Advanced Medical-Surgical Nursing Review Questions - 2258 Verified Questions

Advanced Medical-Surgical Nursing Review

Questions

Course Introduction

Advanced Medical-Surgical Nursing is designed for nursing students and professionals seeking to deepen their understanding of complex health conditions and highly specialized patient care. The course emphasizes critical thinking, evidence-based practice, and advanced assessment skills required for managing acute and chronic illnesses across adult populations. Topics include pathophysiology, pharmacology, advanced interventions, and multidisciplinary collaboration in the care of patients with cardiovascular, respiratory, renal, neurological, and gastrointestinal disorders. Learners will also explore ethical and legal considerations, patient education, and leadership roles in delivering comprehensive, patient-centered care in medical-surgical settings.

Recommended Textbook

Medical Surgical Nursing 7th Edition by

Donna D. Ignatavicius

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76 Chapters

2258 Verified Questions

2258 Flashcards

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Chapter 1: Introduction to Medical-Surgical Nursing

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) Which action by the nurse shows an understanding of the principle of self-determination?

A) Allowing a postoperative client to decide to take medication with fruit juice rather than water

B) Allowing a teenager to decide not to go to a clinic when there is evidence that she is having profuse vaginal bleeding

C) Allowing a parent to decide not to proceed with a lifesaving operation for a 12-year-old client

D) Allowing an older client with dementia to decide not to take cardiac medication throughout the shift

Answer: A

Q2) Which action by the nurse demonstrates the best practice for nursing documentation on a computerized record?

A) Deleting all documentation errors on the computerized record

B) Using red font to denote all significant events that have occurred

C) Waiting until the end of the shift to record a summary of information

D) Documenting assessment data at the point of care

Answer: D

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3

Chapter 2: Introduction to Complementary and Alternative Therapies

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) A nurse is assisting a client in preparing for surgery by using progressive muscle relaxation.Which rationale best supports the use of this therapy at this time?

A) It rebalances or repatterns a person's energy field.

B) It improves flexibility and assists with positioning during surgery.

C) It applies pressure, releasing congestion and promoting energy flow.

D) It uses intentional tensing and releasing of successive muscle groups.

Answer: D

Q2) During an initial health assessment interview,the nurse learns that the client is taking warfarin (Coumadin)for a history of deep vein thrombosis.Later,the client admits to taking several herbal preparations as well.Which herbal preparations would the nurse caution the client to avoid?

A) Ginkgo biloba

B) Garlic

C) Ginseng

D) Zinc

E) St. John's wort

Answer: A,B,C

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Chapter 3: Common Health Problems of Older Adults

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A nurse is caring for an older adult client who lives alone.Which economic situation presents the most serious problem for this client?

A) Stock market fluctuations

B) Increased provider benefits

C) Social Security as the basis of income

D) Costs of creating a living will

Answer: C

Q2) An older adult client is suspected of being neglected by the caregiver.What assessment provides the nurse with the best information about this possibility?

A) Inspect skin in the "bathing suit zone" for bruises.

B) Assess the client for orientation to person, place, and time.

C) Compare the client's current weight with prior recorded weights.

D) Perform orthostatic pulse and blood pressure readings.

Answer: C

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Chapter 4: Cultural Aspects of Health and Illness

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) A nurse is working with a new group of immigrants and wants to learn more about their culture.Which method of cultural assessment should the nurse perform to gain a long-term understanding of this culture?

A) Interview a client.

B) Observe a group.

C) Participate in the community.

D) Visit a group of clients.

Q2) The nurse is caring for a homeless client after surgery.Which statement by the nurse indicates the best understanding of this special population?

A) "When you receive your prescription, fill the medication at the nearest pharmacy."

B) "To prevent the risk of infection, you need to bathe daily and keep the incision clean."

C) "Tell me about your home situation and access to food and medications."

D) "To help with healing, be sure to eat meals high in protein and low in fat and cholesterol."

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Chapter 5: Pain: The Fifth Vital Sign

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38 Verified Questions

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Sample Questions

Q1) When a client is assessed,which behavior best indicates that he or she is experiencing changes associated with acute pain?

A) Anger and hostility

B) Expressed hopelessness

C) Inability to concentrate

D) Psychosocial withdrawal

Q2) The nurse accidentally administers 10 mg of morphine intravenously to a client who had been given another dose of morphine,5 mg IV,about 30 minutes earlier.What action must the nurse be prepared to take?

A) Administer naloxone (Narcan).

B) Administer oxygen.

C) Assist with intubation.

D) Monitor pain level.

Q3) Which client would the nurse suggest should try subcutaneous opioid analgesia for pain management?

A) Client who has had a surgical procedure

B) Client with back pain who likes to walk

C) Client with cancer who is nauseous

D) Client experiencing acute chest pain

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Chapter 6: Genetic Concepts for Medical-Surgical Nursing

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A client recently underwent genetic testing that revealed that she has a BRCA1 gene mutation for breast cancer.What are the best actions of the nurse?

A) Encourage genetic counseling for self and family.

B) Disclose the information to the medical insurance company.

C) Recommend self-breast examination every week.

D) Assess the client's response to the test results.

E) Aid in making a plan for prevention and risk reduction.

Q2) Which statement best describes the concept of multifactorial inheritance?

A) A mutation in a single gene results in the expression of problems in a variety of tissues and organs.

B) Susceptibility to a problem is inherited as a single gene trait, but development of the problem is enhanced by environmental conditions.

C) A mutated gene is inherited, but the results of expression of that gene are not evident until middle or late adulthood.

D) Several genes are responsible for the mechanism of hearing, and a mutation in any one of them results in hearing impairment.

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8

Chapter 7: Evidence-Based Practice in Medical-Surgical Nursing

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12 Verified Questions

12 Flashcards

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Sample Questions

Q1) The nurse is looking for the best interventions for postoperative pain control.When are the facility's policies and procedures an appropriate source of evidence?

A) When policies are based on high-quality clinical practice guidelines

B) When evidence is derived from a valid and reliable quantitative research study

C) When procedures originated from opinions of the facility's chief surgeon

D) When evidence is founded on recommendations from experienced nurses

Q2) The nurse researcher is evaluating clinical questions.Which is a qualitative question?

A) What factors affect clients' responses to postoperative pain?

B) Do wound vacuum systems improve surgical wound healing time?

C) What are the effects of hourly rounding on client fall rates?

D) Do chlorhexidine swabs decrease central line site infections?

Q3) The nurse is searching for evidence related to a PICOT question.What source provides the best evidence?

A) Medline database

B) Cochrane library

C) CINAHL database

D) Library of Congress

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Page 9

Chapter 8: Rehabilitation Concepts for Chronic and Disabling Health Problems

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) The nurse is caring for a rehabilitation client.Which activity plan should the nurse implement to best conserve a client's energy without compromising physical or mental health?

A) Reduce hygiene activities and restrict visitors.

B) Ensure that the client toilets before and after planned activities.

C) Schedule energy-intensive activities when energy levels are high.

D) Schedule as many activities as possible in a small block of time.

Q2) A nurse catheterizes a client immediately after voiding.The residual volume is 50 mL.What will the nurse do next?

A) Notify the physician.

B) Insert an indwelling catheter.

C) Document the finding in the chart.

D) Modify the bladder training program.

Q3) The nurse is caring for a client in a rehabilitation center.Which test will best assist the nurse in determining the severity of a client's disability?

A) Instrumental activities of daily living (IADL)

B) Minimum data set (MDS)

C) Functional independence measure (FIM)

D) Independent living skills test (ILST)

Page 10

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Chapter 9: End-Of-Life Care

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) The nurse is discussing advance directives with a client.Which statement by the client indicates good understanding of the purpose of an advance directive?

A) "An advance directive will keep my children from selling my home when I'm old."

B) "An advance directive will be completed as soon as I'm incapacitated and can't think for myself."

C) "An advance directive will specify what I want done when I can no longer make decisions about health care."

D) "An advance directive will allow me to keep my money out of the reach of my family."

Q2) The family members of a client with a terminal illness tell a nurse that the client keeps asking if she is dying.What is the nurse's best response?

A) "Whenever she asks about dying, change the subject."

B) "Tell her the truth in as gentle a way as possible."

C) "Tell her that she will get better eventually."

D) "Ask her if she is afraid to die."

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11

Chapter 10: Concepts of Emergency and Trauma Nursing

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse is triaging clients in the emergency department.Which client should be considered urgent?

A) 20-year-old female with a chest stab wound and tachycardia

B) 45 year-old homeless man with a skin rash and sore throat

C) 75-year-old female with a cough and of temperature of 102° F

D) 50-year-old male with new-onset confusion and slurred speech

Q2) The nurse is caring for a homeless client and consults the emergency department (ED)case manager.What can the ED case manager do for this client?

A) Communicate client needs and restrictions to support staff.

B) Prescribe low-cost antibiotics to treat community-acquired infection.

C) Provide referrals to subsidized community-based health clinics.

D) Offer counseling for substance abuse and mental health disorders.

Q3) A nurse is triaging clients in the emergency department.Which client complaint would the triage nurse classify as nonurgent?

