Adult Health Nursing Exam Review
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients, emphasizing the promotion of health, prevention of illness, and management of acute and chronic health conditions. The course covers key concepts in patient assessment, clinical decision-making, and evidence-based interventions tailored to adult and older adult populations. Students learn to integrate holistic approaches, including physical, psychosocial, and cultural considerations, while collaborating with interdisciplinary teams to provide safe, ethical, and patient-centered care. Emphasis is placed on critical thinking, effective communication, and advocacy to support optimal health outcomes across diverse adult populations in various healthcare settings.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
Source URL: https://quizplus.com/study-set/220 Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) Which of the following refers to a situation that results in unintended harm to the client and is related to the care or services provided rather than the client's medical condition?
A)Negligence
B)Adverse event
C)Incident report
D)Nonmaleficence
Answer: B
Q2) The nurse is caring for a critically ill client in the intensive care unit and plans an A)Dependent
B)Cooperative
C)Independent
D)Collaborative
Answer: D
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Page 3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/3267
Sample Questions
Q1) Agraduate nurse is assessing a newly admitted non-English-speaking Chinese client who complains of severe headaches. Which of the following actions by the graduate nurse would cause the charge nurse to intervene during this assessment interview?
A)Sit down at the bedside.
B)Palpate the client's scalp.
C)Call for a medical interpreter.
D)Avoid eye contact with the client.
Answer: B
Q2) According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural values is in which of the following domains?
A)Skills domain
B)Affective domain
C)Knowledge domain
D)Behavioural domain
Answer: B
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Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3268
Sample Questions
Q1) When assessing the circulation to the lower leg of a client who has had knee surgery, which action should the nurse take first?
A)Feel for the temperature of the foot.
B)Visually inspect the colour of the foot.
C)Check the client's pedal pulses using the fingertips.
D)Compress the nail beds to determine capillary refill time.
Answer: B
Q2) An older-adult client who is having difficulty breathing is admitted to the hospital. Which of the following approaches is the best for the nurse to use to obtain a complete health history?
A)Obtain subjective data about the client from family members.
B)Omit subjective data collection and obtain the physical examination.
C)Use the health care provider's medical history to obtain subjective data.
D)Schedule several short sessions with the client to gather subjective data.
Answer: D
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Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3269
Sample Questions
Q1) The nurse in the hospital has implemented a teaching plan to assist a client with rheumatoid arthritis in accomplishing daily activities independently. Which of the following actions is the best approach for the nurse to take in order to evaluate the client'slong-term response to the teaching?
A)Make a referral to the home health nursing department for home visits.
B)Assess the client's ability to bathe without any assistance the next day.
C)Have the client demonstrate the learned skills at the end of the teaching session.
D)Arrange a physical therapy visit before the client is discharged from the hospital.
Q2) The nurse is caring for a client who has been newly diagnosed with diabetes. The client tells the nurse, "I want to know how to give my own insulin." Which initial action will the nurse take when implementing the standardized diabetic teaching plan?
A)Demonstrate how to draw up and administer insulin.
B)Discuss the use of exercise to decrease insulin needs.
C)Teach about differences between the various types of insulin.
D)Provide handouts about therapeutic and adverse effects of insulin.
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Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3270
Sample Questions
Q1) Which of these clients assigned to the nurse is most likely to need planning for long-term nursing management?
A)22-year-old with appendicitis who has had an emergency appendectomy
B)56-year-old with bilateral knee osteoarthritis who weighs 159 kg
C)34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
D)62-year-old with acute sinusitis who will require antibiotic therapy for 5 days
Q2) Which of the following diseases has the highest proportion of chronic illness deaths in Canada?
A)Cancer
B)Diabetes
C)Cardiovascular disease
D)Chronic respiratory disease
Q3) Which of the following client statements reflect an outcome expectancy statement?
A)"I am not able to exercise."
B)"Exercise helps people lose weight."
C)"Exercise is too hard on my arthritis."
D)"Dietary restrictions work better than exercise to lose weight."
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Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3271
Sample Questions
Q1) An older-adult client who lives alone was hospitalized for a fractured hip and has recovered from the surgery but needs to continue to work to improve mobility. Which of the following settings would the nurse anticipate that the client be transferred to?
A)Another acute care setting
B)A transitional care setting
C)A residential care facility
D)Their own home with home health nursing
Q2) Which of the following concepts is foundational to home health nursing?
A)Acute care management
B)Health promotion
C)Chronic disease management
D)Health restoration
Q3) Which of these clients should the nurse refer for home health care services?
A)A 71-year-old with dementia who needs 24-hour care to prevent injury
B)An 82-year-old whose family has asked for help to organize pills into a pill box
C)A 67-year-old who requires assistance with shopping, housework, and cooking
D)A 79-year-old with terminal cancer who needs hospice palliative
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Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3272
Sample Questions
Q1) The nurse is providing care to older adults in a Northern outreach clinic. Which nursing action will be most helpful in decreasing the risk for drug-drug interactions?
A)Teach the client to have all prescriptions filled at the same pharmacy.
B)Instruct the client to avoid taking over-the-counter (OTC) medications.
C)Make a medication schedule for the client as a reminder about when to take each medication.
D)Have the client bring all the medications, supplements, and herbs to every health care appointment.
Q2) The nurse is admitting an acutely ill older-adult client to the hospital. Which of the following interventions should the nurse implement during the admission process?
A)Speak slowly and loudly while facing the client.
B)Obtain a detailed medical history from the client.
C)Interview the client before the physical assessment.
D)Determine whether the client uses glasses or hearing aids.
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3273
Sample Questions
Q1) The nurse is teaching a hospitalized client to use imagery as a relaxation technique. Which statement by the nurse is appropriate?
A)"Place your stress in the image of a form you can destroy."
B)"Think of a place where you feel peaceful and comfortable."
C)"Bring what you hear and sense in your present environment into your image of the scene."
D)"If your scene is stressful to you, continue visualizing until you can overcome the distress."
Q2) The nurse is preparing a health-promotion session on meditation for older adults at a community centre. Which of the following points should the nurse include in the session?
A)Have clients bring earphones to the session.
B)Breathing pattern to slowly increase speed.
C)Allow a 10-20 minute time frame for meditation.
D)Practise two to three times per week.
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Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3274
Sample Questions
Q1) After the nurse has taught a client about the use of extended-release zopiclone for insomnia, which client statement indicates a need for further teaching?
A)"I will take the medication an hour before bedtime."
B)"I should take the medication on an empty stomach."
C)"I should not take this medication unless I can sleep for at least 6 hours."
D)"I will schedule activities that require mental alertness for later in the day."
Q2) The nurse takes the health history for four clients in the clinic. Which information regarding the clients' sleep is most important to communicate to the health care provider?
A)A 21-year-old student takes melatonin to assist in sleeping when travelling from Canada to Europe.
B)A 32-year-old who is experiencing a stressful week uses diphenhydramine for several nights.
C)A 41-year-old with a body mass index (BMI) of 42 kg/m2 says that the spouse complains about the client's snoring.
D)A 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning.
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Page 11
Chapter 10: Pain
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3275
Sample Questions
Q1) Aclient who is receiving sustained-release morphine sulphate every 12 hours for chronic pain experiences level 9 (0-10 scale) breakthrough pain and anxiety. Which of these prescribed medications should the nurse anticipate administering?
