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Nursing Practice in Canadian Healthcare Final Exam Questions

Course Introduction

This course explores the foundations and scope of nursing practice within the Canadian healthcare system, emphasizing the roles and responsibilities of registered nurses. Students will examine the regulatory frameworks, ethical principles, professional standards, and cultural considerations that guide nursing practice in Canada. The course also covers interprofessional collaboration, patient-centered care, evidence-informed decision making, and the impact of Canadas diverse populations on health care delivery. Through case studies, reflective activities, and discussions, students will gain insight into the challenges faced by nurses and develop skills to navigate the evolving landscape of Canadian healthcare.

Recommended Textbook

Medical Surgical Nursing in Canada 4th Edition by Lewis

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72 Chapters

1844 Verified Questions

1844 Flashcards

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Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3266

Sample Questions

Q1) When using the Five Steps of the Evidence-Informed Practice (EIP) Process, in which order should the nurse construct a clinical question? (Select all that apply.)

A)Comparison of interest

B)Population of interest

C)Outcome of interest

D)Intervention of interest

E)Timeframe

Answer: A, B, C, D, E

Q2) Which of the following includes the components required for a complete nursing diagnosis statement?

A)A problem and the suggested client goals or outcomes.

B)A problem, its cause, and objective data that support the problem.

C)A problem with all its possible causes and the planned interventions.

D)A problem with its etiology and the signs and symptoms of the problem.

Answer: D

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Chapter 2: Cultural Competence and Health Equity in Nursing Care

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following question formats is the most appropriate for the nurse to ask when communicating with a client that has limited English proficiency?

A)Are you tired and in discomfort?

B)You have taken your pills right?

C)Are you alright?

D)Are you in pain?

Answer: D

Q2) While talking with the nursing supervisor, a staff nurse expresses frustration that an Indigenous client always has several family members at the bedside. Which of the following actions is the most appropriate action for the nursing supervisor in this situation?

A)Remind the nurse that family support is important to this family and client.

B)Have the nurse explain to the family that too many visitors will tire the client.

C)Suggest that the nurse ask family members to leave the room during client care.

D)Ask about the nurse's personal beliefs about family support during hospitalization.

Answer: D

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Chapter 3: Health History and Physical Examination

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse is completing a neurological assessment on an adult client. Which of the following assessments should the nurse include when assessing the client's coordination? (Select all that apply.)

A)Toe walk

B)Finger to nose

C)Drift

D)Romberg

E)Heel to opposite shin

Answer: B, D, E

Q2) The nurse records the following general survey of a client: "The client is a 68-year-old male Asian accompanied by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions.Noapparent disabilities or distinguishing features." Which of the following information should be added to this general survey documentation?

A)Nutritional status

B)Intake and output

C)Reasons for contact with the health care system

D)Comments of family members about his condition

Answer: A

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Chapter 4: Patient and Caregiver Teaching

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse is caring for a client who has been newly diagnosed with diabetes. The client tells the nurse, "I want to know how to give my own insulin." Which initial action will the nurse take when implementing the standardized diabetic teaching plan?

A)Demonstrate how to draw up and administer insulin.

B)Discuss the use of exercise to decrease insulin needs.

C)Teach about differences between the various types of insulin.

D)Provide handouts about therapeutic and adverse effects of insulin.

Q2) The nurse is caring for an adult client who has been diagnosed with type 2 diabetes mellitus after being admitted to the hospital with an infected foot wound. When applying principles of adult learning, which teaching strategy by the nurse is most likelytobeeffective?

A)Discuss the importance of blood glucose control in maintenance of long-term health.

B)Demonstrate the correct method for cleaning and redressing the wound to the client.

C)Assure the client that the nurse is an expert on management of diabetes complications.

D)Wait until after discharge and have a home health nurse teach about foot care and diabetes management.

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Page 6

Chapter 5: Chronic Illness

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Sample Questions

Q1) Which of the following is an example of multimorbidity?

A)Chronic obstructive pulmonary disease and a urinary tract infection

B)Lung cancer and pneumonia

C)Chronic kidney disease and appendicitis

D)Diabetes and exacerbation of rheumatoid arthritis

Q2) Which of the following levels are part of the client response to health care recommendations based on a continuum of self-care? (Select all that apply.)

A)Compliance

B)Adherence

C)Self-care

D)Denial

E)Acceptance

Q3) Which of the following models calls for a political response to disability?

A)Social

B)Medical

C)Activist

D)Collaborative

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Chapter 6: Community-Based Nursing and Home Care

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Which of the following statements is true in relation to nursing-sensitive outcomes?

A)Only used to evaluate client care.

B)Are outside of the nurses' scope of practice.

C)Have no influence on health care budgets.

D)Require empirical evidence.

Q2) Which of the following concepts is foundational to home health nursing?

A)Acute care management

B)Health promotion

C)Chronic disease management

D)Health restoration

Q3) The nurse is describing home care services to a client that requires extended care.

Which of the following statements is true related to home care services?

A)Technologically complex therapies must be managed in the hospital.

B)The client's family will be included in planning and the client's care.

C)Home care services are limited to visits by registered nurses or home health aides.

D)In order for insurance to cover the home care, the client must be confined to bed.

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Chapter 7: Older Adults

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) Which action will the nurse take when planning for discharge of an older-adult client who will need daily assistance with activities such as shopping and transportation?

A)Complete a referral to Medicare.

B)Apply for transfer to an assisted-living facility.

C)Arrange for home health care visits.

D)Apply for attendance at an adult day care program.

Q2) Which nursing actions will the nurse take to assess for possible malnutrition in an older-adult client? (Select all that apply.)

A)Observe for depression.

B)Review laboratory results.

C)Assess teeth and oral mucosa.

D)Ask about transportation needs.

E)Determine food likes and dislikes.

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Chapter 8: Stress and Stress Management

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) The nurse is assisting with a breast biopsy for an alert client who has a lump in the right breast. Which relaxation technique will be best to use at this time?

A)Massage

B)Meditation

C)Guided imagery

D)Relaxation breathing

Q2) An overweight client who enjoys active outdoor activities develops arthritis in the knees. Which action by the nurse is most appropriate to assist the client in coping with the diagnosis?

A)Ask the client to discuss feelings about the diagnosis.

B)Have the client practise frequent relaxation breathing.

C)Educate the client on the use of imagery to decrease pain and decrease stress.

D)Encourage the client to think about how weight loss might improve symptoms.

Q3) When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?

A)Use music composed by Mozart.

B)Ask the client about music preferences.

C)Select music that has 60-80 beats/minute.

D)Encourage the client to use music without words.

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Page 10

Chapter 9: Sleep and Sleep Disorders

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) The nurse is providing a health-promotion session to young adults who have difficulty sleeping at night and has instructed them to limit their caffeine intake. Which of the following beverages have 50 mg or more of caffeine? (Select all that apply.)

A)Green tea (237 mL)

B)Dr. Pepper soda (237 mL)

C)Chocolate cake (5 cm square)

D)Brewed coffee (237 mL)

E)Black tea (237 mL)

Q2) Aclient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to the clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?

A)Teach about radiofrequency ablation.

B)Plan to schedule a nighttime PSG study.

C)Ask the client whether the CPAP is being used every night.

D)Discuss the possible surgical approaches used for sleep apnea.

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Chapter 10: Pain

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The nurse is caring when caring for a client with cancer pain that the client describes as at "level 8 (0-10 scale), deep, and aching." Which of the following prescribed medications should the nurse administer first?

