Cellular Regulation

Which clinical manifestations in a client indicate hyperfunctional thyroid gland? Select all that apply. 1 Anemia 2 Diarrhea 3 Weight loss 4 Decreased appetite 5 Distant heart sounds

2,3

Which drug may be used to treat postpartum hemorrhage? 1 Dinoprostone 2 Clomiphene 3 Menotropins 4 Methylergonovine

4

A pediatric client with a past history of chicken pox reports a fever and headache. Which drug should the nurse avoid giving to the client? 1 Aspirin 2 Tetracycline 3 Nalidixic acid 4 Chloramphenicol

1

Which conditions may result in the decreased effectiveness of estrogen therapy? Select all that apply. 1 Habit of smoking 2 Use of anticoagulants 3 Use of tricyclic antidepressants 4 Presence of endometrial cancer 5 Presence of thromboembolic disorders

1,2

After an open reduction and internal fixation of a fractured hip, what assessments of the client's affected leg should the nurse make? Select all that apply. 1 Skin temperature 2 Mobility of the hip 3 Sensation in the toes 4 condition of the pins 5 presence of a pedal pulse

1,3,5

A 60-year-old client with gastric cancer has a shiny tongue, paresthesias of the limbs, and ataxia. The laboratory results show cobalamin levels of 125 pg/mL. Which medication would the nurse consider to be a high priority for the client? 1 Oral hydroxyurea 2 Vitamin B12 injections 3 Oral iron supplements 4 Erythropoietin injections

2

A client who is admitted for surgery for a ruptured tubal pregnancy tells the nurse that she has shoulder pain. What does the nurse conclude that the pain is caused by? 1 Anxiety about the diagnosis 2 Cardiac changes from hypovolemia 3 Blood accumulation under the diaphragm 4 Rebound tenderness from the ruptured tube

3

A nurse is caring for a client with Cushing syndrome. Which cardiovascular complication should the nurse assess for in this client? 1 Chest pain 2 Tachycardia 3 Hypertension 4 Atrial fibrillation

3

A pregnant client was exposed to a teratogen in her tenth week of gestation. Which nursing intervention should be provided? 1 Suggest a termination of pregnancy 2 Suggest that the newborn undergo surgical treatment 3 Assure the client that the risk of malformation is minimal 4 Suggest at least two ultrasound scans to assess the extent of the injury

3

An older adult has undergone chemotherapy. Which intervention would be beneficial for the client in preventing the risk of a potentially contagious common viral infection? 1 Administering famciclovir 2 Administering gabapentin 3 Administering the zoster vaccine 4 Administering vaccines for herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2)

3

The nurse is caring for a client with hypothyroidism. Which instruction is most important to provide to the client to help in managing their condition? 1 "Take medication on time" 2 "Perform regular exercises" 3 "Dress warmly in cold weather" 4 "Take more proteins in your diet"

3

While reviewing the client's laboratory reports, the nurse finds that there is an elevation in the client's growth hormone levels. Which key features does the nurse assess to rule out the occurrence of acromegaly? Select all that apply. 1 Changes in facial shape 2 Changes in body weight 3 Changes in the chest shape 4 Changes in the lip thickness 5 Changes in the length of hands

3,4,5

The parents of a child who is undergoing chemotherapy for acute lymphocytic leukemia (ALL) ask the nurse about the prognosis of children with this diagnosis. What does the nurse respond is the expected outcome for children with this type of leukemia? 1 Guarded, but the therapy keeps them pain-free 2 Limited to a few months in most of the children affected 3 Positive, with probable cure in 95% of the children affected 4 Extended to at least 5 years in more than 75% of the children treated

4

Which hormone levels do not need to be monitored during the administration of menotropins for infertility? 1 Estrogen 2 Luteinizing hormone 3 Follicle-stimulating hormone 4 Gonadotropin-releasing hormone

4

The primary healthcare provider prescribed antitubercular medication to a client with tuberculosis. During a follow-up visit, the client reports reddish-orange urine. Which medication might have led to this condition? 1 Isoniazid 2 Rifampin 3 Ethambutol 4 Pyrazinamide

2

Iron supplementation is prescribed for a postpartum client. The nurse tells her which liquid she should drink with her iron supplement. What drink does the client select that indicates that the instruction is understood? 1 Milk 2 Water 3 Cream soda 4 Cranberry juice

4

Which clinical indicators can the nurse expect when assessing a client with Cushing syndrome? Select all that apply. 1 Lability of mood 2 Slow wound healing 3 A decrease in the growth of hair 4 Ectomorphism with a moon face 5 An increased resistance to bruising

1,2

The nurse instructs a client suspected of bladder cancer to discard the morning first-voided urine and to collect a fresh urine specimen. The nurse also sends the specimen to the laboratory within 1 hour of collection. Which diagnostic procedure requires this intervention? 1 Residual urine 2 Concentration test 3 Urine cytologic study 4 Protein determination

3

A nurse is caring for a client who had a nephrectomy because of cancer of the kidney. Which factor will influence the client's ability to deep breathe and cough postoperatively? 1 Location of the surgical incision 2 Increased anxiety about the prognosis 3 Inflammatory process associated with surgery 4 Pulmonary congestion from preoperative medications

1

A registered nurse is evaluating the statements of a client after teaching the client measures to decrease the risk for antibiotic-resistant infections. Which statements made by the client indicate a need for more education? Select all that apply. 1 "I should wash my hands frequently." 2 "I should skip doses when I am completely well." 3 "I should avoid taking antibiotics to treat the common cold." 4 "I should save unfinished antibiotics for later emergency use." 5 "I should avoid taking antibiotics without asking the physician."

2,4

A pregnant woman reports severe headaches, chest pain, and fatigue. Upon diagnosis, the woman has hypertension. Which drug can be prescribed to reduce hypertension? 1 Lithium 2 Miglitol 3 Calcium gluconate 4 Magnesium sulfate

4