A)Lorazepam 1 mg orally
B)Amitriptyline 10 mg orally
C)Ibuprofen 400-800 mg orally
D)Immediate-release morphine 30 mg orally
Q2) Aclient who uses a fentanyl patch for chronic cancer pain complains to the nurse of the rapid onset of pain at a level 9 (0-10 scale) and requests "something for pain that will work quickly." Which of the following types of pain is the most appropriateforthe nurse to document for this client?
A)Somatic pain
B)Referred pain
C)Neuropathic pain
D)Breakthrough pain
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12
Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) Suicide is an overdose effect of which of the following substances?
A)Alcohol
B)Inhalants
C)Opioids
D)Hallucinogens
Q2) Aclient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day after abdominal surgery. Which of the following actions should the nurse implement first?
A)Escort the client outside where smoking is allowed.
B)Request a prescription for a nicotine replacement agent.
C)Move the client to a private room and allow smoking.
D)Tell the client that this is a good time to quit smoking.
Q3) During physical assessment of a client who has sinus headaches, the nurse finds nasal sores and necrosis of the nasal septum. Client use of which of the following substances should the nurse include in the assessment?
A)Heroin
B)Cocaine
C)Tobacco
D)Marijuana
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Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Which of these complementary and alternative therapies should the nurse suggest to a client who has elevated triglyceride levels?
A)Fish oil
B)Milk thistle
C)Saw palmetto
D)Ginkgo biloba
Q2) Aclient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. Which of the following should the nurse discuss with this client?
A)Green tea
B)Acupuncture
C)Black cohosh
D)Chiropractic therapy
Q3) Which of the following terms is used to describe the study of health as related to a connection between a deity and the human body?
A)Distant healing
B)Petitionary prayer
C)Theosomatic medicine
D)Spiritual healing
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Page 14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3278
Sample Questions
Q1) Which of the following clients is most appropriate for the nurse to refer to hospice palliative care?
A)A 60-year-old with lymphoma whose children are unable to discuss issues related to dying
B)A 72-year-old with chronic severe pain as a result of spinal arthritis and vertebral collapse
C)A 28-year-old with AIDS-related dementia who needs palliative care and pain management
D)A 56-year-old with advanced liver failure whose family members can no longer care for him or her at home
Q2) A terminally ill client is admitted to the hospital. Which of the following actions should the nurse include in the initial plan of care?
A)Determine the client's wishes regarding end-of-life care.
B)Emphasize the importance of addressing any family issues.
C)Discuss the normal grief process with the client and family.
D)Encourage the client to talk about any fears or unresolved issues.
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15
Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3279
Sample Questions
Q1) The charge nurse observes a new graduate performing a dressing change on a client with a stage 2 left heel pressure injury. Which of the following actions by the new graduate indicates a need for further education about pressure injury care?
A)Uses a hydrocolloid dressing (DuoDerm) to cover the injury.
B)Inserts a sterile cotton-tipped applicator into the pressure injury.
C)Irrigates the pressure injury with a 30-mL syringe using sterile saline.
D)Cleans the injury with a sterile dressing soaked in half-strength hydrogen peroxide.
Q2) The nurse has just received change-of-shift report about the following four r. Which client will the nurse assess first?
A)The client who has multiple black wounds on the feet and ankles.
B)The newly admitted client with a stage IV pressure injury on the coccyx.
C)The client who needs to be medicated with multiple analgesics before a scheduled dressing change.
D)The client who has been receiving immunosuppressant medications and has a temperature of 38.9°C (102°F).
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16
Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3280
Sample Questions
Q1) When carrying out presymptomatic testing, which of the following diseases has a gene that is 100% penetrant?
A)Tay-Sachs disease
B)Fragile X syndrome
C)Cystic fibrosis
D)Huntington's disease
Q2) The parents of a child with cystic fibrosis ask if their next child will also be affected. Which of the following is the basis for the nurse's response related to autosomal recessive disorders?
A)There is a 25% chance that the child will be affected.
B)All male off-spring are affected.
C)There is a 50% chance that the child will be affected.
D)All female off-spring will be affected.
Q3) When taking a family history in the genetic clinic, the nurse will ask information about how many generations in the past?
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Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3281
Sample Questions
Q1) The nurse is obtaining a health history from a client who works as a laboratory technician and learns that the client has a history of allergic rhinitis, asthma, and multiple food allergies. Which of the following actions is most important for the nursetoimplement?
A)Encourage the client to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
B)Advise the client to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
C)Document the client's allergy history and be alert for any clinical manifestations of a type I latex allergy.
D)Recommend that the client use vinyl gloves instead of latex gloves in preventing bloodborne pathogen contact.
Q2) Which of the following adverse reactions should the nurse monitor when a client is undergoing plasmapheresis?
A)Shortness of breath
B)High blood pressure
C)Transfusion reactions
D)Hypotension and paresthesia
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18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3282
Sample Questions
Q1) The nurse is preparing to give the following medications to an HIV-positive client who is hospitalized with Pneumocystis jiroveci pneumonia (PCP). Which of the following medications is most important to administer at the right time?
A)Nystatin tablet
B)Oral abacavir
C)Aerosolized pentamidine
D)Oral acyclovir
Q2) Ten years after seroconversion, an HIV-infected client has a CD4+ cell count of 800 cells per microlitre and an undetectable viral load. Which of the following actions is the priority nursing intervention at this time?
A)Monitor for symptoms of AIDS.
B)Teach about the effects of antiretroviral agents.
C)Encourage adequate nutrition, exercise, and sleep.
D)Discuss likelihood of increased opportunistic infections.
Q3) Which of the following tests is used to evaluate the effectiveness of ART?
A)Viral load testing
B)Enzyme immunoassay
C)Rapid HIV antibody testing
D)Immuno-fluorescence assay
Page 19
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Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3283
Sample Questions
Q1) The nurse in the outpatient clinic is caring for a client who smokes heavily. To reduce the client's risk of dying from lung cancer, which of the following actions will be best for the nurse to take?
A)Educate the client about the seven warning signs of cancer.
B)Plan to monitor the client's carcinoembryonic antigen (CEA) level.
C)Discuss the risks associated with cigarettes during every client encounter.
D)Teach the client about the use of annual chest x-rays for lung cancer screening.
Q2) The nurse is caring for a client with tumour lysis syndrome (TLS) who is taking allopurinol. Which of the following laboratory values should the nurse monitor to determine the effectiveness of the medication?
A)Uric acid level
B)Serum potassium
C)Serum phosphate
D)Blood urea nitrogen
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Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3284
Sample Questions
Q1) The nurse is caring for a client who has the following arterial blood gas (ABG) results:
pH 7.32, PaO<sub>2</sub>
88 mm Hg, PaCO<sub>2</sub>
37 mm Hg, and HCO<sub>3</sub>
16 mmol/L. Which of the following interpretations would the nurse document?
A)Metabolic acidosis
B)Metabolic alkalosis
C)Respiratory acidosis
D)Respiratory alkalosis
Q2) The nurse is caring for a client who has been receiving diuretic therapy and is admitted to the emergency department with a serum potassium level of 3.1 mmol/L. Of the following medications that the client has been taking at home, which of the followingwouldbe of most concern to the nurse?
A)Oral digoxin 0.25 mg daily
B)Ibuprofen 400 mg every 6 hours
C)Metoprolol 12.5 mg orally daily
D)Lantus insulin 24 U subcutaneously every evening
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Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3285
Sample Questions
Q1) The nurse is preparing a client the morning of surgery and the client refuses to remove a wedding ring, saying, "I have never taken it off since the day I was married."
