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NURS 1102
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NURS 1102Passpoint-Oncologic.
Question 1 See full question A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tum... [Show More] or resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? Question 2 See full question A client has just begun treatment with busulfan, 4 mg by mouth daily, for chronic myelogenous leukemia. The client receives busulfan until his white blood cell (WBC) count falls to between 10,000/mm3 and 25,000/mm3. Then the drug is stopped. When should treatment resume? Question 3 See full question A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to: Question 4 See full question Which nursing goal is appropriate for a client with multiple myeloma? Question 5 See full question A 56-year-old woman is admitted for a modified radical mastectomy. The client appears anxious and asks many questions. The nurse's best course of action is to: Question 6 See full question A nurse is teaching an older adult who has had a left modified radical mastectomy with axillary node dissection about lymphedema. The nurse should tell the client that lymphedema occurs: Question 7 See full question A client is newly diagnosed with cancer and is beginning a treatment plan. Which action by the nurse will be most effective in helping the client cope? Question 8 See full question A client with cancer is uncertain about how to cope with all the issues that will arise. The nurse can best support the coping behaviors of a client with cancer by: Question 9 See full question A terminally ill client’s husband tells the nurse, “I wish we had taken that trip to Europe last year. We just kept putting it off, and now I am furious that we did not go.” The nurse interprets the husband’s statement as indicating which stage of adaptation to dying? Question 10 See full question A 70-year-old client asks the nurse if she needs to have a mammogram. Which is the nurse's bestresponse? Question 11 See full question The primary reason that a herpes simplex virus (HSV) infection is a serious concern to a client with human immunodeficiency virus (HIV) infection is that it: Question 12 See full question A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the client to report which possible sign of cervical cancer? Question 13 See full question A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns regarding his sexuality. The nurse should base the response on the knowledge that the client: Question 14 See full question After surgery for gastric cancer, a client is scheduled to undergo radiation therapy. The nurse should include which information in the teaching plan? Question 15 See full question A client states, "I do not want any more tests. Who cares what kind of leukemia I have? I just want to be treated now." Which is the nurse's best response? Question 16 See full question In assessing a client in the early stage of chronic lymphocytic leukemia (CLL), the nurse should determine if the client has: Question 17 See full question When the client who has had a modified radical mastectomy returns from the operating room to the recovery room, what should the nurse do first? Question 18 See full question A client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client tells the nurse that he is concerned about the effect that losing a testicle will have on his manhood. Which information about orchiectomy should form the basis for the nurse’s response? Question 19 See full question The nurse notes that a placebo has been prescribed when a client requests pain medication. Which statement is most accurate about the use of placebos in the client’s plan of care? Remediation: Question 20 See full question A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis is appropriate for this client? Question 21 See full question During a breast examination, which finding most strongly suggests that a client has breast cancer? Question 22 See full question During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which nursing intervention is most likely to decrease the pain of stomatitis? Question 23 See full question A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates a chemotherapy-induced complication? Question 24 See full question A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which client statement indicates an accurate understanding of appropriate ways to deal with this deficit? Question 25 See full question A nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society (Canadian Cancer Society) guidelines, the nurse should recommend that the women: Question 26 See full question A nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping? Question 27 See full question A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous? Question 28 See full question A nurse is interviewing a client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer? Question 29 See full question What should a male client older than age 50 do to help ensure early identification of prostate cancer? Question 30 See full question On discharge, a client who underwent left modified radical mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she: Question 31 See full question A 30-year-old client whose mother died of breast cancer at age 44 and whose sister has ovarian cancer, is concerned about developing cancer. As a member of the oncology multidisciplinary team, the nurse should suggest that the client ask the physician about which topic? Question 32 See full question Which statement indicates that the client needs further teaching about taking medication to control cancer pain? Question 33 See full question The nurse is conducting an initial nursing history of a client who is experiencing pain related to bone cancer. The most important information to gather in this initial assessment is the: Question 34 See full question A nurse is checking the laboratory results of an adult client with colon cancer admitted for further chemotherapy. The client has lost 30 lb (13.6 kg) since initiation of the treatment. Which laboratory result should be reported to the health care provider (HCP)? Question 35 See full question A client diagnosed with cancer is receiving chemotherapy. The nurses should assess which diagnostic value while the client is receiving chemotherapy? Question 36 See full question A client who is in the end-stages of cancer is increasingly upset about receiving chemotherapy. Which approach by the nurse would likely be most helpful in gaining the client's cooperation? Question 37 See full question A 42-year-old female is interested in making dietary changes to reduce her risk of colon cancer. What dietary selections should the nurse suggest? Question 38 See full question The nurse is collaborating with the physician to develop a care plan to help control chronic pain in a client with cancer who is receiving hospice home care. Which of the following plans would be most appropriate for managing the client's pain? Question 39 See full question A client has been receiving chemotherapy for cancer treatment. The client is competent and has been actively involved in decisions regarding care; however, the client has now decided to refuse treatment. What should the nurse do when the client refuses the next dose of chemotherapy? Question 40 See full question A nurse is reviewing the medical record of an adult man with cancer. The health care provider (HCP) has prescribed filgrastim 400 mcg, subcutaneously once daily. The nurse reviews the laboratory report (shown) and determines treatment has been effective when: Question 41 See full question A nurse is teaching a community class about how to decrease the risk of cancer. What is the best food for the nurse to recommend? Question 42 See full question A client diagnosed with terminal lung cancer tells the nurse that he would like to seek spiritual advice. Which intervention by the nurse best provides spiritual support for this client? Question 43 See full question Which action, displayed by a grieving partner over his dying wife, should