Question text
A client has a white blood cell change in which the number of suppressor T-cells is way below normal and asks the nurse which type of
... [Show More] health problem(s) could be expected as a result of this deficiency. What is the nurse's best response?
Select one:
a. “Try to avoid crowds and people who are ill because you are now more susceptible to bacterial and
viral infections.”
b. “You will be more prone to allergic reactions when exposed to allergens or drugs.”
c. "You will need to receive booster vaccinations more often because your ability to make antibodies is
reduced.”
d. “Your risk for cancer development is increased.”
Feedback
Your answer is incorrect.
The correct answer is: “You will be more prone to allergic reactions when exposed to allergens or drugs.”
Question 2
Incorrect
Question text
The nurse is preparing a client for discharge who developed an acute kidney injury during coronary artery bypass graft surgery. The nurse notices that the client has a serum creatinine of 1.2 mg/dL (106 mcmol/L) and a glomerular filtration rate (GFR) of 75 mL/kg/1.73 m2. Which is the priority nursing action?
Select one:
a. Checking the remaining values on the metabolic panel and informing the primary care provider of all
results before the client is discharged
b. Encouraging the client to reduce protein intake to reduce creatinine production until the follow-up
visit with the nephrologist occurs
c. Reminding the client to remain hydrated by drinking 500 mL of an electrolyte-based solution daily
d. Educating the client about the need for follow-up, including re-evaluation of serum creatinine with
the primary care provider or nephrologist in 8-12 weeks
Feedback
Your answer is incorrect.
The correct answer is: Educating the client about the need for follow-up, including re-evaluation of serum creatinine with the primary care provider or nephrologist in 8-12 weeks
Question 3
Correct
1.00 points out of 1.00
The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 82 mg/dL (mmol/L) and hemoglobin A1C of 5.9%. What is the nurse's interpretation of these findings?
Select one:
a. The client's glucose control for the past 24 hours has been good, but the overall control is poor.
b. The values indicate that the client has poorly managed his or her disease.
c. The client's glucose control for the past 24 hours has been poor, but the overall control is good.
d. The values indicate that the client has managed his or her disease well.
Feedback
Your answer is correct.
The correct answer is: The values indicate that the client has managed his or her disease well.
Question 4
Incorrect
0.00 points out of 1.00
A client thought to be at risk for distributive shock is given a drug that constricts blood vessels. What effect does the nurse expect the drug to have on the client's mean arterial pressure (MAP)?
Select one:
a. Increased MAP by increasing vascular volume
b. Decreased MAP from widespread capillary leak
c. Decreased MAP by decreasing vascular volume
d. Increased MAP without a change in vascular volume
Feedback
Your answer is incorrect.
The correct answer is: Increased MAP without a change in vascular volume
Question 5
Incorrect
0.00 points out of 1.00
Which description of respiratory physiologic features is correct?
Select one:
a. The epiglottis closes during speech to divert air movement into and through the vocal cords to
produce sound.
b. Any problem with the right lung interferes with gas exchange and perfusion to a greater degree than
a problem in the left lung.
c. The elastic tissues of the tracheobronchial tree are the major structures responsible for gas exchange.
d. The left lung is responsible for approximately 60% of gas exchange, and the right lung is responsible
for 60% of pulmonary perfusion.
Feedback
Your answer is incorrect.
The correct answer is: Any problem with the right lung interferes with gas exchange and perfusion to a greater degree than a problem in the left lung.
Question 6
Correct
1.00 points out of 1.00
The nurse notes that a client with a history of chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy at 2 L/min and had an oxygen saturation of 88% 1 hour ago now has dyspnea and an oxygen saturation of 80%. Should the nurse increase the FiO2?
Select one:
a. Yes; hypoxia must be treated despite the risk for oxygen-induced hypercapnia.
b. No; increasing the FiO2 will severely depress the respiratory rate by blunting the hypoxic drive
c. Yes; the expected outcome for any client with hypoxia is to achieve a saturation of at least 97%.
d. No; an oxygen saturation of 80% is acceptable for a client with COPD.
Feedback
Your answer is correct.
The correct answer is: Yes; hypoxia must be treated despite the risk for oxygen-induced hypercapnia.
Question 7
Correct
1.00 points out of 1.00
Which client being managed for dehydration does the nurse consider at greatest risk for possible reduced kidney function?
Select one:
a. An 80-year-old man who has benign prostatic hyperplasia
b. A 48-year-old woman with established urinary incontinence
c. A 45-year-old man receiving oral and IV fluid therapy
d. A 62-year-old woman with a known allergy to contrast media
Feedback
Your answer is correct.
The correct answer is: An 80-year-old man who has benign prostatic hyperplasia
When reviewing the laboratory values for a client admitted with pneumonia, which result will cause the nurse to collaborate quickly with the primary health care provider?
Select one:
a. White blood cell (WBC) count of 14,526 mm3
b. Blood glucose 146 mg/dL
c. PaCO2 46 mm Hg
d. PaO2 68 mm Hg
Feedback
Your answer is correct.
The correct answer is: PaO2 68 mm Hg
The nurse is caring for these clients. Which client does the nurse recognize as having the highest risk for development of breast cancer?