Which of the following actions should the nurse implement?
A)Have the client sign a release and leave the ring on.
B)Tape the wedding ring securely to the client's finger.
C)Tell the client that the hospital is not liable for loss of the ring.
D)Suggest that the client give the ring to a family member to keep.
Q2) Which of the following topics is most important for the nurse to discuss preoperatively with a client who is scheduled for a colon resection?
A)Care for the surgical incision
B)Medications used during surgery
C)Deep-breathing and coughing techniques
D)Oral antibiotic therapy after discharge home
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Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3286
Sample Questions
Q1) The nurse is caring for a client before surgery who has a question about the preoperative medication. Which of the following people will the nurse communicate this information to?
A)Scrub nurse
B)Anaesthesiologist
C)Circulating nurse
D)Registered nurse first assistant (RNFA)
Q2) A client in surgery receives a neuro-muscular blocking agent as an adjunct to general anaesthesia. At completion of the surgery, it is most important that the nurse monitor the client for which of the following adverse effects?
A)Nausea
B)Confusion
C)Bronchospasm
D)Weak chest-wall movement
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Chapter 22: Nursing Management Postoperative Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3287
Sample Questions
Q1) The nurse is preparing an older-adult client for discharge from the ambulatory surgical unit following left eye surgery. The client tells the nurse, "I do not know if I can take care of myself with this patch over my eye." Which of the following actionsisthemost appropriate for the nurse to implement?
A)Refer the client for home health care services.
B)Discuss the specific concerns regarding self-care.
C)Give the client written instructions regarding care.
D)Assess the client's support system for care at home.
Q2) The nurse is caring for a postoperative client who has not voided for 7 hours after return to the postsurgical unit. Which of the following actions should the nurse take first?
A)Notify the surgeon.
B)Assess for bladder distension.
C)Assist the client to ambulate to the bathroom.
D)Insert a straight catheter as indicated on the PRN order.
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3288
Sample Questions
Q1) The nurse is conducting a health history with a new client in the outpatient clinic. Which of the following medications in the health history may indicate the need to perform a focused hearing assessment?
A)Salbutamol for acute asthma
B)Atenolol to prevent angina
C)Acetaminophen frequently for headaches
D)Ibuprofen for 20 years to treat arthritis
Q2) The nurse is admitting a client to the hospital who has an eye patch in place and tells the nurse "I had a recent eye injury, so I need to wear this patch for a few weeks." Which of the following nursing diagnoses will the nurse include in the plan of care?
A)Risk for falls as evidenced by impaired vision (decrease in stereoscopic vision)
B)Ineffective health maintenance related to impaired decision-making (inability to see surroundings)
C)Disturbed body image related to alteration in self-perception
D)Ineffective denial related to threat of unpleasant reality
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Chapter 24: Nursing Management Visual and Auditory
Problems
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/3289
Sample Questions
Q1) Which of the following actions should the nurse take when assisting a totally blind client to walk to the bathroom?
A)Take the client by the arm and lead the client slowly to the bathroom.
B)Have the client place a hand on the nurse's shoulder and guide the client.
C)Stay beside the client and describe any obstacles on the path to the bathroom.
D)Walk slightly ahead of the client and allow the client to hold the nurse's elbow.
Q2) The nurse is assessing a client in the outpatient eye clinic who has myopia and presbyopia. Which of the following assessments should the nurse implement to evaluate the effectiveness of the prescribed bifocals?
A)Strength of the eye muscles
B)Both near and distant vision
C)Cloudiness in the eye lenses
D)Intraocular pressure changes
Q3) Which of the following actions is an example of an approach magnification?
A)Using a telescopic lens
B)Sitting closer to a television while watching it
C)Using a black-tipped felt marker when writing
D)Reading books with large-type print
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Chapter 25: Nursing Assessment Integumentary System
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3290
Sample Questions
Q1) Aclient asks the nurse why a potassium hydroxide test needs to be done. The nurse's response is based upon the knowledge that which of the following is the purpose of this test?
A)Examine a lesion via a biopsy.
B)Obtain fluids from vesicles for assessment.
C)Assess for fungal infection.
D)Scrap exudate from a lesion for microscopic examination.
Q2) The nurse is conducting a health history with a client and the nurse discovers that the client works as a roofer. The nurse will plan to teach the client about how to self-assess for clinical manifestations of which of the following integument conditions? (Select all that apply.)
A)Alopecia
B)Intertrigo
C)Wrinkling
D)Erythema
E)Actinic keratosis
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Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client with atopic dermatitis has a new prescription for tacrolimus. After teaching the client about the medication, which statement by the client indicates that further teaching is needed?
A)"After I apply the medication, I can go ahead and get dressed as usual."
B)"I will rub the medication gently onto the skin every morning and night."
C)"I will need to minimize my time in the sun while I am using the tacrolimus."
D)"If the medication burns when I apply it, I will wipe it off and call the doctor."
Q2) After the nurse has finished teaching a client about application of corticosteroid cream to an area of contact dermatitis on the right leg, which of the following client actions indicates that more teaching is needed?
A)The client spreads the cream using a downward motion.
B)The client takes a tepid bath before applying the cream.
C)The client applies a thick layer of the cream to the affected skin.
D)The client covers the area with a dressing after applying the cream.
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28
Chapter 27: Nursing Management Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3292
Sample Questions
Q1) The nurse is caring for a client who has burns on the back and chest from a house fire and has become agitated and restless 9 hours after being admitted to the hospital. Which of the following actions should the nurse take first?
A)Stay at the bedside and reassure the client.
B)Administer the ordered morphine sulphate IV.
C)Assess orientation and level of consciousness.
D)Use pulse oximetry to check the oxygen saturation.
Q2) The nurse is caring for a client with severe burns who is receiving crystalloid fluid replacement IV, ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30 000 mL. The initial rate of administration is 1875 mL/hour. Which of the following infusion rates is accurate after the first 8 hours?
A)350 mL/hour
B)523 mL/hour
C)938 mL/hour
D)1 250 mL/hour
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Chapter 28: Nursing Assessment Respiratory System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3293
Sample Questions
Q1) The nurse is assessing the respiratory system of an older-adult client. Which of the following findings indicate that the nurse should take immediate action?
A)The chest appears barrel shaped.
B)The client has a weak cough effort.
C)Crackles are heard from the lung bases to the midline.
D)Hyperresonance is present across both sides of the chest.
Q2) The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) with increasing dyspnea over the last 3 days. Which of the following findings is most important to report to the health care provider?
A)Respirations are 36 breaths/minute.
B)Anterior-posterior chest ratio is 1:1.
C)Lung expansion is decreased bilaterally.
D)Hyperresonance to percussion is present.
Q3) Which of the following lung structures has the most generations?
A)Segmental bronchi
B)Subsegmental bronchi
C)Bronchioles
D)Alveoli
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Chapter 29: Nursing Management Upper Respiratory
Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) The nurse is teaching a client with laryngeal cancer about radiation therapy. Which of the following client statements indicate that the teaching has been effective?
A)"I will need to buy a water bottle to carry with me."
B)"I should not use any lotions on my neck and throat."
C)"Until the radiation is complete, I may have diarrhea."
D)"Alcohol-based mouthwashes will help clean oral ulcers."
Q2) Which of the following clients in the respiratory disease clinic should the nurse assess first?
