RN Learning System Comprehensive Quiz
|\ |\ |\ |\ |\
Final QUESTIONS WITH ANSWERS |\ |\ |\
A nurse is teaching the parent of a child who has severe reactive
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
airway disease about glucocorticoid therapy. The parent asks why
|\ |\ |\ |\ |\ |\ |\ |\
her child has to inhale the medication instead of taking it orally.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following information should the nurse provide the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
parent? - CORRECT ANSWERS ✔✔Oral glucocorticoids are more
|\ |\ |\ |\ |\ |\ |\ |\
like to slow linear growth in children. (Chronic use of oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
glucocorticoids in high doses by children can result in decreased |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
linear growth. Inhaled glucocorticoids deliver the anti-
|\ |\ |\ |\ |\ |\
inflammatory agent directly to the local target area (pts airways) |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
resulting in an decreased risk for adrenal suppression).
|\ |\ |\ |\ |\ |\ |\
A nurse is providing teaching to a client who has come to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
family planning clinic requesting an intrauterine device (IUD).
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following information should the nurse provide the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client? - CORRECT ANSWERS ✔✔"Your risk of ectopic pregnancy
|\ |\ |\ |\ |\ |\ |\ |\ |\
increases with an IUD." [An IUD is a family planning device the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider inserts through the cervix into the uterus to prevent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pregnancy. The IUD works by changing the lining of the uterus |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and fallopian tubes, making fertilization in the uterus more
|\ |\ |\ |\ |\ |\ |\ |\ |\
difficult. Consequently, an IUD increases the risk for ectopic
|\ |\ |\ |\ |\ |\ |\ |\ |\
pregnancy.]
A nurse is assessing a preschooler who has recurrent and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
persistent otitis media. When obtaining the child's history from
|\ |\ |\ |\ |\ |\ |\ |\ |\
her parent, which of the following questions should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ask? - CORRECT ANSWERS ✔✔"Does anyone smoke around or in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the same house as your child?" [Otitis media is an infection of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,the middle ear. Passive smoking promotes adherence of
|\ |\ |\ |\ |\ |\ |\ |\
respiratory pathogens to the lining of the middle ear space. It |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
also prolongs the inflammation and impedes drainage from the
|\ |\ |\ |\ |\ |\ |\ |\ |\
ear.]
A nurse is providing teaching to a client who has a new
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescription for sertraline. The client asks the nurse if he should |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
continue to take St. John's wort for depression. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following instructions should the nurse give the client? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Stop taking the herbal supplement while |\ |\ |\ |\ |\ |\ |\ |\
taking the medication. [Taking the antidepressant sertraline and
|\ |\ |\ |\ |\ |\ |\ |\
the herbal supplement St. John's wort together puts the client at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk for serotonin syndrome.]
|\ |\ |\
A nurse is caring for a client who is receiving bleomycin IV to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treat lymphoma. Which of the following assessments is the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse's priority? - CORRECT ANSWERS ✔✔Pulmonary function
|\ |\ |\ |\ |\ |\ |\
[The nurse should apply the safety and risk reduction priority-
|\ |\ |\ |\ |\ |\ |\ |\ |\
setting framework. This framework assigns priority to the factor
|\ |\ |\ |\ |\ |\ |\ |\ |\
or situation posing the greatest safety risk to the client. When
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
there are several risks to client safety, the one posing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
greatest threat is the highest priority. The nurse should use
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Maslow's Hierarchy of needs, the ABC priority-setting framework,
|\ |\ |\ |\ |\ |\ |\ |\
or nursing knowledge to identify which risk poses the greatest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
threat to the client. Bleomycin can cause severe lung injury,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
including pneumonitis and pulmonary fibrosis, and it affects a
|\ |\ |\ |\ |\ |\ |\ |\ |\
significant percentage of clients receiving this medication; |\ |\ |\ |\ |\ |\ |\
therefore, pulmonary function is the priority assessment.] |\ |\ |\ |\ |\ |\
A nurse is teaching a client how to use an albuterol metered dose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inhaler. After removing the cap from the inhaler and shaking the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
canister, identify the sequence of instructions the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\
,give the client. (Move the steps into the box on the right, placing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
them in the selected order of performance. Use all the steps.) -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔1. The client should hold the mouthpiece |\ |\ |\ |\ |\ |\ |\ |\ |\
2-4 cm (1-2 in) from his mouth 2. Tilt his head back slightly, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
then open his mouth 3. Next, he should depress the medication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
canister while taking a deep breath to facilitate delivery of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication through the airway 4. After holding his breath for 10 |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seconds, the client should resume his usual breathing pattern.
