A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation
(TENS) for the management of bone cancer pain. The nurse should explain that applying
a TENS unit to the painful area has which of the following effects?
A. Electrically generated feelings of heat
B. Cryotherapy for painful areas
C. A tingling sensation replacing the pain
D. Realignment of energy flow through meridians
C
Increase the current until "pins and needles" sensation overrides the pain
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse take?
,A. You should accept your body image change before discharge
B. It is important for you to look at the incisional site when the dressings are removed
C. I will refer you to a community resource that can provide support
D. The scar will remain red and raised for many years after surgery
C
Provide support to assist with the acceptance of body image changes.
Acceptance of the changed body image is individualized and usually occurs
over a period of time. Encourage the client to look at the incision when the
client is ready. Redness and raised incision will start to decrease in the first few
months after surgery.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider?
A. Sedimentation rate
B. Hematocrit
C. Calcium
D. Acid phosphatase
, A
An increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis. Hematocrit levels are not altered
by inflammatory processes. A client who has a bone fracture can have an
alteration in calcium levels due to bone remodeling, but alterations in calcium
levels do not indicate an inflammatory process. Acid phosphatase levels are
altered in prostate disease and have an inverse relationship with calcium
levels. Neither phosphorus nor acid phosphatase indicate an inflammatory
disorder.
A nurse is teaching a client who has a prescription for continuous ambulatory peritoneal
dialysis. Which of the following instructions should the nurse include?
A. Eat a low-fiber diet to maintain dialysate flow
B. Warm the dialysate in the microwave before instillation
C. Expect the dialysate outflow to appear cloudy
D. Allow the dialysate to dwell for 4 hr during each exchange
D
Allow to dwell for 4-8 hr during each exchange to filter and remove fluid and
waste products
The nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube. The nurse should recognize that which of the following complications is associated
with long-term mechanical ventilation?
A. Elevated BP
B. Dehydration
C. Stress ulcers
D. Hypernatremia
, C
Stress ulcers caused by elevated levels of hydrochloric acid in the stomach.
Increase the risk for systemic infection and require treatment. Decreased CO,
hypotension, fluid retention from decreased CO, and hyponatremia secondary
to fluid retention are expected.
A nurse is providing instructions to a client who has active tuberculosis (TB). Which of the
following information should the nurse include in the instructions?
A. Sputum specimens are necessary every 2-4 weeks until there are three negative
cultures
B. The contagious period generally lasts for 6-8 weeks after the initiation of medication
therapy
C. Family members should follow airborne precautions at home
D. A follow-up TB skin test is necessary in 2 months
Give this one a try later!
A
After three negative sputum cultures, the client is no longer considered
infectious. Usually no longer contagious after taking TB medications for 2-3
weeks. Family members do not need to follow airborne precautions because
they have already been exposed to TB. A follow-up evaluation of the client's
TB should be performed using a chest x-ray because the TB skin test is no
longer considered accurate after a person has tested positive.
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To
reduce the risk of falls when ambulating, the nurse should provide which of the following
instructions to the client?
A. Wear an eye patch over one eye.
(TENS) for the management of bone cancer pain. The nurse should explain that applying
a TENS unit to the painful area has which of the following effects?
A. Electrically generated feelings of heat
B. Cryotherapy for painful areas
C. A tingling sensation replacing the pain
D. Realignment of energy flow through meridians
C
Increase the current until "pins and needles" sensation overrides the pain
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse take?
,A. You should accept your body image change before discharge
B. It is important for you to look at the incisional site when the dressings are removed
C. I will refer you to a community resource that can provide support
D. The scar will remain red and raised for many years after surgery
C
Provide support to assist with the acceptance of body image changes.
Acceptance of the changed body image is individualized and usually occurs
over a period of time. Encourage the client to look at the incision when the
client is ready. Redness and raised incision will start to decrease in the first few
months after surgery.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider?
A. Sedimentation rate
B. Hematocrit
C. Calcium
D. Acid phosphatase
, A
An increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis. Hematocrit levels are not altered
by inflammatory processes. A client who has a bone fracture can have an
alteration in calcium levels due to bone remodeling, but alterations in calcium
levels do not indicate an inflammatory process. Acid phosphatase levels are
altered in prostate disease and have an inverse relationship with calcium
levels. Neither phosphorus nor acid phosphatase indicate an inflammatory
disorder.
A nurse is teaching a client who has a prescription for continuous ambulatory peritoneal
dialysis. Which of the following instructions should the nurse include?
A. Eat a low-fiber diet to maintain dialysate flow
B. Warm the dialysate in the microwave before instillation
C. Expect the dialysate outflow to appear cloudy
D. Allow the dialysate to dwell for 4 hr during each exchange
D
Allow to dwell for 4-8 hr during each exchange to filter and remove fluid and
waste products
The nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy
tube. The nurse should recognize that which of the following complications is associated
with long-term mechanical ventilation?
A. Elevated BP
B. Dehydration
C. Stress ulcers
D. Hypernatremia
, C
Stress ulcers caused by elevated levels of hydrochloric acid in the stomach.
Increase the risk for systemic infection and require treatment. Decreased CO,
hypotension, fluid retention from decreased CO, and hyponatremia secondary
to fluid retention are expected.
A nurse is providing instructions to a client who has active tuberculosis (TB). Which of the
following information should the nurse include in the instructions?
A. Sputum specimens are necessary every 2-4 weeks until there are three negative
cultures
B. The contagious period generally lasts for 6-8 weeks after the initiation of medication
therapy
C. Family members should follow airborne precautions at home
D. A follow-up TB skin test is necessary in 2 months
Give this one a try later!
A
After three negative sputum cultures, the client is no longer considered
infectious. Usually no longer contagious after taking TB medications for 2-3
weeks. Family members do not need to follow airborne precautions because
they have already been exposed to TB. A follow-up evaluation of the client's
TB should be performed using a chest x-ray because the TB skin test is no
longer considered accurate after a person has tested positive.
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To
reduce the risk of falls when ambulating, the nurse should provide which of the following
instructions to the client?
A. Wear an eye patch over one eye.
