NURS 400 Midterm Exam – Questions With
Comprehensive Solutions
Save
Terms in this set (367)
A client with acute lymphoblastic a. every 7 days for a transparent semipermeable
leukemia (ALL) has a right subclavian dressings
central venous catheter in place. At b. when the dressing is becoming loose
which time(s) should the nurse change c. when the dressing is soiled
the dressing? Select all that apply. d. when the site is reddened
A client with aplastic anemia is dark green leafy vegetables
instructed to eat foods rich in iron. The
nurse should instruct the client to
include which food in the diet to
increase iron intake?
A client with rheumatoid arthritis tells "Take a warm tub bath or shower before exercising.
the nurse, "I know it's important to This may help with your discomfort"
exercise my joints so I won't lose
mobility, but my joints are so stiff and
painful that exercising is difficult."
Which response by the nurse would
be most appropriate?
A client with rheumatoid arthritis has Hearing
been on aspirin therapy for an
extended time. Which assessment is -Usually resolves 2 weeks after discontinued
the most important for the nurse to
obtain?
,A client with the beta-thalassemia trait "We'll need more genetic counselling in the future"
plans to marry a person of Italian
ancestry who also has the trait. Which 25% having a child with thalassemia if both parents
client statement indicates have it and a potentially life-threatening disease
understanding of the teaching
provided by the nurse?
A nurse is teaching a client who has a Epinephrine
severe allergy to bee stings how to
manage a reaction. What medication
does the nurse encourage the client
to take first after being stung by a
bee?
The nurse is assessing a client with an Neutrophils
ankle wound and foot pain. Which
white blood cell (WBC) differential Osteomyelitis is a bone inflammation caused by
would be elevated if the client has pyogenic bone infection. Osteomyelitis would
osteomyelitis? increase neutrophil count.
A nurse is developing a care plan for a Place a pressure reducing mattress on the clients
client with disseminated intravascular bed as at risk for impaired skin integrity related to
coagulation (DIC). Which nursing bleeding or ischemia. Perform skin care every 2
intervention should the nurse include? hours.
What information should a nurse plan "You are more susceptible to infection due to
to teach a client newly diagnosed with damage to your immune system"
an infection who has acquired-
immune deficiency syndrome (AIDS)?
A client is newly diagnosed with taking vitamin B12 injections or nasal spray
pernicious anemia. The nurse is replacement
teaching the client to increase vitamin
B12 intake. Which is the most effective
way for this client to increase vitamin
B12 intake?
,On the fourth day after surgery, a Notify the health care provider (HCP)
client's incision is red and inflamed.
There is moderate drainage from the
incision. The client has a temperature
of 102°F (38.9°C). The total white
blood cell (WBC) count is 10,000/mm3
(10 × 109/L). What should the nurse do
first?
A client is receiving a transfusion of Stay with the client during the first 15 minutes to
packed red blood cells. What should detect signs or symptoms of a reaction
the nurse do to safely administer the
blood?
A client with acquired "That sounds very difficult. How are you coping with
immunodeficiency syndrome is this"
admitted with Pneumocystis jiroveci
pneumonia. The client begins to cry
and says, "My friends and relatives
have stopped visiting and calling."
What is the nurse's best response?
A nurse preparing to discharge a child Offer a face mask to the person with the cold and
with leukemia observes a family use this as an opportunity for further teaching
member who has a cold sharing a
meal with the child. How should the
nurse approach the situation?
A client is about to undergo bone You will feel a pulling type of discomfort for a few
marrow aspiration of the sternum. seconds
What should the nurse tell the client?
The client will feel a suction or pulling type of
sensation or discomfort that lasts a few seconds,
local anesthetic is used and a small dressing is
applied
, A client being treated for leukemia has Place sign on client's door reminding all persons to
an absolute neutrophil count of 400 wash hands prior to entering
cells/mm3. What precautions would
the nurse include in the plan of care? Neutrophils fall below 1000 or less than 500 reflects a
severe risk of infection. Positive pressure isolation
room.
The nurse is assessing a client with a 6.6lb weight gain over 2 days
chronic hepatitis B who is receiving
lamivudine. What information about the fuild weight gain is of concern since the drug
the client is most important to should be used with caution in patients with impaired
communicate to the health care renal function. Renal insufficiency *
provider?
A client with anemia has been Remain near the client during the first 15 minutes of
prescribed 2 units of packed red infusion to monitor for transfusion reaction
blood cells (PRBCs). What should the
nurse do to reduce the possibility of a
transfusion error?
A client undergoing antineoplastic Hemoglobin levels rise.
therapy is prescribed subcutaneous
epoetin. What indicates to the nurse Epoetin stimulates erythropoiesis and the production
that the drug has been effective? of red blood cells.
The nurse is caring for a client being Contact the health care provider at first signs of an
discharged following kidney infection
transplantation. The client is ordered
Mofetil to prevent organ rejection. Mofetil is an organ rejection medication that
Which nursing instruction is essential diminishes the body's ability to identify and eliminate
regarding medication use? pathogens (immunosuppressant).
A client with anemia has been dyspnea, tachycardia, pallor
admitted to the medical-surgical unit.
Which assessment findings are As well as fatigue, listlessness, irritability and
characteristic of iron deficiency headache
anemia?