cause the nurse to suggest counseling? Question 44 See full question A client with stage IV pancreatic cancer is admitted to hospice. The spouse breaks down crying, stating “I just don’t know what I will do if he dies!” Which is the best response by the nurse? Question 45 See full question A nurse is caring for a client who is receiving chemotherapy for lung cancer. During the hand-off report, the nurse from the previous shift states that the client has been placed on neutropenic precautions. Which laboratory value supports this nursing action? Question 46 See full question A nurse is planning a program about cancer for a woman’s club. Which of the following should the nurse include in the discussion of risk factors for ovarian cancer? Question 47 See full question A client is ordered a dose of epoetin alfa to treat anemia related to chemotherapy. The recommended dose is 150 units/kg. The client weighs 60 kg. The vial is labeled 10,000 units/ml. How many milliliters of epoetin alfa would the nurse administer? Record your answer using one decimal place. Question 48 See full question The nurse is working at the local family planning clinic completing family education. When devising a teaching plan, in which client group would the nurse stress the importance of an annual Papanicolaou test? Question 49 See full question The nurse is developing a care plan for a client with cancer receiving hospice home care. Which would be the most appropriate action for managing the client’s chronic pain? Question 50 See full question The nurse is teaching the family of a client diagnosed with leukemia about ways to prevent infection. Which instruction has the most impact? Question 1 See full question On the night before a 58-year-old wife and mother is to have a lobectomy for lung cancer, she remarks to the nurse, “I am so scared of this cancer. I should have quit smoking years ago. Now I have brought all this fear and sadness on myself and now my family.” The nurse should tell the client: Question 2 See full question Which action is most important when the nurse is planning pain management for a client after a lobectomy for lung cancer? Question 3 See full question A client who is undergoing radiation therapy develops mucositis. Which action should be included in the client’s plan of care? Question 4 See full question After a lobectomy for lung cancer, the nurse instructs the client to perform deep-breathing exercises to: Question 5 See full question An woman with a history of a left radical mastectomy is being admitted for abdominal surgery. The woman has a swollen left arm. The nurse should: Question 6 See full question Lifestyle influences that are considered risk factors for colorectal cancer include: Question 7 See full question Doxorubicin is prescribed for a female client with breast cancer. The client is distressed about hair loss. What should the nurse do? Question 8 See full question When explaining the long-term toxic effects of cancer treatments on the immune system, what should the nurse tell the client? Question 9 See full question A client with ovarian cancer asks the nurse, "What is the cause of this cancer?" Which is the mostaccurate response by the nurse? Question 10 See full question What is an instruction the nurse can give to help people prevent lung cancer? Question 11 See full question A client's bone marrow report reveals normal stem cells and precursors of platelets (megakaryocytes) in the presence of decreased circulating platelets. The nurse recognizes a knowledge deficit when the client says: Question 12 See full question The client with Hodgkin's disease undergoes an excisional cervical lymph node biopsy under local anesthesia. After the procedure, what does the nurse assess first? Question 13 See full question A nurse is caring for a terminally ill cancer client who is being transferred to hospice care. Which information regarding hospice care would the nurse include in the teaching plan? Select all that apply. Question 14 See full question After a mastectomy for breast cancer, the nurse teaches the client how to avoid the development of lymphedema. The nurse should teach the client to: Question 15 See full question During a routine checkup, a nurse assesses a client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer? Question 16 See full question A nurse is assessing a client with a family history of cancer. Which finding requires immediate follow-up? Question 17 See full question A client seeks care for hoarseness that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question? Question 18 See full question A nurse is developing a care plan for bone marrow suppression, the major dose-limiting adverse reaction to floxuridine (FUDR). How long after drug administration does bone marrow suppression become noticeable? Question 19 See full question A client asks the nurse what PSA is. The nurse should reply that it stands for: Question 20 See full question A nurse is assessing a client with multiple myeloma. The nurse should keep in mind that clients with multiple myeloma are at risk for: Question 21 See full question A nurse is caring for a client who is receiving chemotherapy and has a platelet count of 30,000/mm3. Which statement by the client indicates a need for additional teaching? Question 22 See full question After lobectomy for lung cancer, a client receives a chest tube connected to a disposable chest drainage system. The nurse observes that the drainage system is functioning correctly when she notes tidal movements or fluctuations in which compartment of the system as the client breathes? Question 23 See full question After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/?l. What term should the nurse use to describe this low platelet count? Question 24 See full question Which statement by a client undergoing external radiation therapy indicates the need for further teaching? Question 25 See full question A nurse is performing a home visit for a client who received chemotherapy within the past 24 hours. The nurse observes a small child playing in the bathroom, where the toilet lid has been left up. Based on these observations, the nurse modifies the client's teaching plan to include: Question 26 See full question A 62-year-old female is taking long-acting morphine 120 mg every 12 hours for pain from metastatic breast cancer. She can have 20 mg of immediate-release morphine every 3 to 4 hours as needed for breakthrough pain. The health care provider (HCP) should be notified if the client uses more than how many breakthrough doses of morphine in 24 hours? Question 27 See full question Which statement indicates that the client needs further teaching about taking medication to control cancer pain? Question 28 See full question At what age is an individual most at risk for acquiring acute lymphocytic leukemia (ALL)? Question 29 See full question The nurse should teach a client that a normal local tissue response to radiation following surgery for breast cancer is: Question 30 See full question A client with a diagnosis of cancer is frequently disruptive and challenges the nurse. This behavior may be caused by: Remediation: Question 31 See full question The nurse is reviewing the lab report for a client in hospice care with breast cancer and brain metastasis. According to the information in the chart, what should the nurse do next? Question 32 See full question A client diagnosed with testicular cancer expresses concerns about fertility. The client and his spouse desire to eventually have a family, and the nurse discusses the option of sperm banking. The nurse should inform the couple that sperm banking would need to be performed: Question 33 See full question A middle-aged woman who is receiving radiation therapy tells the nurse that she feels inadequate as a wife and mother because she can no longer carry out her usual duties with the same energy as before. What recommendations should the nurse make to help the client cope with this situation? [Show Less]
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NURS 1102Passpoint-Neuro.
