Final Review

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the provider?

"I need something for the pain in my eye. I can't stand it.

During assessment of a patient admitted to the hospital with an acute exacerbation of multiple sclerosis, what would the nurse expect to find?

Motor impairment, visual disturbances and paresthesias

The classic manifestations associated with Parkinson's disease is tremor, rigidity, akinesia, and postural instability. What is a consequence related to rigidity?

Muscle soreness and pain

A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse report immediately to the provider?

Purulent dialysate outflow

A nurse asks the AP to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

Ask the AP about her concerns with the assignment.

A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?

Assess orthostatic blood pressure

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Avoid foods high in fat

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?

Tachycardia

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

The client has a 5 lb weight gain since yesterday

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The client holds his breath for 10 seconds after inhaling the medication

A nurse is assisting a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet?

Whole grains

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?

Different apical and radial pulses

A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?

Dysphagia

A nurse is caring for an older adult client who has 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

A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions?

Fresh flowers and potted plants in the room

A nurse is assessing an adolescent who has an exacerbation of Graves disease. Which of the following findings should the nurse expect?

Heat intolerance

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication?

History of gastric ulcers

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Hyperpigmentation

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicated an adverse effect of the medication?

I feel nauseated and have no appetite

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Insomnia

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Iron

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

It is caused by the lack of production of aldosterone by the adrenal gland.

A nurse is proving teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client?

Levodopa/Carbidopa

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Levothyroxine

A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?

Dialysis disequilibrium

A nurse is caring for a client who has chronic obstructive pulmonary disease. The client tells the nurse" I can feel the congestion in my lungs, but I can't seem to cough it up. Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?

Encouraging the client to drink 2 to 3 L of water daily

A nurse is proving teaching for a client who has a new diagnosis of stable angina. The nurse should give the client which of the following information about anginal pain?

Exertion and anxiety can trigger the pain

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

Facial edema

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

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

Rinse the mouth after administration

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Serum creatinine 6 mg/dL

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require reaching about which of the following medications?

Acetaminophen

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Administer a nebulized albuterol treatment

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch and report which of the following adverse effects?

Black, tarry stools

A nurse is teaching a client who is to begin long-term therapy with prednisone to treat RA. The nurse should instruct the client to take which of the following supplements?

Calcium and Vitamin D

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for . which of the following medications?

Carvedilol

In the patient with a dysrhythmias, which assessment indicated decreased cardiac output?

Chest pain and decreased mentation

A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

Client report of numbness in his hands

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

Notify the provider of the client's allergy

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

Oliguria

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following lab values should the nurse monitor for this client due to this medication?

Potassium

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse to review prior to administering the medication?

Potassium

A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decrease in which of the following laboratory values?

Potassium

A nurse suspects a client who has myasthenia gravis is experiencing a crisis. Which of the following interventions should the nurse take?

Prepare the client for mechanical ventilation

A nurse is talking with a client whose thyroid-stimulation hormone level will be measured. Which of the following statements by the nurse explains the purpose of this test?

This test determines whether your thyroid gland is overactive, appropriately active, or underactive.

A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?

Tremors, nervousness, and insomnia may indicate your dose is too high

A nurse is a clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

Try taking a mild analgesic to relieve the headache

A nurse is caring for a client who has an acute kidney injury. Which of the following is an expected finding during the oliguric phase?

Urine output is less than 400 mL per 24 hours

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?

Vitamin K

A nurse is teaching a client who is receiving radiation therapy about skin care. Which of the following instructions should the nurse include?

Walk outside in the early mornings

A nurse is caring for a client who has ESRD. Which of the following are expected findings?

-Anemia -Bone pain -Pruritus

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Adrenocortical insufficiency

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as a priority to monitor?

Airway patency

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?

Bradykinesia

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 discussing kidney transplant with a client who has end stage renal disease. Which of the following should the nurse identify as a contraindication for this treatment?

HIV - positive

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Hacking cough

A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Muscle contractions become progressively stronger

A nurse is teaching the parents of a child who is to start using a metered-dose inhaler to treat asthma. Which of the following information should the nurse include in the teaching?

The spacer increases the amount of medication delivered to the lungs.

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

Weakness

A nurse is providing education for a client who has glaucoma. Which of the following statements should the nurse include in the teaching?

Without treatment. glaucoma can cause blindness.