A) Chest pain and diaphoresis

B) Decreased breath sounds due to chest trauma

C) Left arm fracture with palpable radial pulses

D) Sore throat and a temperature of 104° F

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12

Chapter 11: Care of Patients With Common Environmental Emergencies

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The nurse is assessing a client recently bitten by a coral snake.Which assessment is the priority?

A) Peripheral edema and swelling

B) Evaluation of clotting times

C) Respiratory rate and depth

D) Electrocardiogram rhythm

Q2) The nurse is assessing a client admitted with a brown recluse spider bite.What priority assessment should the nurse perform?

A) Ask the client about pruritus at the bite site.

B) Inspect for a bluish purple vesicle.

C) Assess for redness and swelling.

D) Obtain the client's temperature.

Q3) While on a camping trip,the nurse provides care for a camper who was bitten by a black widow spider.What is the priority action of the nurse?

A) Apply ice to the site of the bite.

B) Apply a loose tourniquet to the limb.

C) Give acetaminophen (Tylenol) for pain.

D) Cover the camper with a warm blanket.

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Chapter 12: Concepts of Emergency and Disaster

Preparedness

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) A community disaster has occurred and the hospital's emergency department (ED)has efficiently triaged,treated,and transferred most clients to appropriate units.The hospital incident command officer wants to "stand down" from the emergency plan.Which question by the nursing supervisor is most beneficial at this time?

A) "Are you sure no more victims are coming into the ED?"

B) "Do all other areas of the hospital have the supplies and personnel they need now?"

C) "Have all ED staff had the chance to eat and rest recently?"

D) "Are all other incident command officers and house supervisors in agreement with you?"

Q2) An industrial accident has occurred near the hospital,and many victims are brought to the emergency department (ED)for treatment of their injuries.The nurse triages the victim with which injury with a red tag?

A) Dislocated right hip and an open fracture of the right lower leg

B) Large contusion to the forehead and a bloody nose

C) Closed fracture of the right clavicle and arm numbness

D) Multiple fractured ribs and shortness of breath

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Page 14

Chapter 13: Assessment and Care of Patients With Fluid and Electrolyte Imbalances

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44 Verified Questions

44 Flashcards

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Sample Questions

Q1) A client is being discharged with mild dehydration.Which statement by the client indicates an understanding of measures to prevent mild dehydration from becoming more severe?

A) "I will weigh myself at the same time daily wearing the same clothes."

B) "When I feel lightheaded, I will drink a full glass of water."

C) "I will decrease my fluid intake if my urine output increases."

D) "If I forget to take my diuretic, I will take twice the dose next time."

Q2) The client is taking a medication that inhibits aldosterone secretion and release.The nurse assesses for what potential complication?

A) Fluid retention

B) Hyperkalemia

C) Hyponatremia

D) Hypervolemia

Q3) A nurse is caring for several clients.Which client does the nurse assess most carefully for hyperkalemia?

A) Client with heart failure using a salt substitute

B) Client taking a thiazide diuretic for hypertension

C) Client taking nonsteroidal anti-inflammatory drugs daily

D) Client with type 2 diabetes taking an oral antidiabetic agent

Page 15

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Chapter 14: Assessment and Care of Patients With

Acid-Base Imbalances

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44 Verified Questions

44 Flashcards

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Sample Questions

Q1) A client is admitted with mixed respiratory and metabolic acidosis secondary to bronchitis and diabetic ketoacidosis.The nurse evaluates that teaching about the client's confusion was effective when a family member makes which statement?

A) "It is too early to tell if the ketoacidosis will cause permanent changes."

B) "Her memory will improve, but loss of some brain cells has occurred."

C) "The confusion should clear when oxygen and electrolyte levels are normal."

D) "The confusion should clear when blood glucose levels and other laboratory tests are normal."

Q2) A client who was malnourished is being discharged.The nurse evaluates that teaching to decrease risk for the development of metabolic acidosis has been effective when the client states,"I will:

A) Increase my milk intake to at least three glasses daily."

B) Be sure to eat three well-balanced meals and a snack daily."

C) Avoid taking pain medication and antihistamines together."

D) Not add salt to food when cooking or during meals."

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Page 16

Chapter 15: Infusion Therapy

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49 Verified Questions

49 Flashcards

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Sample Questions

Q1) A client who has just had an IV started in the right cephalic vein tells the nurse that the wrist and the hand below the IV site feel like "pins and needles." Which action by the nurse is best?

A) Document the finding and continue to monitor the IV site.

B) Check for the presence of a strong blood return.

C) Discontinue the IV and restart it at another site.

D) Elevate the extremity above the level of the heart.

Q2) Which infusion device does the nurse select for the older adult client with a medical diagnosis of "dehydration"?

A) Cassette pump

B) Elastomeric balloons

C) Volumetric controller

D) Syringe pump

Q3) What action does the nurse take to prevent infection in the older adult receiving IV therapy?

A) Applying skin protectant before applying the dressing

B) Avoiding the use of alcohol pads when removing tape

C) Shaving the skin before attempting the venipuncture

D) Using maximum friction to cleanse the skin

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Page 17

Chapter 16: Care of Preoperative Patients

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Sample Questions

Q1) The nurse is assessing a client before surgery.Which assessments contraindicate the client having surgery as scheduled?

A) Potassium level of 2.8 mEq/L

B) International normalized ratio (INR) of 4

C) Prothrombin time (PTT) of 30 seconds

D) Calcium level of 8.8 mEq/dL

E) Positive pregnancy test

F) Platelet count of 150,000

Q2) The nurse is completing preoperative teaching for a client,and it becomes apparent that the client does not understand the surgery that will be performed.What is the priority action for the nurse?

A) Obtain informed consent from the client.

B) Continue teaching the client about the surgery.

C) Revise the teaching plan for the client.

D) Notify the surgeon and document the finding.

Q3) Which action is most appropriate during a preoperative chart review?

A) Ensure that the consent form is signed, dated, and witnessed.

B) Call the surgeon if the client has any food allergies.

C) Make sure all marks are washed off the surgical site.

D) Make sure the client understands the procedure.

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Chapter 17: Care of Intraoperative Patients

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The nurse is preparing to bring a young female client to the operating room for a total abdominal hysterectomy (TAH).The client says to the nurse,"I am so glad that I will still be able to have children after this surgery." What is the nurse's best response?

A) "That is very good news. How many children do you want?"

B) "Weren't you taught about your surgery earlier?"

C) "You must have misunderstood your surgeon."

D) "I will call the surgeon to speak with you before surgery."

Q2) A client is having spinal anesthesia for knee surgery.Which statement by the client indicates a good understanding of this type of anesthesia?

A) "I won't have to worry about having an allergic reaction."

B) "I will be able to walk sooner after your surgery."

C) "I will have less risk of developing pneumonia after surgery."

D) "I will have less risk of bleeding with epidural anesthesia."

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19

Chapter 18: Care of Postoperative Patients

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Sample Questions

Q1) The nurse is caring for a client who had surgery 24 hours ago.He is alert and oriented when awakened and reports pain,but goes back to sleep when not being stimulated.He is on patient-controlled analgesia (PCA).What is the nurse's next action?

A) Push the PCA control for the client.

B) Discontinue the PCA immediately.

C) Assess the client's respiratory status.

D) Keep the client awake as much as possible.

Q2) After discharge from the postanesthesia care unit (PACU),the client returned to the surgical nursing unit at 10 AM.It is now 6 PM,and the client is not experiencing any complications.How often does the nurse assess the client's vital signs?

A) Every 15 minutes

B) Every 30 minutes

C) Every hour

D) Every 4 hours

Q3) A client is receiving morphine via patient-controlled analgesia (PCA)pump.Morphine is available in a 5-mg/mL solution.The basal rate is 0.8 mg/hr.What is the total volume the client will receive in 24 hours? _________ mL

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Page 20

Chapter 19: Inflammation and the Immune Response

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) The nurse is assessing a client who has a wound on the left calf.Drainage is coming from the wound.What does the nurse tell the client about this finding?

A) "Exudate or drainage is a natural occurrence with inflammation."

B) "Exudate or drainage means the wound is infected."

C) "Drainage from a wound is never a good sign."

D) "All wounds result in bleeding and pus formation."

Q2) A client has an injury to the right ankle.On assessment,the nurse notes that it is red and inflamed.The nurse adds interventions to the care plan that address which factor?

A) An injury that is infected

B) Inflammation without infection

C) A secondary infection

D) Dermatitis around the ankle

Q3) A client has a reduction in immune function.What is the nurse's priority action for this client?

A) Determine whether it is temporary or permanent.

B) Take the client's vital signs every 4 hours.

C) Teach family members to receive the flu shot yearly.

D) Wash hands before entering the room.

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Chapter 20: Care of Patients With Arthritis and Other

Connective Tissue Diseases

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47 Verified Questions

47 Flashcards

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Sample Questions

Q1) A client presents with painful,inflamed fingers with small,hard,yellow nodules that have a sandy yellow drainage.Which medication does the nurse prepare to administer to the client?

A) Colchicine (Colasalide)

B) Allopurinol (Zyloprim)

C) Methotrexate (Rheumatrex)

D) Aspirin

Q2) The nurse is caring for a client who has had hip replacement surgery 2 days before.The client reports severe pain at the surgical site despite having received 2 Vicodin (acetaminophen and hydrocodone)tablets 2 hours previously.The client is requesting IV pain medication.What is the nurse's primary intervention?

