1. A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the
... [Show More] client will report that her earliest manifestation was
a.) dysphagia b.) hoarseness c.) dyspnea d.) weight loss
2. A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red- tinged urine. Which of the following transfusion reactions should the nurse suspect?
a. Febrile
b. Allergic
c. Acute Pain d. Hemolytic
3. A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T- cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions? Select one or more:
a. Gingivitis b. Candidiasis
c. Xerostomia
d. Halitosis
4. A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? Select one or more:
a. Mood swings
b. Absence of bowl sounds c.Hyperthermia
d. Hypotension
e. Weakend gag reflex
f. Polyuria
5. A nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an NG tube to wall suction. Which of the following interventions should the nurse include in the client's postoperative plan of care? Select one or more:
a. Place sequential compression devices on the bilateral lower extremities. b. Discontinue suction when assessing for peristalsis
c. Reposition the client from side to side every 2 hr.
d. Irrigate the NG tube with 0.9% sodium chloride irrigation solution.
e. Encourage the use of an incentive spirometer every 2 hr while the client is awake.
6. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? Select one or more: question
a. Moist, clammy skin b. Tachycardia
c. Polydipsia
d. Polyuria
e. Blurred vision
7. A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored? Select one or more:
a. Visual acuity
b. Skin color
c. Cardiac rhythm
d. Urine output
8. A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider? Select one:
a. Respiratory rate 18/min
b. Straw-colored urine from an indwelling urinary catheter question
c. Yellow-green drainage on the surgical incision
d. Blood pressure 102/66 mm Hg
9. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first? Select one or more:
a. Irrigate the catheter.
b. Adjust the rate of the bladder irrigant.
c. Notify the provider
d. Check the tubing for kinks.
10. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? Select one:
a. Abnormaly prominent U wave
b. Wide QRS
c. Elevated ST segment
d. Inverted P wave [Show Less]