Quiz # 3.1
The patient scheduled for a computed tomography (CT) scan with contrast medium questions the nurse why the technologist asked her if she had any food allergies. Which response by the nurse is correct?
"Allergies to shellfish can be a problem because shellfish and CT scan dye are iodine based."
A client with chronic arterial occlusive disease has a history of intermittent claudication. Which question does the nurse ask to assess the degree to which the client is affected by this condition?
"Is your leg pain sharp, and does it occur with exercise?"
A father is concerned about how long his preschool-age child will continue sucking his thumb. What is the most helpful response from the nurse?
"Most children will stop thumb-sucking naturally by school age
What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game?
A bagel and skim milk
Which nursing diagnosis may be identified for a patient with hyperthyroidism?
Disturbed sleep pattern
How often should a child who has a continuous intravenous infusion should be assessed?
Hourly
Which possible complication(s) may result from being prostatic hyperplasia (BPH)? (Select all that apply)
Hydroureter Urinary tract infection (UTI) Renal failure Hyrdonephrosis
When can the LPN/LVN apply a physical restraint to a resident in a long-term care facility? (Select all that apply)
If documentation is made on all failed attempts If the family is unable to stay with the resident If all other measures have ben attempted and failed If the least restrictive device is chosen
A 65-year-old man is diagnosed with type 2 diabetes mellitus. Which patient symptom(s) would indicate type 1 diabetes mellitus and not type 2? (Select all that apply)
Increased thirst over the past week
Which are common signs and symptoms when a patient is dehydrated? (Select all that apply)
Low blood pressure Thirst ! Dry mouth
The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient?
No regular physical exercise
The nurse is teaching a patient with diabetes how to prevent or delay chronic kidney disease (CKD). Which patient statements indicate a lack of understanding of the teaching? (Select all that apply)
Oxytocin (Pitocin)
A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago. She screams in pain when she raises herself onto the bedpan. Which nursing diagnosis takes highest priority for this child?
Pain resulting from tissue trauma
The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac dysrhythmia. The patient takes hydrochlorothiazide (HydroDIURIL) and reports regular use of over-the-counter laxatives. Before administering the first dose of digoxin, the nurse will review the patient?s electrolytes with careful attention to the levels of which electrolytes?
Potassium and magnesium
The nurse is constructing a teaching plan about fatigue management for a patient who is taking radiation treatments. Which information should the nurse include?
Prioritize activities and alternate rest with periods of activity.
A patient who has been diagnosed with chlamydia is started on a protocol of doxycycline. Which information is important for the nurse to include in teaching this patient? (Select all that apply)
Take the entire prescription of antibiotics Chlamydia can develop into pelvic inflammatory disease (PID) Use a condom to protect partners from the disease
A woman who is pregnant is taking an anticonvulsant medication to treat a seizure disorder. The nurse will ensure that the patient takes which dietary supplement toward the end of her pregnancy?
Vitamin K
A prepared childbirth nurse educator is discussing potential discomforts during pregnancy with a group of women. When relaying information about nausea and vomiting, the nurse will include which statement(s)? (Select all that apply)
Vomiting during pregnancy is more common among primigravidae
A child has been diagnosed with asthma and the nurse is providing education to the family. Which statement by the mother indicates a need for further teaching?
We will confine our dog to the kitchen area."
pon assessment a nurse discovers postural abnormalities on several patients. Match the abnormalities to the findings the nurse observed.
lordosis: Exaggeration of anterior convex curve of lumbar spine : Kyphosis kyphosis: Increased convexity in curvature of thoracic spine scoliosis: lateral S genu: legs curved inward
he patient received a preoperative dose of lorazepam (Ativan) 20 minutes ago. Which safety precaution should the nurse take?
monitor respiratory status
A long term care resident is taking an anticholinergic agent. The nurse observes the resident to be disoriented and hallucinating. The priority nursing action is to:
provide for resident's safety.
What statement indicates the parent understands the guidelines for bathing a newborn?
"I should shampoo the head after washing the rest of the body."
Which statement is most important for the nurse to make when caring for an anxious patient with a new tracheostomy?
"I understand that you might be apprehensive."
The nurse is educating a patient who requires daily postural drainage treatments. Which statement indicates that the patient understands when and why treatments will be scheduled? Correct!
"I will have treatments first thing in the morning to get rid of fluids that have built up over night."
