperative. Which of the following laboratory findings should the nurse identify as an indication of postoperative infection? (Select all that apply.)
Correct answer: Increased band neutrophils Elevated erythrocyte sedimentation rate
A nurse is caring for a client who is suspected of having HIV. The nurse should identify that which of the following dx tests and lab values are used to confirm HIV infection, (not the viral load)? (Select all that apply).
Enzyme-Linked Immunosorbent Assay (ELISA) Western Blot, or Indirect Immunofluorescence Assay (IFA)
A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Erythrocyte sedimentation rate (ESR)
A nurse is providing discharge teaching to a client who is postoperative following open cholecystectomy with T-tube placement. Which of the following instructions should the nurse include in the teaching? (select all that apply)
Expect removal of the tube in 1 to 3 weeks Clamp the T-tube for 1 hour before and after meals. Keep the drainage system at appropriate level to drain via gravity.
A nurse is reviewing the laboratory results of a client who is at risk for developing diabetes mellitus. The nurse should recognize that which of the following results indicates the client meets the criteria for diagnosis of diabetes mellitus?
Fasting blood glucose 155 mg/dL
A student nurse is assisting a nurse in presenting a community-based program about HIV and AIDS. The nurse asks the student to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?
Flu-like symptoms and night sweats
A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the following findings is the priority to report?
Hand spasms present when blood pressure is checked.
A nurse in an allergy clinic is caring for a client who has a history of seasonal allergy symptoms. The client had a radioallergosorbent test (RAST) completed on a previous visit. The nurse should recognize that an elevation in which of the following immunoglobulins indicates a positive result?
Immunoglobulin E (IgE)
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?
a client who has multiple tattoos
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (select all that apply)
beta-blocking agent diuretic lactulose
A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?
cool, clammy skin
A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?
fatty stools