Question 1 See full question A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign as... [Show More] sessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What do these manifestations indicate? Question 2 See full question What should a nurse do when administering pilocarpine? Question 3 See full question A registered nurse (RN) and licensed practical nurse (LPN) are administering medications on the neurologic floor. The LPN prepares to administer phenytoin to a client with a history of seizures. As the LPN walks into the room, she hands the medication to a nursing assistant. The LPN asks the nursing assistant to give the client the medication after completing the client's morning care. What should the registered nurse do? Question 4 See full question A nurse is caring for an older adult client with advanced Parkinson's disease. Which client statement about advance directives indicates a need for further instruction? Question 5 See full question A nurse caring for a client who had a stroke is using the unit's new computerized documentation system. The nurse uses the information technology appropriately when she: Question 6 See full question A 70-year-old, previously well client asks the nurse, "I notice I have tremors. Is this just normal for my age?" What should the nurse tell the client? Question 7 See full question Following an infection, the client is having ototoxic effects of the vestibular branch of the acoustic nerve. The nurse should assess the client for: (Select all that apply.) Question 8 See full question A client returns to the recovery room following left supratentorial surgery for treatment of a brain tumor. The nurse should place the client in which position to facilitate venous drainage? Question 9 See full question The nurse is caring for a client with an injury to the thalamus. The nurse should plan to: Question 10 See full question Which statement would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment? Question 11 See full question A client with glaucoma is to receive 3 gtt of acetazolamide in the left eye. What should the nurse do? Question 12 See full question As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health, the nurse assesses her understanding of her current sexual functioning. Which statement by the client indicates she understands her current ability? Question 13 See full question A client with a spinal cord injury who has been active in sports and outdoor activities talks almost obsessively about his past activities. In tears, one day he asks the nurse, “Why am I unable to stop talking about these things? I know those days are gone forever.” Which response by the nurse conveys the best understanding of the client’s behavior? Question 14 See full question A client is at risk for increased intracranial pressure (ICP). Which finding is the priority for the nurse to monitor? Question 15 See full question The nurse is preparing a client with multiple sclerosis (MS) for discharge from the hospital to home. The nurse should tell the client: Question 16 See full question An unlicensed assistive personnel (UAP) is providing care to a client with left-sided paralysis. Which action by the UAP requires the nurse to provide further instruction? Question 17 See full question After 5 days of hospitalization, a client who is receiving morphine sulfate for pain control asks for pain medication with increasing frequency and exhibits increased anxiety and restlessness. The vital signs are within normal ranges. What is a possible cause of this behavior? Question 18 See full question When determining how to administer analgesics to a client who has been receiving opiates for pain relief administered by injection, the nurse should consider using patient-controlled analgesia since it is more effective because: Question 19 See full question A client is receiving cyclobenzaprine for management of a herniated lumbar disk. Which finding indicates the drug is providing the intended relief? Question 20 See full question A client with a lumbar laminectomy ambulates for the first time after surgery and begins to feel faint. Which nursing action would be best until help arrives? Question 21 See full question After cataract removal surgery, the nurse teaches the client about activities that can be done at home. Which activity would be contraindicated? Question 22 See full question A client returns from surgery after a submucosal resection with nasal packing in place. The nurse should first: Question 23 See full question The client reports that the nasal packing is uncomfortable and asks when it will be removed. The nurse should tell the client the nasal packing is usually removed: Question 24 See full question The nurse is instructing a client with Ménière’s disease how to recognize vertigo. The nurse should tell the client to notice: Question 25 See full question After a plane crash, a client is brought to the emergency department with severe burns and respiratory difficulty. The nurse helps to secure a patent airway and attends to the client's immediate needs, then prepares to perform an initial neurologic assessment. The nurse should perform an: Question 26 See full question A client who was found unconscious at home is brought to the hospital by a rescue squad. In the intensive care unit, the nurse checks the client's oculocephalic (doll's eye) response by: Question 27 See full question When obtaining the vital signs of a client with multiple traumatic injuries, a nurse detects bradycardia, bradypnea, and systolic hypertension. The nurse must notify the physician immediately because these findings may reflect which complication? Question 28 See full question A nurse is giving discharge teaching to a client with an eye injury. Which statement about preventing eye injuries should the nurse include? Question 29 See full question Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease? Question 30 See full question A client is suspected of having amyotrophic lateral sclerosis (ALS). To help confirm this disorder, the nurse prepares the client for various diagnostic tests. The nurse expects the physician to order: Question 31 See full question A client who has been severely beaten is admitted to the emergency department. The nurse suspects a basilar skull fracture after assessing: Remediation: Question 32 See full question When communicating with a client who has sensory (receptive) aphasia, the nurse should: Question 33 See full question A client admitted with a cerebral contusion is confused, disoriented, and restless. Which nursing diagnosis takes the highest priority? Question 34 See full question A client is receiving an I.V. infusion of mannitol after undergoing intracranial surgery to remove a brain tumor. To determine whether this drug is producing its therapeutic effect, the nurse should consider which finding most significant? Question 35 See full question A nurse is caring for a client with dementia. A family member of the client asks what the most common cause of dementia is. Which response by the nurse is most appropriate? Question 36 See full question A nurse is caring for a client with a brain tumor and increased intracranial pressure (ICP). Which intervention should the nurse include in the care plan to reduce ICP? Question 37 See full question A nurse is assisting during a lumbar puncture. How should the nurse position the client for this procedure? Question 38 See full question A nurse is caring for a client who underwent a lumbar laminectomy 2 days ago. Which finding requires immediate intervention? Question 39 See full question A nurse is caring for a client admitted to the unit with a seizure disorder. The client seems upset and asks the nurse, "What will they do to me? I'm scared of the tests and of what they'll find out." The nurse should focus her teaching plans on which diagnostic tests? Question 40 See full question For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication? Question 41 See full question When the nurse talks with a client with multiple sclerosis who