A)Fentanyl patch

B)Ketorolac tablets PO

C)Hydromorphone IV

D)Acetaminophen suppository

Q2) The nurse visits a hospice client and assesses a respiratory rate of 8 breaths/minute and the client states "I am having severe pain." Which of the following interventions should the nurse implement at this time?

A)Inform the client that increasing the morphine will cause the respiratory drive to fail.

B)Administer a nonopioid analgesic, such as a nonsteroidal anti-inflammatory drug (NSAID), to improve client pain control.

C)Tell the client that additional morphine can be administered when the respirations are 12.

D)Titrate the prescribed morphine dose upward until the client indicates adequate pain relief.

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Page 12

Chapter 11: Substance Use

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) The nurse is preparing to conduct an annual physical examination with a young adult client who arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?

A)Urge the client to quit smoking as soon as possible.

B)Avoid confronting the client about smoking at this time.

C)Wait for the client to start the discussion about quitting smoking.

D)Explain that the "cold turkey" method is most effective in stopping smoking.

Q2) All the following medications are ordered for a client admitted with a blood alcohol concentration of 0.18 mg%. Which of the following should the nurse administer first?

A)Thiamine 100 mg daily

B)Lorazepam 1 mg as needed

C)Folic acid 0.4 mg daily

D)Dextrose 5% in 0.45 saline over 8 hours

Q3) Suicide is an overdose effect of which of the following substances?

A)Alcohol

B)Inhalants

C)Opioids

D)Hallucinogens

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Chapter 12: Complementary and Alternative Therapies

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Which of these complementary and alternative therapies should the nurse suggest to a client who has elevated triglyceride levels?

A)Fish oil

B)Milk thistle

C)Saw palmetto

D)Ginkgo biloba

Q2) Aclient who develops frequent upper respiratory infections (URIs) asks the nurse whether any herbal therapies might help. Which of the following should the nurse discuss with this client?

A)Ginger

B)Echinacea

C)Ginkgo biloba

D)St. John's wort

Q3) Which of the following information obtained by the nurse when admitting a client with osteoarthritis may indicate a need for client teaching?

A)The client obtains information about herbal therapies online.

B)The client takes glucosamine daily to prevent knee and hip pain.

C)The client attends a weekly yoga class to improve flexibility and balance.

D)The client states that prayer helps to improve the knee pain and function.

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Page 14

Chapter 13: Palliative Care at the End of Life

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) A client who is in the clinic for an immunization tells the nurse, "My mother died 4 months ago, and I just can't seem to get over it. I'm not sure it is normal to still think about her every day." Which of the following nursing diagnoses is most appropriate?

A)Ineffective role performance related to depression

B)Complicated grieving related to emotional disturbance (death of loved one)

C)Anxiety related to unmet needs (lack of knowledge about normal grieving)

D)Impaired mood regulation related to loneliness

Q2) The nurse is planning for an end-of-life care discussion with a newly admitted client who is terminally ill and has decided to use the NURSE protocol during the difficult conversation to respond to client and/or family emotions. Which of the following terms describes the "E" in the NURSE protocol?

A)Experimentation

B)Exploration

C)Empathy

D)Emotion

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Chapter 14: Inflammation and Wound Healing

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) Aclient with an open abdominal wound has a complete blood cell (CBC) count and differential, which indicate an increase in white blood cells (WBCs) and a shift to the left. Which of the following actions is priority as a result of this assessment data?

A)Obtain wound cultures.

B)Start antibiotic therapy.

C)Redress the wound with wet-to-dry dressings.

D)Continue to monitor the wound for purulent drainage.

Q2) The nurse is assessing a client the morning of the first postoperative day and notes redness and warmth around the incision. Which of the following actions should the nurse implement?

A)Obtain wound cultures.

B)Document the assessment.

C)Notify the health care provider.

D)Assess the wound every 2 hours.

Q3) A client's temperature has been 38.8°C (101.8°F) for several days. The client's normal caloric intake to meet nutritional needs is 2 000 calories per day. Knowing that the metabolic rate increases 13% for every 1°C (33.8°F) increase in temperature above 37.8°C (100°F) in body temperature, calculate the total calories the client should receive each day.

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Page 16

Chapter 15: Genetics

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Anewly pregnant woman asks the nurse what the best time is for a prenatal diagnostic amniocentesis? Which of the following time frames is the basis for the nurses' response?

A)7-10 weeks

B)11-13 weeks

C)15-17 weeks

D)20-24 weeks

Q2) A male with mild hemophilia asks the nurse, "Will my children be hemophiliacs?" Which of the following responses by the nurse is most appropriate?

A)"All of your children will be at risk for hemophilia."

B)"Hemophilia is a multifactorial inherited condition."

C)"Only your male children are at risk for hemophilia."

D)"Your female children will be carriers for hemophilia."

Q3) When carrying out presymptomatic testing, which of the following diseases has a gene that is 100% penetrant?

A)Tay-Sachs disease

B)Fragile X syndrome

C)Cystic fibrosis

D)Huntington's disease

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Page 17

Chapter 16: Altered Immune Response and Transplantation

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) The nurse is caring for a client who is receiving an IV antibiotic and develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions?

A)Discontinue the antibiotic infusion.

B)Give diphenhydramine IV.

C)Inject epinephrine IM or IV.

D)Prepare an infusion of dopamine.

E)Start 100% oxygen using a nonrebreather mask.

Q2) The nurse is caring for a client at an outpatient clinic who is experiencing an allergic reaction to an unknown allergen. Which of the following actions is most appropriate for the nurse to implement?

A)Perform a focused physical assessment.

B)Obtain the health history from the client.

C)Teach the client about the various diagnostic studies.

D)Administer skin testing by the cutaneous scratch method.

Q3) Chickenpox is an example of which of the following types of immunities?

A)Innate

B)Natural active

C)Artificial

D)Cell-mediated

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Page 18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Aclient is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and HIV testing is positive. Based on diagnostic criteria established by the World Health Organization (WHO), which of the following diagnoses should the nurse anticipate?

A)Acute infection

B)Early chronic infection

C)Intermediate chronic infection

D)Late chronic infection or AIDS

Q2) The nurse is caring for a client with HIV who has a CD4+ cell count of 400/µL. Which of the following factors is most important to consider when determining whether antiretroviral therapy (ART) will be initiated for this client?

A)Client social support system

B)HIV genotype and phenotype

C)Potential medication adverse effects

D)Client ability to comply with ART schedule

Q3) Which of the following tests is used to evaluate the effectiveness of ART?

A)Viral load testing

B)Enzyme immunoassay

C)Rapid HIV antibody testing

D)Immuno-fluorescence assay

Page 19

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Chapter 18: Cancer

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) A client receiving head and neck radiation has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which of the following actions should the nurse teach the client to complete?

A)Remove food debris from the teeth and oral mucosa with a stiff toothbrush.

B)Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.

C)Gargle and rinse the mouth several times a day with an antiseptic mouthwash.

D)Rinse the mouth before and after each meal and at bedtime with a saline solution.

Q2) When reviewing the chart for a client with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. Which of the following statements is accurate related to this staging?

A)The cancer is localized to the cervix.

B)The cancer cells are well differentiated.

C)Further testing is needed to determine the spread of the cancer.

D)It is difficult to determine the original site of the cervical cancer.

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Chapter 19: Fluid

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) The nurse is assessing a client with increased extracellular fluid (ECF) osmolality. Which of the following assessment areas is the priority assessment for the nurse to obtain?

A)Skin turgor

B)Heart sounds

C)Mental status

D)Capillary refill

Q2) The nurse is evaluating the fluid balance for a client admitted for hypovolemia associated with multiple draining wounds. Which of the following assessments is the most accurate to evaluate volume status in this client?

