Adult Health Form B
1. Missing
2. A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following
... [Show More] actions should the nurse include in the plan of care?
a. Place a plate guard on the client’s meal tray
b. Remind the client to use a cane on his left side while ambulating
c. Provide the client with a short-handled reacher
d. Position the bedside table on the client’s left side
3. Missing
4. A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?
a. Wash your perineal area two times each day with antimicrobial soap
b. Change your pet’s litter box daily
c. Wash your toothbrush in the dishwasher once each month
d. Change the water in your drinking glass every 4 hours
5. A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client’s PICC line?
a. Access the catheter using a non-coring needle
b. Flush the catheter with a 0.9% sodium chloride solution after each use
c. Change the transparent membrane dressing daily
d. Maintain a continuous IV infusion through the PICC line
6. A nurse is assessing a client following a kidney biopsy. Which of the following findings should the nurse identify as an indication that the client is experiencing internal bleeding?
a. Flank pain
b. Polyuria
c. Bradycardia
d. Increasing blood pressure
7. A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?
a. Clay-colored stools
b. Platelets 70,000/mm^3
c. Distended abdomen
d. Alkaline phosphatase 125 units/L
8. A nurse is caring for a client who has diabetes mellitus. The client’s ABGs are pH 7.14, PaO2 90 mmHg, PaCO2 35 mmHg, and HCO3 4 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?
a. Respiratory alkalosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Metabolic acidosis
9. A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include?
a. Wash your feet twice per day with antibacterial soap and hot water
b. Wear cotton rather than nylon socks
c. Use a heating pad to keep your feet warm at night
d. Wear loose-fitting slippers around the house
10. A nurse is caring for a client who has active tuberculosis. Which of the following interventions should the nurse include in the plan of care?
a. Initiate droplet precautions
b. Wear a high-efficiency particulate air mask
c. Obtain daily sputum specimens
d. Perform chest percussion twice daily
11. A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following statements should the nurse include in the teaching?
a. Exhale fully before bringing the inhaler to your lips
b. Depress the canister after you inhale
c. Do not shake your inhaler before use
d. Use peroxide to clean the mouthpiece of your inhaler
12. A nurse is collecting a medical history from an older adult client who has hypertension and a new prescription for nadolol. Which of the following findings should the nurse report to the provider?
a. Hypothyroidism
b. Asthma
c. GERD
d. Cataracts
13. A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
a. Altered level of consciousness
b. Decorticate posturing
c. Cheyne-Stokes respirations
d. Pupillary dilation
14. A charge nurse is called to a client’s room after a staff nurse reports a client has had a wound evisceration. Which of the following actions should the charge nurse take?
a. Place the client in left lateral recumbent position
b. Obtain bottles of warm, sterile 0.9% sodium chloride solution
c. Apply a firm pressure dressing across the client’s abdomen
d. Attempt to reinsert the protruding viscera
15. A nurse is caring for a client who has hypertension and has a new prescription for Lisinopril. The nurse should consult with the provider about which of the following medications in the client’s medication administration record?
a. Acetaminophen
b. Levothyroxine
c. Metformin
d. Potassium chloride [Show Less]