A) Assess the surgical site for signs of infection.

B) Administer 2 more Vicodin tablets.

C) Apply a large ice bag to the operative site.

D) Reassure the client that the Vicodin will work soon.

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Page 22

Chapter 21: Care of Clients With Hiv Disease and Other Immune Deficiencies

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Sample Questions

Q1) The nurse is caring for a young woman at the primary health care clinic.Which assessment finding leads the nurse to question the client about risk factors for HIV?

A) Six vaginal yeast infections in the last 12 months

B) Unable to become pregnant for the last 2 years

C) Severe cramping and irregular periods

D) Very heavy periods and breakthrough bleeding

Q2) The nurse is working with a client who has AIDS-related dementia and will soon be discharged to the care of family members.What teaching topic is best for the nurse to include in the discharge plan?

A) Feed the client when he will not do it by himself.

B) Make sure that a clock and a calendar are easily visible.

C) Remove locks from bathroom and bedroom doors.

D) Do not allow the client to smoke when he is alone.

Q3) The nurse is to give a client rifampin (Rifadin)for tuberculosis.The dosage is 10 mg/kg/day.The client weighs 198 lb,and the medication is available in 150-mg capsules.How many capsules of rifampin does the client receive daily? __________ capsules/day

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Page 23

Chapter

Hypersensitivity Allergyand Autoimmunity

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Sample Questions

Q1) A client is in the clinic having had rhinorrhea and headache for the last 2 weeks.Which laboratory value alerts the nurse to the possibility of a type I hypersensitivity reaction?

A) White blood cell count, 8900/mm³

B) Eosinophils, 10%

C) Neutrophils, 65%

D) Hemoglobin, 14 g/dL

Q2) Which client characteristic places her or him at high risk for latex hypersensitivity?

A) Allergy to shellfish

B) History of spina bifida

C) Total hip replacement

D) Taking oral contraceptives

Q3) Which condition is a type II hypersensitivity reaction?

A) Allergic rhinitis

B) Positive purified protein derivative (PPD) test for tuberculosis

C) Transfusion reaction to improper blood type

D) Serum sickness after receiving immune globulin

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Page 24

Chapter 23: Cancer Development

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Sample Questions

Q1) Which comment made by a client with breast cancer indicates a need for clarification regarding cancer causes and prevention?

A) "I will eat a low-fat, high-fiber diet from now on."

B) "Probably nothing I did or didn't do caused this cancer."

C) "I hope my daughter doesn't develop breast cancer."

D) "Regular mammograms on my other breast will prevent cancer."

Q2) An adult client who has a suspicious mammogram says that her mother died of bone cancer when she was around the same age.Which is the most important question for the nurse to ask this client?

A) "Have any other members of your family had bone cancer?"

B) "Did your mother ever have any other type of cancer?"

C) "How old were you when you started your periods?"

D) "Did your mother have regular mammograms?"

Q3) The nurse wishes to present a cancer program to a group of people at high risk for cancer.In planning the program,which group does the nurse consider the priority?

A) Older adults

B) People who smoke

C) Clients with family histories of cancer

D) People with poor immune function

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Page 25

Chapter 24: Care of Patients With Cancer

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Sample Questions

Q1) The nurse is caring for a client who has a sealed radiation implant for cervical cancer.Which activities by the nurse are appropriate?

A) Inform the supervisor of the nurse's positive pregnancy test.

B) Obtain the dosimeter badge from the nurse going off shift.

C) Keep the client's door open for frequent observation.

D) Dispose of dirty linen in a red "biohazard" bag.

E) Wear a lead apron while providing client care.

Q2) The nurse is planning care for a client with hypercalcemia secondary to bone metastasis.Which interventions are included in the plan?

A) Increase oral fluids.

B) Place an oral airway at the bedside.

C) Monitor for Chvostek's sign.

D) Implement seizure precautions.

E) Assess for hyperactive reflexes.

F) Observe for muscle weakness.

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Chapter 25: Care of Patients With Infection

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Sample Questions

Q1) The nurse is told that a client with measles is being admitted.Which action by the nurse is best?

A) Implement Contact Precautions.

B) Check negative airflow monitors.

C) Ensure that hand sanitizer is readily available.

D) Place the client in a room with another measles client.

Q2) A client has been admitted for the second time to treat tuberculosis (TB).Which referral does the nurse initiate as a priority?

A) Social worker to see if the client can afford the medications

B) Visiting nurses to arrange directly observed therapy on dismissal

C) Psychiatric nurse liaison to assess reasons for noncompliance

D) Infection control nurse to arrange testing for drug resistance

Q3) Before discharge,the nurse confirms that the client understands antibiotic therapy for a wound infection by which statement?

A) "I should take the antibiotic until my temperature is normal."

B) "If my temperature elevates, I should increase my dose of antibiotic."

C) "If my drainage is clear, I do not need the antibiotic."

D) "I need to take the medication until the prescription is finished."

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Chapter 26: Assessment of the Skin,hair,and Nails

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Sample Questions

Q1) A client is admitted with inflamed soft tissue folds around his nail plates.Which question by the nurse elicits the most useful information about the possible condition?

A) "What do you do for a living?"

B) "Do you keep your nails manicured?"

C) "Do you have diabetes?"

D) "Have you had any fungal nail infections?"

Q2) On assessing a client's lower extremities,the nurse notices that one leg is pale and cooler to the touch.Which assessment does the nurse perform next?

A) Ask about a family history of skin disorders.

B) Palpate the client's pedal pulses bilaterally.

C) Check for the presence of Homans' sign.

D) Assess the client's skin for adequate skin turgor.

Q3) An older client expresses concern about developing new "age spots." Which instruction is most important for the nurse to provide to the client?

A) "Limit the time you spend in the sun."

B) "Monitor for signs of infection."

C) "Monitor spots for color change."

D) "Use skin creams to prevent drying."

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28

Chapter 27: Care of Patients With Skin Problems

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53 Verified Questions

53 Flashcards

Source URL: https://quizplus.com/quiz/38712

Sample Questions

Q1) The nurse sees a client with which condition first to evaluate for wound infection?

A) Pending blood cultures

B) Thin serous wound drainage

C) White blood cell count of 23,000/mm³

D) Decrease in wound size

Q2) A client has a chronic wound that is being treated with a vacuum-assisted wound closure (VAC)device.Which intervention by the nurse takes priority?

A) Provide pain medication as needed.

B) Assess the VAC every 2 hours for bleeding.

C) Check the integrity of the dressing seal every 4 hours.

D) Document the wound size with each dressing change.

Q3) An African-American woman had a breast biopsy 1 year ago.The incision site is elevated,dark,and protruding.Which information does the nurse provide to the client?

A) A keloid has formed over the biopsy scar.

B) The benign tumor has undergone malignant changes.

C) A deep infection has probably become symptomatic.

D) Chronic inflammatory changes have occurred in the skin.

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Chapter 28: Care of Patients With Burns

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38713

Sample Questions

Q1) A client has severe burns around the right hip.Which position does the nurse instruct the nursing assistant to use to maintain maximum function of this joint?

A) Hip maintained in 30-degree flexion

B) Hip at zero flexion with leg flat

C) Knee flexed at 30-degree angle

D) Leg abducted with foam wedge

Q2) A client has a large burned area on the right arm.The burned area appears pink,has blisters,and is very painful.How does the nurse categorize this injury?

A) Full thickness

B) Partial thickness superficial

C) Partial thickness deep

D) Superficial

Q3) When providing care for a client with an acute burn injury,which nursing intervention is most important to prevent infection by autocontamination?

A) Avoid sharing equipment such as blood pressure cuffs between clients.

B) Change gloves between wound care on different parts of the client's body.

C) Use the closed method of burn wound management for all wound care.

D) Use proper and consistent handwashing by all members of the staff.

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Chapter 29: Assessment of the Respiratory System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38714

Sample Questions

Q1) The nurse is caring for an older adult client with a pulmonary infection.Which nursing action is a priority with this client?

A) Encouraging the client to increase fluid intake

B) Assessing the client's level of consciousness

C) Raising the head of the bed to at least 45 degrees

D) Providing the client with humidified oxygen

Q2) A client has undergone a thoracentesis.Which assessment finding requires immediate action by the nurse?

A) Decreased level of consciousness

B) Tachycardia

C) Increased temperature

D) Slowed respiratory rate

Q3) A client has a long-standing history of chronic obstructive pulmonary disease (COPD).Which laboratory finding does the nurse correlate with this condition?

A) White blood cell count, 7500/mm³

B) Hemoglobin, 22 g/dL

C) Neutrophils, 6000/ mm³

D) Monocytes, 600/mm³

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Chapter 30: Care of Patients Requiring Oxygen Therapy or Tracheostomy

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38715

Sample Questions

Q1) A client has been placed on 6 L of humidified oxygen via nasal cannula.Which action by the nurse is most appropriate?

A) Drain condensation back into the humidifier, maintaining a closed system.

B) Keep the water sterile by draining it from the water trap back into the humidifier.

C) Turn down the humidity when condensation begins to collect in the tubing.

D) Remove condensation in the tubing by disconnecting and emptying it appropriately.