A)A 23-year-old, complaining of a sore throat, who has stridor
B)A 34-year-old who has a "scratchy throat" and a positive rapid strep antigen test
C)A 55-year-old who is receiving radiation for throat cancer and has severe fatigue
D)A 72-year-old with a history of a total laryngectomy whose stoma is red and inflamed
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Chapter 30: Nursing Management Lower Respiratory
Problems
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The nurse has completed discharge teaching for a client who has had a lung transplant. Which of the following client statements indicate that the teaching was effective?
A)"I will make an appointment to see the doctor every year."
B)"I will not turn the home oxygen up higher than 2 L/minute."
C)"I will not worry if I feel a little short of breath with exercise."
D)"I will call the health care provider right away if I develop a fever."
Q2) The nurse is caring for a client who has just had a thoracentesis. Which of the following information is most important to communicate to the health care provider?
A)BP is 150/90 mm Hg.
B)Oxygen saturation is 89%.
C)Pain level is 5/10 with a deep breath.
D)Respiratory rate is 24 when lying flat.
Q3) Which of the following information about a client who has a recent history of
A)Chest x-ray shows no upper lobe infiltrates.
B)TB medications have been taken for 6 months.
C)Mantoux testing shows an induration of 10 mm.
D)Three sputum smears for acid-fast bacilli are negative.
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Chapter 31: Nursing Management Obstructive Pulmonary Diseases
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Sample Questions
Q1) Which of the following findings by the nurse for a client with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?
A)Pulse oximetry reading of 91%
B)Absence of wheezes or crackles
C)Decreased use of accessory muscles
D)Respiratory rate of 22 breaths/minute
Q2) The nurse is conducting an admission history for a client with possible asthma who has new-onset wheezing and shortness of breath. Which of the following information indicates a need for a change in therapy?
A)The client has a history of pneumonia 2 years ago.
B)The client has chronic inflammatory bowel disease.
C)The client takes propranolol for hypertension.
D)The client uses acetaminophen for headaches.
Q3) Which of the following actions should be included in the plan of care for a client with
A)Schedule a sweat chloride test.
B)Arrange for a hospice nurse visit.
C)Place the client on a low-sodium diet.
D)Perform chest physiotherapy every 4 hours.
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Chapter 32: Nursing Assessment Hematological System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following findings should the nurse identify as abnormal? (Select all that apply.)
A)Activated clotting time 118 seconds
B)Activated partial thromboplastin time 40 seconds
C)D-dimer 200 mcg/L
D)Fibrinogen 5 g/L
E)Prothrombin time 21 seconds
Q2) The nurse is caring for a client who had an intraoperative hemorrhage 12 hours ago.
Which of the following laboratory results should the nurse anticipate?
A)Hematocrit of 45%
B)Hemoglobin of 132 g/L
C)Decreased white blood cell (WBC) count
D)Elevated reticulocyte count
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Chapter 33: Nursing Management Hematological Problems
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Q1) The nurse is caring for a client with non-Hodgkin's lymphoma who develops a platelet count of 38 * 109/L during chemotherapy. Which of the following actions should the nurse implement based on this finding?
A)Provide oral hygiene every 2 hours.
B)Check all stools for occult blood.
C)Assess temperature every 4 hours.
D)Encourage fluids to 3 000 mL/day.
Q2) The nurse is caring for a client with acute myelogenous leukemia (AML) who is considering the possibility of treatment with a hematopoietic stem cell transplant (HSCT). Which of the following actions is best for the nurse to implement to assist the clientwith treatment decisions?
A)Emphasize the positive outcomes of a bone marrow transplant.
B)Discuss the need for adequate insurance to cover post-HSCT care.
C)Ask the client whether there are any questions or concerns about HSCT.
D)Explain that a cure is not possible with any other treatment except HSCT.
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35
Chapter 34: Nursing Assessment Cardiovascular System
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Sample Questions
Q1) During a physical examination of a client, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. Which of the following actions should the nurse implement next?
A)Document that the PMI is in the normal anatomic location.
B)Ask the client about risk factors for coronary artery disease.
C)Auscultate both the carotid arteries for the presence of a bruit.
D)Assess the client for symptoms of left ventricular hypertrophy.
Q2) The nurse is reviewing the 12-lead electrocardiograph (ECG) of a healthy older-adult client who is having an annual physical examination. Which of the following findings should be of most concern to the nurse?
A)The heart rate is 43 beats/minute.
B)The PR interval is 0.21 seconds.
C)There is a right bundle-branch block.
D)The QRS duration is 0.13 seconds.
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Chapter 35: Nursing Management Hypertension
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Sample Questions
Q1) The nurse obtains this information from a client with prehypertension. Which of the following findings is most important to address with the client?
A)Low dietary fibre intake
B)No regular aerobic exercise
C)BMI of 23 kg/m²
D)Drinks wine with dinner once a week
Q2) The nurse is providing nutritional teaching to a client with hypertension. Which of the following food groups should the nurse tell the client that they should have four to five daily servings of? (Select all that apply.)
A)Whole grains
B)Vegetables
C)Meat, fish, and poultry
D)Fat-free dairy food
E)Fruit
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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Q1) Which of the following approaches to preventing a recurrence of sudden cardiac death is the most common?
A)Long-term Aspirin therapy
B)Implantable cardioverter-defibrillator
C)Administration of amiodarone
D)Continuous Holter monitoring
Q2) Which of the following information about a client who has been receiving fibrinolytic therapy for an acute myocardial infarction is most important for the nurse to communicate to the health care provider?
A)No change in the client's chest pain
B)A large bruise at the client's IV insertion site
C)A decrease in ST segment elevation on the electrocardiogram (ECG)
D)An increase in cardiac enzyme levels since admission
Q3) The nurse is caring for a client with hyperlipidemia who has a new prescription for colestipol. Which of the following nursing actions is best when giving the medication?
A)Administer the medication at the client's bedtime.
B)Have the client take this medication with an Aspirin.
C)Encourage the client to take the colestipol with a sip of water.
D)Give the client's other medications 2 hours after the colestipol.
Page 38
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Chapter 37: Nursing Management Heart Failure
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Sample Questions
Q1) Which assessment finding in a client admitted with chronic heart failure requires the most rapid action by the nurse?
A)Oxygen saturation of 88%
B)Weight gain of 1 kg
C)Apical pulse rate of 106 beats/minute
D)Urine output of 50 mL over 2 hours
Q2) Which of the following diagnostic tests will be most useful to the nurse in determining whether a client admitted with acute shortness of breath has heart failure?
A)Serum creatine kinase (CK)
B)Arterial blood gases (ABGs)
C)B-type natriuretic peptide (BNP)
D)12-lead electrocardiogram (ECG)
Q3) The nurse is teaching the client with heart failure about a 2 g sodium diet. Which of the following foods should the nurse explain to the client that need to be restricted?
A)Canned and frozen fruits
B)Fresh or frozen vegetables
C)Milk, yogourt, and other milk products.
D)Eggs and other high-cholesterol foods.
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Chapter 38: Nursing Management Dysrhythmias
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Sample Questions
Q1) The nurse is interpreting an ECG strip to determine whether there is a delay in impulse conduction through the atria. Which of the following components of an ECG strip should the nurse measure?
A)P wave
B)P-R interval
C)Q-T interval
D)QRS complex
Q2) The nurse is caring for a client who has a normal cardiac rhythm and a heart rate of 72 beats/minute, except that the P-R interval is 0.24 seconds. Which of the following actions should the nurse implement?
