1. Which information is a priority for the RN to reinforce to an older client afterintravenous pylegraphy?
2. A client has altered renal function and is
... [Show More] being treated at home. The nurse recognizesthat the most accurate indicator of fluid balance during the weekly visits is
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which information ismost important for the nurse to reinforce with the client?
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and theventricular rate is controlled at 75. Which of the following findings is cause for the most concern?
6. The client with infective endocarditis must be assessed frequently by the home healthnurse. Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider?
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Whichof these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't containsperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production ofsperm in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't involve hard physical labor, you can return to your job as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic supporter orover-the-counter pain medication to relieve any discomfort.
The correct answer is A: Until the health care provider has determined that your ejaculatedoesn't contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wishes to try acupuncture. Which of these beliefs stated by the clientwould be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the bodyand what the treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life —known as qi or chi —
are thought to cause illness.
* C) The flow of life is believed to flow through major pathways or nerve clusters in yourbody.
D) By inserting extremely fine needles into some of the over 400 acupuncture points invarious combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over.
The correct answer is C: The flow of life is believed to flow through major pathways ornerve clusters in your body.
9. The nurse is discussing with a group of students the disease Kawasaki. What statementmade by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucousmembranes (inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the handsand feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and childrenof Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, whichlasts 1 to2 weeks The correct answer is C: Kawasaki disease occurs most often in boys, children younger
than age 5 and children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in every other hour during first 12 hours after admission?A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
11. A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which findingat this time should be reported to the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter The correct answer is C:minimal drainage into the urinary collection bag [Show Less]