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is reviewing the laboratory report for a client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chronic kidney disease (CKD). The nurse finds the following
|\ |\ |\ |\ |\ |\ |\ |\ |\
laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dL, |\ |\ |\ |\ |\ |\ |\ |\ |\
hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL. Which of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following findings is the priority for the nurse to report to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider? - CORRECT ANSWERS ✔✔Hyperkalemia [The nurse |\ |\ |\ |\ |\ |\ |\
should apply the urgent versus nonurgent priority-setting
|\ |\ |\ |\ |\ |\ |\
framework when caring for this client. Using this framework, the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should consider urgent needs the priority need because
|\ |\ |\ |\ |\ |\ |\ |\ |\
they pose more of a threat to the client. The nurse may also
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
need to use Maslow's hierarchy of needs, the ABC priority-setting
|\ |\ |\ |\ |\ |\ |\ |\ |\
framework, or nursing knowledge to identify which finding is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
most urgent. Therefore, hyperkalemia, which can cause life-
|\ |\ |\ |\ |\ |\ |\
threatening cardiac dysrhythmias, is the priority for the nurse to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
report to the provider. |\ |\ |\
A nurse is facilitating a group discussion with preschool teachers
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about child abuse. Which of the following data should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
use as a common example of a suggestive finding? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Arm cast for a spiral fracture of the forearm [Spiral |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fractures occur from twisting of an extremity. In most instances,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spiral fractures of the arm result from an abusive injury.]
|\ |\ |\ |\ |\ |\ |\ |\ |\
, Due to staffing shortages, a nurse manager floats a medical-
|\ |\ |\ |\ |\ |\ |\ |\ |\
surgical nurse to the pediatric unit. The nurse has limited
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
experience with children. Which of the following actions should |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse manager take? - CORRECT ANSWERS ✔✔Assign a unit
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse to act as a resource to act as a resource for the medical-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgical nurse. [Assigning a nurse who usually works on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pediatric unit to work with the medical-surgical nurse will provide
|\ |\ |\ |\ |\ |\ |\ |\ |\
consistent support]
|\ |\
A nurse is developing a plan of care for a client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gastroesophageal reflux disease (GERD). The nurse should plan |\ |\ |\ |\ |\ |\ |\ |\
to monitor the client for which of the following complications? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Aspiration [Aspiration is a common |\ |\ |\ |\ |\ |\ |\
complication of GERD, which results when the esophageal |\ |\ |\ |\ |\ |\ |\ |\
sphincter malfunctions, allowing gastric acid and undigested food
|\ |\ |\ |\ |\ |\ |\
to back up into the esophagus. This places the client at risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspiration. GERD causes effortless, uncontrolled regurgitation |\ |\ |\ |\ |\ |\
whether the client is in an upright position or reclining. The most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common results of regurgitation are heartburn and indigestion;
|\ |\ |\ |\ |\ |\ |\ |\
however, aspiration is also possible. Therefore, the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\
monitor the client for crackles in the lung fields, which is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indication of aspiration.] |\ |\
A client at a routine prenatal care visit asks the nurse if it is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common to develop vaginal yeast infections during pregnancy.