A)Notify the client's health care provider immediately.
B)Administer atropine per agency bradycardia protocol.
C)Prepare the client for temporary pacemaker insertion.
D)Document the finding and continue to monitor the client.
Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.
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Chapter 39: Nursing Management Inflammatory and
Structural Heart Disorders
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28 Verified Questions
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Sample Questions
Q1) The nurse is caring for a client with rheumatic fever who has subcutaneous nodules, erythema marginatum, and polyarthritis. Which of the following nursing diagnoses best reflects these findings?
A)Activity intolerance related to physical deconditioning (arthralgia)
B)Risk for infection as evidenced by immunosupression
C)Chronic pain related to injury agent (permanent joint fixation)
D)Risk for impaired skin integrity evidenced by pressure over bony prominence
Q2) The nurse is taking a health history from a 24-year-old client with hypertrophic cardiomyopathy (HC). Which of the following information obtained by the nurse is most relevant?
A)The client reports using cocaine once at age 16.
B)The client has a history of a recent upper respiratory infection.
C)The client's 29-year-old brother had a sudden cardiac arrest.
D)The client has a family history of coronary artery disease.
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Chapter 40: Nursing Management Vascular Disorders
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Sample Questions
Q1) The health care provider prescribes an infusion of argatroban and daily partial thromboplastin time (PTT) testing for a client with venous thrombo-embolism (VTE).
Which of the following actions should the nurse include in the plan of care?
A)Avoid giving any IM medications to prevent localized bleeding.
B)Discontinue the infusion for PTT values greater than 50 seconds.
C)Monitor posterior tibial and dorsalis pedis pulses with the Doppler.
D)Have vitamin K available in case reversal of the argatroban is needed.
Q2) The nurse is caring for a client with a right calf venous thrombo-embolism. Which of the following information requires immediate action by the nurse?
A)Complaint of left calf pain
B)New onset shortness of breath
C)Red skin colour of left lower leg
D)Temperature of 38°C (100.4°F)
Q3) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .
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Chapter 41: Nursing Assessment Gastro-intestinal System
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Sample Questions
Q1) The nurse is caring for a client who has an obstruction of the common bile duct. Which of the following findings should the nurse monitor in this client?
A)Melena
B)Steatorrhea
C)Decreased serum cholesterol levels
D)Increased serum indirect bilirubin levels
Q2) The nurse is listening to a client's abdomen. Which of the following findings indicate a need for a focused abdominal assessment?
A)Loud gurgles
B)High-pitched gurgles
C)Absent bowel sounds
D)Frequent clicking sounds
Q3) The nurse is caring for a client following a needle biopsy of the liver at the bedside. Which of the following actions should the nurse implement?
A)Put pressure on the biopsy site using a sandbag.
B)Elevate the head of the bed to facilitate breathing.
C)Place the client on the right side with the bed flat.
D)Check the client's postbiopsy coagulation studies.
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43
Chapter 42: Nursing Management Nutritional Problems
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Sample Questions
Q1) The student nurse is caring for a client who is receiving intermittent tube feedings. Which of the following actions by the student nurse should cause the RN to intervene in the clients' care?
A)Positions the head of the bed 30 degrees
B)Flushes the tube before and after the feeding
C)Checks residual volume every hour
D)Maintains the elevated bed position one hour after the feeding.
Q2) The nurse is preparing to teach an 82-year-old Indigenous client who lives with an adult daughter about ways to improve nutrition. Which of the following actions should the nurse take first?
A)Ask the daughter about the client's food preferences.
B)Determine who shops for groceries and prepares the meals.
C)Question the client about how many meals per day are eaten.
D)Assure the client that culturally appropriate foods will be included.
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Chapter 43: Nursing Management Obesity
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Sample Questions
Q1) Which of the following information should the nurse plan to include in discharge teaching for a client after gastric bypass surgery?
A)Avoid drinking fluids with meals.
B)Choose high-fat foods for at least 30% of intake.
C)Choose foods that are high in fibre to promote bowel function.
D)Development of flabby skin can be prevented by daily exercise.
Q2) Which of the following assessments should the nurse do to help determine if an obese client seen in the clinic has metabolic syndrome?
A)Take the client's apical pulse.
B)Check the client's blood pressure.
C)Ask the client about dietary intake.
D)Dipstick the client's urine for protein.
Q3) On the first postoperative day the nurse is caring for a client who has had a Roux-en-Y gastric bypass procedure. Which of the following assessment findings should be reported immediately to the surgeon?
A)Use of patient-controlled analgesia (PCA) several times an hour for pain
B)Irritation and skin breakdown in skin folds
C)Bilateral crackles audible at both lung bases
D)Emesis of bile-coloured fluid past the nasogastric (NG) tube
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Page 45
Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
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42 Verified Questions
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Sample Questions
Q1) Which of the following findings in a client with a hiatal hernia who returned from a laparoscopic Nissen fundoplication 4 hours ago is most important for the nurse to address immediately?
A)The client is experiencing intermittent waves of nausea.
B)The client has absent breath sounds throughout the left lung.
C)The client has decreased bowel sounds in all four quadrants.
D)The client complains of 6/10 (0-10 scale) abdominal pain.
Q2) The health care provider prescribes intravenous (IV) ranitidine for a client with gastrointestinal (GI) bleeding caused by peptic ulcer disease. When teaching the client about the effect of the medication, which of the following information should the nurse include?
A)"Ranitidine decreases secretion of gastric acid."
B)"Ranitidine neutralizes the acid in the stomach."
C)"Ranitidine constricts the blood vessels in the stomach and decreases bleeding."
D)"Ranitidine covers the ulcer with a protective material that promotes healing."
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
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46 Verified Questions
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Sample Questions
Q1) The nurse is caring for a client who has watery, incontinent diarrhea and has diagnosed with Clostridium difficile. Which of the following actions should the nurse include in the plan of care?
A)Order a diet with no dairy products for the client.
B)Place the client in a private room with contact isolation.
C)Teach the client about why antibiotics are not being used.
D)Educate the client about proper food handling and storage.
Q2) Which of the following instructions should the nurse include in discharge teaching for a client who has had a hemorrhoidectomy at an outpatient surgical centre?
A)Maintain a low-residue diet until the surgical area is healed.
B)Use ice packs on the perianal area to relieve pain and swelling.
C)Take prescribed pain medications before a bowel movement is expected.
D)Delay having a bowel movement for several days until healing has occurred.
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Chapter 46: Nursing Management Liver
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Q1) Which of the following nursing actions should be included in the plan of care for a client who is being treated for bleeding esophageal varices with balloon tamponade?
A)Monitor the client for shortness of breath.
B)Encourage the client to cough every 4 hours.
C)Deflate the gastric balloon every 8-12 hours.
D)Verify the position of the balloon every 6 hours.
Q2) The health care provider plans a paracentesis for a client with ascites caused by liver cancer. Which of the following actions should the nurse implement to prepare the client for the procedure?
A)Place the client on NPO status.
B)Assist the client to lie flat in bed.
C)Ask the client to empty the bladder.
D)Position the client on the right side.
Q3) Which of the following nursing actions is a priority when the nurse is caring for a client with pancreatic cancer?
A)Offer high-calorie, high-protein dietary choices.
B)Offer psychological support for anxiety or depression.
C)Educate about the need to avoid scratching pruritic areas.
D)Administer prescribed opioids to relieve pain as needed.
