QUESTIONS AND ANSWERS) BEST EXAM SOLUTION
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A client just returned to the surgical unit after a gastric bypass. What
action by the nurse is thepriority?
a. Assess the client’s pain.
b. Check the surgical incision.
c. Ensure an adequate airway.
d. Program the morphine pump.
A client is receiving total parenteral nutrition (TPN). What action by the
nurse is most important?
a. Assessing blood glucose as directed
b. Changing the IV dressing each day
c. Checking the TPN with another nurse
d. Performing appropriate hand hygiene
An older female client with hyperthyroidism is not a candidate for
surgery. Which treatmentcould be used to quickly reduce the client’s
manifestations of the disorder?
a. Nothing, because there is little effect on the quality of life in older
adults.
b. A partial thyroidectomy
c. The ingestion of radioactive sodium iodine, I131
d. A combination treatment with levothyroid (Synthroid) and
amiodarone (Cordarone)
The healthcare provider prescribed sitagliptin (Januvia) for a client with
type 2 diabetes mellitus.For which potential side effect should the nurse
monitor in this client?
, a. Elevated blood lipid levels
b. Hyperglycemia
c. Pancreatitis
d. Renal insufficiency
A nurse witnesses a client begin to experience a tonic-clonic seizure and
loss of consciousness.Which action should the nurse take?
a. Start fluids via a large-bore catheter.
b. Turn the client’s head to the side.
c. Administer IV push diazepam.
d. Prepare to intubate the client.
After teaching a client newly diagnosed with epilepsy, the nurse
assesses the client’s understanding. Which statement by the client
indicates a need for additional teaching?
a. “I will wear my medical alert bracelet at all times.”
b. “While taking my epilepsy medications, I will not drink any alcoholic
beverages.”
c. “I will tell my doctor about my prescription and over-the-counter
medications.”
d. “If I am nauseated, I will not take my epilepsy medication.”
A nurse obtains a focused health history for a client who is suspected
of having bacterialmeningitis. Which question should the nurse ask?
a. “Do you live in a crowded residence?”
b. “When was your last tetanus vaccination?”
c. “Have you had any viral infections recently?”
d. “Have you traveled out of the country in the last month?”
A nurse plans care for a client with epilepsy who is admitted to the hospital.
Which interventionsshould the nurse include in this client’s plan of care?
,(Select all that apply.)
a. Have suction equipment at the bedside.
b. Place a padded tongue blade at the bedside.
c. Permit only clear oral fluids.
, d. Keep bed rails up at all times.
e. Maintain the client on strict bedrest.
f. Ensure that the client has IV access.
A nurse evaluates the results of diagnostic tests on a client’s
cerebrospinal fluid (CSF). Whichfluid results alerts the nurse to
possible viral meningitis? (Select all that apply.)
a. Clear
b. Cloudy
c. Increased protein level
d. Normal glucose level
e. Bacterial organisms present
f. Increased white blood cells
A nurse is caring for a client with meningitis. Which laboratory values
should the nurse monitorto identify potential complications of this
disorder? (Select all that apply.)
a. Sodium level
b. Liver enzymes
c. Clotting factors
d. Cardiac enzymes
e. Creatinine level
A nurse assesses a client who is recovering from the implantation of
a vagal nerve stimulation device. For which clinical manifestations
should the nurse assess as common complications ofthis procedure?
(Select all that apply.)
a. Bleeding
b. Infection
c. Hoarseness
d. Dysphagia
e. Seizures