has slurred speech, which nursing intervention is contraindicated? You Selected: Question 43 See full question A client with Parkinson's disease needs a long time to complete morning care, but becomes annoyed when the nurse offers assistance and refuses all help. Which action is the nurse's bestinitial response in this situation? Question 44 See full question The nurse is caring for a client who is confused about time and place. The client has intravenous fluid infusing. The nurse attempts to reorient the client, but the client remains unable to demonstrate appropriate use of the call light. In order to maintain client safety, what should the nurse do first? Question 45 See full question The nurse sees a client walking in the hallway who begins to have a seizure. What should the nurse do in order of priority from first to last? All options must be used. Question 46 See full question A client who is in rehabilitation following a cerebrovascular accident (or brain attack) is experiencing total hemiplegia of the dominant right side. The nurse finds that the client needs assistance with eating to ensure optimum nutrition. Which of the following actions is most important for the nurse to take to facilitate rehabilitation with eating? Question 47 See full question After a motor vehicle crash, a client is admitted to the medical-surgical unit with a cervical collar in place. The cervical spinal X-rays have not been read, so the nurse does not know whether the client has a cervical spinal injury. The nurse develops a plan of care and includes which of the following? Question 48 See full question A client recovering from Guillain Barré syndrome states, “I'm nervous that this disease will come back.” Which nursing diagnoses is most suggested by this comment? Question 49 See full question A nurse is preparing to administer phenytoin to a 99-lb (45 kg) client with a seizure disorder. The medication administration record documents phenytoin 5 mg/kg/day to be administered in three divided doses. How many milligrams of phenytoin should be administered in the first dose? Record your answer as a whole number. Question 50 See full question An older adult has vertigo accompanied with tinnitus as the result of Ménière’s disease. The nurse should instruct the client to restrict which dietary element? Question 1 See full question A physician orders diazepam, 10 mg I.V., for a client experiencing status epilepticus. Which statement about I.V. diazepam is true? Question 2 See full question A client with amyotrophic lateral sclerosis (ALS) is admitted with weight loss and malnutrition. He can swallow without difficulty. While caring for the client, the nurse discovers that his weight loss is related to his refusal to eat. The client states to the nurse that he would rather die than remain alive with this disease. How should the nurse intervene? Question 3 See full question A client with an inoperable brain tumor is brought to the hospital because the family can no longer care for the client at home. As the nurse provides care for the client, family members express their disappointment at not being able care for him/her at home as the client wished, since he/she did not want to die in the hospital. Which response by the nurse is best? Question 4 See full question According to hospital policy, a nurse in charge of a neurologic floor must facilitate discharges during a disaster event so clients involved in the disaster can be admitted promptly. After quickly reviewing the client census, the nurse identifies five postoperative clients who may be ready for discharge. What should the nurse do next? Question 5 See full question A nurse on a neurologic unit is working on performance improvement with a stroke-management team. The nurse identifies a gap between the time a client enters the emergency department (ED) and the time he's admitted to the intensive care unit (ICU) for aggressive treatment. She's meeting with the team to develop a change strategy using indicators. Which statement by a team member indicates a need for further teaching regarding performance management? Question 6 See full question The nurse is instructing the client about postoperative care following cataract removal. What position should the nurse teach the client to use? Question 7 See full question To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid: Question 8 See full question A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the client's nursing care with the understanding that acute angle-closure glaucoma: Question 9 See full question The client with a hearing aid does not seem to be able to hear the nurse. The nurse should first: Question 10 See full question The client has a sustained increased intracranial pressure (ICP) of 20 mm Hg. Which client position would be most appropriate? Question 11 See full question Which instruction should the nurse include in the teaching plan for a client with seizures who is going home with a prescription for gabapentin? Question 12 See full question The nurse is teaching a client to recognize an aura. The nurse should instruct the client to note: You Selected: Question 13 See full question A client with Parkinson's disease is prescribed levodopa (L-dopa) therapy. Improvement in which area indicates effective therapy? Question 14 See full question The nurse is to check a client’s gag reflex. The most effective technique for testing the gag reflex is to: Question 15 See full question For a neurologically injured client, the nurse should assess motor strength by: Question 16 See full question When developing a long term care plan for the client with multiple sclerosis, the nurse should teach the client to prevent: Question 17 See full question Which finding indicates that the victim of an automobile accident is comatose as a result of a toxic drug overdose? Question 18 See full question A nurse is evaluating a client's cranial nerves during a routine examination. To assess the function of cranial nerve XII (hypoglossal), the nurse should assess the client's ability to: Question 19 See full question A caucasian female client is admitted to an acute care facility with a diagnosis of stroke. Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for stroke? Question 20 See full question When obtaining the health history from a client with retinal detachment, a nurse expects the client to report: Question 21 See full question A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by: Question 22 See full question A client is admitted with a cervical spine injury sustained during a diving accident. When planning this client's care, the nurse should assign highest priority to which nursing diagnosis? Question 23 See full question A client accidentally splashes chemicals into one eye. The nurse knows that eye irrigation with plain tap water should begin immediately and continue for 15 to 20 minutes. What is the primary purpose of this first-aid treatment? Question 24 See full question A client experiences loss of consciousness, tongue biting, and incontinence, along with tonic and clonic phases of seizure activity. The nurse should document this episode as which type of seizure? Question 25 See full question When caring for a client with the nursing diagnosis Impaired swallowing related to neuromuscular impairment, the nurse should: Question 26 See full question A client with epilepsy is having a seizure. During the active seizure phase, the nurse should: Question 27 See full question To encourage adequate nutritional intake for a client with Alzheimer's disease, a nurse should: Question 28 See full question A client suffers a head injury. The nurse implements an assessment plan to monitor for potential subdural hematoma development. Which manifestation does the nurse anticipate seeing first? Remediation: Question 29 See full question A nurse is caring for a client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform? [Show Less]
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NURS 1102Passpoint-Mood, adjustment and dementia disorders.