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Page 48
Chapter 47: Nursing Assessment Urinary System
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Sample Questions
Q1) A client who had a cystoscopy the previous day calls the urology clinic and gives the nurse all the following information. Which of the following client statements should be reported immediately to the health care provider?
A)"My urine still looks pink."
B)"My IV site is still bruised."
C)"I have a temperature of 38.3°C (100.9°F)."
D)"I did not sleep well last night."
Q2) During assessment of a client with decreased renal function, which of the following medications taken by the client at home is of most concern to the nurse?
A)Ibuprofen
B)Warfarin
C)Folic acid
D)Penicillin
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Chapter 48: Nursing Management Renal and Urologic
Problems
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Sample Questions
Q1) The nurse is caring for a client who is diagnosed with nephrotic syndrome and has 3+ ankle and leg edema with ascites. Which of the following nursing diagnoses is a priority for the client?
A)Excess fluid volume related to low serum protein levels
B)Activity intolerance related to increased weight and fatigue
C)Disturbed body image related to peripheral edema and ascites
D)Altered nutrition: less than required related to protein restriction
Q2) The nurse is assessing a client who has a lower urinary tract infection (UTI). Which of the following symptoms should the nurse ask about initially?
A)Nausea
B)Flank pain
C)Poor urine output
D)Pain with urination
Q3) Which of the following findings by the nurse for a client admitted with glomerulonephritis indicates that treatment has been effective?
A)The client denies pain with voiding.
B)The urine dipstick is negative for nitrites.
C)Peripheral and periorbital edema is resolved.
D)The antistreptolysin-O (ASO) titre is decreased.
Page 50
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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Sample Questions
Q1) The nurse is caring for a client who requires vascular access for hemodialysis and asks the nurse what the differences are between an arteriovenous (AV) fistula and a graft. Which of the following information should the nurse explain is an advantage ofthefistula?
A)Is much less likely to clot
B)Increases client mobility
C)Accommodates larger needles.
D)Can be used sooner after surgery.
Q2) The nurse is assessing a client who had a kidney transplant 8 years ago and is receiving the immunosuppressants tacrolimus, cyclosporin, and prednisone. Which of the following findings is of most concern to the nurse?
A)The blood glucose is 7.9 mmol/L.
B)The client's blood pressure is 150/92.
C)There is a nontender lump in the axilla.
D)The client has a round, moonlike face.
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Chapter 50: Nursing Assessment Endocrine System
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Sample Questions
Q1) When reviewing the laboratory results for a client's total calcium level, which of the following information should the nurse consider?
A)The blood glucose is elevated.
B)The phosphate level is normal.
C)The serum albumin level is low.
D)The magnesium level is normal.
Q2) The nurse is obtaining the health history from a client. Which of the following statements by the client indicates further assessment of thyroid function may be necessary?
A)"I notice my breasts are tender lately."
B)"I am so thirsty that I drink all day long."
C)"I get up several times at night to urinate."
D)"I feel a lump in my throat when I swallow."
Q3) During a physical examination, the nurse finds that a client's thyroid gland cannot be palpated. Which of the following is the best action for the nurse to take?
A)Palpate the client's neck more deeply
B)Document that the thyroid was nonpalpable
C)Notify the health care provider immediately
D)Teach the client about thyroid hormone testing
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Page 52
Chapter 51: Nursing Management Endocrine Problems
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Sample Questions
Q1) The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of the following information should the nurse should include in the teaching plan?
A)Use of bisphosphonates to reduce bone demineralization.
B)Include whole grains in the diet to prevent constipation.
C)Take calcium supplementation to normalize serum calcium levels.
D)Ensure a high fluid intake to decrease risk for nephrolithiasis.
Q2) The nurse is caring for a client following a parathyroidectomy who develops tingling of the lips and a positive Trousseau's sign. Which of the following actions should the nurse take first?
A)Administer the ordered muscle relaxant.
B)Give the ordered oral calcium supplement.
C)Start the PRN oxygen at 2 L/minute per cannula.
D)Have the client rebreathe using a paper bag.
Q3) Which of the following information should the nurse include when teaching a client about use of somatropin?
A)The medication will improve vaginal dryness.
B)Inject the medication subcutaneously every day.
C)Blood glucose levels will decrease when taking the medication.
D)Stop taking the medication if swelling of the hands or feet occurs.
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Chapter 52: Nursing Management Diabetes Mellitus
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Sample Questions
Q1) Which of the following client actions indicate a good understanding of the nurse's teaching about the use of an insulin pump?
A)The client changes the site for the insertion site every week.
B)The client programs the pump to deliver an insulin bolus after eating.
C)The client takes the pump off at bedtime and starts it again each morning.
D)The client states that diet will be less flexible when using the insulin pump.
Q2) After the nurse has finished teaching a client about self-administration of the prescribed aspart insulin, which of the following client actions indicate good understanding of the teaching?
A)The client avoids injecting the insulin into the upper abdominal area.
B)The client cleans the skin with soap and water before insulin administration.
C)The client places the insulin back in the freezer after administering the prescribed insulin dose.
D)The client pushes the plunger down and immediately removes the syringe from the injection site.
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54
Chapter 53: Nursing Assessment Reproductive System
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Sample Questions
Q1) A client calls the clinic and tells the nurse, "My menstrual period is very heavy. I have to change my tampon every 4 hours." Which of the following actions should the nurse take next?
A)Tell the client that her flow is not unusually heavy.
B)Schedule the client for an appointment later that day.
C)Ask the client how heavy her usual menstrual flow is.
D)Have the client call again if the heavy flow continues.
Q2) Which information about a female client who wants to start using oral contraceptives is most important to report to the health care provider?
A)The client quit smoking 6 months previously.
B)The client's blood pressure is 164/90 mm Hg.
C)The client has not been vaccinated for rubella.
D)The client has chronic iron-deficiency anemia.
Q3) Which of the following questions should the nurse ask when assessing a client who has a history of benign prostatic hyperplasia (BPH)?
A)"Have you noticed any unusual discharge from your penis?"
B)"Has there been any change in your sex life in the last year?"
C)"Do you find it hard to initiate your urinary stream?"
D)"Have you been experiencing any difficulty in achieving an erection?"
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Page 55
Chapter 54: Nursing Management Breast Disorders
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Sample Questions
Q1) Which of the following information should the nurse include when teaching a client about the transverse rectus abdominis musculo-cutaneous (TRAM) procedure?
A)Saline-filled implants are placed under the pectoral muscles.
B)Recovery from the TRAM surgery takes at least 6 to 8 weeks.
C)Muscle tissue is removed from the back and used to form a breast.
D)TRAM flap procedures may be done in outpatient surgery centres.
Q2) A client has a saline breast implant inserted in the outpatient surgery area. Which of the following instructions should the nurse include in the discharge teaching?
A)Take Aspirin every 4 hours to reduce inflammation.
B)Check wound drains for excessive blood or any foul odour.
C)Wear a loose-fitting bra to decrease irritation of the sutures.
D)Resume normal activities 2 to 3 days after the mammoplasty.
Q3) The nurse is conducting a breast assessment on a female client. Which of the following findings is most indicative of a need for further evaluation?
A)Bilateral nodules that are tender with palpation
B)A nodule that is 1 cm in size, painless, and firm
C)A lump that increases in size before the menstrual period
D)A lump that is small, mobile, and has a rubbery consistency
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Chapter 55: Nursing Management Sexually Transmitted
Infections
16
16
Source URL: https://quizplus.com/quiz/3320
Sample Questions
Q1) The nurse is assessing a male client who has a profuse, purulent urethral discharge with painful urination. Which of the following information is most important for the nurse to obtain?
