NUR 138 Quiz 1 -Solved |Accurate Verified
A nurse is caring for a client who is experiencing leukocytosis. When providing care
to this client, which action by the nurse is the most appropriate?
A. Place the patient in reverse isolation precautions.
B. Assess for bleeding and bruising.
C. Instruct the client on the use of an electric razor and soft toothbrush.
D. Assess for source of infection. - ANSWER-Answer: D
A client with leukocytosis has a white blood cell (WBC) count that is elevated above
normal (>10,000 mm3) which is an indication of infection. The appropriate action
by the nurse is to assess the client for a source of the infection. Instructing the
client on the use of an electric razor and soft toothbrush and assessing for bleeding
and bruising would be appropriate actions for a client with decreased platelet levels,
or thrombocytopenia. Placing the client in reverse isolation precautions would be
appropriate for the client with neutropenia, a decrease in the number of neutrophils
Page Ref: 438
A nurse is caring for a client who was admitted to the hospital with an exacerbation
of rheumatoid arthritis (RA). The client reports pain is a 3 on a scale from 1 to 10
today. Which non-pharmacological interventions can the nurse provide to enhance
the client's comfort? Select all that apply.
A. Discourage any position changes.
B. Provide diversion activities.
C. Encourage relaxation techniques
D. Offer a massage
E. Immobilize the extremity. - ANSWER-Answer: B, C, D.
Non-pharmacological activities for pain relief include massage, relaxation, and
diversion. Position changes are encouraged along with supportive equipment.
Immobilization would likely cause contractures in the joints.
Page Ref: 504
A nurse educator is explaining the term hyperplasia to a group of nursing students.
Which statement, made by a nursing student, indicates an understanding of why
hyperplasia occurs with myocardial infarction?
A. "The cells of the heart muscle have lost fluid."
B. "The cells of the heart muscle are responding to metabolic needs."
C. "The cells of the muscle experience hyperplasia with the prolonged need for
oxygen."
D. "The cells of the heart are rigid in response to muscle damage." - ANSWER-
Answer: C (Answer B was also accepted)
Hyperplasia is an increase in density or number of normal cells in response to
stress-in this case, the increased demand for oxygen. Cells that lose fluid will shrink
A nurse is caring for a client who is experiencing leukocytosis. When providing care
to this client, which action by the nurse is the most appropriate?
A. Place the patient in reverse isolation precautions.
B. Assess for bleeding and bruising.
C. Instruct the client on the use of an electric razor and soft toothbrush.
D. Assess for source of infection. - ANSWER-Answer: D
A client with leukocytosis has a white blood cell (WBC) count that is elevated above
normal (>10,000 mm3) which is an indication of infection. The appropriate action
by the nurse is to assess the client for a source of the infection. Instructing the
client on the use of an electric razor and soft toothbrush and assessing for bleeding
and bruising would be appropriate actions for a client with decreased platelet levels,
or thrombocytopenia. Placing the client in reverse isolation precautions would be
appropriate for the client with neutropenia, a decrease in the number of neutrophils
Page Ref: 438
A nurse is caring for a client who was admitted to the hospital with an exacerbation
of rheumatoid arthritis (RA). The client reports pain is a 3 on a scale from 1 to 10
today. Which non-pharmacological interventions can the nurse provide to enhance
the client's comfort? Select all that apply.
A. Discourage any position changes.
B. Provide diversion activities.
C. Encourage relaxation techniques
D. Offer a massage
E. Immobilize the extremity. - ANSWER-Answer: B, C, D.
Non-pharmacological activities for pain relief include massage, relaxation, and
diversion. Position changes are encouraged along with supportive equipment.
Immobilization would likely cause contractures in the joints.
Page Ref: 504
A nurse educator is explaining the term hyperplasia to a group of nursing students.
Which statement, made by a nursing student, indicates an understanding of why
hyperplasia occurs with myocardial infarction?
A. "The cells of the heart muscle have lost fluid."
B. "The cells of the heart muscle are responding to metabolic needs."
C. "The cells of the muscle experience hyperplasia with the prolonged need for
oxygen."
D. "The cells of the heart are rigid in response to muscle damage." - ANSWER-
Answer: C (Answer B was also accepted)
Hyperplasia is an increase in density or number of normal cells in response to
stress-in this case, the increased demand for oxygen. Cells that lose fluid will shrink
