NUR2571 Module 8 Quiz latest 2018
When the nurse is caring for a patient whose HIV status in unknown, which of these patient exposures is most likely to require postexposure prophylaxis?
a. Needle stick with a needle and syringe used to draw blood
b. Splash into the eyes when emptying a bedpan containing stool
c. Contamination of open skin lesions with patient vaginal secretions
d. Needle stick injury with a suture needle during a surgical procedure
Which information will the nurse include when teaching range-of-motion exercises to a patient with an exacerbation of rheumatoid arthritis?
a. Affected joints should not be exercised when pain is present.
b. Application of cold packs before exercise may decrease joint pain.
c. Exercises should be performed passively by someone other than the patient.
d. Walking may substitute for range-of-motion (ROM) exercises on some days.
The nurse obtains the following information about a patient before administration of metformin (Glucophage). Which finding indicates a need to contact the health care provider before giving the metformin?
a. The patient's blood glucose level is 166 mg/dL.
b. The patient's blood urea nitrogen (BUN) level is 60 mg/dL.
c. The patient is scheduled for a chest x-ray in an hour.
d. The patient has gained 2 lb (0.9 kg) since yesterday.
A patient is admitted with diabetic ketoacidosis (DKA) and has a serum potassium level of 2.9 mEq/L. Which action prescribed by the health care provider should the nurse take first?
a. Infuse regular insulin at 20 U/hr.
b. Place the patient on a cardiac monitor.
c. Administer IV potassium supplements.
d. Obtain urine glucose and ketone levels.
A patient hospitalized with an acute exacerbation of ulcerative colitis is having 14 to 16 bloody stools a day and crampy abdominal pain associated with the diarrhea. The nurse will plan to
a. place the patient on NPO status.
b. administer IV metoclopramide (Reglan).
c. teach the patient about total colectomy surgery.
d. administer cobalamin (vitamin B12) injections.
Which nursing action will the nurse include in the plan of care when admitting a patient with an exacerbation of inflammatory bowel disease (IBD)?
a. Restrict oral fluid intake.
b. Monitor stools for blood.
c. Increase dietary fiber intake.
d. Ambulate four times daily.
A pregnant woman with a history of early chronic HIV infection is seen at the clinic. Which information will the nurse include when teaching the patient?
a. The antiretroviral medications used to treat HIV infection are teratogenic.
b. Most infants born to HIV-positive mothers are not infected with the virus.
c. Because she is at an early stage of HIV infection, the infant will not contract HIV.
d. It is likely that her newborn will become infected with HIV unless she uses antiretroviral therapy (ART).
Which of these laboratory values, noted by the nurse when reviewing the chart of a hospitalized diabetic patient, indicates the need for rapid assessment of the patient?
a. Hb A1C of 5.8%
b. Noon blood glucose of 52 mg/dL
c. Hb A1Cof 6.9%
d. Fasting blood glucose of 130 mg/dL
A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is to
a. participate in a needle-exchange program.
b. clean drug injection equipment before use.
c. ask those who share equipment to be tested for HIV.
d. avoid sexual intercourse when using injectable drugs.
Prednisone (Deltasone) is prescribed for a patient with an acute exacerbation of rheumatoid arthritis. Which laboratory result will the nurse monitor to determine whether the medication has been effective?
a. Blood glucose test
b. Liver function tests
c. C-reactive protein level
d. Serum electrolyte levels