Hurst Module 3 Cards

The nurse is assessing a pregnant client who thinks she is in labor. Which statement by the client would alert the nurse that the client is likely experiencing true labor?

1. "The pain is in my back, and comes around to my abdomen." 2. "The contractions seem to increase when I begin walking around." 4. "My contractions are coming every 5 minutes."

The house supervisor has sent an LPN to assist on a busy medical-surgical unit. Which client could the charge nurse assign to the LPN?

1. Being discharged with a new Hickman port. 3. Two-days post gastric bypass taking clear liquids. 4. With Alzheimer's disease awaiting transfer to nursing home.

Which assessment finding would the nurse expect in a client diagnosed with Paget's disease?

1. Severe back pain 2. Walking with a limp 5. Bow legged

What sign and symptom should the nurse expect to find during the physical assessment of a client who has a history of rheumatoid arthritis?

1. Nodules over bony prominences 3. Reports of weight loss 4. Cool, swollen joints

Which interventions would the nurse initiate to lessen acid reflux in a client diagnosed with gastric esophageal reflux disease (GERD)?

1. Provide small, frequent meals. 2. Avoid carbonated beverages. 3. Administer omeprazole as prescribed. 4. Assist with smoking cessation. 5. Place in right lateral position after eating.

A client who is gravida 2 para 1 is visiting the obstetric clinic for a checkup. The first delivery was a cesarean for failure to progress, and the client indicates a desire for a vaginal delivery this time. The nurse knows the most important factor in determining the possibility of a vaginal birth after cesarean (VBAC) is what?

2. The type of incision used for the cesarean.

Which statement made by a client diagnosed with Addison's disease indicates to the nurse that the client needs further teaching about fludrocortisone therapy?

2. "It is important to wear a medical alert bracelet all of the time."

Immediately following a below-the-knee amputation (BKA), the nurse positions the client to prevent complications. What intervention related to position of the residual limb is a priority at this time?

2. Elevate foot of the bed

The nurse is preparing a seminar for a group of clients diagnosed with irritable bowel syndrome. Which point should the nurse include?

2. Schedule meals at regular times. 3. Fluid should be taken with meals. 4. Become active in yoga classes. 5. Keep a food diary for 2 weeks.

A client diagnosed with ulcerative colitis has a new prescription for a biologic agent. What is the priority education the nurse needs to make certain the client receives?

2. Stay away from people who are sick.

A client has been admitted with advanced cirrhosis. The nurse's assessment reveals an abdominal girth increase of 5 inches (12.7 cm) and a weight increase of 6 lbs. (2.72 kg) since yesterday's measurements. Based on this data, what would be the nurse's priority assessment?

3. Blood pressure

A client who is four days post-op cholecystectomy complains of severe abdominal pain. During the initial assessment the client states, "I have had two almost black stools today." Which nursing action is most important?

3. Contact the primary healthcare provider

Post epidural anesthesia, a laboring client's blood pressure drops to 92/42. Which intervention by the nurse takes priority?

3. Position client side-lying

Which client diagnosed with chronic peptic ulcer disease is at the highest risk for gastrointestinal bleeding?

4. 70 year old who takes clopidogrel daily for unstable angina.