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A female client is recently diagnosed with Sarcoidosis . The
client tells the registered nurse ( RN ) that she does not
understand why she has this . When teaching the client , the
RN should include that sarcoidosis most commonly occurs
with which ethnic group of women ? A. Asian women .
B. African American women .
C. Caucasian women .
D. Hispanic women . - ANSWER -B.
Sarcoidosis , an autoimmune inflammatory disease affecting
multiple organs and has shown familial tendency due to
multiple genes that together increase the susceptibility of
developing the disease . In research studies it occurs more
commonly in African American women ( 10-80 out of 100,000
) ; compare to
Caucasian women of the United States ( 8 out of
100,000 ) .
A college student who is diagnosed with a vaginal infection and
vulva irritation describes the vaginal discharge as having a "
cottage - cheese " appearance .
Which prescription should the nurse implement first ?
,A. Cleanse perineum with warm soapy water 3 times per day .
B. Instill the first dose of nystatin vaginally per applicator .
C. Obtain a blood specimen for sexually transmitted diseases (
STDs ) .
D. Perform glucose measurement using a capillary blood
sample . also known - ANSWER -B.
Candidiasis , also known as a yeast infection , is characterized
by a white , vaginal discharge with a " cottage - cheese "
appearance and vaginal nystatin should be implemented first to
initiate treatment to provide relief of symptoms .
The nurse is assessing a client who is bedfast and refuses to
turn or move from a supine position . How should the nurse
assess the client for possible dependent edema ?
A. Measure the client's abdominal girth .
B. Gently palpate the lower abdomen .
C. Apply light pressure over the shins .
D. Compress the flank and upper buttocks . - ANSWER -D.
Dependent edema collects in dependent areas , such as the
flank and upper buttocks of the client who is persistently flat in
bed . By compressing these areas , the nurse can determine if
any pitting edema is present .
The nurse is preparing a client for orthopedic surgery on
the left leg and completing a safety checklist before
transport to the operating room . Which items should the
nurse remove from the client ? ( Select all that apply . ) A.
Wedding band .
B. Hearing aid .
,C. Partial dentures .
D. Contact lenses .
E. Nail polish .
F. Left leg brace . - ANSWER -B. C. D. E.
The removal of nail polish provides a more accurate pulse
oximetry readings and evaluation of capillary refill . Hearing
aids , contact lenses , and partial dentures are removed to
prevent damage , loss or misplacement , or injury during
surgery . Ideally , give the client's significant other the contact
lenses if they are not the disposable ones , hearing aids and
partial dentures once placed in an appropriate labeled
container to hold for safe keeping . If no significant other is not
able to hold onto the items , then secured them in an
appropriate and safe place .
The registered nurse ( RN ) is caring for a young adult who is
having an oral
glucose tolerance tests ( OGTT ) . Which laboratory result
should the RN
assess as a normal value for the two hour
postprandial result ?
A. 140 mg /
dl .
B. 200 mg /.
dl .
C. 180 mg /
dl
D. 160 mg / dl . -
ANSWER -A.
, The two hour postprandial level should be less 140 mg / dl for
a young adult
client
.
The nurse is caring for a client who is two days postoperative .
Which observation should alert the nurse to call the Rapid
Response Team RRT ) ? A. Temperature of 103.1 F ( 39.5 C )
and white blood cell ( WBC ) count of 16,000 mm3 .
B. Weakness , diaphoresis , reports of feeling faint . BP 100/56
mmHg .
C. Pulse change from 85 to 160 beats / minute lasting more than
10 minutes .
D. Fresh bleeding noted on abdominal surgical wound dressing
. - ANSWER -C. The RRT should be called to intervene for a
postoperative client with an acute life - threatening change ,
such as a pulse change resulting in tachycardia for a
prolonged time period .
Which findings are within expected parameters of a normal
urinalysis for an older adult ? ( Select all that apply . ) A.
pH 6 .
B. Bilirubin negative .
C. Nitrate small
D. Specific gravity 1.015 .
E. Protein small .
F. Sugar negative . - ANSWER -A. D. ...I think thats all...???
A pH of 6.0 is within the normal pH range for urine . Glucosuria
and bilirubinuria are abnormal and should be negative upon