Question 1 See full question A depressed client tells a nurse, "I want to die. Life just isn't worth living." Which response by the nurse is most approp... [Show More] riate? Question 2 See full question A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the previous 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on Maslow's hierarchy of needs, what should the nurse provide this client with first? Question 3 See full question For the client receiving outpatient treatment for depression and suicidal ideation, what is the correct amount of imipramine to have at one time? Question 4 See full question When developing appropriate assignments for the staff, which client should the nurse manager judge to be at highest risk for suicide completion? Question 5 See full question Which statement by a client taking valproic acid for bipolar disorder indicates that further teaching about this medication is necessary? Question 6 See full question During the nurse’s conversation with a depressed client, the client states, “I have no reason to be sad. I have a great job and a wonderful wife and family.” Which comment would be best for the nurse to make at this time? Question 7 See full question When educating a client who has been diagnosed with dysthymia about possible treatment for the disorder, which information should the nurse include? Question 8 See full question The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have the most difficulty in managing his wandering. What should the nurse instruct the family to do? Select all that apply. Question 9 See full question During the initial assessment, a female client exhibits pressured speech. She points to certain patterns on the wallpaper and says, "This is the writing about the tsunami. Thousands of people died because I read the writing. I should never have read the writing; it was my fault." Which of the following would be central to the nurse’s interventions? Question 10 See full question A client taking tranylcypromine sulfate for depression was treated in the emergency department for a headache, vomiting, and blood pressure of 190/100 mm/Hg following dinner at a restaurant. At discharge, the nurse evaluated the client’s understanding of diet instructions. For what menu choice will the nurse provide further education? uestion 1 See full question A physician orders electroconvulsive therapy (ECT) for a severely depressed client who fails to respond to drug therapy. When teaching the client and family about his treatment, the nurse should include which point about ECT? Question 2 See full question A nurse is working on a unit with individuals who have eating disorders. She is interviewing a new female client. The client has lost a significant amount of weight over the past months and complains of being "sick to my stomach" when around food. The client reports that she hasn't menstruated in 3 months. What is the priority nursing intervention? Question 3 See full question A physician orders a tricyclic antidepressant for a client who has suffered an acute myocardial infarction (MI) within the previous 6 months. Which action should the nurse take? You Selected: Question 4 See full question A client with a diagnosis of major depression is ordered clonazepam for agitation in addition to an antidepressant. Client teaching should include which statement? Question 5 See full question Which characteristic would make the nurse suspect that a client with changes in cognition has delirium? Question 6 See full question The nurse is counseling a client regarding treatment of the client's newly diagnosed depression. The nurse emphasizes that full benefit from antidepressant therapy usually takes how long? Question 7 See full question The unlicensed assistive personnel (UAP) approaches the nurse and states, “The client does not know what caused him to be so depressed. He must not want to tell me because he does not trust me yet.” In responding to this staff member, which statement by the nurse will help the UAP understand the client’s illness? Question 8 See full question A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which therapy group would be best suited for this client? Question 9 See full question A client with dementia is eating off of other clients' meal trays. After the client with dementia is asked to stop, which of the following actions should be taken? Question 10 See full question A young adult client with severe depression and suicide ideation has been started on the selective seratonin reuptake inhibitor (SSRI) sertraline. Which client statement would indicate the client needs further teaching about seratraline? Question 1 See full question One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic? Question 2 See full question A client is admitted to the local psychiatric facility with bipolar disorder in the manic phase. The physician decides to start the client on lithium carbonate therapy. One week after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L. What should the nurse do? Question 3 See full question A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: Question 4 See full question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? Question 5 See full question A nurse is frustrated by her inability to make much progress establishing a therapeutic relationship with a client with bipolar disorder. Her most professional response would be to: Question 6 See full question A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse? Question 7 See full question A client with bipolar disorder, manic phase, is scheduled for a chest radiograph. Before taking the client to the radiology department, the nurse should: Question 8 See full question The client with bipolar disorder, manic phase, appears at the nurse's station wearing a transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is overdone and she is not wearing underwear. The nurse should: Question 9 See full question A client with bipolar disorder is monopolizing the use of the telephone by making several calls each day, interfering with the ability of other clients to use the telephone. The nurse should: Question 10 See full question The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider (HCP). The client states, "I do not need that stuff." Which response by the nurse is best? Question 11 See full question A client's wife states, "I do not know what to do sometimes. It is so hard having a husband with a mental illness like bipolar disorder." After talking with the client's wife about her feelings and difficulties, which action is most appropriate? You Selected: Question 12 See full question A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which action should the nurse take next? Question 13 See full question The health care provider (HCP) prescribes risperidone for a client with Alzheimer’s disease. The nurse anticipates administering this medication to help decrease which behavior? Question 14 See full question A client with severe depression states, "My heart has stopped and my blood is black ash." The nurse interprets this statement to be evidence of which problem? Question 15 See full question A client was admitted with a diagnosis of schizophrenia and exhibiting behaviors of hostility, paranoia and isolation. The student nurse discussed with the nurse what the most therapeutic approach to take with the client would be. Which of the following would indicate to the nurse that the student understands the best approach? Question 16 See full question A client admitted to the inpatient psychiatric unit changes clothes eight or nine times a day, wears heavy eye makeup, is intrusive with other clients, and makes inappropriate sexual advances toward staff members. Which of the following client goals would be most appropriate? Question 17 See full question An adolescent client took 300 acetaminophen tablets in an attempt to kill herself after a relationship breakup. The client is admitted to the adolescent psychiatric unit and is refusing to talk with the nurse. What is the most important nursing approach at this stage of the helping relationship? Question 18 See full question A nurse is counseling an adolescent client for depression. The client’s father died 2 months ago of cancer, and the client's mother died when the client was 11 years old. During the interview the client states, “I just feel like I can't do anything.” Which of the following would be most appropriate response to this client? You Selected: Question 19 See full question In assessing an adolescent client at an outpatient clinic, the nurse is able to recognize that depression in adolescents is often which of the following? Question 20 See full question A client diagnosed with primary degenerative dementia of the Alzheimer's type may be progressing to the middle stage of the disease. To assess for progression to the middle stage of Alzheimer's disease, the nurse should observe for which behavioral changes? Select all that apply. Question 1 See full question A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage restful sleep at night, the nurse should: Question 2 See full question A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing intervention is most appropriate for this client? Question 3 See full question Modafinil has been ordered for a client diagnosed with narcolepsy. The nurse understands that this medication: Question 4 See full question A nurse notices that a client admitted for treatment of major depression is pacing, agitated, and becoming verbally aggressive toward other clients. What is the immediate care priority? Question 5 See full question The nurse is caring for a client with acute mania who is euphoric and flirtatious. The nurse overhears the client