• Thenurseiscaringforaclientinatrialfibrillation.Theatrialheartrateis250and the ventricular rate is controlled at 75. Which of the following findings
... [Show More] iscausefor the mostconcern?
A) Diminishedbowelsounds
B) Lossofappetite
C) Acold,palelower leg
D) Tachypnea
- A-Fibcancausefluidbuildupinthelowerextremities.Itcausesbloodtopoolupintheatria.
• Theclientwithinfectiveendocarditismustbeassessedfrequentlybythehome health nurse. Which finding suggests that antibiotic therapy is noteffective, and must be reported by the nurse immediately to the healthcareprovider?
A) Nauseaandvomiting
B) Feverof103degreesFahrenheit(39.5degreesCelsius)
C) Diffusemacularrash
D) Muscletenderness
- Ptshouldnothaveahighfeveratthispointifhe/sheisbeinggivenantibiotics.
• A client who had a vasectomy is in the post recovery unit at an outpatientclinic.Whichofthesepointsismostimportanttobereinforcedbythenurse?A) Until the health care provider has determined that your ejaculate doesn'tcontainsperm,continuetouse anotherformofcontraception.
B) This procedure doesn't impede the production of male hormones or theproductionofsperminthetesticles.Thespermcannolongerenteryoursemenandno spermare inyourejaculate.
C) Afteryourvasectomy,strenuousactivityneedstobeavoidedforatleast48hours.Ifyourworkdoesn'tinvolvehardphysicallabor,youcanreturntoyourjob as soon as you feel up to it. The stitches generally dissolve in seven to tendays.
D) Thehealthcareprovideratthisclinicrecommendsrest,ice,anathleticsupporteror.over-the-counterpainmedicationtorelieveanydiscomfort.
- Pt came in for a VASECTOMY. It’s important for pt to know that he can still get a partnerpregnantifspermisfoundinhissemen,thereforeheshouldusedanalternativecontraception.Itusuallytakesabout3monthsforthespermtobenon-existentinthesemen.
• Aclientwhoistohaveantineoplasticchemotherapytellsthenursesofafearof being sick all the time and wishes to try acupuncture. Which of these beliefsstated bytheclientwould beincorrectaboutacupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed inthebodyandwhatthetreatmentisfor.Theneedlesusuallyareleftinfor15to30minutes.
B) IntraditionalChinesemedicine,imbalancesinthebasicenergeticflowoflifeknownasqiorchi are thoughttocause illness.
C) Theflowoflifeisbelievedtoflowthroughmajorpathwaysornerveclustersinyourbody.
D) By inserting extremely fine needles into some of the over 400 acupuncturepointsinvariouscombinationsitisbelievedthatenergyflowwillrebalancetoallowthebody'snaturalhealingmechanismstotakeover.
• ThenurseisdiscussingwithagroupofstudentsthediseaseKawasaki.WhatstatementmadebyastudentaboutKawasakidiseaseisincorrect?
A)It also called mucocutaneous lymph node syndrome because it affects themucous membranes (inside the mouth, throat and nose), skin and lymph nodes.B)Inthesecondphaseofthedisease,findingsincludepeelingoftheskinonthehandsand feet withjoint andabdominal pain
C) Kawasakidiseaseoccursmostofteninboys,childrenyoungerthanage5andchildrenofHispanic descent
D) Initiallyfindingsareasuddenhighfever,usuallyabove104degreesFahrenheit,which lasts 1 to2 weeks
• Aclienthasviralpneumoniaaffecting2/3oftherightlung.Whatwouldbethe best position to teach the client to lie in every other hour during first 12hoursafteradmission?
A) Side-lyingontheleftwiththeheadelevated10degrees
B) Side-lyingontheleftwiththeheadelevated35degrees
C) Side-lyingontherightwiltheheadelevated10degrees
D) Side-lyingontherightwiththeheadelevated35degrees
• WhichinformationisapriorityfortheRNtoreinforcetoanolderclientafterintravenouspyelography?
A) Eatalightdietfortherestoftheday
B) Restforthenext24hourssincethepreparationandthetestistiring.
C) Duringwakinghoursdrinkatleast18-ounceglassoffluideveryhourforthenext2 days
D) Measuretheurineoutputforthenextdayandimmediatelynotifythehealthcareprovider if itshoulddecrease.
- It’simportanttodrinkmorefluidafterwardstohelpflushouttheiodine. [Show Less]