The nurse is caring for a 65-year-old client and notes a temperature of 101F◦. how does the nurse interpret this finding? - CORRECT ANSWER A.
... [Show More] Hyperthermia
2. What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)? - CORRECT ANSWER C. These drugs inhibit viral replication
3. What is not an expected assessment finding in a client with inflammation? (Select all that apply) - CORRECT ANSWER C. Polyuria
4. A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation? - CORRECT ANSWER B. Once the tissue has necrosed from high-pressure. It does not regenerate
5. The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include? - CORRECT ANSWER "There are many adaptive devices such as grab bars, reacting tools, grasping devices and adaptive silverware that may help you."
6. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action? - CORRECT ANSWER A. Maintain the client's blood pressure
7. What level of Maslow's Hierarchy of needs does shelter belong to? - CORRECT ANSWER B. Physiological
8. A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement by the client indicates a correct understanding of the teaching? - CORRECT ANSWER B. "I should avoid eating liver and other organ meats."
9. The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education? - CORRECT ANSWER C. You should not take more than 4000 mg of acetaminophen a day
10. The nurse is caring for a client with rheumatoid arthritis one day after the shoulder surgery. What would prompt the nurse to call the provider immediately? - CORRECT ANSWER D. The client has paresthesia in her fingers and intense increasing pain in her shoulder
11. A client with systemic lupus erythematosus complains of flank pain. Which laboratory test does the nurse anticipate will be ordered? - CORRECT ANSWER C. Creatinine
12. The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse? - CORRECT ANSWER C. "How does this impact your role in your family?"
13. A postoperative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event? - CORRECT ANSWER A. The client's incision site has eviscerated
14. Most adults with human immunodeficiency virus will exhibit which of the following laboratory values? - CORRECT ANSWER D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal
15. A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her symptoms. What should the nurse include in the client education? - CORRECT ANSWER C. Establish a regular sleep pattern
16. What is a sign of inadequate perfusion? - CORRECT ANSWER B. Pallor in toes
17. A nurse is caring for a client who has acute osteomyelitis. Which of the
following interventions is the nurse's priority? - CORRECT ANSWER A. Administer antibiotics to the client
18. The client states, "Why am I getting protein supplements while I am healing from a bed sore?" What is the best response by the nurse? - CORRECT ANSWER B. 'Protein has amino acid that promotes wound healing.'
19. A client has a new diagnosis of human immunodeficiency virus HIV. The client is distraught and does not know what to do. What intervention by the nurse is the best? - CORRECT ANSWER C. Assess the client's support system
20. The nurse is providing education to a client regarding the administration of eye drops. Which of the following actions indicates the need for further client education? - CORRECT ANSWER C. The client touches the administration dropper her to the eye
21. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound? - CORRECT ANSWER D. Stage IV pressure injury
22. Which of the following lab tests should be used for diagnosing connective tissue diseases? (Select all that apply) - CORRECT ANSWER A. Rheumatoid factor (RF)
B. Erythrocyte sedimentation rate (ESR)
C. Anti-nuclear antibody (ANA)
E. C-reactive protein(CRP)
23. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding? - CORRECT ANSWER A. Purulent
24. A client with lupus experience Raynaud's phenomenon. What should the nurse include when providing client education about this? - CORRECT ANSWER A. 'In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter.'
25. Which client is at highest risk of compromised immunity? - CORRECT ANSWER A. A client who just had surgery
26. Which organization publishes the National Patient Safety Goals? - CORRECT ANSWER A. The Joint Commission
27. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event? - CORRECT ANSWER C. An unexpected event involving death or serious physical or psychological injury
28. A nurse is providing teaching to an older client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching? - CORRECT ANSWER A. I can use either heat or ice to help relieve the discomfort
29. The nurse is most concerned about which of these findings in a client with systemic lupus erythematosus? - CORRECT ANSWER D. Urine output of 20 mL/hour
30. Which of the following statements by a client with human immunodeficiency virus (HIV) requires further teaching? (Select all that apply) - CORRECT ANSWER A. "I can spread this through contact with surfaces, so I need to wear gloves in public."
B. "Because I have HIV, that means I'm an AIDS patient"
E. 'I can still have unprotected intercourse with my partner since he does not have HIV.'
31. What lifestyle habits negatively affect skin integrity? (Select all that apply) - CORRECT ANSWER B. Tattoos
C. Smoking
E. Tanning
32. The nurse is preparing to administer medications to a client with osteoarthritis. What is the goal of medication therapy? - CORRECT ANSWER B. Reduce pain and inflammation
33. A nurse working in an orthopedic unit is caring for 4 clients. Which of the following clients should the nurse identify as being at highest risk for skin breakdown? - CORRECT ANSWER D. An older adult who has a hip fracture and is immobile
34. What is the nurse's priority action for a client with compromised immunity? - CORRECT ANSWER A. Wash hands before entering the cli [Show Less]