describing a sexual exploit with a group of clients seated at a table . What should the nurse do next? Question 6 See full question A client has just been admitted with acute delirium of unknown etiology. The client's daughter states that she is worried about her mom because she has never been this sick before. Which would be the most helpful statement to make to the daughter? Question 7 See full question A health care provider (HCP) has prescribed valproic acid for a client with bipolar disorder who has achieved limited success with lithium carbonate. Which information should the nurse teach the client about taking valproic acid? Question 8 See full question A client taking disulfiram during alcohol rehabilitation therapy reports to the nurse that he has a mild cold and plans to use a cough medicine. Which statement made by the client indicates understanding of the nurse's teaching? Question 9 See full question A nurse is completing a health history on a psychiatric client brought to the emergency department. The client states that he is a relative of the president of the United States and has very important business to attend to that involves national security. What is the nurse’s best intervention? Question 10 See full question Which of the following behaviors from a client with dementia would prompt nursing intervention? question 1 See full question After a third arrest for abusing a neighbor's cat, a client is admitted to the psychiatric unit for treatment of antisocial personality disorder. This client has a history of conduct disorder. Which action is most appropriate for the nurse assigned to this client? Question 2 See full question A nurse is instructing a new group of mental health aides. The nurse should teach the aides that setting limits is most important for: Question 3 See full question A nurse is caring for a severely depressed client who is barely functioning. The priority nursing goal for this client would be to: You Selected: Question 4 See full question The client with a diagnosis of bipolar disorder, manic phase, states to the nurse, "I am the Queen of England. Bow before me." The nurse interprets this statement as important to document as which area of the mental status examination? Question 5 See full question After the nurse teaches a client with bipolar disorder about lithium therapy, which client statement indicates the need for additional teaching? Question 6 See full question A client with major depression and suicidal ideation is suddenly calmer and more energetic. Which conclusion should the nurse reach? Question 7 See full question A 16-year-old client has been taking the antidepressant fluoxetine for the past week. The client’s mother is concerned that the client is not showing any signs of improvement and may be having increased suicidal thoughts. Which of the following statements would the nurse include when replying to the mother's concern? Question 8 See full question A depressed client on a psychiatric unit asks the nurse to call the hospital lawyer to discuss writing out a will. What is the nurse’s priority intervention? Question 9 See full question The nurse is conducting a small-group counseling session on depression. Which of the following client statements would indicate to the nurse that a client is at high risk for suicide? Question 10 See full question The nurse is educating a client who insists that the newly prescribed imipramine is not working for her feelings of depression. When evaluating the client’s statement, which question is most important to ask first? Question 1 See full question A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage restful sleep at night, the nurse should: Question 2 See full question One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic? Question 3 See full question A client with major depression is frequently irritable, abrasive, and uncooperative and refuses to participate in group activities. When working with this client, the nurse should use which approach? Question 4 See full question A client, age 87, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find: Question 5 See full question A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: Question 6 See full question A man found wandering in a local park is unable to state who or where he is or where he lives. He is brought to the emergency department, where his identification is eventually discovered. The client's wife states that he was diagnosed with Alzheimer's disease 3 years earlier and has experienced increasing memory loss. She tells a nurse she is worried about how she'll continue to care for him. Which response by the nurse is most helpful? Question 7 See full question A nurse is assessing a client who has just been admitted to the emergency department. Which signs suggest an overdose of an antianxiety agent? Question 8 See full question The son of a client with Alzheimer's disease reports feeling guilty for wishing, at times, that his father would die. What is the nurse's best response? Question 9 See full question A client whose husband has left her is admitted to the hospital with severe depression. The nurse suspects that this client is at risk for suicide. Which question is most appropriate and helpful for the nurse to ask during an assessment for suicide risk? Question 10 See full question A nurse is caring for a veteran, who exhibits signs and symptoms of posttraumatic stress disorder (PTSD). Signs and symptoms of posttraumatic stress disorder include: Question 11 See full question A nurse is caring for a client who has been diagnosed with somatic symptom disorder. The client attributes his cough to tuberculosis. A chest X-ray and skin test are negative for tuberculosis. The client begins to complain about the sudden onset of chest pain. How should the nurse react initially? Question 12 See full question A nurse is caring for a client diagnosed with antisocial personality disorder. This client has a history of fighting, cruelty to animals, and stealing. Which trait is the nurse likely to uncover during assessment? Question 13 See full question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? Question 14 See full question A client was admitted to the inpatient unit 3 days ago with a flat affect, psychomotor retardation, anorexia, hopelessness, and suicidal ideation. The health care provider (HCP) prescribed 75 mg of venlafaxine extended release to be given every morning. The client interacted minimally with the staff and spent most of the day in his room. As the nurse enters the unit at the beginning of the evening shift, the client is smiling and cheerful and appears to be relaxed. What should the nurse interpret as the most likely cause of the client’s behavior? Question 15 See full question Which statement by a client taking trazodone as prescribed by the health care provider (HCP) indicates to the nurse that further teaching about the medication is needed? Question 16 See full question A client taking mirtazapine is disheartened about a 20 lb (9 kg) weight gain over the past 3 months. The client tells the nurse, "I stopped taking my mirtazapine 15 days ago. I do not want to get depressed again, but I feel awful about my weight." Which response by the nurse is mostappropriate? Question 17 See full question A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse? Question 18 See full question The client with a diagnosis of bipolar disorder, manic phase, states to the nurse, "I am the Queen of England. Bow before me." The nurse interprets this statement as important to document as which area of the mental status examination? Question 19 See full question The husband of a client who is experiencing acute mania and is swearing and using profanity apologizes to the nurse for his wife's behavior. Which reply by the nurse is most therapeutic? Question 20 See full question The wife of a client with bipolar disorder, manic phase, states to the nurse, "He is acting so crazy. What did he do to get this way?" The nurse bases the response on which understanding of this disorder? Question 21 See full question The history of a female client who has just been admitted to the unit and is very depressed reveals a weight loss of 10 lb (4.5 kg) in 2 weeks, sleeping 3 hours a night, and poor hygiene. The client states, "I am no good to anyone. Everyone would be better off without me." Which question should the nurse ask first? Question 22 See full question A client diagnosed with major depression and substance dependence is being admitted to the concurrent disorder treatment unit. In explaining the focus of this program, the nurse should tell what information to the client? Question 23 See full question The nurse is meeting weekly with an adolescent recently diagnosed with depression to monitor progress with therapy and antidepressant medication. The nurse should be most concerned when the client reports what information? Question 24 See full question The husband of a client who was diagnosed 6 years ago with Alzheimer’s disease approaches the nurse and says, “I am so excited that my wife is starting to use donepezil for her illness.” The nurse should tell the husband: Question 25 See full question A grandson calls the crisis center expressing concern about his grandmother, who lost her husband a month ago. He states, “She has been in bed for a week and is not eating or showering. She told me that she did not want to kill herself, but it is not like her to do nothing for herself. She will not even talk to me when I visit her.” The nurse encourages the grandson to bring his grandmother to the center for evaluation based on which reason? [Show Less]
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NURS 1102Passpoint-genitourinary.