Comprehensive Solutions
Save
Terms in this set (367)
A client with acute lymphoblastic a. every 7 days for a transparent semipermeable
leukemia (ALL) has a right subclavian dressings
central venous catheter in place. At b. when the dressing is becoming loose
which time(s) should the nurse change c. when the dressing is soiled
the dressing? Select all that apply. d. when the site is reddened
A client with aplastic anemia is dark green leafy vegetables
instructed to eat foods rich in iron. The
nurse should instruct the client to
include which food in the diet to
increase iron intake?
A client with rheumatoid arthritis tells "Take a warm tub bath or shower before exercising.
the nurse, "I know it's important to This may help with your discomfort"
exercise my joints so I won't lose
mobility, but my joints are so stiff and
painful that exercising is difficult."
Which response by the nurse would
be most appropriate?
A client with rheumatoid arthritis has Hearing
been on aspirin therapy for an
extended time. Which assessment is -Usually resolves 2 weeks after discontinued
the most important for the nurse to
obtain?
,A client with the beta-thalassemia trait "We'll need more genetic counselling in the future"
plans to marry a person of Italian
ancestry who also has the trait. Which 25% having a child with thalassemia if both parents
client statement indicates have it and a potentially life-threatening disease
understanding of the teaching
provided by the nurse?
A nurse is teaching a client who has a Epinephrine
severe allergy to bee stings how to
manage a reaction. What medication
does the nurse encourage the client
to take first after being stung by a
bee?
The nurse is assessing a client with an Neutrophils
ankle wound and foot pain. Which
white blood cell (WBC) differential Osteomyelitis is a bone inflammation caused by
would be elevated if the client has pyogenic bone infection. Osteomyelitis would
osteomyelitis? increase neutrophil count.
A nurse is developing a care plan for a Place a pressure reducing mattress on the clients
client with disseminated intravascular bed as at risk for impaired skin integrity related to
coagulation (DIC). Which nursing bleeding or ischemia. Perform skin care every 2
intervention should the nurse include? hours.
What information should a nurse plan "You are more susceptible to infection due to
to teach a client newly diagnosed with damage to your immune system"
an infection who has acquired-
immune deficiency syndrome (AIDS)?
A client is newly diagnosed with taking vitamin B12 injections or nasal spray
pernicious anemia. The nurse is replacement
teaching the client to increase vitamin
B12 intake. Which is the most effective
way for this client to increase vitamin
B12 intake?
,On the fourth day after surgery, a Notify the health care provider (HCP)
client's incision is red and inflamed.
There is moderate drainage from the
incision. The client has a temperature
of 102°F (38.9°C). The total white
blood cell (WBC) count is 10,000/mm3
(10 × 109/L). What should the nurse do
first?
A client is receiving a transfusion of Stay with the client during the first 15 minutes to
packed red blood cells. What should detect signs or symptoms of a reaction
the nurse do to safely administer the
blood?
A client with acquired "That sounds very difficult. How are you coping with
immunodeficiency syndrome is this"
admitted with Pneumocystis jiroveci
pneumonia. The client begins to cry
and says, "My friends and relatives
have stopped visiting and calling."
What is the nurse's best response?
A nurse preparing to discharge a child Offer a face mask to the person with the cold and
with leukemia observes a family use this as an opportunity for further teaching
member who has a cold sharing a
meal with the child. How should the
nurse approach the situation?
A client is about to undergo bone You will feel a pulling type of discomfort for a few
marrow aspiration of the sternum. seconds
What should the nurse tell the client?
The client will feel a suction or pulling type of
sensation or discomfort that lasts a few seconds,
local anesthetic is used and a small dressing is
applied
, A client being treated for leukemia has Place sign on client's door reminding all persons to
an absolute neutrophil count of 400 wash hands prior to entering
cells/mm3. What precautions would
the nurse include in the plan of care? Neutrophils fall below 1000 or less than 500 reflects a
severe risk of infection. Positive pressure isolation
room.
The nurse is assessing a client with a 6.6lb weight gain over 2 days
chronic hepatitis B who is receiving
lamivudine. What information about the fuild weight gain is of concern since the drug
the client is most important to should be used with caution in patients with impaired
communicate to the health care renal function. Renal insufficiency *
provider?
A client with anemia has been Remain near the client during the first 15 minutes of
prescribed 2 units of packed red infusion to monitor for transfusion reaction
blood cells (PRBCs). What should the
nurse do to reduce the possibility of a
transfusion error?
A client undergoing antineoplastic Hemoglobin levels rise.
therapy is prescribed subcutaneous
epoetin. What indicates to the nurse Epoetin stimulates erythropoiesis and the production
that the drug has been effective? of red blood cells.
The nurse is caring for a client being Contact the health care provider at first signs of an
discharged following kidney infection
transplantation. The client is ordered
Mofetil to prevent organ rejection. Mofetil is an organ rejection medication that
Which nursing instruction is essential diminishes the body's ability to identify and eliminate
regarding medication use? pathogens (immunosuppressant).
A client with anemia has been dyspnea, tachycardia, pallor
admitted to the medical-surgical unit.
Which assessment findings are As well as fatigue, listlessness, irritability and
characteristic of iron deficiency headache
anemia?
