Pcc 2 exam 1

A nurse is caring for a child who has acute appendicitis. Which of the following should the nurse anticipate when reviewing this client's lab values? (WBC) level of 17,000/mm3 A neutrophil level of 3,000/mm3 RBG 4.2 millon/mm3 lymphocytes 3,000/mm

(WBC) level of 17,000/mm3

A nurse is teaching a client who has pre-dialysis end stage kidney disease about diet. Which of the following instructions should the nurse include? - "Increase intake of dietary phosphorus" - "Eliminate foods high in protein from your diet" - "Reduce intake of foods high in potassium" - "Increase intake of sodium-containing food"

- "Reduce intake of foods high in potassium"

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include? - "You should expect your stoma to be a purple color." - "The end of the stoma will be painful after this procedure." - "You will have a stoma in your lower left abdomen." - "Your colostomy will not produce formed stool."

- "You will have a stoma in your lower left abdomen."

A nurse is teaching a client about the seven warning signs of cancer. Which of the following should the nurse include as manifestations of cancer? - A non-healing sore - Bloating - Change in bowel pattern - Change in moles - Nagging cough

- A non-healing sore - Change in bowel pattern - Change in moles - Nagging cough

A nurse is planning care who is receiving enteral feedings through an NG tube. Which of the following actions should the nurse plan to take first? - Aspirate the client's stomach contents - Hang the feeding bag 30 cm (12 in) above the client - Label the feeding bag with the date and time of the start of the feeding - Warm the feeding to room temperature

- Aspirate the client's stomach contents

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? - Neutropenic - Bleeding - Contact - Droplet

- Bleeding

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? - Both are inflammatory - Both begin in the rectum - Both manifest fistula formation - Both require frequent surgery

- Both are inflammatory

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi? - Protein in the urine - Dehydration - Iron deficiency - Obesity

- Dehydration ( Dehydration can cause hypercalcemia which increases the risk for renal stone formation. Inadequate fluid intake can result in urinairy stasis and promote the formation of calcui.)

A nurse is preparing to administer three liquid medications to a client which has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take? - Mix the three medications together prior to administering - Dilute each medication with 10 mL of tap water - Maintain the head of the bed in a flat position for 30 min following medication administration - Flush the NG tube with 30 mL of water immediately following medication administration

- Flush the NG tube with 30 mL of water immediately following medication administration

A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon Assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations? - Hypovolemia - Hypervolemia - Hyperkalemia - Hyponatremia

- Hypervolemia

A nurse is admitting a who is about to undergo surgery for benign prostatic hypertrophy. The client states "I dont know what I will do if they find I have cancer." Which of the following responses should the nurse make? - Why do you think you might have cancer when your diagnosis is a benign condition? - I'm looking at your chart and I don't see any reason for you to worry about. - I think that is something you need to discuss with your provider - I'm hearing that you are concerned that it might turn out that you have cancer."

- I'm hearing that you are concerned that it might turn out that you have cancer."

A nurse is providing an education program about dietary interventions to reduce the risk for prostate cancer. Which of the following information should the nurse include? - Increase animal fat in the diet - Increase fatty fish in the diet - Reduce dietary fiber intake - Increase complex carbohydrates

- Increase fatty fish in the diet ( The pt should increase intake of fish and increase omega-3 fatty acids to reduce the risk for prostate cancer)

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain? - Lower left quadrant - Upper left quadrant - Lower right quadrant - Upper right quadrant

- Lower left quadrant ( The disease is usually found in the sigmoid colon, where high pressure to move fecal contents from the rectum causes pouch formation)

A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling catheter. Which of the following actions should the nurse take first? - Increase fluids - Perform a bladder scan - Insert a straight catheter - Provide assistance to bathroom

- Perform a bladder scan

A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet? - Creamed Chicken - Roast turkey - Ice Cream - Macaroni and Cheese

- Roast Turkey (Roast Turkey is a low fat protein that is appropriate for inclusion in the client's diet. Low-fat food decreases stimulation of the gallbladder, thereby reducing associated symptoms.

A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer society recommendation that men and women beginning at age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonoscopy at which of the following intervals? - Five years - Ten Years - One Year - Two Years

- Ten Years

A nurse is preparing a client for a colonoscopy. The client has a family history of colon cancer. Which of the following types of prevention is the nurse demonstrating? - Primary - Secondary - Tertiary - Quaternary

-Secondary

A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? (Select all that apply.) -report of feeling pressure -tenderness over symphysis pubis -distended bladder -voiding 30mL frequently -dysuria

-report of feeling pressure -tenderness over symphysis pubis -distended bladder -voiding 30mL frequently

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? - Dietary iron restrictions - Intestinal malabsorption syndrome - Chronic Blood Loss - Intestinal Parasites

C. Chronic blood loss (A client with long-standing ulcerative colitis is most likely anemic due to chronic blood loss in small amounts that occurs over time, although the colitis may result in erosion of the intestine and hemorrhage. These clients often report bloody stools and are therefore at increased risk for developing anemia.)

A nurse is teaching a client's adult son about how to position the client when administering enteral feedings at home. Which of the following statements by the son indicates an understanding of the teaching? - I will allow him to be in the position where he is most comfortable - I will elevate the head of the bed 10 degrees during the feeding - I will turn him on his left side during the feeding - I will have him sit in his chair during the feeding

I will have him sit in his chair during the feeding

appendicitis

inflammation of the appendix

Cholycystitis

inflammation of the gallbladder