A)Contraceptive use
B)Sexual orientation
C)Immunization history
D)Recent sexual contacts
Q2) Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?
A)A 50-year-old man who has multiple sexual partners
B)A 23-year-old woman who is pregnant for the first time
C)An 11-year-old female who has never been sexually active
D)A 28-year-old male who is in a monogamous relationship
Q3) The nurse is caring for a client who is 6 weeks' pregnant and is diagnosed with primary syphilis. Which of the following information should the nurse plan to discuss with the client?
A)The likelihood of a stillbirth
B)The need for Caesarean section
C)Intramuscular injection of penicillin
D)Use of antibiotic eye drops for the newborn
Page 57
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Chapter 56: Nursing Management Female Reproductive Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) The nurse is caring for a client recently diagnosed with polycystic ovary syndrome. Which of the following information is most important for the nurse to teach the client?
A)Reasons for a total hysterectomy
B)How to decrease facial hair growth
C)Ways to reduce the occurrence of acne
D)Methods to maintain appropriate weight
Q2) A client tells the nurse that she is postmenopausal but has occasional spotting.
Which of the following responses should the nurse make initially?
A)"A frequent cause of spotting is endometrial cancer."
B)"How long has it been since your last menstrual period?"
C)"Breakthrough bleeding is not unusual in women your age."
D)"Are you using prescription hormone therapy?"
Q3) Which of the following assessment findings in a client who is taking premarin is most important for the nurse to report to the health care provider?
A)Breast tenderness
B)Weight gain of 1.4 kg
C)Intermittent spotting
D)Unilateral calf swelling
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Chapter 57: Nursing Management Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is providing education for a client who has been diagnosed with orchitis. Which of the following information should the nurse include in the teaching plan?
A)Pain management
B)Emergency surgical repair
C)Aspiration of fluid from the scrotal sac
D)Application of warm packs to the scrotum
Q2) The nurse is preparing a teaching plan for a client who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level. Which of the following procedures should the nurse include in the teaching plan?
A)Cystourethroscopy
B)Uroflowmetry studies
C)Magnetic resonance imaging (MRI)
D)Transrectal ultrasonography (TRUS)
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Chapter 58: Nursing Assessment Nervous System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3323
Sample Questions
Q1) When caring for a client who has had cerebral angiography, which of the following nursing actions should be included in the plan of care?
A)Ask about headache and photophobia.
B)Keep client NPO until gag reflex returns.
C)Check pulse and blood pressure frequently.
D)Assess orientation to person, place, and time.
Q2) The following prescriptions are received for an unconscious client who has just arrived in the emergency department after a head injury caused by an automobile accident. Which of the following prescriptions should the nurse question?
A)Obtain radiographs of the skull and spine.
B)Prepare the client for lumbar puncture.
C)Send for computed tomography (CT) scan.
D)Perform neurologic checks every 15 minutes.
Q3) The nurse is admitting a client with a brain stem infarction. Which of the following assessments is priority?
A)Reflex reaction time
B)Pupil reaction to light
C)Level of consciousness
D)Respiratory rate and rhythm
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Page 60
Chapter 59: Nursing Management Acute Intracranial
Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3324
Sample Questions
Q1) The nurse is admitting a client to the emergency department (ED) who is unconscious following a head injury. The client's spouse and children stay at the client's side and constantly ask about the treatment being given. What of the following actions is bestfor the nurse to take?
A)Ask the family to stay in the waiting room until the initial assessment is completed.
B)Allow the family to stay with the client and briefly explain all procedures to them.
C)Call the family's pastor or spiritual advisor to support them while initial care is given.
D)Refer the family members to the hospital counselling service to deal with their anxiety.
Q2) After the emergency department nurse has received a status report on the following clients who have been admitted with head injuries, which client should the nurse assess first?
A)A client whose cranial radiograph shows a linear skull fracture
B)A client who has an initial Glasgow Coma Scale score of 13
C)A client who lost consciousness for a few seconds after a fall
D)A client whose right pupil is 10 mm and unresponsive to light
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Page 61
Chapter 60: Nursing Management Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3325
Sample Questions
Q1) The health care provider recommends a carotid endarterectomy for a client with carotid atherosclerosis and a history of transient ischemic attacks (TIAs). The client asks the nurse to describe the procedure. Which of the following responses by the nurseisappropriate?
A)"The carotid endarterectomy involves surgical removal of plaque from an artery in the neck."
B)"The diseased portion of the artery in the brain is removed and replaced with a synthetic graft."
C)"A wire is threaded through an artery in the leg to the clots in the carotid artery and the clots are removed."
D)"A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque."
Q2) The nurse receives a verbal report that a client has an occlusion of the left posterior cerebral artery. Which of the following findings should the nurse anticipate?
A)Dysphasia
B)Confusion
C)Visual deficits
D)Poor judgement
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Chapter 61: Nursing Management Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3326
Sample Questions
Q1) The nurse is teaching a client about management of migraine headaches. Which of the following client statements indicates that the teaching has been effective?
A)"I will take the topiramate as soon as any headaches start."
B)"I should avoid taking Aspirin and sumatriptan at the same time."
C)"I will try to lie down someplace dark and quiet when the headaches begin."
D)"A glass of wine might help me relax and prevent headaches from developing."
Q2) The nurse is caring for a client who is diagnosed with early Huntington's disease (HD). Which of the following information should the nurse include in the teaching plan for the client, partner, and children?
A)Use of levodopa-carbidopa to help reduce HD symptoms.
B)Need to take prophylactic antibiotics to decrease the risk for pneumonia.
C)Lifestyle changes such as increased exercise that delay disease progression.
D)Availability of genetic testing to determine the HD risk for the client's children.
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63
Chapter 62: Nursing Management Delirium
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3327
Sample Questions
Q1) The nurse is caring for a client with Alzheimer's disease. A family member asks the nurse which of the client's medication is to treat the decreased memory and cognition. Which of the following medications is used to treat this problem associated with Alzheimer's disease?
A)Sertraline
B)Citalopram
C)Rivastigmine
D)Risperidone
Q2) The partner of a client with early stage Alzheimer's disease (AD) tells the nurse, "I am just exhausted from the constant worry. I don't know what to do." Which of the following actions is best for the nurse to take next. (Select all that apply.)
A)Suggest that a long-term care facility be considered.
B)Offer ideas for ways to distract or redirect the client.
C)Suggest that the partner consult with the physician for antianxiety drugs.
D)Educate the partner about the availability of adult day care as a respite.
E)Ask the partner what has been considered about dementia care options.
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64
Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3328
Sample Questions
Q1) The nurse is caring for a client who sustained a spinal cord injury a week ago and becomes angry, telling the nurse "I want to be transferred to a hospital where the nurses know what they are doing!" Which of the following actions by the nurse is best?
A)Ask for the client's input into the plan for care.
B)Clarify that abusive behaviour will not be tolerated.
C)Reassure the client about the competence of the nursing staff.
D)Continue to perform care without responding to the client's comments.
Q2) The nurse is teaching a client who is at risk for Bell's palsy because of previous herpes simplex infection. Which of the following information should the nurse include?
A)"Call the doctor if pain or herpes lesions occur near the ear."