A)Skin turgor

B)Daily weight

C)Presence of edema

D)Hourly urine output

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Chapter 20: Nursing Management Preoperative Care

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Sample Questions

Q1) Before the administration of preoperative medications, the nurse is preparing to witness the client signing the operative consent form when the client says, "I do not really understand what the doctor said." Which of the following actions is best for thenurseto take?

A)Provide an explanation of the planned surgical procedure.

B)Notify the surgeon that the informed-consent process is not complete.

C)Administer the prescribed preoperative antibiotics and withhold any ordered sedative medications.

D)Notify the operating room staff that the surgeon needs to give a more complete explanation of the procedure.

Q2) Which of the following topics is most important for the nurse to discuss preoperatively with a client who is scheduled for a colon resection?

A)Care for the surgical incision

B)Medications used during surgery

C)Deep-breathing and coughing techniques

D)Oral antibiotic therapy after discharge home

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Chapter 21: Nursing Management Intraoperative Care

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19 Verified Questions

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Sample Questions

Q1) The nurse is completing an inventory of medications on the unit. Which of the following anaesthesia medications should the nurse expect to observe under refrigeration? (Select all that apply.)

A)Atracurium

B)Pancuronium

C)Rocuronium

D)Neostigmine bromide

E)Succinylcholine

Q2) The nurse is positioning a client in the operating room for a transurethral resection of the prostate. Which of the following client positions should the nurse place this client in?

A)Prone

B)Supine

C)Trendelenburg

D)Lithotomy

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Chapter 22: Nursing Management Postoperative Care

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21 Verified Questions

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Sample Questions

Q1) The nurse is preparing an older-adult client for discharge from the ambulatory surgical unit following left eye surgery. The client tells the nurse, "I do not know if I can take care of myself with this patch over my eye." Which of the following actionsisthemost appropriate for the nurse to implement?

A)Refer the client for home health care services.

B)Discuss the specific concerns regarding self-care.

C)Give the client written instructions regarding care.

D)Assess the client's support system for care at home.

Q2) After a new nurse has been oriented to the postanaesthesia care unit (PACU), the charge nurse will evaluate that the orientation has been successful when the new nurse does which of the following actions?

A)Places a client in the Trendelenburg position when the blood pressure (BP) drops.

B)Assists a client to the prone position when the client is nauseated.

C)Turns an unconscious client to the side when the client arrives in the PACU.

D)Positions a newly admitted unconscious client supine with the head elevated.

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Page 24

Chapter 23: Nursing Assessment Visual and Auditory Systems

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Sample Questions

Q1) The nurse is observing a student who is preparing to perform an ear examination of an adult client. Which of the following actions by the student should cause the nurse to intervene in the assessment?

A)Chooses a speculum smaller than the ear canal

B)Pulls the auricle of the ear down and backward

C)Stabilizes the hand holding the otoscope on the client's head

D)Stops inserting the otoscope after observing impacted cerumen

Q2) The nurse in the eye clinic is examining an older-adult client who says "I see small spots that move around in front of my eyes." Which of the following actions should the nurse take first?

A)Immediately have the ophthalmologist evaluate the client.

B)Explain that spots and "floaters" are a normal part of aging.

C)Inform the client that these spots may indicate damage to the retina.

D)Use an ophthalmoscope to examine the posterior chamber of the eyes.

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Chapter 24: Nursing Management Visual and Auditory

Problems

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Sample Questions

Q1) The nurse is caring for a client with age-related macular degeneration who has just had photodynamic therapy. Which of the following statements by the client indicates that the discharge teaching has been effective?

A)"I will need to use bright lights to read for at least the next week."

B)"I will use drops to keep my pupils dilated until my appointment."

C)"I will not use facial lotions near my eyes during the recovery period."

D)"I will keep covered with long-sleeved shirts and pants for the next 5 days."

Q2) The nurse is caring for a client with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis. Which of these actions should be included in the plan of care?

A)Discussing the need for sexually transmitted infection testing

B)Applying topical corticosteroids to prevent further inflammation

C)Assisting with applying for community visual rehabilitation services

D)Educating about the use of antiviral eye drops to treat the infection

Q3) Which of the following actions is an example of an approach magnification?

A)Using a telescopic lens

B)Sitting closer to a television while watching it

C)Using a black-tipped felt marker when writing

D)Reading books with large-type print

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Chapter 25: Nursing Assessment Integumentary System

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Sample Questions

Q1) The nurse is preparing for a teaching session with older-adult clients. Which of the following changes is an age-related change in the hair?

A)Increased melanocytes

B)Decreased oils

C)Increased density

D)Increased estrogen

Q2) Which assessment information documented in a client's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old client admitted with bacterial pneumonia?

A)"Scattered macular brown areas on extremities"

B)"Skin brown and wrinkled, skin tenting on forearm"

C)"Longitudinal nail bed ridges noted, sparse scalp hair"

D)"Skin moist and intact, states history of allergic rashes"

Q3) The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?

A)Assess the client for evidence of liver disease.

B)Discuss the adverse effects of sun exposure on the skin.

C)Educate the client about possible skin changes with aging.

D)Suggest that the client make an appointment with a dermatologist.

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Page 27

Chapter 26: Nursing Management Integumentary

Problems

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Sample Questions

Q1) The nurse is teaching the client how to use wet compresses at home for treatment of poison ivy. Which of the following instructions would the nurse include in the teaching plan?

A)Use only sterile water as the solution for the dressing.

B)The material for the compress is to be 4-8 layers thick.

C)The compress should meet the edge of the area that is to be treated.

D)Use abdominal pads (gauze sponges) when covering odd-shaped body parts.

Q2) The nurse is caring for a client who is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. Which of the following actions would the nurse plan to implement to minimize complications from this procedure?

A)Cleanse the skin carefully with an antiseptic soap.

B)Shield any unaffected areas with lead-lined drapes.

C)Have the client use protective eyewear while receiving PUVA.

D)Apply petroleum jelly to the areas surrounding the psoriatic lesions.

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Chapter 27: Nursing Management Burns

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Sample Questions

Q1) The nurse is caring for a client who is in the emergent phase of burn care. Which of the following nursing actions will be most useful in determining whether the client is receiving adequate fluid infusion?

A)Check skin turgor.

B)Monitor daily weight.

C)Assess mucous membranes.

D)Measure hourly urine output.

Q2) The nurse is admitting a client to the burn unit who has an approximate 25% total body surface area (TBSA) burn and the following initial laboratory results: Hct 56%, Hb 172 g/L, serum K+ 4.8 mmol/L, and serum Na+ 135 mmol/L. Which of the following actionsshould the nurse anticipate implementing?

A)Continue to monitor the laboratory results.

B)Increase the rate of the ordered IV solution.

C)Type and crossmatch for a blood transfusion.

D)Document the findings in the client's record.

Q3) The nurse is estimating the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the posterior trunk and right arm. What percentage of the client's total body surface area (TBSA) has been injured?

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Chapter 28: Nursing Assessment Respiratory System

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3293

Sample Questions

Q1) Which of the following respiratory assessments are not normal? (Select all that apply.)

A)Respirations 23 breaths/minute

B)Outward movement of abdomen during inspiration

C)Increase in vibrations with tactile fremitus

D)Tripod position

E)Symmetrical chest expansion

Q2) The nurse is admitting a client who is hypothermic with a O2 saturation of 96%. Which of the following actions should the nurse take next?

A)Initiate rewarming of the client.

B)Complete a head-to-toe assessment.