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following responses should the nurse make? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔"The hormonal changes of pregnancy |\ |\ |\ |\ |\ |\ |\
change the acidity of the vagina, making yeast infections more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common." [This is an information-seeking question; therefore, the |\ |\ |\ |\ |\ |\ |\
therapeutic response is an answer that provides the client with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the information she requested.]
|\ |\ |\
|\ |\ |\ |\ |\
Final QUESTIONS WITH ANSWERS |\ |\ |\
A nurse is teaching the parent of a child who has severe reactive
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
airway disease about glucocorticoid therapy. The parent asks why
|\ |\ |\ |\ |\ |\ |\ |\
her child has to inhale the medication instead of taking it orally.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following information should the nurse provide the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
parent? - CORRECT ANSWERS ✔✔Oral glucocorticoids are more
|\ |\ |\ |\ |\ |\ |\ |\
like to slow linear growth in children. (Chronic use of oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
glucocorticoids in high doses by children can result in decreased |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
linear growth. Inhaled glucocorticoids deliver the anti-
|\ |\ |\ |\ |\ |\
inflammatory agent directly to the local target area (pts airways) |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
resulting in an decreased risk for adrenal suppression).
|\ |\ |\ |\ |\ |\ |\
A nurse is providing teaching to a client who has come to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
family planning clinic requesting an intrauterine device (IUD).
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following information should the nurse provide the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client? - CORRECT ANSWERS ✔✔"Your risk of ectopic pregnancy
|\ |\ |\ |\ |\ |\ |\ |\ |\
increases with an IUD." [An IUD is a family planning device the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider inserts through the cervix into the uterus to prevent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pregnancy. The IUD works by changing the lining of the uterus |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and fallopian tubes, making fertilization in the uterus more
|\ |\ |\ |\ |\ |\ |\ |\ |\
difficult. Consequently, an IUD increases the risk for ectopic
|\ |\ |\ |\ |\ |\ |\ |\ |\
pregnancy.]
A nurse is assessing a preschooler who has recurrent and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
persistent otitis media. When obtaining the child's history from
|\ |\ |\ |\ |\ |\ |\ |\ |\
her parent, which of the following questions should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ask? - CORRECT ANSWERS ✔✔"Does anyone smoke around or in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the same house as your child?" [Otitis media is an infection of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,the middle ear. Passive smoking promotes adherence of
|\ |\ |\ |\ |\ |\ |\ |\
respiratory pathogens to the lining of the middle ear space. It |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
also prolongs the inflammation and impedes drainage from the
|\ |\ |\ |\ |\ |\ |\ |\ |\
ear.]
A nurse is providing teaching to a client who has a new
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescription for sertraline. The client asks the nurse if he should |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
continue to take St. John's wort for depression. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following instructions should the nurse give the client? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Stop taking the herbal supplement while |\ |\ |\ |\ |\ |\ |\ |\
taking the medication. [Taking the antidepressant sertraline and
|\ |\ |\ |\ |\ |\ |\ |\
the herbal supplement St. John's wort together puts the client at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk for serotonin syndrome.]
|\ |\ |\
A nurse is caring for a client who is receiving bleomycin IV to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treat lymphoma. Which of the following assessments is the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse's priority? - CORRECT ANSWERS ✔✔Pulmonary function
|\ |\ |\ |\ |\ |\ |\
[The nurse should apply the safety and risk reduction priority-
|\ |\ |\ |\ |\ |\ |\ |\ |\
setting framework. This framework assigns priority to the factor
|\ |\ |\ |\ |\ |\ |\ |\ |\
or situation posing the greatest safety risk to the client. When
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
there are several risks to client safety, the one posing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
greatest threat is the highest priority. The nurse should use
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Maslow's Hierarchy of needs, the ABC priority-setting framework,
|\ |\ |\ |\ |\ |\ |\ |\
or nursing knowledge to identify which risk poses the greatest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
threat to the client. Bleomycin can cause severe lung injury,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
including pneumonitis and pulmonary fibrosis, and it affects a
|\ |\ |\ |\ |\ |\ |\ |\ |\
significant percentage of clients receiving this medication; |\ |\ |\ |\ |\ |\ |\
therefore, pulmonary function is the priority assessment.] |\ |\ |\ |\ |\ |\
A nurse is teaching a client how to use an albuterol metered dose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inhaler. After removing the cap from the inhaler and shaking the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
canister, identify the sequence of instructions the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\
,give the client. (Move the steps into the box on the right, placing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
them in the selected order of performance. Use all the steps.) -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔1. The client should hold the mouthpiece |\ |\ |\ |\ |\ |\ |\ |\ |\
2-4 cm (1-2 in) from his mouth 2. Tilt his head back slightly, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
then open his mouth 3. Next, he should depress the medication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
canister while taking a deep breath to facilitate delivery of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication through the airway 4. After holding his breath for 10 |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seconds, the client should resume his usual breathing pattern.
