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A nurse is admitting a client who has peptic ulcer disease and
an upper gastrointestinal bleed. Which of the following
manifestations should the nurse expect? Select all that apply
A: Dark, tarry stools
B: Bright red emesis C:
Increased heart rat eD:
Increased blood
pressure
E: Bounding peripheral pulses - - ANSWER-Dark tarry stools,
bright red emesis, increased heart rate
A nurse is assessing a client for manifestations of left-sided
heart failure. Which of the following findings should the nurse
expect?
-Weight gain
-Enlarged liver
-Distended abdomen
-Cool extremities - ANSWER-Cool extremities
,The nurse should expect to find cool extremities in the client
who has left-sided
heart failure due to a decreased cardiac output leading to
impaired tissue
perfusion.
A nurse is providing teaching about home care with a parent of
a child who has scabies. Which of the following statements by
the parent indicates an understanding of the teaching?
A: "I should apply the cream only to the areas where
there is a rash. "B: "I should wash my child's bed linens
and clothing in hot water and detergent."
C: "I should expect my child's rash to go away within 72 hours
after starting treatment."
D: "I should leave the cream on my child for 4 hours before
washing it off." - ANSWER-I should wash my child's bed linens
and clothing in hot water and detergent
A nurse is reviewing the laboratory records of a client who has
AIDS. Which of the following laboratory results should the
nurse review to determine if the client is at risk for
malnutrition?
A: WBC count
B: Albumin level
C: CD4 T cell count
D: C-reactive protein level - ANSWER-Albumin level
A nurse is assessing for adverse medication reactions with a
client who reports taking more than the recommended doses of
,acetaminophen for the management of chronic pain. Which of
the following findings should the nurse identify as an adverse
effect of acetaminophen?
A: Elevated aspartate aminotransferase levels
B: Decreased skin turgor
C: Elevated WBC count
D: Decreased audio acuity - ANSWER-Elevated aspartate
aminotransferase levels
A nurse is teaching a client who has COPD about preventing
pneumonia. Which
of the following client statements indicates an understanding
of the teaching?"
A. I will drink one and a half liters of fluids
every day."
B: "I will get the pneumonia
vaccine yearly."
C: "I will spray an aerosol disinfectant in my house
every day."
D: "I will wash my hands whenever I come home from the
grocery store." -
ANSWER-I will wash my hands whenever I come home from the
grocery store
A nurse in a provider's office is reviewing the medical record of
a client who has COPD. Which of the following findings is the
priority for the nurse to report to the provider?
A: Chest x-ray results show increased lung space.
B: Sputum culture shows gram positive bacteria.
, C: SpO2 level is 88%.
D: Weight loss of 1.4 kg (3 lb) since prior visit. - ANSWER-
Sputum culture shows gram positive bacteria
A nurse is providing teaching for a client who has peripheral
neuropathy of the lower extremities. Which of the following
client statements indicates an understanding of the teaching?
A: "I should wash my feet with soap before I try to treat my
calluses."
B: "I should limit wearing the same shoes 2 days in a row."
C: "I should use home remedies to treat any blisters or sores
on my feet." D: "I should use adhesive tape to secure a
dressing on my foot when I have skin breakdown." - ANSWER-
I should limit wearing the same shoes 2 days in a row
A nurse is providing teaching about exercise to a client who
has osteoarthritis.
Which of the following information should the
nurse include?
A: Increase daily intake of foods containing
vitamin A.
B: Limit alcohol consumption to
10 oz daily
.C: Perform exercises to strengthen the
abdominal core.
D: Start a daily jogging regimen - ANSWER-Perform exercise
even on days
when joints are
painful