Q2) The nursing student is performing tracheostomy care on a client.Which action by the student leads the supervising nurse to intervene?

A) Using folded gauze dressings on both sides of the stoma

B) Cutting a slit in a gauze 4 * 4 pad to fit around the stoma

C) Applying new tracheostomy ties before removing old ones

D) Tying the twill tape in a square knot on the side of the neck

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Chapter 31: Care of Patients With Noninfectious Upper

Respiratory

Problems

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38716

Sample Questions

Q1) The client with which conditions requires immediate nursing intervention?

A) Shortness of breath

B) Sternal retractions

C) Pulse oximetry reading of 95%

D) Occasional expiratory wheeze

E) Respiratory rate of 8 breaths/min

F) Arterial blood gas showing a pH of 7.35

G) Stridor

Q2) What is the highest priority for the nurse to teach the client who is being discharged after a fixed centric occlusion for a mandibular fracture?

A) How to use wire cutters

B) Eating six soft or liquid meals each day

C) How to irrigate the mouth every 2 hours

D) Sleeping in semi-Fowler's position postoperatively

Q3) Which client is at greatest risk for development of obstructive sleep apnea?

A) Woman who is 8 months pregnant

B) Middle-aged man with gastroesophageal reflux disease

C) Middle-aged woman who is 50 pounds overweight

D) Older man with type 2 diabetes and a history of sinus infections

Page 33

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Chapter 32: Care of Patients With Noninfectious Lower

Respiratory

Problems

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50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/38717

Sample Questions

Q1) The nurse observes hematuria in a client receiving IV cyclophosphamide (Cytoxan).After notifying the health care provider,what intervention is the nurse's priority?

A) Obtain a urine specimen.

B) Assess laboratory studies.

C) Increase hydration.

D) Stop the medication.

Q2) The nurse is teaching a client with cystic fibrosis.What activity does the nurse teach as the priority?

A) Taking daily antibiotics

B) Having genetic screening

C) Maintaining good nutrition

D) Exercising daily

Q3) The nurse is assessing a client who has a chest tube.Which assessment finding requires intervention by the nurse?

A) Pain at the insertion site

B) Bloody drainage in the collection chamber

C) Intermittent bubbling in the water seal chamber

D) Tidaling in the water seal chamber

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Chapter 33: Care of Patients With Infectious Respiratory Problems

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38718

Sample Questions

Q1) The newly employed nurse received a bacillus Calmette-Guérin (BCG)vaccine before moving to the United States.The nurse needs to receive a tuberculin (TB)test as part of the pre-employment physical.What does the nurse do?

A) The nurse should not receive the tuberculin test.

B) The nurse will need a two-step TB test.

C) The nurse will need a chest x-ray instead.

D)A physician should examine the nurse before the TB test is given.

Q2) The nurse is caring for a client who has inhalation anthrax.What nursing actions are of the highest priority?

A) Placing the client in an isolation room

B) Teaching the client how to use a mask

C) Teaching the client about long-term antibiotic therapy

D) Using handwashing and other Standard Precautions

E) Reporting suspected cases to the proper authorities

Q3) Which person is at greatest risk for developing a community-acquired pneumonia?

A) Middle-aged teacher who typically eats a diet of Asian foods

B) Older adult who smokes and has a substance abuse problem

C) Older adult with exercise-induced wheezing

D) Young adult aerobics instructor who is a vegetarian

Page 35

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Chapter 34: Care of Critically Ill Patients With Respiratory Problems

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38719

Sample Questions

Q1) A client is admitted to the emergency department several hours after a motor vehicle crash.The car's driver-side airbag was activated during the accident.Which assessment requires the nurse's immediate intervention?

A) Disorientation

B) Hemoptysis

C) Pulse oximetry reading of 94%

D) Chest pain with movement

Q2) A client with severe respiratory insufficiency becomes short of breath during activities of daily living.Which nursing intervention is best?

A) Call the Rapid Response Team.

B) Decrease involvement in care until the episode is past.

C) Cluster morning activities to provide long rest periods.

D) Space out interventions to provide for periods of rest.

Q3) A client is ordered heparin 5000 units at 7 AM.The heparin is provided in a vial labeled 20,000 units per mL.How much does the nurse administer? ______ mL

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36

Chapter 35: Assessment of the Cardiovascular System

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/38720

Sample Questions

Q1) When reviewing a client's laboratory results,which findings alert the nurse to the possibility of atherosclerosis?

A) Total cholesterol of 280 mg/dL

B) High-density cholesterol of 50 mg/dL

C) Triglycerides of 200 mg/dL

D) Serum albumin of 4 g/dL

E) Low-density cholesterol of 160 mg/dL

Q2) The nurse is caring for a client with coronary artery disease.What assessment finding does the nurse expect if the client's mean arterial blood pressure decreases below 60 mm Hg?

A) Increased cardiac output

B) Hypertension

C) Chest pain

D) Decreased heart rate

Q3) The nurse is assessing clients at a clinic.Which activity takes priority?

A) Teaching smoking cessation to a middle-aged woman who smokes

B) Planning an exercise regimen with a woman with a sedentary lifestyle

C) Teaching an older man who is moderately obese to keep a food diary

D) Assessing a man with familial coronary artery disease for specific risk factors

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Page 37

Chapter 36: Care of Patients With Dysrhythmias

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/38721

Sample Questions

Q1) The nurse is assessing the client's electrocardiography (ECG).What does the P wave on the ECG tracing represent?

A) Contraction of the atria

B) Contraction of the ventricles

C) Depolarization of the atria

D) Depolarization of the ventricles

Q2) A client has a consistently regular heart rate of 128 beats/min.Which related physiologic alterations does the nurse assess for?

A) Decrease in cardiac output

B) Increase in cardiac output

C) Increase in blood pressure

D) Decrease in blood pressure

E) Increase in urine output

Q3) The nurse is assisting with resuscitation of a client.What priority intervention does the nurse perform before defibrillating a client?

A) Make sure the defibrillator is set to the synchronous mode.

B) Deliver a precordial thump to the upper portion of the sternum.

C) Test the equipment by delivering a smaller shock at 100 J.

D) Ensure that all personnel are clear of contact with the client and the bed.

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Page 38

Chapter 37: Care of Patients With Cardiac Problems

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/38722

Sample Questions

Q1) An older adult client is admitted with fluid volume excess.Which diagnostic study does the nurse facilitate as a priority?

A) Echocardiography

B) Chest x-ray

C) T₄ and thyroid-stimulating hormone (TSH)

D) Arterial blood gas

Q2) The nurse is starting a client on digoxin (Lanoxin)therapy.What intervention is essential to teach this client?

A) "Avoid taking aspirin or aspirin-containing products."

B) "Increase your intake of foods high in potassium."

C) "Hold this medication if your pulse rate is below 80 beats/min."

D) "Do not take this medication within 1 hour of taking an antacid."

Q3) The nurse is caring for a client with severe heart failure.What is the best position in which to place this client?

A) High Fowler's, pillows under arms

B) Semi-Fowler's, with legs elevated

C) High Fowler's, with legs elevated

D) Semi-Fowler's, on the left side

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Chapter 38: Care of Patients With Vascular Problems

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/38723

Sample Questions

Q1) The nurse is educating a client before a right leg atherectomy.What priority education does the nurse provide?

A) "You may use the bathroom after the procedure."

B) "You will be sedated for 6 hours after the procedure."

C) "You will not need to take a daily aspirin anymore."

D) "You may be on heparin during the procedure."

Q2) The nurse is assessing the extremities of a client with Buerger's disease.What clinical manifestation does the nurse correlate with this disease?

A) Reddened, with diminished distal pulses

B) Cold and pale, with proximal bounding pulses

C) Cyanotic, with decreased deep tendon reflexes

D) Brownish discoloration, with pitting edema

Q3) The nurse is providing health education to a client with chronic venous stasis ulcers.What priority instruction does the nurse include?

A) "Apply antiembolism stockings before getting out of bed in the morning."

B) "Clean venous ulcers with Betadine before applying a dressing."

C) "Take 1 low-dose aspirin (81 mg) daily to prevent inflammation."

D) "Remove and reapply a new DuoDerm dressing to your ulcers each day."

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Chapter 39: Care of Patients With Shock

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38724

Sample Questions

Q1) The nurse is planning discharge education for a client who had an exploratory laparotomy.Which nursing statement is appropriate when teaching the client to monitor for early signs of shock?

A) "Monitor how much urine you void and report a decrease in the amount."

B) "Take your temperature daily and report any below-normal body temperatures."

C) "Assess your radial pulse every day and report an irregular rhythm."

D) "Monitor your bowel movements and report ongoing constipation or diarrhea."

Q2) The nurse is administering prescribed sodium nitroprusside (Nipride)intravenously to a client who has shock.Which nursing intervention is a priority when administering this medication?

A) Ask if the client has chest pain every 30 minutes.

B) Assess the client's blood pressure every 15 minutes.

C) Monitor the client's urinary output every hour.

D) Observe the client's extremities every 4 hours.

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Chapter 40: Care of Patients With Acute Coronary Syndromes

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38725

Sample Questions

Q1) The nurse is assessing a client who has a serum potassium level of 4.5 mEq/L after coronary artery bypass graft (CABG)surgery.Which action does the nurse take?