|\ |\ |\ |\ |\ |\ |\ |\
A nurse is reviewing the laboratory report for a client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chronic kidney disease (CKD). The nurse finds the following
|\ |\ |\ |\ |\ |\ |\ |\ |\
laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dL, |\ |\ |\ |\ |\ |\ |\ |\ |\
hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL. Which of the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following findings is the priority for the nurse to report to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider? - CORRECT ANSWERS ✔✔Hyperkalemia [The nurse |\ |\ |\ |\ |\ |\ |\
should apply the urgent versus nonurgent priority-setting
|\ |\ |\ |\ |\ |\ |\
framework when caring for this client. Using this framework, the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should consider urgent needs the priority need because
|\ |\ |\ |\ |\ |\ |\ |\ |\
they pose more of a threat to the client. The nurse may also
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
need to use Maslow's hierarchy of needs, the ABC priority-setting
|\ |\ |\ |\ |\ |\ |\ |\ |\
framework, or nursing knowledge to identify which finding is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
most urgent. Therefore, hyperkalemia, which can cause life-
|\ |\ |\ |\ |\ |\ |\
threatening cardiac dysrhythmias, is the priority for the nurse to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
report to the provider. |\ |\ |\
A nurse is facilitating a group discussion with preschool teachers
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about child abuse. Which of the following data should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
use as a common example of a suggestive finding? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Arm cast for a spiral fracture of the forearm [Spiral |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fractures occur from twisting of an extremity. In most instances,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
spiral fractures of the arm result from an abusive injury.]
|\ |\ |\ |\ |\ |\ |\ |\ |\
, Due to staffing shortages, a nurse manager floats a medical-
|\ |\ |\ |\ |\ |\ |\ |\ |\
surgical nurse to the pediatric unit. The nurse has limited
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
experience with children. Which of the following actions should |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse manager take? - CORRECT ANSWERS ✔✔Assign a unit
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse to act as a resource to act as a resource for the medical-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgical nurse. [Assigning a nurse who usually works on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pediatric unit to work with the medical-surgical nurse will provide
|\ |\ |\ |\ |\ |\ |\ |\ |\
consistent support]
|\ |\
A nurse is developing a plan of care for a client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gastroesophageal reflux disease (GERD). The nurse should plan |\ |\ |\ |\ |\ |\ |\ |\
to monitor the client for which of the following complications? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Aspiration [Aspiration is a common |\ |\ |\ |\ |\ |\ |\
complication of GERD, which results when the esophageal |\ |\ |\ |\ |\ |\ |\ |\
sphincter malfunctions, allowing gastric acid and undigested food
|\ |\ |\ |\ |\ |\ |\
to back up into the esophagus. This places the client at risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspiration. GERD causes effortless, uncontrolled regurgitation |\ |\ |\ |\ |\ |\
whether the client is in an upright position or reclining. The most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common results of regurgitation are heartburn and indigestion;
|\ |\ |\ |\ |\ |\ |\ |\
however, aspiration is also possible. Therefore, the nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\
monitor the client for crackles in the lung fields, which is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indication of aspiration.] |\ |\
A client at a routine prenatal care visit asks the nurse if it is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common to develop vaginal yeast infections during pregnancy.
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following responses should the nurse make? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔"The hormonal changes of pregnancy |\ |\ |\ |\ |\ |\ |\
change the acidity of the vagina, making yeast infections more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common." [This is an information-seeking question; therefore, the |\ |\ |\ |\ |\ |\ |\
therapeutic response is an answer that provides the client with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the information she requested.]
|\ |\ |\
