Module 3 Exam

What can an occupational health nurse discuss with a client in an effort to improve lateral epicondylitis (tennis elbow) pain?

PT consult oral, non steroidal, anti-inflammatory drug may be prescribed use of forearm brace if pain persists- cortisone injection into the inflamed area

teaching about osteomyelitis

risk factor for people with impaired immune systems weight bearing activity is restricted to avoid stress on the affected bone IV antibiotics will be given for 3-6 weeks Elevate the affected extremity

A client is seeing the obstetrician for a monthly checkup at 35 weeks. Vital signs are within normal limits but the nurse notes bilateral pedal edema. What statement by the nurse provides the most appropriate information to the client?

sit and elevate feet above heart

normal stomach pH

1-4, can be up to 6

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

teach about high fiber diet fluids should be consumed between meals provide relaxation techniques keep food diary for 2 weeks chew foods slowly and thoroughly

A nurse is caring for a client with a suspected myocardial infarction (MI). What lab work or diagnostics should the nurse anticipate the primary healthcare provider prescribing to specifically confirm the diagnosis?

ECG Troponin Echo CPK-MB

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?

"The pain is in my back and comes around to my abdomen" "The contractions seem to increase when i begin walking around" "My contractions are every 5 minutes" "Changing my position does not help with pain intensity"

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

60 year old who requires corticosteroids for asthma treatment.

A client arrives to the emergency department after an altercation resulting in a knife wound to the abdomen. The nurse makes the following observation. Which intervention should the nurse perform? intestines are on outside

Initate NS IV with large bore catheter notify surgeon stat

A nurse auscultates for bowel sounds in a client suspected of having a bowel obstruction in the transverse colon. What would the nurse expect to hear in the right lower abdominal quadrant

hyperactive bowel sounds

Which condition requires the nurse to discontinue an intravenous infusion of oxytocin to a laboring client?

late decels in fetal HR

discharge education for a patient with GERD

lose weight slowly--1 k per week avoid tight fitting clothing

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

position patient side-lying

An occupational health nurse is planning to teach a group of manufacturing workers how to prevent back injuries. What teaching points should the nurse plan to include?

squarely face the direction of anticipated movement pivot to turn while holding an object wear comfortable, low heeled shoes

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?

the type of incision used for cesarean

A nurse is planning care for a client admitted to the unit after application of a halo apparatus to immobilize the cervical spine. What interventions should the nurse include?

use the log roll technique when turning the client in bed have client sit up slowly with assistance inspect the skin for breakdown under the halo vest

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

drinking decaffeinated tea is acceptable administer esomeprazole sit upright for 3 hours after meal

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

hearing loss walking with a limp bow-legged numbness in lower extremities

physical assessment of patient with RA

nodules over bony prominences reports of weight loss joint deformity low grade fever

A client has been admitted to the orthopedic surgical unit after repair of a fractured right arm and right leg due to a motor vehicle accident. Preoperative vital signs are heart rate 88/min, respiration 16/min, BP 132/86, Temp. 98.6° F (37° C). The unlicensed assistive personnel reports the 2 hour post op vital signs as heart rate 98/min, respirations 20/min, BP 138/88, Temp. 98.6° F (37° C). What are the appropriate nursing interventions?

assess client using pain scale method perform neurovascular check of distal extremities monitor surgical dressings for drainage

which clients would need a contraction stress test

client at 38 weeks with gestational diabetes client at 37 weeks

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

contact the PCP

The charge nurse is evaluating a new nurse, who is preparing to administer a bolus enteral feeding to a client. The client receiving a proton pump inhibitor. The new nurse checks the pH of aspirated gastric fluid to determine feeding tube placement. The pH reading is 6. Which actions taken by the new nurse requires intervention by the charge nurse?

prepares to initiate feeding since pH is 6 tells client that feeding tube needs to be replaced notify PCP of the finding Pushes air into tube to check for correct placement