A) Notify the health care provider.

B) Document the finding.

C) Administer prescribed diuretics.

D) Administer prescribed potassium replacements.

Q2) The nurse teaches a client who is newly diagnosed with coronary artery disease.Which instruction does the nurse include to minimize complications of this disease?

A) "Rest is the best medicine at this time. Do not start an exercise program."

B) "You are a man; therefore there is nothing you can do to minimize your risks."

C) "You should talk to your provider about medications to help you quit smoking."

D) "Decreasing the carbohydrates in your diet will help you lose weight."

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Chapter 41: Assessment of the Hematologic System

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/38726

Sample Questions

Q1) The nurse helps to ambulate a client who has anemia.Which clinical manifestation indicates that the client is not tolerating the activity?

A) Blood pressure of 120/90 mm Hg

B) Heart rate of 110 beats/min

C) Pulse oximetry reading of 95%

D) Respiratory rate of 20 breaths/min

Q2) The nurse is assessing a client with liver failure.Which assessment is the highest priority for this client?

A) Auscultation for bowel sounds

B) Assessing for deep vein thrombosis

C) Monitoring of blood pressure hourly

D) Assessing for signs of bleeding

Q3) The nurse is assessing a client whose warfarin (Coumadin)therapy was discontinued 3 weeks ago.Which laboratory test result indicates that the client's warfarin therapy is no longer therapeutic?

A) International normalized ratio (INR), 0.9

B) Reticulocyte count, 1%

C) Serum ferritin level, 350 ng/mL

D) Total white blood cell (WBC) count, 9000/mm³

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Page 43

Chapter 42: Care of Patients With Hematologic Problems

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38727

Sample Questions

Q1) The nurse is planning care for a client who has leukemia.Which intervention does the nurse include in the plan of care to prevent fatigue?

A) Arrange for a family member to stay with the client.

B) Plan care for times when the client has the most energy.

C) Schedule for daily physicals and occupational therapy.

D) Plan all activities to occur in the morning to allow for afternoon naps.

Q2) The nurse is transfusing red blood cells to a client who has sickle cell disease.Which laboratory result indicates that the nurse should discontinue the transfusion?

A) Hematocrit level (Hct), 32%

B) Hemoglobin S, 88%

C) Serum iron level, 300 mcg/dL

D) Total white blood cell count, 12,000/mm³

Q3) The nurse is preparing a client with leukemia for a peripheral stem cell transfusion.Which information does the nurse provide the client?

A) "Nausea and vomiting are common after the transfusion."

B) "The transfusion will take about 6 hours."

C) "You may have numbness in your fingers and toes."

D) "Your urine may be red for a short time."

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Chapter 43: Assessment of the Nervous System

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38728

Sample Questions

Q1) The nurse is planning care for an 83-year-old client with age-related changes to his sensory perception.Which nursing action does the nurse implement to ensure the client's safety?

A) Provide a call button that requires only minimal pressure to activate.

B) Use a clock and a calendar to orient and minimize onset of dementia.

C) Ensure that the path to the bathroom is free from equipment.

D) Admit the client to the room closest to the nursing station.

Q2) The nurse is teaching a client before magnetic resonance imaging (MRI).Which statement indicates that the client understands the content of the education?

A) "I need to stay away from heavy metals for the next 48 hours."

B) "My urine will be radioactive for the next 48 hours."

C) "I must increase my fluids because of the dye used for the MRI."

D) "I can return to my usual activities immediately after the MRI."

Q3) The nurse is discharging an 80-year-old client with diminished touch sensation.Which instruction does the nurse provide to promote client safety?

A) "Walk barefoot only in your home."

B) "Bathe in warm water to increase your circulation."

C) "Look at the placement of your feet when walking."

D) "Put throw rugs at the foot of your bed for cushioning."

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Page 45

Chapter 44: Care of Patients With Problems of the Central

Nervous System: the

Brain

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38729

Sample Questions

Q1) A client is actively experiencing status epilepticus.Which prescribed medication does the nurse prepare to administer?

A) Atropine

B) Lorazepam (Ativan)

C) Phenytoin (Dilantin)

D) Morphine sulfate

Q2) The caregiver of a client with advanced Alzheimer's disease states,"She is always wandering off.What can I do to manage this restless behavior?" How does the nurse respond?

A) "Allow for a 45-minute daytime nap."

B) "Take the client for frequent walks throughout the day."

C) "Using a Geri-chair may decrease agitation."

D) "Give a mild sedative during periods of restlessness."

Q3) The nurse is taking the health history of a client suspected of having bacterial meningitis.Which question is most important for the nurse to ask?

A) "Do you live in a crowded residence?"

B) "When was your last tetanus vaccination?"

C) "Have you had any viral infections recently?"

D) "Have you traveled out of the country in the last month?"

Page 46

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Chapter 45: Care of Patients With Problems of the Central Nervous

System: the Spinal Cord

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38730

Sample Questions

Q1) The nurse is caring for a client who has undergone a spinal fusion.Which specific postoperative instructions does the nurse give this client?

A) "You may lift items up to 10 pounds."

B) "Wear your brace when you are out of bed."

C) "You must remain on bedrest for 48 hours after surgery."

D) "You will need to take steroids to prevent rejection of the bone graft."

Q2) A client presents with an acute exacerbation of multiple sclerosis.Which prescribed medication does the nurse prepare to administer?

A) Baclofen (Lioresal)

B) Interferon beta-1b (Betaseron)

C) Dantrolene sodium (Dantrium)

D) Methylprednisolone (Medrol)

Q3) Emergency medical services arrive to the emergency department with a client who has a cervical spinal cord injury.Which priority assessment does the emergency department nurse perform at this time?

A) Level of consciousness and orientation

B) Heart rate and rhythm

C) Muscle strength and reflexes

D) Respiratory pattern and airway

Page 47

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Chapter 46: Care of Patients With Problems of the

Peripheral Nervous

System

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38731

Sample Questions

Q1) A client has just undergone surgery for peripheral nerve trauma.Which interventions does the nurse include in the client's plan of care?

A) Immobilization of the affected area with a splint

B) Rotation of cold and heat therapy

C) Occupational therapy

D) Skin care, including hygiene and ointments

E) High-fat, low-protein diet

Q2) The nurse is caring for a client who has undergone peripheral nerve repair.Which priority assessment does the nurse perform postoperatively?

A) Evaluate extremity mobility.

B) Assess the skin surrounding the cast.

C) Test distal extremities for sensation.

D) Auscultate bowel sounds.

Q3) The nurse recognizes which pathophysiologic feature as a hallmark of Guillain-Barré syndrome?

A) Nerve impulses are not transmitted to skeletal muscle.

B) The immune system destroys the myelin sheath.

C) The distal nerves degenerate and retract.

D) Antibodies to acetylcholine receptor sites develop.

Page 48

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Chapter 47: Care of Critically Ill Patients With Neurologic Problems

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38732

Sample Questions

Q1) The nurse is caring for a client who is disoriented as the result of a stroke.Which action does the nurse implement to help orient this client?

A) Ask the family to bring in pictures familiar to the client.

B) Turn on the television to a 24-hour news station.

C) Maintain a calm and quite environment by minimizing visitors.

D) Provide auditory and visual stimulation simultaneously.

Q2) A client who has a severe head injury is placed in a drug-induced coma.The client's husband states,"I do not understand.Why are you putting her into a coma?" How does the nurse respond?

A) "These drugs will prevent her from experiencing pain when positioning or suctioning is required."

B) "This medication will help her remain cooperative and calm during the painful treatments."

C) "This medication will decrease the activity of her brain so that additional damage does not occur."

D) "This medication will prevent her from having a seizure and will reduce the need for monitoring intracranial pressure."

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Chapter 48: Assessment of the Eye and Vision

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38733

Sample Questions

Q1) During assessment,the nurse notes that a client's right pupil is 2 mm larger than the left pupil.Which is the nurse's first action?

A) Ask the client how long this condition has been present.

B) Attempt to elicit a red reflex in both eyes.

C) Document the finding as the only action.

D) Identify the medications that the client is taking.

Q2) During assessment of an older adult,which finding does the nurse immediately report to the health care provider?

A) Yellowing or bluing of the sclera

B) Lack of discrimination between green and violet

C) An opaque, bluish-white ring within the outer edge of the cornea

D) Pupil constriction in response to light occurring in 2 seconds

Q3) A client is scheduled for electroretinography.Which statement indicates that the client understands the teaching about this procedure?

A) "I will wear dark glasses in sunlight to prevent eye pain."

B) "I am going to drink at least 3 liters of water to flush the dye out of my system."

C) "I will avoid rubbing my eyes until the anesthetic drops have worn off."

D) "I will not drive for the first 24 hours after the procedure."

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Chapter 49: Care of Patients With Eye and Vision Problems

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38734

Sample Questions

Q1) An older adult client who has a mature cataract in the right eye states,"Now I have lost the sight in my right eye because I waited too long for treatment." How does the nurse best respond to the client?

A) "Yes, this type of blindness could have been prevented by earlier treatment."

B) "It is fortunate you came for treatment in time to save the sight of your other eye."

C) "Nothing you could have done would have made any difference."

D) "Surgery can still save the sight in your eye with removal of the cataract."