Select one:
a. 75-year-old female who was treated for breast cancer 5 years ago
b. 55-year-old male with gynecomastia and obesity
c. 65-year-old male whose mother had ovarian cancer
d. 60-year-old female whose father died from colon cancer
Feedback
Your answer is correct.
The correct answer is: 75-year-old female who was treated for breast cancer 5 years ago
How should the nurse communicate with a client who is deaf?
Select one:
a. By talking exclusively with the client's caregivers
b. By using pictures and writing, if the client can see
c. By talking more loudly to the client
d. By having the client read the nurse's lips
Feedback
Your answer is correct.
The correct answer is: By using pictures and writing, if the client can see
Question 11
Incorrect
0.00 points out of 1.00
A 70-year-old client is seeing his primary care provider for an annual examination. Which assessment finding alerts the nurse to an increased risk for bladder cancer?
Select one:
a. A 30-year occupation as a long-distance truck driver
b. A five-pack year history of smoking 45 years ago
c. A recent colon cancer diagnosis in his 72-year-old brother
d. Difficulty starting and stopping the urine stream
Feedback
Your answer is incorrect.
The correct answer is: A 30-year occupation as a long-distance truck driver
Question 12
Incorrect
0.00 points out of 1.00
The nurse is caring for a client who is jaundiced and reports pruritus. Which intervention will the nurse include in the plan of care?
Select one:
a. Assist the client with a hot bath and apply moisturizer
b. Instruct the client to scratch with knuckles instead of nails
c. Encourage the client to eat a high-protein, high-cholesterol diet
d. Monitor the client's vital signs and intake and output
Feedback
Your answer is incorrect.
The correct answer is: Instruct the client to scratch with knuckles instead of nails
Question 13
Incorrect
0.00 points out of 1.00
Which action by a nurse is most likely to increase accurate communication with a client who has low vision?
Select one:
a. Enhancing the talk using hand gestures
b. Marking the door of the client's room to indicate his or her vision status c.
Marking the door of the client's room to indicate his or her vision status
d. Speaking slowly and loudly
Feedback
Your answer is incorrect. The correct answer is:
Marking the door of the client's room to indicate his or her vision status
Question 14
Incorrect
0.00 points out of 1.00
The client is a 62-year-old admitted 2 days ago with traumatic injuries and hypovolemic shock from a car crash. The nurse reviewing the client's daily laboratory test results notices the following values. Which result is most important to report to the primary health care provider immediately?
Select one:
a. Serum sodium 132 mEq/L (mmol/L)
b. Hematocrit 32% (0.32 volume fraction); hemoglobin 9.2 g/dL (92 g/L)
c. Serum potassium 6.9 mEq/L (mmol/L)
d. Blood urea nitrogen 24 mg/dL (mmol/L)
Feedback
Your answer is incorrect.
The correct answer is: Serum potassium 6.9 mEq/L (mmol/L)
Question 15
Incorrect
0.00 points out of 1.00
With which client should the nurse remain alert for the possibility of sepsis and septic shock?
Select one:
a. 72-year-old man with severe allergies who is undergoing radiation therapy for early-stage prostate
cancer.
b. 53-year-old woman who had an open abdominal hysterectomy 3 days ago to remove several large
fibroid tumors.
c. 41-year-old man who sustained closed depression fractures of the face when hit with a baseball
d. 67-year-old woman on chronic corticosteroid therapy who had several teeth extracted 2 days ago.
Feedback
Your answer is incorrect.
The correct answer is: 67-year-old woman on chronic corticosteroid therapy who had several teeth extracted 2 days ago.
Question 16
Correct
1.00 points out of 1.00
A client returns to the postanesthesia care unit (PACU) after an arthroscopy to repair a knee injury. What is the nurse's priority when caring for this client?
Select one:
a. Perform passive range-of-motion exercises.
b. Ensure that the patient uses the patient-controlled analgesia (PCA) pump.
c. Keep the affected leg immobilized.
d. Check the neurovascular status of the affected leg and foot.
Feedback
Your answer is correct.
The correct answer is: Check the neurovascular status of the affected leg and foot.
Which statement made by a client newly diagnosed with polycystic kidney disease (PKD) in the hyperfiltration stage indicates to the nurse that additional teaching for self-management is needed?
Select one:
a. “I'll need to decrease my daily water intake.”
b. “Regular low-impact exercise may help me feel better and help prevent constipation.”
c. “I need to make certain my brothers and sisters know about this disease.”
d. Probably the best time of day to take my lisinopril each day is with breakfast.”
Feedback
Your answer is correct.
The correct answer is: “I'll need to decrease my daily water intake.”
A nursing assistant (NA) is assigned to care for a client who had a cemented total knee arthroplasty. Which statement by the NA indicates a need for further teaching and supervision by the nurse?
Select one:
a. “I'll tell the client not to place a pillow under the surgical knee.”
b. “I'll apply ice packs to decrease swelling in the knee as ordered.”
c. “I'll keep an abduction pillow in place at all times.”
d. “I'll check to make sure the client's leg is not rotated.” [Show Less]