Adaptive Quiz 3
A student nurse is describing palliative care to a client's family. Which statement made by the student nurse indicates a need for correction by the registered nurse?
"Palliative care is the same as hospice care."
When should the nurse observe the client to assess his or her level of functioning? Select all that apply.
-During meal time -When preparing medication -When administering insulin injections
The nurse is caring for a client with burns receiving opioid analgesics and who is sedated. Which medications should the nurse anticipate to be prescribed by the primary healthcare provider to overcome this side effect of the opioid analgesics? Select all that apply.
-Pregabalin -Gabapentin
A client with recurrent episodes of nausea, vomiting, and abdominal pain arrives at the hospital. Assessments by the primary healthcare provider reveal that the cremasteric reflex is absent, and emergency surgery is performed. What is the likely diagnosis?
Testicular torsion
A client is burned on the anterior part of both legs, from the knees to the feet. The nurse uses the rule of nines to assess the percentage of total body surface area (TBSA) burned. Which percentage should the nurse document in the client's hospital record?
9%
Arrange the sequence of steps required to stimulate antibody-mediated immunity in its correct sequence.
Exposure of antigen>Antigen recognition>Sensitization>Antibody production>Antibody-antigen binding>Antigen elimination
A nurse is caring for a newly admitted client with a diagnosis of Graves disease. In preparing a teaching plan, the nurse anticipates which diet will be prescribed for this client?
High-calorie diet
The nurse determines that the plan for bolstering an overweight adolescent's self-esteem has been effective when, 3 months later, the adolescent's mother reports that the adolescent is doing what?
Joined a dirt bike group that meets at the school
A nurse is caring for a client whose behavior is characterized by pathologic suspicion. What is the most therapeutic nursing action?
Trying to establish trust through consistency of care
An adult client with mobility problems wishes to become an organ donor. Which act allows the client to donate his or her organs?
Uniform Anatomical Gift Act
What client response should the nurse anticipate when an attempt is made to prevent a client from carrying out ritualistic behavior?
Anger
The nurse is assessing a client with an open fracture who is in a trauma condition. What are the nursing interventions in order of priority?
Assessing for airway patency, breathing, and circulation>Cutting away the clothing from the fracture site>Applying direct pressure on the injured area>Administering morphine sulfate intravenously
The healthcare team is caring for clients who sustained injuries in an accidental fire. Which client should be provided with immediate care based on priority?
Client with burns to the head
A pediatric client with a history of chickenpox is undergoing treatment for mental illness with psychotherapeutic drugs. Which is the expected adverse effect of the psychotherapeutic drug in the pediatric client?
Reye's Syndrome
A nurse is caring for a terminally ill client who is angry with everything and everyone. The nurse, who has been encouraging the client to make decisions about daily activities, determines that some of the anger may have resolved when the client says what?
"I can do my face, hands, arms, and chest today, but I think you'd better do the rest."
After an automobile accident a person is arrested for driving while intoxicated and is admitted to the hospital. When the client becomes angry and blames the family for personal problems, the nurse can be most therapeutic by using which statement?
"I can see that you're upset about your family, but we need to focus on what you need right now."
A nurse is teaching a group of students about the characteristics of adolescence. Which statements made by the students indicate adequate learning? Select all that apply.
-Body fat distribution affects the adolescent's self-concept -Accidents are the leading cause of death among adolescents -A negative body image leads to suicidal thoughts in the adolescent
A child who reports shortness of breath, wheezing, and coughing is found to have pulmonary edema and is prescribed furosemide. Which nursing interventions would be beneficial to the client? Select all that apply.
-Checking the child's weight every day -Calculating the dose of drug as carefully as possible -Assessing the child regularly to help prevent electrolyte loss
A woman reports night sweats, sleep disturbances, and weight gain. Upon diagnosis, the woman has low levels of estrogen and is given hormonal therapy. Which nursing interventions would be beneficial to the client? Select all that apply.
-Encourage physical activity -Advise the client to take oral forms of estradiol with food -Provide the client with instructions on self-administration
A client is admitted to the hospital with a diagnosis of dehydration and hypokalemia. Which statement/intervention is most accurate when administering potassium chloride intravenously to this client with hypokalemia?
Oliguria is an indication for withholding intravenous (IV) potassium