Q2) The nurse is teaching a client how to apply eye medication.Which is the correct technique for applying ointment into the eye?

A) From the middle out

B) From the inner canthus to the outer canthus

C) From the outer canthus to the inner canthus

D) Against the inner aspect of the eyelid

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Chapter 50: Assessment of the Ear and Hearing

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17 Flashcards

Source URL: https://quizplus.com/quiz/38735

Sample Questions

Q1) A client is being taught how to safely irrigate ears to remove cerumen.What is the correct order of self-ear irrigation? (Separate letters by a comma and space as follows: a,b,c,d.)

A) Fill the syringe with lukewarm water.

B) Hold the head at a 30-degree angle.

C) Insert the tip of the syringe carefully into the ear canal and aim toward the canal roof.

D) Tilt the head at a 90-degree angle to remove excess fluid.

E) Use one hand to hold the syringe and the other to push the plunger.

F) Repeat the procedure on the opposite ear.

G) Continue the procedure until at least a cup of fluid has flowed into and out of the ear.

H) The ear should fill with fluid and the water will flow out with cerumen.

Q2) The nurse is performing an ear assessment on an older adult.Which assessment finding does the nurse document in the client's chart as an expected age-related change?

A) Coarse hair is seen in the auditory canal.

B) Tympanic membrane is intact and bulging.

C) Impacted cerumen is present in the auditory canal.

D) Small, painless nodules are noted on the helix of the pinna.

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Chapter 51: Care of Patients With Ear and Hearing Problems

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse is caring for a 132-lb client with an ear infection who is to receive amoxicillin,40 mg/kg/day in divided doses every 8 hours.The nurse will administer ____ mg/dose of amoxicillin to the client.

Q2) The nurse is caring for a client with external otitis.Which assessment finding indicates to the nurse that the client's infection has worsened?

A) The client now reports tinnitus and vertigo at night.

B) The client now has a positive Rinne test, with AC > BC.

C) The tympanic membrane is pearly gray with white patches.

D) The auricular lymph nodes have increased in size over the last 24 hours.

Q3) Which of the nurse's assessment findings will require collaboration with the client's primary health care provider?

A) Purulent drainage from the ear canal

B) Hearing loss with nausea and vertigo

C) Ringing in the ears after attending a loud rock concert

D) Presence of cerumen blocking 50% of the ear canal

E) Increasing hearing loss since starting furosemide (Lasix)

F) Temperature of 101.7° F following a stapedectomy 3 days ago

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Page 53

Chapter 52: Assessment of the Musculoskeletal System

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Sample Questions

Q1) Which client does the nurse assess first at the start of the nursing shift?

A) Client wanting to know information about a magnetic resonance imaging (MRI) test scheduled in 3 hours

B) Client who is verbalizing mild discomfort after an electromyography (EMG)

C) Client who reports increased pain and swelling after an arthroscopy

D) Client who refuses to drink more fluids after a nuclear medicine scan

Q2) Which postoperative order does the nurse clarify with the surgeon before discharging the client who just had arthroscopic surgery on the right knee?

A) Keep the right leg elevated on a soft pillow for 12 hours.

B) Maintain non-weight bearing by right leg for 48 hours.

C) Use ice on the knee for 24 hours.

D) Administer two tablets of oxycodone

Q3) Which instruction does the nurse give to the client before he or she has electromyography (EMG)?

A) "Make sure that you have someone to drive you home after the test."

B) "Do not eat or drink anything for at least 6 hours before the test."

C) "You will have to avoid heavy lifting for 24 hours following the test."

D) "Do not take your cyclobenzaprine (Flexeril) on the 2 days before the test."

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54

Chapter 53: Care of Patients With Musculoskeletal Problems

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Sample Questions

Q1) Two hours after limb salvage surgery for a client with left leg bone sarcoma,the nurse notes that the toes of the left foot are more edematous,are cooler to the touch,and have a slower capillary refill.Which action does the nurse take first?

A) Apply ice to the distal extremity.

B) Check the splint for proper placement.

C) Elevate the left foot.

D) Loosen the pressure dressing.

Q2) A female client who is a carrier of the gene for Duchenne's muscular dystrophy asks whether any of her daughters will have this disease.Which is the nurse's best response?

A) "Both parents must have the defective gene."

B) "Your daughter cannot get the disease."

C) "Your daughters have a 50% chance of developing the disease."

D) "Your daughters will become carriers of the gene."

Q3) A client's susceptibility to osteomalacia is related to which risk factor?

A) Calcium level of 11 mg/dL

B) Diet high in milk and soy

C) Phosphate level of 1.0 mg/dL

D) Taking vitamin D supplements

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Chapter 54: Care of Patients With Musculoskeletal Trauma

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Sample Questions

Q1) A client for whom skeletal traction is planned asks for an explanation regarding the purpose of this type of traction.Which is the nurse's best response?

A) "It aids in realigning the bone."

B) "It prevents low back pain."

C) "It decreases muscle spasms that occur with a fracture."

D) "It prevents injury to the skin as a result of the fracture."

Q2) The nurse is caring for an older adult client who had leg amputation surgery the previous day.During the admission assessment,the client tells the nurse,"I don't want to live with only one leg,so I should have died during the surgery." Which is the nurse's best response?

A) "Your vital signs are good, and you are doing just fine right now."

B) "Your children are waiting outside and do not want to lose their parent."

C) "Remember that you are still the same person inside, with a missing body part."

D) "You will be able to do some of the same things as before you became disabled."

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Chapter 55: Assessment of the Gastrointestinal System

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Sample Questions

Q1) The nurse assesses dullness at the left anterior axillary line.The nurse is concerned about which condition that the client may have?

A) Cirrhosis

B) Splenomegaly

C) Bowel obstruction

D) Abdominal aortic aneurysm

Q2) Which question best assists the nurse in assessing a client with acute diarrhea?

A) "Have you traveled outside the country recently?"

B) "Have you had a colonoscopy lately?"

C) "Do you have any trouble swallowing?"

D) "Do you have any allergies?"

Q3) The nurse performs percussion of a client's abdomen.Which findings may the nurse determine with this assessment technique?

A) Hepatomegaly

B) Kidney stones

C) Ascites

D) Large mass below the liver

E) Biliary colic

F) Ileus

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Page 57

Chapter 56: Care of Patients With Oral Cavity Problems

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Sample Questions

Q1) The nurse is caring for a client who has just undergone surgery for oral cancer.What advice does the nurse give the client to assist in maintaining the airway?

A) "Limit your fluids to 3 cups of water a day."

B) "Take deep breaths, hold, then cough to mobilize any secretions."

C) "Lying flat in bed will be more comfortable for breathing."

D) "Usually suctioning is not needed after oral surgery."

Q2) The nurse is caring for a female client who has just undergone excision of a parotid gland tumor.The client tells the nurse that she is experiencing facial weakness on the operative side.Which is the nurse's best response?

A) "You may be experiencing a slight stroke, and I will notify the doctor."

B) "This is a temporary condition that will resolve once radiation treatment is begun."

C) "You are experiencing weakness because the facial nerve was irritated during the surgery."

D) "You probably have a pinched nerve after lying on the operating room table for so long."

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Chapter 57: Care of Patients With Esophageal Problems

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Sample Questions

Q1) The nurse is teaching a client about self-management of gastroesophageal reflux.Which statement by the nurse is most appropriate?

A) "Eat four to six small meals each day."

B) "Eat a small evening snack 1 to 2 hours before bed."

C) "No specific foods or spices need to be cut from your diet."

D) "You may include orange or tomato juice with your breakfast."

Q2) Which symptom indicates a need for immediate intervention in a client with a rolling hernia?

A) Reflux

B) Crackles in the lungs

C) Distended and firm abdomen

D) Two episodes of diarrhea

Q3) What does the nurse teach the client with esophageal diverticula about dietary needs?

A) "Eat soft foods and smaller meals."

B) "Only eat puréed foods."

C) "Avoid drinking liquids with meals."

D) "Avoid dairy products."

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Chapter 58: Care of Patients With Stomach Disorders

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Source URL: https://quizplus.com/quiz/38743

Sample Questions

Q1) The nurse is caring for a client with peptic ulcer disease.Which assessment finding indicates to the nurse that the client most likely has an ulcer in the stomach rather than in the duodenum?

A) Body mass index (BMI) is 16.6.

B) Stool is positive for occult blood.

C) Client has had four ulcers in the last 5 years.

D) Hemoglobin is 13 g/dL and hematocrit is 42%.

Q2) A client has been taking an antacid for several weeks without improvement in symptoms.Which response by the nurse is most helpful?

A) "Tell me exactly how you take your antacid."

B) "Would you be willing to try a more expensive medication?"

C) "Are you sure you are taking this exactly as ordered?"

D) "Let's ask the health care provider if the dose can be doubled."

Q3) A client with Zollinger-Ellison syndrome will be admitted to the medical unit.Which intervention does the nurse include in the client's nursing plan of care?

A) Performing a urine test for ketones every morning before breakfast

B) Performing perineal care and applying a moisture barrier twice daily

C) Assessing the abdomen for fluid wave and shifting dullness every 8 hours

D) Keeping 2 units of packed red blood cells on hold at all times

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Page 60

Chapter 59: Care of Patients With Noninflammatory

Intestinal Disorders

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38744

Sample Questions

Q1) The nurse is caring for a client who has suffered abdominal trauma in a motor vehicle crash.Which laboratory finding indicates that the client's liver was injured?