Question 1 See full question A client is scheduled for a creatinine clearance test. What should the nurse do? Question 2 See full question The nurse... [Show More] is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl understands the implications of her disease when she tells the nurse: Question 3 See full question A nurse is admitting an older female client to the gynecology surgical unit. When the nurse asks the client what medication she is taking at home, the client responds that she is taking a little red pill in the morning and a white capsule at night for her blood pressure. What action by the nurse is focused on safe, effective care of this client? Question 4 See full question An unlicensed assistive personnel (UAP) tells the nurse, “I think the client is confused. He keeps telling me he has to void, but that is not possible because he has a catheter in place that is draining well.” The nurse should tell the UAP: Question 5 See full question The client in acute renal failure has an external cannula inserted in the forearm for hemodialysis. Which nursing measure is appropriate for the care of this client? Question 6 See full question A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? Question 7 See full question A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction? Question 8 See full question A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, what is the best question for the nurse to ask? Question 9 See full question A male client enters the oncology clinic for an evaluation. The nurse explains that the healthcare provider has ordered a prostate-specific antigen (PSA) test. The client asks the nurse, "How will this test tell if I have prostate cancer?" Which of the following is the nurse's best response? Question 10 See full question A client requires behavioral therapies to decrease or eliminate urinary incontinence. Which procedures would the nurse expect to include in the teaching plan for this client? Select all that apply. Question 1 See full question A client with acute pyelonephritis receives a prescription for co-trimoxazole P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the ordered regimen? Question 2 See full question A client with chronic renal failure who receives hemodialysis three times weekly has a hemoglobin (Hb) level of 7 g/dl (70mmol/L). The most therapeutic pharmacologic intervention would be to administer: Question 3 See full question The nurse instructs the unlicensed assistive personnel on how to collect a 24-hour urine specimen. Which of the following instructions is correct for a collection that is scheduled to start at 7 a.m. (0700) Monday and end at 7 a.m. (0700) Tuesday? Question 4 See full question To reduce urethral irritation, where should the nurse tape the female client's Foley catheter? Question 5 See full question During a clinic visit, the mother of an infant with hydrocele states that the infant's scrotum is smaller now than when he was born. After teaching the mother about the infant's condition, which statement by the mother indicates that the teaching has been effective? Question 6 See full question Two days after a herniorrhaphy, the client reports that his scrotum is swollen and painful. To promote comfort, the nurse should instruct the client to: Question 7 See full question The nurse should tell a client who is to obtain a midstream urine specimen to: Question 8 See full question Which client is at highest risk for developing a hospital-acquired infection? Question 9 See full question An elderly male client has been taking doxazosin 2 mg daily for 4 weeks for treatment of benign prostatic hypertrophy. The client reports feeling dizzy. The nurse should first: Question 10 See full question A nurse is discharging a client diagnosed with a urinary tract infection. Which information should the nurse include in the discharge teaching? Select all that apply. Question 1 See full question A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is: Question 2 See full question The nurse should specifically assess a client with prostatic hypertrophy for: Question 3 See full question Which is likely to provide the most relief from the pain associated with renal colic? Question 4 See full question Which abnormal blood value would not be improved by dialysis treatment? Question 5 See full question A client with a urinary tract infection is to take nitrofurantoin four times each day. The client asks the nurse, "What should I do if I forget a dose?" What should the nurse tell the client? Question 6 See full question A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation? Question 7 See full question A client presents to the emergency department complaining of a dull, constant ache along the right costovertebral angle along with nausea and vomiting. The most likely cause of the client's symptoms is: Question 8 See full question A client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. I.V. fluid is being infused at 150 ml/hour. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)? Question 9 See full question When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? Question 10 See full question A client with end-stage renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. What should the nurse instruct the client to do? Select all that apply. Question 1 See full question A woman is using progestin injections for contraception. The nurse instructs the client to return for an appointment in: Question 2 See full question A nurse is assessing a client with nephrotic syndrome. The nurse should assess the client for which condition? Question 3 See full question Eight hours after laparoscopic abdominal surgery, a client has a distended bladder and is unable to void in bed using a urinal. The client can be out of bed as tolerated, but has not done so yet. The nurse should first: Question 4 See full question On the second day following an abdominal hysterectomy, a client reports she has had three brown, loose stools in moderate amount. The morning medications include an order for 100 mg of docusate sodium daily or as needed. What should the nurse do next? Question 5 See full question Which factor would put the client at increased risk for pyelonephritis? Question 6 See full question The nurse is observing an unlicensed assistive personnel (UAP) give care to a client after gynecologic surgery. The nurse should intervene if the UAP: Question 7 See full question During a rectal examination, which finding is evidence of a urethral injury? Question 8 See full question A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged I.V. pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow? Question 9 See full question A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse's best response to the client? Question 10 See full question Two weeks after being diagnosed with a streptococcal infection, a client develops fatigue, a low-grade fever, and shortness of breath. The nurse auscultates bilateral crackles and observes jugular vein distention. Urinalysis reveals red and white blood cells and protein. After the physician diagnoses poststreptococcal glomerulonephritis, the client is admitted to the medical-surgical unit. Which immediate action should the nurse take? Question 1 See full question A client with renal insufficiency is admitted to the hospital with pneumonia. He's being treated with gentamicin. Which laboratory value should be closely monitored? Question 2 See full question A client undergoes cystoscopy with bladder biopsy. After the procedure, which assessment is mostappropriate for the nurse to make? Question 3 See full question A client is planning to be treated for infertility with the zygote intrafallopian transfer (ZIFT) method. Which information should the nurse include when teaching the client about this type of treatment method? Question 4 See full question Six hours after undergoing an abdominal