- D Enjoys fat-free yogurt as an occasional snack food.
Question 1 of 55
The nurse is evaluating a client's understanding about the DASH (Dietary Approaches to Stop Hypertension)
eating plan. Which behavior indicates that the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
- A Further decline in level of consciousness.
Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which
additional finding warrants the most immediate action by the nurse? [Hematocrit (Reference Range: Male: 42%
to 52% (0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
,- B Full thickness.
Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and
yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the
nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
,- A Urinary output.
- B Oxygen saturation.
- D Lung sounds.
Orthopneic position, sometimes called tripod position, is a sitting position where an individual leans slightly
forward with their arms propped up on an overbed table or their knees.
Orthopnea is the sensation of breathlessness in the recumbent (lying down) position, relieved by sitting or
standing.
Question 4 of 55
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles to breathe is admitted for
further treatment. Initial assessment includes a heart rate 128 beats/minute and irregular, respirations 38
breaths/minute, blood pressure 168/100 mm Hg, wheezes and crackles in all lung fields. An hour after the
administration of furosemide 60 mg intravenous (IV), which assessment(s) should the nurse obtain to
determine the client's response to treatment? (Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
, - B Crohn's disease with colectomy.
Question # 5
Rationale - B Crohn's disease with colectomy.
The nurse should recognize that clients with extensive intra-abdominal surgical history are not candidates for
peritoneal dialysis, as these clients may have decreased peritoneal membrane surface areas and scar tissue
formation, which would make it insufficient for adequate dialysis exchange.
Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the
client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.
Question 1 of 55
The nurse is evaluating a client's understanding about the DASH (Dietary Approaches to Stop Hypertension)
eating plan. Which behavior indicates that the client is adhering to the eating plan?
- A Uses only lactose-free dairy products.
- B Carefully cleans and peels all fresh fruit and vegetables.
- C No longer incudes grains in daily diet.
- D Enjoys fat-free yogurt as an occasional snack food.
- A Further decline in level of consciousness.
Question 2 of 55
A client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which
additional finding warrants the most immediate action by the nurse? [Hematocrit (Reference Range: Male: 42%
to 52% (0.42 to 0.52 volume fraction)]
- A Further decline in level of consciousness.
- B Hematocrit of 30% (0.30 volume fraction)
- C Cold and dry skin.
- D Facial puffiness and periorbital edema
,- B Full thickness.
Question 3 of 55
The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and
yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the
nurse document?
- A Deep full-thickness.
- B Full thickness.
- C Deep partial-thickness.
- D Superficial partial-thickness.
,- A Urinary output.
- B Oxygen saturation.
- D Lung sounds.
Orthopneic position, sometimes called tripod position, is a sitting position where an individual leans slightly
forward with their arms propped up on an overbed table or their knees.
Orthopnea is the sensation of breathlessness in the recumbent (lying down) position, relieved by sitting or
standing.
Question 4 of 55
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles to breathe is admitted for
further treatment. Initial assessment includes a heart rate 128 beats/minute and irregular, respirations 38
breaths/minute, blood pressure 168/100 mm Hg, wheezes and crackles in all lung fields. An hour after the
administration of furosemide 60 mg intravenous (IV), which assessment(s) should the nurse obtain to
determine the client's response to treatment? (Select all that apply.)
- A Urinary output.
- B Oxygen saturation.
- C Pain scale.
- D Lung sounds.
- E Skin elasticity.
, - B Crohn's disease with colectomy.
Question # 5
Rationale - B Crohn's disease with colectomy.
The nurse should recognize that clients with extensive intra-abdominal surgical history are not candidates for
peritoneal dialysis, as these clients may have decreased peritoneal membrane surface areas and scar tissue
formation, which would make it insufficient for adequate dialysis exchange.
Question 5 of 55
A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the
client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?
- A Nephrotic syndrome history.
- B Crohn's disease with colectomy.
- C Type 2 diabetes mellitus.
- D Latent hepatitis C.