C)Obtain arterial blood gases (ABGs).

D)Place the client on high-flow oxygen.

Q3) The nurse is observing a student who is listening to a client's lungs. Which of the following actions by the student indicates a need to review respiratory assessment skills?

A)The student compares breath sounds from side to side.

B)The student listens only over the posterior part of the chest.

C)The student places the stethoscope over the scapulae and then auscultates.

D)The student starts at the base of the posterior lung and moves to the apices.

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Chapter 29: Nursing Management Upper Respiratory

Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3294

Sample Questions

Q1) An RN is observing a nursing student who is suctioning a hospitalized client with a tracheostomy in place. Which of the following actions by the student requires the RN to intervene?

A)The student preoxygenates the client for 1 minute before suctioning.

B)The student puts on clean gloves and uses a sterile catheter to suction.

C)The student inserts the catheter about 15 cm into the tracheostomy tube.

D)The student applies suction for 10 seconds while withdrawing the catheter.

Q2) The nurse is caring for a client who has had a total laryngectomy and radical neck dissection. During the first 24 hours after surgery, which of the following actions is priority?

A)Monitor for bleeding.

B)Assess breath sounds.

C)Clean the inner cannula every 8 hours.

D)Avoid changing the tracheostomy ties.

Q3) Which of the following causes is the most common cause of acute pharyngitis?

A)Fungal

B)Viral

C)Acute follicular

D)Peritonsillar

Page 31

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Chapter 30: Nursing Management Lower Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/3295

Sample Questions

Q1) Following assessment of a client with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which of the following information best supports this diagnosis?

A)Weak, nonproductive cough effort

B)Large amounts of greenish sputum

C)Respiratory rate of 28 breaths/minute

D)Resting pulse oximetry (SpO2) of 85%

Q2) The nurse is caring for a client who has a steering wheel injury as a result of an automobile accident. Which of the following findings should be of most concern to the nurse during the initial assessment?

A)Paradoxical chest movement

B)The complaint of chest wall pain

C)A heart rate of 110 beats/minute

D)A large bruised area on the chest

Q3) Which of the following information about a client who has a recent history of

A)Chest x-ray shows no upper lobe infiltrates.

B)TB medications have been taken for 6 months.

C)Mantoux testing shows an induration of 10 mm.

D)Three sputum smears for acid-fast bacilli are negative.

Page 32

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Chapter 31: Nursing Management Obstructive Pulmonary Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3296

Sample Questions

Q1) The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has rhonchi throughout the lung fields and a chronic, nonproductive cough. Which of the following nursing actions is best?

A)Change the oxygen flow rate to the highest prescribed rate.

B)Reinforce the ongoing use of pursed lip breathing techniques.

C)Educate the client to use the Flutter airway clearance device.

D)Teach the client about consistent use of inhaled corticosteroids.

Q2) After the nurse has finished teaching a client about pursed lip breathing, which of the following client actions indicate that more teaching is needed?

A)The client inhales slowly through the nose.

B)The client tenses the neck muscles while exhaling.

C)The client practises by blowing through a straw.

D)The client's ratio of inhalation to exhalation is 1:3.

Q3) Which of the following information should the nurse teach a client with COPD?

A)To exercise immediately before a meal.

B)To eat a high-calorie, low-protein diet.

C)To have 5 or 6 small meals a day.

D)Avoid foods that are cooked in a microwave.

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Chapter 32: Nursing Assessment Hematological System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3297

Sample Questions

Q1) The nurse is caring for a client whose complete blood count (CBC) and differential indicate that the client is neutropenic. Which of the following actions should the nurse include in the plan of care?

A)Avoid intramuscular injections.

B)Encourage increased oral fluids.

C)Check temperature every 4 hours.

D)Increase intake of iron-rich foods.

Q2) The health care provider orders an ultrasound of the spleen for a client who has been in a car accident. Which of the following actions should the nurse take before this procedure?

A)Check for any iodine allergy.

B)Insert a large-bore IV catheter.

C)Place the client on NPO status.

D)Assist the client to a flat position.

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Chapter 33: Nursing Management Hematological Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3298

Sample Questions

Q1) The nurse is caring for a client with myelodysplastic syndrome who has 20% blasts in marrow and the health care provider has prescribed high-intensity treatment. Which of the following treatments should the nurse prepare the client to receive?

A)Antibiotics

B)Antifungals

C)Chemotherapy

D)A blood transfusion

Q2) The nurse is caring for a client who has a history of a transfusion-related acute lung injury (TRALI) and is to receive a transfusion of packed red blood cells (PRBCs). Which of the following actions should the nurse take to decrease the risk for TRALIforthis client?

A)Infuse the PRBCs slowly over 4 hours.

B)Transfuse only leukocyte-reduced PRBCs.

C)Administer the scheduled oral diuretic before the transfusion.

D)Give the PRN dose of antihistamine before starting the transfusion.

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Chapter 34: Nursing Assessment Cardiovascular System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3299

Sample Questions

Q1) The nurse is auscultating over the client's abdominal aorta and hears a humming sound. Which of the following terms should the nurse use to document this finding?

A)Thrill

B)Bruit

C)Heave

D)Murmur

Q2) The standard policy on the cardiac unit states, "Notify the health care provider for mean arterial pressure (MAP) less than 70 mm Hg." Which of the following clients should the nurse report to the health care provider?

A)Postoperative client with a BP of 116/42

B)Newly admitted client with a BP of 122/60

C)Client with left ventricular failure who has a BP of 110/70

D)Client with a myocardial infarction who has a BP of 114/50

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Chapter 35: Nursing Management Hypertension

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3300

Sample Questions

Q1) The nurse is caring for a client who has just diagnosed with hypertension and has a new prescription for captopril. Which of the following information is important to include when teaching the client?

A)Check BP daily before taking the medication.

B)Increase fluid intake if dryness of the mouth is a problem.

C)Include high-potassium foods such as bananas in the diet.

D)Change position slowly to help prevent dizziness and falls.

Q2) The nurse is assessing a client who is being investigated for possible white coat hypertension. Which of the following actions should the nurse implement first?

A)Schedule the client for frequent BP checks in the clinic.

B)Instruct the client about the need to decrease stress levels.

C)Tell the client how to self-monitor and record BPs at home.

D)Teach the client about ambulatory blood pressure monitoring.

Q3) Which of the following information should the nurse include when teaching a client with newly diagnosed hypertension?

A)Dietary sodium restriction will control BP for most clients.

B)Most clients are able to control BP through lifestyle changes.

C)Hypertension is usually asymptomatic until significant organ damage occurs.

D)Annual BP checks are needed to monitor treatment effectiveness.

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Page 37

Chapter 36: Nursing Management Coronary Artery Disease

and Acute Coronary Syndrome

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3301

Sample Questions

Q1) The nurse is providing teaching to a client who has a prescription for transdermal nitroglycerin drug administration via reservoir. The client asks the nurse how often each day will the drug be administered. Which of the following information is the basisforthe nurse's response?

A)Every 4 hours while awake

B)Every 6 hours around the clock

C)Every 12 hours

D)Once every 24 hours

Q2) Which of the following causes is the most common cause for sudden cardiac death?

A)Ventricular tachycardia

B)Aortic stenosis

C)Hypertrophic cardiomyopathy

D)Angina

Q3) The nurse is administering a fibrinolytic agent to a client with an acute myocardial infarction. Which of the following assessments should cause the nurse to stop the drug infusion?

