Exam 1 Focused Review

Which laboratory value would the nurse assess to evaluate response to the medication epoetin?

Hemoglobin.

After an amputation of a limb, a client reports extreme discomfort in the area where the limb once was. Which goal would the nurse plan to focus interventions?

Identifying actions to decrease pain in the lost limb.

Which potential complication may occur early in the recovery period when providing care for a client with paraplegia secondary to a spinal cord injury?

Impairment of bladder control.

Which nursing action would have the highest priority when the nurse is moving a client with a neck and spinal cord injury during the assessment process?

Implementing the logrolling technique.

Which confirmatory test would the nurse anticipate for a client with a tentative diagnosis of Hodgkin disease?

Lymph node biopsy.

Which nursing action would be a priority for a client with a spinal cord injury who has developed sudden autonomic dysreflexia?

Place in a sitting position.

Which cytokine would the nurse teach a client is treatment for multiple sclerosis?

Beta interferon.

Which explanation would the nurse provide family members who ask the meaning of their loved one's diagnosis of "paraplegia" after experiencing a spinal cord injury?

Both lower and upper extremities are paralyzed.

A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for the members of the family who have been exposed?

Ionazid.?

Which education would the nurse provide the parent of an infant with cerebral palsy to support setting care goals?

Unknown extent of the disability requires continual adjustment.

The nurse is caring for a client who had surgery for removal of a parotid tumor. Which nursing intervention is the priority in the immediate postoperative period?

Keeping the client's respiratory passages patent.

Which recommendation is essential for the nurse to include when providing counseling to a client with systemic lupus erythematosus (SLE)? Select all that apply. One, some, or all responses may be correct.

"Wear a large-brimmed hat." , "Take your temperature daily." , "Balance periods of rest and activity."

Which potential immunological reaction may occur in a client who experiences localized edema and itching from an insect bite?

Anaphylaxis.

The nurse is reviewing the history, physical examination, and diagnostic test results of a client with colitis. Which clinical finding would the nurse associate with this disorder? Select all that apply. One, some, or all responses may be correct.

Anemia. , Diarrhea. , Abdominal cramps.

Which property would the nurse understand that the medication is being used primarily for when aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis?

Anti-inflammatory.

Which medication of choice would be prescribed for a client who is diagnosed with chlamydia?

Ceftriaxone.

Which lymph nodes would the nurse expect to be affected first when a client is diagnosed with Hodgkin disease?

Cervical.

The nurse practitioner prescribes azithromycin for a sexually active woman with a history of mucopurulent drainage and bleeding associated with cervical dysplasia, dysuria, and dyspareunia. With which sexually transmitted infection are those clinical findings and medication therapy commonly associated?

Chlamydial infection.

Which second-line medication would the nurse prepare to give after administering epinephrine to a client experiencing an anaphylactic reaction? Select all that apply. One, some, or all responses may be correct.

Dexamethasone. , Diphenhydramine. , Diphenhydramine hydrochloride. , Hydrocortisone sodium succinate.

Which clinical finding would the nurse anticipate for a client who has an exacerbation of multiple sclerosis? Select all that apply. One, some, or all responses may be correct.

Double vision. , Scanning speech.

Which intervention is best when an adolescent has been admitted with a history of symptoms of fatigue, intermittent fever, weight loss, and arthralgia, and the diagnosis is systemic lupus erythematosus?

Education about diet, rest, and exercise.

After the nurse has finished teaching methods of reducing fatigue to the client with multiple sclerosis, which statement made by the client indicates that the client has understood the nurse's instruction?

Rest in an air-conditioned room.

Which action would the occupational health nurse take after a tuberculin skin test (TST) on a nurse working in the emergency department revealed an 11-mm induration?

Schedule the nurse for a chest x-ray.

A client with Crohn disease is admitted to the hospital with abdominal pain, fever, poor skin turgor, and having experienced 10 liquid bowel movements in the past 24 hours. The nurse suspects that the client is dehydrated based on which assessment findings? Select all that apply. One, some, or all responses may be correct.

Sunken eyes. , Dry mucous membranes.

Which disorder would the nurse suspect in a client who reports hair loss, joint pain, and a facial rash and has a medical record showing the presence of a butterfly rash?

Systemic lupus erythematosus.

Which laboratory test would the nurse review for a client suspected of rheumatoid arthritis?

Antinuclear antibody.

Which instruction would the nurse teach when initiating a client with tuberculosis on rifampin? Select all that apply. One, some, or all responses may be correct.

"Avoid drinking alcohol as long as you are on this medication." , "Notify your provider immediately if you develop a yellow appearance to your skin." , "Your soft contact lenses will become permanently stained because of this medication."

Which action would the nurse take when providing care for a client who has compartment syndrome? Select all that apply. One, some, or all responses may be correct.

Assist with splitting the cast. , Monitor urine output. , Evaluate pain using a pain scale.

Sildenafil is prescribed for a man with erectile dysfunction. Which side effects of this medication would the nurse mention in teaching? Select all that apply, one, some, or all responses may be correct.

Flushing. , Headache. , Dyspepsia.

The nurse is eliciting a health history from a client with ulcerative colitis. Which factor would the nurse consider to be most likely associated with the client's colitis?

Genetic predisposition.

Which action will the nurse take first when treating a client who is having an anaphylactic reaction?

Give epinephrine 0.5 mg intramuscularly.

A client asks the nurse what causes the sudden loss of vision commons in persons with multiple sclerosis. Which factor would the nurse include in the explanation?

Optic nerve inflammation.

The nurse provides education to a client with the diagnosis of bone cancer that has a metastasis to the lung. Which client statement indicates the need for further teaching related to the concept of metastasis?

"Because my cancer has metastasized, my diagnosis now is lung cancer."

Which risk factor would the nurse discuss with a local women's group as indicating the need for breast cancer screening at an earlier age?

Family history of breast cancer.