A) Serum lipase, 49 U/L

B) Serum amylase, 68 IU/L

C) Serum creatinine, 0.8 mg/dL

D) Serum transaminase, 129 IU/L

Q2) The nurse is caring for a client who has been diagnosed with a bowel obstruction.Which assessment finding leads the nurse to conclude that the obstruction is in the small bowel?

A) Potassium of 2.8 mEq/L, with a sodium value of 121 mEq/L

B) Losing 15 pounds over the last month without dieting

C) Reports of crampy abdominal pain across the lower quadrants

D) High-pitched, hyperactive bowel sounds in all quadrants

Q3) A client post-hemorrhoidectomy feels the need to have a bowel movement.Which action by the nurse is best?

A) Have the client use the bedside commode.

B) Stay with the client, providing privacy.

C) Make sure toilet paper and the call light are in reach.

D) Plan to send a stool sample to the laboratory.

Page 61

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Chapter 60: Care of Patients With Inflammatory Intestinal Disorders

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) The nurse is preparing a client with diverticulitis for discharge from the hospital.Which statement by the client indicates that additional teaching is needed?

A) "I will ride my bike or take a long walk at least three times a week."

B) "I will try to include at least 25 g of fiber in my diet every day."

C) "I will take a senna laxative at bedtime to avoid becoming constipated."

D) "I will use my legs rather than my back muscles when I lift heavy objects."

Q2) The nurse is caring for a client with Crohn's disease and colonic strictures.Which assessment finding requires the nurse to consult the health care provider immediately?

A) Distended abdomen

B) Temperature of 100.0° F (37.8° C)

C) Traces of blood in the stool

D) Crampy lower abdominal pain

Q3) The nurse reviews a health teaching for a client with Crohn's disease.Which instruction does the nurse provide for the client?

A) "You should have a colonoscopy every few years."

B) "You should eat a diet that is high in protein and fiber."

C) "You should avoid heavy lifting and tight-fitting clothes."

D) "You should take the Asacol whenever you have loose stools."

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Chapter 61: Care of Patients With Liver Problems

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Sample Questions

Q1) A client is in the emergency department after a motor vehicle crash.In assessing the client,which clinical sign alerts the nurse to the presence of possible liver trauma?

A) Abdominal pain referred to the right shoulder

B) Left upper quadrant abdominal pain and swelling

C) Abdominal pain referred to the spine and legs

D) Abdominal pain with accompanying rebound tenderness

Q2) A client has cirrhosis.Which nursing intervention would be most effective in controlling ascites?

A) Monitoring intake and output

B) Providing a low-sodium diet

C) Increasing oral fluid intake

D) Weighing the client daily

Q3) The nurse is assessing a client with mild liver disease.Which assessment does the nurse perform to detect the presence of ascites in this client?

A) Measure lower extremities to assess for edema.

B) Inspect and palpate the abdomen for distention.

C) Palpate the abdomen in assessing for a fluid wave.

D) Percuss the liver while listening for dullness.

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63

Chapter 62: Care of Patients With Problems of the Biliary

System and Pancreas

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse is caring for a client with acute pancreatitis.The client's health care provider has ordered gentamicin (Garamycin)3 mg/kg/day in three divided doses.The client weighs 264 lb.The client will receive _______ milligrams/dose of Garamycin.

Q2) The nurse is caring for a client who is being discharged from the hospital after an attack of acute pancreatitis.Which discharge instructions does the nurse provide for the client to help prevent a recurrence?

A) "Take a 20-minute walk at least 5 days each week."

B) "Attend local Alcoholics Anonymous (AA) meetings weekly."

C) "Choose whole grains rather than foods with simple sugars."

D) "Use cooking spray when you cook rather than margarine or butter."

E) "Stay away from milk and dairy products that contain lactose."

F) "We can talk to your doctor about a prescription for nicotine patches."

Q3) The nurse is teaching a client with a history of cholelithiasis to select menu items for dinner.Which selections made by the client indicate that the nurse's teaching was effective?

A) Lasagna, tossed salad with Italian dressing, 2% milk

B) Grilled cheese sandwich, tomato soup, coffee with cream

C) Caesar salad with chicken, soft breadstick with butter, diet cola

D) Roasted chicken breast, baked potato with chives, hot tea with sugar

Page 64

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Chapter 63: Care of Patients With Malnutrition and Obesity

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Sample Questions

Q1) The nurse is caring for a client on a limited income who has been diagnosed with kwashiorkor.Which foods does the nurse suggest to improve the client's nutritional status with minimal increase in food costs?

A) Oatmeal and bananas

B) Tomato soup with oyster crackers

C) Omelet made with cheddar cheese

D) Whole wheat pasta with tomato sauce

Q2) A facility is beginning to perform bariatric surgery on obese clients.Which action by the nursing manager is most important?

A) Obtain appropriately sized equipment for these clients.

B) Select a dedicated group of staff members for these clients.

C) Send personnel to sensitivity training as part of orientation.

D) Establish multidisciplinary rounding for clients in this program.

Q3) Which statement indicates that the client needs additional discharge teaching after gastric bypass surgery?

A) "I hope my type 2 diabetes is cured and I won't need insulin anymore."

B) "As soon as I get home, I'm going to enjoy a nice bowl of fruit."

C) "If I get nauseated, I know I'm eating too much at one time."

D) "I will be sure to report any back, shoulder, or abdominal pain."

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Page 65

Chapter 64: Assessment of the Endocrine System

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Sample Questions

Q1) A client has bilateral patchy areas of skin depigmentation on the arms and the face.Which action by the nurse is best?

A) Assess the client's mucous membranes.

B) Draw a laboratory specimen for thyroid hormone levels.

C) Schedule the client for fasting blood glucose.

D) Question the client about sexual functioning.

Q2) A client has a hypofunctioning anterior pituitary gland.Which hormones does the nurse expect to be affected by this?

A) Thyroid-stimulating hormone

B) Vasopressin

C) Follicle-stimulating hormone

D) Calcitonin

E) Growth hormone

Q3) Which situation or condition is likely to result in increased production of thyroid hormones?

A) Starvation

B) Dehydration

C) Adequate sleep

D) Cold environmental temperature

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Chapter 65: Care of Patients With Pituitary and Adrenal

Gland Problems

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Sample Questions

Q1) A client is going home after an endoscopic transnasal hypophysectomy.Which statement by the client indicates an adequate understanding of discharge instructions?

A) "I will wear dark glasses whenever I am outdoors."

B) "I will keep food on upper shelves so I do not have to bend over."

C) "I will wash the incision line every day with peroxide and redress it immediately."

D) "I will remember to cough and deep breathe every 2 hours while I am awake."

Q2) A client with hyperaldosteronism is being treated with spironolactone (Aldactone)before surgery.Which precautions does the nurse teach this client?

A) "Read the label before using salt substitutes."

B) "Do not add salt to your food when you eat."

C) "Avoid exposure to sunlight."

D) "Take Tylenol instead of aspirin for pain."

Q3) A client has a hormone deficiency.Which deficiency is the highest priority?

A) Growth hormone

B) Luteinizing hormone

C) Thyroid-stimulating hormone

D) Follicle-stimulating hormone

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Page 67

Chapter 66: Care of Patients With Problems of the Thyroid and Parathyroid Glands

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Sample Questions

Q1) A client has hypothyroidism.Which problem does the nurse address as a priority for this client?

A) Heat intolerance

B) Body image problems

C) Depression and withdrawal

D) Obesity

Q2) The nurse is assessing a client with Graves' disease and finds that the client's temperature has risen 1° F.Before notifying the health care provider,which action by the nurse takes priority?

A) Turn the lights down in the client's room and shut the door.

B) Call for an immediate electrocardiogram (ECG).

C) Calculate the client's apical-radial pulse deficit.

D) Administer a dose of acetaminophen (Tylenol).

Q3) Which is the best instruction for the nurse to give a client scheduled for a thyroid scan?

A) "You will have external beam radiation."

B) "No radiation is used for this scan."

C) "No special radiation precautions are needed."

D) "Your thyroid will be radioactive for weeks."

Page 68

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Chapter 67: Care of Patients With Diabetes Mellitus

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61 Verified Questions

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Sample Questions

Q1) A client with diabetes has a serum creatinine of 1.9 mg/dL.The nurse correlates which urinalysis finding with this client?

A) Ketone bodies in the urine during acidosis

B) Glucose in the urine during hyperglycemia

C) Protein in the urine during a random urinalysis

D) White blood cells in the urine during a random urinalysis

Q2) To reduce complications of diabetes,the nurse teaches a client with normal kidney function to modify intake of which nutritional group?

A) Fats

B) Fiber

C) Proteins

D) Carbohydrates

Q3) A client is being treated for hyperglycemic-hyperosmolar state (HHS).Which clinical manifestation indicates to the nurse that the therapy needs to be adjusted?

A) Serum potassium level has increased from 2.8 to 3.2 mEq/L.

B) Blood osmolarity has decreased from 350 to 330 mOsm.