A)Bleeding from the gums

B)Surface bleeding from the IV site

C)A decrease in level of consciousness

D)A nonsustained episode of ventricular tachycardia

Page 38

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Chapter 37: Nursing Management Heart Failure

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3302

Sample Questions

Q1) The nurse is caring for an older-adult client with heart failure and learns that the client lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the client's discharge the nurse will facilitate which of the followingactions?

A)Transfer to a dementia care service

B)Referral to a home health care agency

C)Placement in a long-term care facility

D)Arrangements for around-the-clock care

Q2) Which assessment finding in a client admitted with chronic heart failure requires the most rapid action by the nurse?

A)Oxygen saturation of 88%

B)Weight gain of 1 kg

C)Apical pulse rate of 106 beats/minute

D)Urine output of 50 mL over 2 hours

Q3) Which of the following clients is less likely to enroll in a cardiac rehabilitation program?

A)A 64-year-old male who has diabetes

B)A 51-year-old male who has a same-sex partner

C)A 52-year-old single female

D)A 39-year-old male with two children

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Page 39

Chapter 38: Nursing Management Dysrhythmias

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3303

Sample Questions

Q1) The nurse obtains a monitor strip on a client who has had a myocardial infarction and makes the following analysis: P wave not apparent, ventricular rate 162, R-R interval regular, P-R interval not measurable, and QRS complex wide and distorted, QRS duration 0.18 second. Which of the following cardiac rhythms should the nurse interpret from these findings?

A)Atrial fibrillation

B)Sinus tachycardia

C)Ventricular fibrillation

D)Ventricular tachycardia

Q2) The nurse is caring for a client who requires defibrillation. In which order will the nurse accomplish the following steps?

A)Turn the defibrillator on.

B)Deliver the electrical charge.

C)Select the appropriate energy level.

D)Place the paddles on the client's chest.

E)Check the location of other personnel and call out "all clear."

Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.

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Page 40

Chapter 39: Nursing Management Inflammatory and Structural Heart Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/3304

Sample Questions

Q1) The nurse is providing discharge teaching for a client with mitral valve prolapse (MVP) without valvular regurgitation. Which of the following client statements indicate that teaching has been effective?

A)Plan to take antibiotics before any dental appointments

B)Limit physical activity to avoid stressing the heart valves.

C)Take one Aspirin a day to prevent embolization from the valve.

D)Avoid use of over-the-counter (OTC) medications that contain stimulant drugs.

Q2) Which of the following techniques should the nurse use to assess the client with pericarditis for the presence of a pericardial friction rub?

A)Auscultate with the stethoscope diaphragm at the lower left sternal border.

B)Listen for a rumbling, low-pitched, systolic sound over the left anterior chest.

C)Feel the precordial area with the palm of the hand to detect vibration with cardiac contraction.

D)Ask the client to stop breathing during auscultation to distinguish the sound from a pleural friction rub.

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Chapter 40: Nursing Management Vascular Disorders

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/3305

Sample Questions

Q1) The nurse is planning expected outcomes for a client with thromboangiitis obliterans (Buerger's disease). Which of the following outcomes has the highest priority for this client?

A)Cessation of smoking

B)Control of serum lipid levels

C)Maintenance of appropriate weight

D)Demonstration of meticulous foot care

Q2) The nurse is caring for a client who had a sclerotherapy for treatment of superficial varicose veins and is a service-counter worker. Which of the following information should the nurse include when providing discharge teaching to the client?

A)Sitting at the work counter, rather than standing, is recommended.

B)Compression stockings should be applied before getting out of bed.

C)Exercises such as walking or jogging cause recurrence of varicosities.

D)Taking one Aspirin daily will help prevent clotting around venous valves.

Q3) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .

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Chapter 41: Nursing Assessment Gastro-intestinal System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3306

Sample Questions

Q1) The nurse is performing a nutritional assessment on a client. Which of the following information obtained by the nurse is of most concern?

A)Decreased appetite

B)Difficulty chewing food

C)Unintentional weight loss

D)Complaints of indigestion

Q2) The nurse is caring for a client who has just had a colonoscopy. Which of the following symptoms should alert the nurse that a perforation has occurred? (Select all that apply.)

A)Malaise

B)Abdominal distension

C)Hypertension

D)Bradycardia

E)Tenesmus

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Chapter 42: Nursing Management Nutritional Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3307

Sample Questions

Q1) The nurse is admitting a client for electrolyte disorders of unknown etiology. Which of the following findings is most important to report to the health care provider?

A)The client's knuckles are macerated.

B)The client uses laxatives on a daily basis.

C)The client has a history of weight fluctuations.

D)The client's serum potassium level is 2.9 mmol/L.

Q2) The nurse is caring for a client who is to have a bolus tube feeding. Which of the following actions should the nurse implement?

A)Deliver the feeding via a syringe over 15 minutes.

B)Increase the rate of the tube feeding to deliver the bolus over 5 minutes.

C)Withhold water by mouth for 30 minutes prior to the bolus feeding.

D)Question the order as tube feedings are not to be delivered as a bolus.

Q3) The nurse is teaching a client about a high calorie, high protein diet. Which of the following menu choices indicates that the teaching has been effective?

A)Baked fish with applesauce

B)Beef noodle soup and canned corn

C)Fresh vegetables with yogourt topping

D)Fried chicken with potatoes and gravy

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Chapter 43: Nursing Management Obesity

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3308

Sample Questions

Q1) What of the following specific information should the nurse include in client teaching for an overweight client who is starting a weight loss plan?

A)Weigh yourself at the same time every morning.

B)Start dieting with a 600- to 800-calorie diet for rapid weight loss.

C)Low carbohydrate diets lead to rapid weight loss but are difficult to maintain.

D)Weighing all foods on a scale is necessary to choose appropriate portion sizes.

Q2) Which of the following client behaviours indicate that an overweight client has understood the nurse's teaching about the best exercise plan for weight loss?

A)Walking for 40 minutes 6 or 7 days/week

B)Lifting weights with friends three times/week

C)Playing soccer for an hour on the weekend

D)Running for 10-15 minutes three times/week

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Chapter 44: Nursing Management Upper Gastro-intestinal

Problems

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3309

Sample Questions

Q1) The nurse is admitting a client who is vomiting bright red blood to the emergency department. Which of the following assessments should the nurse perform first?

A)Checking the level of consciousness

B)Measuring the quantity of any emesis

C)Auscultating the chest for breath sounds

D)Taking the blood pressure (BP) and pulse

Q2) The nurse is caring for a client with a bleeding duodenal ulcer who has a nasogastric (NG) tube in place and a prescription for 30 mL of aluminum hydroxide/magnesium hydroxide to be instilled through the tube every hour. Which of the following assessmentsshould the nurse do to evaluate the effectiveness of this treatment?

A)Periodically aspirate and test gastric pH.

B)Monitor arterial blood gas values on a daily basis.

C)Check each stool for the presence of occult blood.

D)Measure the amount of residual stomach contents hourly.

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Chapter 45: Nursing Management Lower Gastro-intestinal

Problems

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/3310

Sample Questions

Q1) Which of the following actions should the nurse implement when initiating the initial plan of care for a client admitted with acute diverticulitis?

A)Give stool softeners.

B)Administer IV fluids.

C)Order a diet high in fibre and fluids.

D)Prepare the client for colonoscopy.

Q2) The nurse is caring for a critically ill client who develops incontinence of watery stools. What of the following actions is best for the nurse to take to prevent complications associated with ongoing incontinence?

A)Insert a rectal tube.

B)Use incontinence briefs.

C)Apply a perianal pouch.

D)Assist the client to a bedside commode at frequent intervals.