B)"Treatment of herpes with antiviral agents prevents Bell's palsy."
C)"You may be able to prevent Bell's palsy by doing facial exercises regularly."
D)"Medications to treat Bell's palsy work only if started before paralysis onset."
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65
Chapter 64: Nursing Assessment Musculo-skeletal System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3329
Sample Questions
Q1) The nurse is caring for a client with kyphosis. Which of the following findings should the nurse expect to assess?
A)Shortened stride
B)Exaggerated thoracic curvature
C)Grating sound when preforming passive ROM
D)Uncoordinated, swaying gait
Q2) Which of the following information in a female, older-adult client's health history will alert the nurse to the need for a more focused assessment of the musculo-skeletal system?
A)The client experienced a sprained ankle at age 13.
B)The client's mother became much shorter with aging.
C)The client's father died of complications of miliary tuberculosis.
D)The client reports taking ibuprofen for occasional headaches.
Q3) The nurse is caring for a client with kyphosis who is scheduled for dual-energy x-ray absorptiometry (DEXA) testing. Which of the following actions should the nurse plan to implement?
A)Give an oral sedative.
B)Start an intravenous line.
C)Teach the client about DEXA.
D)Screen the client for shellfish allergies.
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3330
Sample Questions
Q1) The nurse is caring for a client with Buck's traction who had an intracapsular fracture of the left femur. Which of the following actions should the nurse take in order to evaluate the effectiveness of Buck's traction?
A)Assess for hip contractures.
B)Monitor for hip dislocation.
C)Check the peripheral pulses.
D)Ask about left hip pain level.
Q2) The nurse is counselling a client about ways to prevent fractures. Which of the following information should the nurse include?
A)Tack down throw rugs in the home.
B)Most falls happen outside the home.
C)Buy shoes that provide good support and are comfortable to wear.
D)Range-of-motion exercises should be taught by a physical therapist.
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Chapter 66: Nursing Management Musculo-skeletal
Problems
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3331
Sample Questions
Q1) The nurse is caring for an older female adult client who has a family history of osteoporosis and is diagnosed with osteopenia following densitometry testing. Which of the following explanations should the nurse provide when teaching the client about osteoporosis?
A)Estrogen replacement therapy must be started to prevent rapid progression to osteoporosis.
B)Continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.
C)With a family history of osteoporosis, there is no way to prevent or slow gradual bone resorption.
D)Calcium loss from bones can be slowed by increasing calcium intake and weight-bearing exercise.
Q2) The nurse is caring for a client who has had a surgical reduction of an open fracture of the left tibia. Which of the following assessment findings is most important to report to the health care provider?
A)Left leg muscle spasms
B)Serous wound drainage
C)Left leg pain with movement
D)Temperature 38.6C (101.5F)
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Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3332
Sample Questions
Q1) Which of the following findings should the nurse expect when assessing an older-adult client who has osteoarthritis (OA) of the left knee?
A)Heberden nodules
B)Pain upon joint movement
C)Redness and swelling of the knee joint
D)Stiffness that increases with movement
Q2) The nurse is caring for a client with rheumatoid arthritis who refuses to take the prescribed methotrexate, telling the nurse "That drug has too many adverse effects. My arthritis isn't that bad yet." Which of the following responses is most appropriate?
A)"You have the right to refuse to take the methotrexate."
B)"Methotrexate is less expensive than some of the newer drugs."
C)"It is important to start methotrexate early to decrease the extent of joint damage."
D)"Methotrexate is effective and has fewer adverse effects than some of the other drugs."
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69
Chapter 68: Nursing Management Critical Care Environment
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3333
Sample Questions
Q1) The nurse is caring for a client following surgery whose central venous pressure (CVP) monitor indicates low pressures. Which of the following actions should the nurse anticipate implementing?
A)Increase the IV fluid infusion rate.
B)Administer IV diuretic medications.
C)Elevate the head of the client's bed to 45 degrees.
D)Document the CVP and continue to monitor.
Q2) The nurse is caring for a client with a left radial arterial line. Which of the following assessments indicates a need for the nurse to take action?
A)The left hand is cooler than the right hand.
B)The mean arterial pressure (MAP) is 75 mm Hg.
C)The system is delivering only 3 mL of flush solution per hour.
D)The flush bag and tubing were last changed 3 days previously.
Q3) Which of the following actions should the nurse implement to verify the correct placement of an endotracheal tube (ET) after insertion?
A)Auscultate for the presence of bilateral breath sounds.
B)Obtain a portable chest radiograph to check tube placement.
C)Observe the chest for symmetrical movement with ventilation.
D)Use an end-tidal CO<sub>2</sub> monitor to check for placement in the trachea.
Page 70
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Chapter 69: Nursing Management Shock
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3334
Sample Questions
Q1) The emergency department (ED) receives notification that a client who has just been in an automobile accident is being transported to your facility with anticipated arrival in 1 minute. Which of the following should the nurse obtain in preparation for the client's arrival?
A)500 mL of 5% albumin
B)Lactated Ringer's solution
C)Two 14-gauge IV catheters
D)Dopamine infusion
Q2) The nurse is assessing a client who is receiving a nitroprusside infusion to treat cardiogenic shock. Which of the following findings indicates that the medication is effective?
A)No heart murmur is audible.
B)Skin is warm and dry.
C)Troponin level is decreased.
D)Blood pressure is 90/40 mm Hg.
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) A client with ARDS who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV) has settings of fraction of inspired oxygen (FIO<sub>2</sub>) 80%, tidal volume 500, rate 18, and positive end-expiratory pressure (PEEP) 5 cm.Whichof the following assessment findings is most important for the nurse to report to the health care provider?
A)Oxygen saturation 99%
B)Client respiratory rate 22 breaths/minute
C)Crackles audible at lung bases
D)Apical pulse rate 104 beats/minute
Q2) After receiving change-of-shift report, which of the following clients should the nurse assess first?
A)A client with cystic fibrosis who has thick, green-coloured sputum
B)A client with pneumonia who has coarse crackles in both lung bases
C)A client with emphysema who has an oxygen saturation of 91% to 92%
D)A client with septicemia who has intercostal and suprasternal retractions
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin
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Chapter 71: Nursing Management Emergency Care Situations
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3336
Sample Questions
Q1) The following actions are part of the routine emergency department (ED) protocol for a client who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
A)Remove the client's rings.
B)Place ice packs on both hands.
C)Apply calamine lotion to any itching areas.
D)Give diphenhydramine 100 mg PO.
Q2) The nurse is conducting a primary survey on a client in the emergency department and notes motor posturing. Which of the following actions should the nurse implement immediately?
A)Hyperventilate the client.
B)Decrease the IV fluid rate.
C)Prepare for intubation.
D)Continue with the triage assessment.
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Chapter 72: Emergency Management and Disaster Planning
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) A client arrives in the emergency department after exposure to radioactive dust. Which of the following actions should the nurse take first?
A)Place the client in a shower.
B)Obtain the client's vital signs.
C)Determine the type of radioactive agent.
D)Obtain a baseline complete blood count.
Q2) When using the START triage system, the nurse will assess a client who has a sprained wrist and ankle with which of the following colours?
A)Green
B)Yellow
C)Red
D)Black
Q3) Following an earthquake, clients are triaged by emergency medical personnel and are transported to the hospital. Which of the following clients should the nurse assess first?
A)A client with a red tag
B)A client with a blue tag
C)A client with a yellow tag
D)A client with a green tag
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