C) Score on the Glasgow Coma Scale is unchanged from 3 hours ago.

D) Urine has remained negative for ketone bodies for the past 3 hours.

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Chapter 68: Assessment of the Renalurinary System

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Sample Questions

Q1) Which is the result of stimulation of erythropoietin production in the kidney tissue?

A) Increased blood flow to the kidney

B) Inhibition of vitamin D and loss of bone density

C) Increased bone marrow production of red blood cells

D) Inhibition of active transport of sodium and hyponatremia

Q2) A client has an increased BUN/creatinine ratio.Which action by the nurse is most appropriate?

A) Assess the client's dietary habits.

B) Inquire about the use of NSAIDs.

C) Hold the client's metformin (Glucophage).

D) Notify the health care provider immediately.

Q3) The female client's urinalysis shows all the following results.Which does the nurse document as abnormal?

A) pH 5.6

B) Ketone bodies present

C) Specific gravity of 1.030

D) Two white blood cells per high-power field

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Chapter 69: Care of Patients With Urinary Problems

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Sample Questions

Q1) A client is beginning to undergo urinary bladder training.Which is an effective instruction to give this client?

A) "Use the toilet at the first urge, rather than at specific intervals."

B) "Try to consciously hold your urine until the scheduled toileting time."

C) "Initially try to use the toilet at least every half-hour for 24 hours."

D) "The toileting interval can be increased once you have been continent for 1 week."

Q2) A client with bladder cancer is scheduled to have intravesical chemotherapy.Which statement made by the client indicates correct understanding of this therapy?

A) "My hair will start growing back in 3 to 6 weeks after chemotherapy is over."

B) "My white blood cell count will drop and I will be at increased risk for infection."

C) "This type of chemotherapy is used when no distant metastases are present."

D) "Chemotherapy only controls cancer, so I will also need radiation."

Q3) Which is an initial priority intervention for a client with stress incontinence?

A) Beginning medication and dietary teaching

B) Referring the client to an incontinence clinic

C) Assisting the client in finding absorbent pads

D) Instructing the client to maintain an incontinence diary

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71

Chapter 70: Care of Patients With Renal Disorders

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Sample Questions

Q1) An older client is hospitalized with suspected heart failure.After 2 days of treatment,the client is not improving.Which laboratory value does the nurse report to the provider?

A) Potassium, 3.7 mEq/L

B) Sodium, 144 mEq/L

C) Glomerular filtration rate, 55 mL/min

D) Creatinine, 0.9 mg/dL

Q2) The visiting nurse has many clients who are African American.Which intervention is most important for the nurse to accomplish when seeing these clients?

A) Weigh the clients and compare their weights.

B) Assess the clients' blood pressure.

C) Observe the clients for any signs of abuse.

D) Ask the clients about their medications.

Q3) In assessing a client recently diagnosed with acute glomerulonephritis,the nurse asks which question to determine potential contributing factors?

A) "Are you sexually active?"

B) "Do you have pain or burning on urination?"

C) "Has anyone in your family had chronic kidney problems?"

D) "Have you had a cold or sore throat within the last 2 weeks?"

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Page 72

Chapter 71: Care of Patients With Acute Kidney Injury and Chronic Kidney Disease

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Sample Questions

Q1) A client is receiving continuous arteriovenous hemofiltration (CAVH).Which laboratory value does the nurse monitor most closely?

A) Hemoglobin

B) Glomerular filtration rate

C) Sodium

D) White blood cells

Q2) A client who underwent kidney transplantation 7 days ago has developed the following signs: urine output,50 mL/12 hr; temperature,102.2° F (39° C); lethargy; serum creatinine,2.1 mg/dL; blood urea nitrogen (BUN),54 mg/dL; and potassium,5.6 mEq/L.Which initial intervention does the nurse anticipate for this client?

A) Immediate hemodialysis

B) Increased dose of immune suppressive drugs

C) Initiation of IV antibiotics after cultures are obtained

D) Placement of a catheter for peritoneal dialysis

Q3) Which client is most at risk for developing postrenal kidney failure?

A) Client diagnosed with renal calculi

B) Client with congestive heart failure

C) Client taking NSAIDs for arthritis pain

D) Client recovering from glomerulonephritis

Page 73

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Chapter 72: Assessment of the Reproductive System

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21 Verified Questions

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Sample Questions

Q1) When performing an assessment of the external genitalia of an older man,the nurse observes the scrotum to have smooth skin and to be very pendulous.Which action by the nurse is most appropriate?

A) Suggest to the client that he should wear an athletic supporter while awake.

B) Ask the client if he has been treated for a sexually transmitted disease.

C) Document the observation and continue the assessment.

D) Notify the health care provider and facilitate a scrotal ultrasound.

Q2) The nurse is assessing a client with a history of irregular periods.Which condition does the nurse possibly correlate with this problem?

A) Childhood mumps

B) Past valve replacement surgery

C) Diabetes mellitus

D) Mild intermittent asthma

Q3) The nurse is counseling a postmenopausal woman about her new stress incontinence.Which statement by the nurse is most important?

A) "You can try a variety of briefs and undergarments."

B) "It will be important to keep that area clean and dry."

C) "I can refer you to a good incontinence clinic."

D) "Unfortunately, incontinence is common in women your age."

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Page 74

Chapter 73: Care of Patients With Breast Disorders

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Sample Questions

Q1) Which factors are considered to be indicative of a moderately increased risk of a client's developing breast cancer?

A) High postmenopausal bone density

B) Ionizing radiation

C) Family history of one first-degree relative

D) Genetic factors

E) First child born after age 30

F) Biopsy-confirmed atypical hyperplasia

Q2) A client had a mastectomy nearly a year ago and is distressed over continued tingling and burning in the ipsilateral arm.What orders does the nurse prepare to implement?

A) Teach the client about gabapentin (Neurontin).

B) Demonstrate the use of heat therapy to the axilla.

C) Discuss ways to prevent constipation with pain meds.

D) Reassure the client that this will disappear shortly.

Q3) A client has large breasts.Which health problem is she most likely to develop?

A) Breast tenderness

B) Breast cancer

C) Chest pain

D) Back pain

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Chapter 74: Care of Patients With Gynecologic Problems

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Sample Questions

Q1) A woman has had recurrent Bartholin cysts.Which intervention is most appropriate for the nurse to add to the client's care plan?

A) Assess the woman for sexually transmitted diseases (STDs).

B) Prepare a family diagram to investigate a familial pattern.

C) Teach the woman about surgical marsupialization.

D) Instruct the woman to wear only cotton underwear.

Q2) A client has returned to the nursing unit after a total abdominal hysterectomy.The nurse auscultates the client's abdomen and does not hear bowel sounds.Which is the nurse's priority intervention?

A) Document the finding in the chart.

B) Position the client on the right side.

C) Irrigate the nasogastric tube.

D) Measure abdominal girth.

Q3) A woman has been told she has cervical polyps.Which statement by the client indicates a good understanding of the teaching the nurse provided?

A) "I hope my polyp doesn't turn cancerous like colon polyps can."

B) "These can be removed easily in the doctor's office with little pain."

C) "I will need to have more frequent screening for cervical cancer."

D) "I will need to finish all my medication before having sex again."

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Page 76

Chapter 75: Care of Male Patients With Reproductive

Problems

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/38760

Sample Questions

Q1) A client's laboratory findings reveal an elevated serum acid phosphatase level and a high-normal prostate-specific antigen level.How does the nurse interpret this information?

A) The client shows evidence of renal disease and should be evaluated further.

B) These results may indicate prostate cancer. He should be further evaluated.

C) These results are not abnormal. He does not need to be evaluated further.

D) These results may indicate an infection. He should be evaluated further.

Q2) Which client statement indicates understanding about a transrectal ultrasound?

A) "This will determine if the outlet of my bladder is obstructed."

B) "This will determine the amount of residual urine present."

C) "This is performed to view the interior of the bladder and urethra."

D) "This is performed to view the prostate and do a tissue biopsy."

Q3) A client with prostate cancer reports pain in his lower back and legs.Which action by the nurse is most appropriate?

A) Discuss medications for arthritis.

B) Perform a bladder scan.

C) Facilitate imaging studies.

D) Encourage weight-bearing exercises.

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Chapter 76: Care of Patients With Sexually Transmitted Disease

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38761

Sample Questions

Q1) Which statement by a middle-aged woman indicates that further instruction is needed for her and her partner regarding prevention of sexually transmitted diseases (STDs)?

A) "I'm glad we don't have to use condoms anymore because I can't get pregnant."

B) "Changes in my vagina may make me more likely to be at risk for an STD."

C) "I told my partner that we need to switch to condoms instead of the pill now."

D) "I should report any evidence of infection, even if symptoms are minor."

Q2) The nurse manages a clinic in an area with a high rate of sexually transmitted diseases (STDs).Which strategy best helps decrease the rate of infection?

A) Start an expedited partner treatment program.

B) Use a single-dose drug given in the clinic.

C) Provide referrals to a low-cost pharmacy.

D) Plan occasional community educational programs.

Q3) A client weighing 110 lb is admitted with acute pelvic inflammatory disease.The client is ordered to receive an initial dose of gentamicin (Garamycin),2 mg/kg.The client will receive an initial dose of gentamicin of ____ milligrams.

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