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Chapter 46: Nursing Management Liver

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3311

Sample Questions

Q1) Which of the following actions should be included in the plan of care for a client who has recently been diagnosed with asymptomatic non-alcoholic fatty liver disease (NAFLD)?

A)Teach symptoms of variceal bleeding.

B)Discuss the need to increase caloric intake.

C)Review the client's current medication list.

D)Draw blood for hepatitis serology testing.

Q2) The nurse is caring for a client who is diagnosed with acute hepatitis B. Which of the following information should the nurse include in the teaching plan?

A)Ways to increase exercise and activity level

B)Self-administration of ?-interferon

C)Adverse effects of nucleoside and nucleotide analogs

D)Measures that will be helpful in improving appetite

Q3) Which of the following nursing actions is a priority when the nurse is caring for a client with pancreatic cancer?

A)Offer high-calorie, high-protein dietary choices.

B)Offer psychological support for anxiety or depression.

C)Educate about the need to avoid scratching pruritic areas.

D)Administer prescribed opioids to relieve pain as needed.

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Page 48

Chapter 47: Nursing Assessment Urinary System

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3312

Sample Questions

Q1) The nurse is preparing a client with a decreased glomerular filtration rate for an intravenous pyelogram (IVP). Which of the following actions should be included in the plan of care?

A)Monitor the urine output after the procedure.

B)Assist with monitored anesthesia care (MAC).

C)Give oral contrast solution before the procedure.

D)Insert a large size urinary catheter before the IVP.

Q2) A client with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange colour. Which of the following actions should the nurse take first?

A)Notify the client's health care provider.

B)Ask the client about use of any medications.

C)Question the client about any UTI risk factors.

D)Teach about the correct procedure for midstream urine collection.

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Chapter 48: Nursing Management Renal and Urologic

Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3313

Sample Questions

Q1) Which of the following nursing actions is most helpful in decreasing the risk for A)Avoid unnecessary catheterizations.

B)Encourage adequate oral fluid intake.

C)Test urine with a dipstick daily for nitrites.

D)Provide thorough perineal hygiene to clients.

Q2) The nurse is teaching a client about avoiding the recurrence of a urinary tract infection. Which of the following information should be included in the teaching plan?

(Select all that apply.)

A)Teach the client to wipe from back to front after voiding.

B)Suggest the use of a diaphragm during intercourse.

C)Advice the client to urinate every 2-4 hours during the day.

D)Advise the client to report cloudy urine.

E)Educate about the effects of a bubble bath.

Q3) Which of the following actions should the nurse teach to a client to help prevent the recurrence of renal calculi?

A)Use a filter to strain all urine.

B)Avoid dietary sources of calcium.

C)Drink diuretic fluids such as coffee.

D)Have 2 000-3 000 mL of fluid a day.

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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3314

Sample Questions

Q1) The nurse is caring for a client with acute kidney injury (AKI) who requires hemodialysis and a temporary vascular access is obtained by placing a catheter in the left femoral vein. Which of the following interventions should be included in the plan ofcare?

A)Place the client on bed rest.

B)Start continuous pulse oximetry.

C)Discontinue the retention catheter.

D)Restrict the client's oral protein intake.

Q2) The nurse is caring for a client with severe heart failure who develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet which of the following goals of treatment?

A)Replace fluid volume

B)Prevent hypertension

C)Maintain cardiac output

D)Dilute nephrotoxic substances

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Chapter 50: Nursing Assessment Endocrine System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3315

Sample Questions

Q1) The nurse is caring for a client who is preparing for a growth hormone stimulation test. Which of the following adverse effects should the nurse monitor for during the test?

A)Bradycardia

B)Hypotension

C)Hyperglycemia

D)Tachypnea

Q2) The nurse is teaching a client how to prepare for an oral glucose tolerance test (OGTT). Which of the following client response indicates that the teaching has been effective?

A)Fast 12 hours before the procedure

B)Clear fluid diet 12 hours prior to the test

C)Drink only full fluids 6 hours before the test

D)No fluid or food restrictions prior to the test

Q3) Aclient has a total serum calcium level of 3.3 mmol/L. Which of the following laboratory results should the nurse assess next?

A)Calcitonin

B)Catecholamine

C)Thyroid hormone

D)Parathyroid hormone

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Page 52

Chapter 51: Nursing Management Endocrine Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3316

Sample Questions

Q1) The nurse is caring for a client who has an adrenocortical adenoma and hyperaldosteronism. Which of the following actions should the nurse implement?

A)Provide a potassium-restricted diet

B)Monitor the blood pressure every 4 hours

C)Evaluate blood glucose level every 4 hours

D)Maintain extremities in an elevated position

Q2) The nurse is caring for a client with hypothyroidism who is receiving a hypertonic saline IV solution to counteract hyponatremia. The nurse will expect the saline solution to be administered until the client's serum sodium reaches which of the followinglevels?

A)112 mmol/L

B)120 mmol/L

C)132 mmol/L

D)168 mmol/L

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Chapter 52: Nursing Management Diabetes Mellitus

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3317

Sample Questions

Q1) Which of the following information should the nurse include when teaching a client who has type 2 diabetes about glyburide?

A)Glyburide decreases glucagon secretion from the pancreas.

B)Glyburide stimulates insulin production and release from the pancreas.

C)Glyburide should be taken even if the morning blood glucose level is low.

D)Glyburide should not be used for 48 hours after receiving IV contrast media.

Q2) After the nurse has finished teaching a client about self-administration of the prescribed aspart insulin, which of the following client actions indicate good understanding of the teaching?

A)The client avoids injecting the insulin into the upper abdominal area.

B)The client cleans the skin with soap and water before insulin administration.

C)The client places the insulin back in the freezer after administering the prescribed insulin dose.

D)The client pushes the plunger down and immediately removes the syringe from the injection site.

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Chapter 53: Nursing Assessment Reproductive System

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/3318

Sample Questions

Q1) The nurse is preparing a client for colposcopy with a cervical biopsy. Which of the following information should the nurse explain to the client about the procedure?

A)It involves dilation of the cervix and biopsy of the tissue lining the uterus.

B)It will take place in a same-day-surgery centre so that local anesthesia can be used.

C)It requires that the client have nothing to eat or drink for 6 hours before the procedure.

D)It is similar to a speculum examination of the cervix and should result in little or no pain.

Q2) A client calls the clinic because of an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. Which of the following amounts of blood loss should the nurse estimate from the clients information?

A)10-20 mL.

B)20-30 mL.

C)30-40 mL.

D)40-60 mL.

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Chapter 54: Nursing Management Breast Disorders

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25 Verified Questions

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Sample Questions

Q1) The nurse is caring for a client who has had a right mastectomy and the client asks the nurse how long the biannual mammography will have to continue. Which of the following time frames should the nurse inform the client is recommended for mammography postmastectomy?

A)Every 6 months for a year

B)Every 6 months for 2 years

C)Every 6 months for 5 years

D)Every 6 months for life

Q2) To determine the risk for breast cancer in a client who has found a small lump in the left breast, which of the following questions is most pertinent for the nurse to ask?

A)"Do you currently smoke cigarettes?"

B)"Have you ever had any breast injuries?"

C)"At what age did you start having menstrual periods?"

D)"Is there any family history of fibrocystic breast changes?"

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Chapter 55: Nursing Management Sexually Transmitted

Infections

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16 Flashcards

Source URL: https://quizplus.com/quiz/3320

Sample Questions

Q1) Aclient who has blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which of the following actions should the nurse take next?

A)Ask the client about past treatment for syphilis.

B)Discuss the need for blood and spinal fluid cultures.