hysterectomy, a client has a strong urge to void and voids 25 mL into the bedpan. Based on these data, the nurse determines that the client: Question 5 See full question A client diagnosed with cancer of the cervix in situ is scheduled to have a conization. Which is a priority during the first 24 postoperative hours? Question 6 See full question A client comes to the emergency department complaining of sudden onset of sharp, severe pain in the lumbar region that radiates around the side and toward the bladder. The client also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The physician tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site? Question 7 See full question A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The physician tentatively diagnoses right ureterolithiasis (renal calculi). When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? Question 8 See full question A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans? Question 9 See full question A female client reports to a nurse that she experiences a loss of urine when she jogs. The nurse's assessment reveals no nocturia, burning, discomfort when voiding, or urine leakage before reaching the bathroom. The nurse explains to the client that this type of problem is called: Question 10 See full question When teaching the client with a urinary tract infection about taking a prescribed antibiotic for 7 days, the nurse should tell the client to report which symptoms to the health care provider (HCP)? Select all that apply. You Selected: Question 1 See full question In addition to nausea and severe flank pain, a female client with renal calculi has pain in the groin and bladder. The nurse should assess the client further for signs of: Question 2 See full question To prevent recurrence of cystitis, the nurse should plan to encourage the female client to include which measure in her daily routine? Question 3 See full question Which finding in a client’s history would be the most likely to increase the client’s risk for renal calculi? Remediation: Question 4 See full question A client with renal failure is undergoing continuous ambulatory peritoneal dialysis. Which nursing diagnosis is the most appropriate for this client? Question 5 See full question A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change? Question 6 See full question A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate? Question 7 See full question A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse's best response to the client? Question 8 See full question A client with acute renal failure has the following laboratory results. Based on these findings, which of the following should the nurse administer? Hemoglobin 9.2 g/dL Question 9 See full question A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution intravenously over 5 minutes. The client weighs 132 lb. How many grams would the nurse administer? Record your answer as a whole number. Question 10 See full question A client with chronic renal failure is receiving hemodialysis three times a week. To protect the fistula the nurse should: Question 1 See full question A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which client statement indicates effective teaching? Question 2 See full question A client with chronic renal failure is experiencing central nervous system (CNS) changes caused by uremic toxins. Which nursing approach would be most appropriate for addressing the changes? Question 3 See full question The unlicensed assistive personnel (UAP) reports to the nurse that the client with an abdominal hysterectomy who returned from the recovery room 1 hour earlier has saturated the blue pad with bright red blood. What should the nurse do? Question 4 See full question The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. The nurse should report which finding to the health care provider (HCP)? You Selected: Question 5 See full question A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first? Question 6 See full question A female client with gonorrhea informs the nurse that she has had sexual intercourse with her boyfriend and asks the nurse, “Would he have any symptoms?” The nurse responds that in men the symptoms of gonorrhea include: Question 7 See full question A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which of the following information? Question 8 See full question A middle-aged male client comes to the clinic for an evaluation of difficulty urinating and nocturia. His father died from prostate cancer. He asks the nurse what he can do to ensure early detection of this disease. Which of the following questions should the nurse ask next? Question 9 See full question A nurse is assessing a client with right flank pain, fever, and chills. A urine culture is obtained, and a diagnosis of suspected right pyelonephritis is documented. When instructing the client on the diagnosis, the nurse uses a diagram of the urinary structures. Identify the area associated with the diagnosis. Question 10 See full question A client with end-stage renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. What should the nurse instruct the client to do? Select all that apply. Question 1 See full question A client with chronic renal failure who receives hemodialysis three times weekly has a hemoglobin (Hb) level of 7 g/dl (70mmol/L). The most therapeutic pharmacologic intervention would be to administer: Question 2 See full question A client is diagnosed with genital herpes, (herpes simplex virus type 2, or HSV-2). The nurse should instruct the client that: Question 3 See full question During a clinic visit, the mother of an infant with hydrocele states that the infant's scrotum is smaller now than when he was born. After teaching the mother about the infant's condition, which statement by the mother indicates that the teaching has been effective? Question 4 See full question Which factor would put the client at increased risk for pyelonephritis? Question 5 See full question The primary goal of nursing care for a client with stress incontinence is to: Question 6 See full question A nurse correctly identifies a urine specimen with a pH of 4.3 as being which type of solution? Question 7 See full question A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? Question 8 See full question A client is voiding small amounts of urine every 30 to 60 minutes. What should the nurse do first? Question 9 See full question The nurse is caring for a client with a cystectomy and ileal conduit (urostomy) for prior bladder cancer. Which statements by the client would indicate that teaching has been effective? Select all that apply. Question 10 See full question A nurse is attending a seminar at the local senior center. The nurse knows the presenter has a good understanding of genitourinary changes in the elderly when the client makes which of the following statements? Question 1 See full question A client with an indwelling urinary catheter is suspected of having a urinary tract infection. The nurse should collect a urine specimen for culture and sensitivity by: Question 2 See full question During dialysis, the client has disequilibrium syndrome. The nurse should first? Question 3 See full question The client with acute pyelonephritis wants to know the possibility of developing chronic pyelonephritis. The nurse's response is based on knowledge of which disorder that mostcommonly leads to chronic pyelonephritis? Question 4 See full question A client who is to have a vaginal radium implant tells the nurse she is concerned about being radioactive. The nurse should tell the client: Question 5 See full question Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)? Question 6 See full question The nurse is teaching the client with an ileal conduit how to prevent a urinary tract infection. Which measure would be most effective? [Show Less]
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