A patient reports, "I am overwhelmed by stress." Which question by the nurse would be most important to use in the initial assessment of this patient?
"Tell me about the kinds of things you do to reduce or cope with your stress."
The patient states that he had a cardiac catheterization 10 years ago and wonders if any of the postprocedure care has changed. Which response by the nurse is most accurate?
"You will most likely be able to ambulate within a few hours if your doctor uses an arterial closure device at the catheter insertion site."
Which criteria are part of the alcohol dependency diagnosis guidelines? (Select all that apply)
Altered family relationships Answer Altered occupational productivity Blackouts or amnesia pertinent to drinking epi
A 20-yr-old patient has a mandatory electrocardiogram (ECG) before participating on a college soccer team and is found to have sinus bradycardia, rate 52. Blood pressure (BP) is 114/54 mm Hg, and the student denies any health problems. What action by the nurse is most appropriate?
Allow the student to participate on the soccer team.
A nurse cares for a patient with a hypofunctioning anterior pituitary gland. Which hormones would the nurse expect to be affected by this condition? (Select all that apply.)
Thyroid-stimulating hormone Growth hormone Follicle-stimulating hormone
Which instruction will the nurse include when teaching a patient about the administration of translingual nitroglycerin spray?
Administer the medication under the tongue.
Which specific drug(s) should be independently double checked with a second licensed nurse prior to administration to pediatric patients? (Select all that apply)
Anticoagulants Insulin ! Digoxin Answer Calcium salts
The nurse explains that anxiety disorders differ from normal anxiety. Which statement accurately describes anxiety disorders?
Anxiety disorders interfere with effective functioning.
What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? (Select all that apply)
Application of sunblock Appetite stimulation Conservation of energy Answer Provision for expressions of anger
A patient who has been diagnosed with chlamydia is started on a protocol of doxycycline. Which information is important for the nurse to include in teaching this patient? (Select all that apply)
Assisting residents with hand hygiene after participating in group activities Assisting residents with hand hygiene before meals Cleaning incontinent residents as soon as possible Inspecting residents' skin for open areas during bathing
The nurse instructs the nursing assistant in a long-term care facility regarding infection control measures. Which action(s) demonstrate(s) that the nursing assistant understands the nurse's teaching? (Select all that apply)
Assisting residents with hand hygiene after participating in group activities Assisting residents with hand hygiene before meals Cleaning incontinent residents as soon as possible Inspecting residents' skin for open areas during bathing
What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?
Be adjusted to mental age rather than chronological age.
While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?
Consider cultural differences during this assessment.
The community health nurse is preparing to administer a medication to a patient in the patient's home. The order reads "amoxicillin as directed BID PO." The nurse will perform which action?
Contact the provider to confirm the correct dose of the medication.
A woman is diagnosed with a urinary tract infection in the postpartum period. What foods can the nurse encourage to increase the acidity of the urine? (Select all that apply)
Cranberry juice Prunes Apricots Plums
The nurse is teaching a patient who will begin taking ciprofloxacin. What instruction will the nurse include when teaching this patient about this drug?
Do not take this medication with oral contraceptive pills."
The PACU nurse is caring for an unconscious patient. Assessment reveals diminished breath sounds bilaterally. Which action should the nurse take?
Document "diminished breath sounds in both lower lobes."
What will the nurse include when documenting the discharge of a pediatric patient? (Select all that apply)
Time of discharge Condition of the child Adult(s) accompanying the child and the relationship to the child Answer Method of transportation
he nurse is preparing medications for a patient. When is the best time for the nurse to administer lovastatin (Mevacor)?
During the patient's dinner
A nurse determines that the patient's condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting?
Evaluation
The nurse explains to an obese patient the initial medically supervised weight reduction includes which component(s)? (Select all that apply)
General health assessment Specialized exercise program Participation in a support stress reduction
Which physiologic change(s) explain why the older adult is at greater surgical risk? (Select all that apply)
Greater vulnerability to fluid loss Fewer physiologic reserves Greater probability of chronic illnesses
he nurse is caring for a 45-year-old male Arab patient who is in pain. Which action can most likely be attributed to the patient's cultural belief about pain?
The patient asks for pain relief to control pain.
The nurse at a week-long camp observes a child using an EpiPen after having a bee sting. What actions by the child show a good understanding of how to use this device? (Select all that apply)
uses the top of the thigh, slightly to the outside Answer Injects medication through pants Requests the nurse call 911