C)Obtain a specimen for fluorescent treponemal antibody absorption (FAT-ABS) testing.

D)Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.

Q2) The nurse is caring for a client who is diagnosed with chlamydia and tells the nurse that she is very angry because her husband is her only sexual partner. Which of the following responses should the nurse make first?

A)"You may need professional counselling to help resolve your anger."

B)"It is understandable that you are angry with your husband right now."

C)"Your feelings are justified and you should share them with your husband."

D)"It is important that both you and your husband be treated for the infection."

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Chapter 56: Nursing Management Female Reproductive Problems

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3321

Sample Questions

Q1) A client tells the nurse that she is postmenopausal but has occasional spotting. Which of the following responses should the nurse make initially?

A)"A frequent cause of spotting is endometrial cancer."

B)"How long has it been since your last menstrual period?"

C)"Breakthrough bleeding is not unusual in women your age."

D)"Are you using prescription hormone therapy?"

Q2) The nurse is caring for a client who had an anterior and posterior (A&P) colporrhaphy for repair of a cystocele and rectocele. Which of the following nursing actions should be included in the postoperative care plan?

A)Teach the client correct pessary use.

B)Perform in-dwelling catheter care daily.

C)Repack the vaginal wound daily with gauze.

D)Provide client teaching about a high fibre diet.

Q3) A 32-year-old client has minor changes on her Pap test. Which of the following actions should the nurse take?

A)Teach the client about colposcopy.

B)Teach the client about punch biopsy.

C)Schedule another Pap test in 4 months.

D)Administer the human papilloma virus (HPV) vaccine.

Page 58

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Chapter 57: Nursing Management Male Reproductive

Problems

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27 Flashcards

Source URL: https://quizplus.com/quiz/3322

Sample Questions

Q1) The nurse is assessing a 53-year-old man who has been having increasing problems with erectile dysfunction (ED) for several years and is interested in using sildenafil. Which of the following actions should the nurse take first?

A)Ask the client about any prescription drugs he is taking.

B)Tell the client that sildenafil does not always work for ED.

C)Discuss the common adverse effects of erectogenic drugs.

D)Assure the client that ED is commonly associated with aging.

Q2) The nurse is admitting a client with benign prostatic hyperplasia (BPH) who has urinary retention and new onset elevations in blood urea nitrogen (BUN) and creatinine. Which of the following prescribed therapies should the nurse implement first?

A)Schedule an abdominal computed tomography (CT) scan.

B)Insert a urinary retention catheter.

C)Draw blood for a complete blood count.

D)Infuse normal saline at 50 mL/hour.

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Chapter 58: Nursing Assessment Nervous System

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Sample Questions

Q1) Which of the following equipment should the nurse obtain to assess vibration sense in a client who has peripheral nerve dysfunction?

A)Sharp pin

B)Tuning fork

C)Reflex hammer

D)Calibrated compass

Q2) When caring for a client who has had cerebral angiography, which of the following nursing actions should be included in the plan of care?

A)Ask about headache and photophobia.

B)Keep client NPO until gag reflex returns.

C)Check pulse and blood pressure frequently.

D)Assess orientation to person, place, and time.

Q3) The nurse is preparing a client for a lumbar puncture. Which of the following actions should the nurse implement?

A)Transfer the client to radiology just before the procedure.

B)Help the client to a side lying position before the procedure.

C)Place the client on NPO status for 4 hours before the procedure.

D)Administer a sedative medication 30 minutes before the procedure.

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Chapter 59: Nursing Management Acute Intracranial Problems

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Source URL: https://quizplus.com/quiz/3324

Sample Questions

Q1) Which of the following statements by a client who is being discharged from the emergency department (ED) after a head injury indicates a need for intervention by the nurse?

A)"I will return if I feel dizzy or nauseated."

B)"I am going to drive home and go to bed."

C)"I do not even remember being in an accident."

D)"I can take acetaminophen for my headache."

Q2) After receiving change of shift report, which of the following clients should the nurse assess first?

A)A 44-year-old receiving IV antibiotics for meningococcal meningitis

B)A 23-year-old who had a skull fracture and craniotomy the previous day

C)A 30-year-old who has an intracranial pressure (ICP) monitor in place after a head injury a week ago

D)A 61-year-old who has increased ICP and is receiving hyperventilation therapy

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Chapter 60: Nursing Management Stroke

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29 Flashcards

Source URL: https://quizplus.com/quiz/3325

Sample Questions

Q1) The nurse is assessing a client with a possible stroke and finds that the client's aphasia started 3.5 hours previously and the blood pressure is 170/92 mm Hg. Which of these prescriptions by the health care provider should the nurse question?

A)Infuse normal saline at 75 mL/hour.

B)Keep head of bed elevated at least 30 degrees.

C)Administer tissue plasminogen activator (tPA) per protocol.

D)Titrate labetalol drip to keep BP less than 140/90 mm Hg.

Q2) The nurse is caring for a client with a stroke who has progressive development of neurological deficits with increasing weakness and decreased level of consciousness (LOC). Which of the following nursing diagnoses has the highest priority for the client?

A)Impaired physical mobility related to decrease in muscle strength

B)Risk for injury as evidenced by alteration in cognitive function

C)Risk for impaired skin integrity as evidenced by pressure over bony prominence (immobilty)

D)Risk for aspiration as evidenced by impaired ability to swallow

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Chapter 61: Nursing Management Chronic Neurological Problems

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Sample Questions

Q1) The nurse is caring for a client who is diagnosed with early Huntington's disease (HD). Which of the following information should the nurse include in the teaching plan for the client, partner, and children?

A)Use of levodopa-carbidopa to help reduce HD symptoms.

B)Need to take prophylactic antibiotics to decrease the risk for pneumonia.

C)Lifestyle changes such as increased exercise that delay disease progression.

D)Availability of genetic testing to determine the HD risk for the client's children.

Q2) The nurse is caring for a client with epilepsy. Which of the following laboratory results should the nurse expect?

A)Increased blood glucose

B)Decreased BUN

C)Increased creatinine

D)Decreased liver function tests

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Chapter 62: Nursing Management Delirium

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Sample Questions

Q1) The nurse is caring for a client with mild dementia who has a new prescription for donepezil. Which of the following nursing actions is most effective in ensuring compliance with the medication?

A)Having the client's partner administer the medication

B)Setting the medications up weekly in a medication box

C)Calling the client daily with a reminder to take the medication

D)Posting reminders to take the medications in the client's house

Q2) The nurse is caring for a client with dementia with lewy bodies (DLB). Which of the following complications is the client most at risk for developing related to DLB?

A)Stroke

B)Pneumonia

C)Myocardial infarction

D)Urinary tract infection

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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems

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Source URL: https://quizplus.com/quiz/3328

Sample Questions

Q1) The nurse is caring for a client with a C3 injury who is demonstrating diaphragmatic respirations. Which of the following findings should the nurse expect to assess?

A)Tachypnea

B)Hypertension

C)Hypovolemia

D)Hypoventilation

Q2) The nurse is caring for a client with Bell's palsy who refuses to eat while others are present because of embarrassment about drooling. Which of the following responses is best for the nurse to do?

A)Respect the client's desire and arrange for privacy at mealtimes.

B)Teach the client to chew food on the unaffected side of the mouth.

C)Offer the client liquid nutritional supplements at frequent intervals.

D)Discuss the client's concerns with visitors who arrive at mealtimes.

Q3) Which of the following actions should the nurse take when assessing a client with trigeminal neuralgia?

A)Examine the mouth and teeth thoroughly.

B)Have the client clench and relax the jaw and eyes.

C)Identify trigger zones by lightly touching the affected side.

D)Gently palpate the face to compare skin temperature bilaterally.

Page 65

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Chapter 64: Nursing Assessment Musculo-skeletal System

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Sample Questions

Q1) While testing the client's muscle strength, the nurse finds that the client can flex the arms when no resistance is applied but is unable to flex when the nurse applies lightresistance. The nurse should document the client's muscle strength as level

A)1

B)2

C)3

D)4

Q2) The nurse is caring for a client who has pain during circumduction of the shoulder when the nurse moves the arm behind the client. Which of the following questions should the nurse ask?

A)"Do you have difficulty in putting on a jacket?"

B)"Are you able to feed yourself without difficulty?"

C)"Are you able to sleep through the night without waking?"

D)"Do you ever have trouble lowering yourself to the toilet?"

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Chapter 65: Nursing Management Musculo-skeletal

Trauma and Orthopedic Surgery

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Source URL: https://quizplus.com/quiz/3330

Sample Questions

Q1) The nurse is caring for a client with ulnar drift caused by rheumatoid arthritis (RA) who is scheduled for an arthroplasty of the hand. Which of the following client statements indicates realistic expectation for the surgery?

A)"I will be able to use my fingers to grasp objects better."

B)"I will not have to do as many hand exercises after the surgery."

C)"This procedure will prevent further deformity in my hands and fingers."

D)"My fingers will appear more normal in size and shape after this surgery."

Q2) The nurse is caring for a client in the emergency department following a motor vehicle accident who has massive right lower leg swelling. Which of the following actions will the nurse take first?

A)Elevate the leg on pillows.

B)Apply a compression bandage.

C)Check leg pulses and sensation.

D)Place ice packs on the lower leg.

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Chapter 66: Nursing Management Musculo-skeletal

Problems

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Source URL: https://quizplus.com/quiz/3331

Sample Questions

Q1) The nurse is caring for a client who has muscle spasms and acute low back pain. Which of the following actions is most appropriate to teach the client to promote comfort?

A)Avoid the use of cold because it will exacerbate the muscle spasms.

B)Keep both feet flat on the floor when prolonged standing is required.

C)Keep the hips and knees flexed when resting in bed.

D)Twist gently from side to side to maintain range of motion in the spine.

Q2) The nurse is caring for a client who has had a surgical reduction of an open fracture of the left tibia. Which of the following assessment findings is most important to report to the health care provider?

A)Left leg muscle spasms

B)Serous wound drainage

C)Left leg pain with movement

D)Temperature 38.6C (101.5F)

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Chapter 67: Nursing Management Arthritis and Connective

Tissue Diseases

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42 Flashcards

Source URL: https://quizplus.com/quiz/3332

Sample Questions

Q1) The nurse is caring for a client with an exacerbation of rheumatoid arthritis (RA) and is taking prednisone 40 mg daily. Which of these assessment data obtained by the nurse indicate that the client is experiencing an adverse effect of the medication?

A)The client's blood glucose is 9.2 mmol/L.

B)The client has no improvement in symptoms.

C)The client has experienced a recent 2.5 kg weight loss.

D)The client's erythrocyte sedimentation rate (ESR) has increased.

Q2) While working at a summer camp, the nurse notices a circular lesion with a red border and clear centre on the arm of a client who is in the camp clinic complaining of chills and muscle aches. Which of the following actions should the nurse take next?

A)Palpate the abdomen.

B)Auscultate the heart sounds.

C)Ask the client about recent outdoor activities.

D)Question the client about immunization history.

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Chapter 68: Nursing Management Critical Care

Environment

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Sample Questions

Q1) The nurse is preparing to assist with the insertion of a pulmonary artery catheter in a client. Which of the following actions will the nurse implement?

A)Check cardiac enzymes before insertion.

B)Auscultate heart sounds during insertion.

C)Place the client on NPO status before the procedure.

D)Attach cardiac monitoring leads before the procedure.

Q2) The nursing supervisor is evaluating the performance of a new RN who is caring for a client receiving mechanical ventilation with 10 cm of positive end-expiratory pressure (PEEP). Which of the following actions indicates that the new RN is practising safely?

A)The RN plans to suction the client every 2 hours.

B)The RN uses a closed-suction technique to suction the client.

C)The RN tapes connection between the ventilator tubing and the ET.

D)The RN changes the ventilator circuit tubing routinely every 24 hours.

Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?

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Chapter 69: Nursing Management Shock

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Source URL: https://quizplus.com/quiz/3334

Sample Questions

Q1) The nurse is caring for a client with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which of the following prescribed interventions should the nurse question?

A)Infuse normal saline at 250 mL/hour.

B)Keep head of bed elevated to 30 degrees.

C)Give nitroprusside unless systolic BP <90 mm Hg.

D)Administer dobutamine to keep systolic BP >90 mm Hg.

Q2) The nurse is caring for a client with cardiogenic shock and pulmonary edema who has the following vital signs: BP 86/50, pulse 126, respirations 30. Which of the following actions should the nurse anticipate implementing?

A)Infusion of 5% human albumin

B)Administration of furosemide IV

C)Titration of an epinephrine drip

D)Administration of hydrocortisone

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Chapter 70: Nursing Management Respiratory Failure and

Acute Respiratory Distress Syndrome

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Source URL: https://quizplus.com/quiz/3335

Sample Questions

Q1) A client with ARDS who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV) has settings of fraction of inspired oxygen (FIO<sub>2</sub>) 80%, tidal volume 500, rate 18, and positive end-expiratory pressure (PEEP) 5 cm.Whichof the following assessment findings is most important for the nurse to report to the health care provider?

A)Oxygen saturation 99%

B)Client respiratory rate 22 breaths/minute

C)Crackles audible at lung bases

D)Apical pulse rate 104 beats/minute

Q2) The nurse is caring for a client who develops increasing dyspnea and hypoxemia 2 days after having cardiac surgery. To determine whether the client has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, thenursewill anticipate assisting with which of the following actions?

A)Inserting a pulmonary artery catheter

B)Obtaining a ventilation-perfusion scan

C)Drawing blood for arterial blood gases

D)Positioning the client for a chest radiograph

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Page 72

Chapter 71: Nursing Management Emergency Care Situations

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Source URL: https://quizplus.com/quiz/3336

Sample Questions

Q1) The nurse is conducting a primary survey on a client in the emergency department and notes motor posturing. Which of the following actions should the nurse implement immediately?

A)Hyperventilate the client.

B)Decrease the IV fluid rate.

C)Prepare for intubation.

D)Continue with the triage assessment.

Q2) The nurse is caring for a client who has experienced blunt abdominal trauma during a car accident and has increasing abdominal pain. Which of the following diagnostic tests should the nurse prepare the client for?

A)Ultrasonography

B)Peritoneal lavage

C)X-ray

D)Magnetic resonance imaging (MRI)

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Chapter 72: Emergency Management and Disaster Planning

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Source URL: https://quizplus.com/quiz/3337

Sample Questions

Q1) The nurse in the emergency department is involved in triaging clients during a mass casualty incident. During this situation, which of the following is the triage time frame?

A)15 seconds

B)30 seconds

C)1 minute

D)2 minutes

Q2) Which of the following government agencies is responsible for providing safe drinking water and supportive medical services during a national disaster?

A)Health Canada

B)Public Safety Canada

C)Department of National Defence

D)Canadian Red Cross

Q3) Which of the following terms is used to describe a communicable disease that occurs among a cluster of individuals?

A)Epidemic

B)Outbreak

C)Pandemic

D)Mitigation

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