NUR2214 Module 3 Questions with Verified
Correct Answers
A client is scheduled for a lumbar puncture. What nursing care should be implemented
after the procedure?
Maintaining the client in the supine position for several hours
A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to
pediatric clients should the nurse anticipate?
Tendon rupture
A nurse is caring for a group of clients with myasthenia gravis, Guillain-Barré
syndrome, and amyotrophic lateral sclerosis (ALS). Which information should the
nurse consider when planning care for this group of clients?
Increased risk for respiratory complications
A nurse provides discharge teaching to a client who had a total hip replacement. The
client states that the plan is to go swimming at the community pool the day after
discharge. How should the nurse respond?
Explain that the incision should not be immersed in water until it has healed.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis.
What is the primary reason for instruction on exercise?
To improve the cellular uptake of glucose
A nurse is assessing a client with a cast to the extremity. Which assessment finding is the
priority?
Numbness
,Which joint in the client's body is an example of a gliding joint?
Sacroiliac
A healthcare provider prescribes a diagnostic workup for a client who may have
myasthenia gravis. What is the initial nursing objective for the client during the
diagnostic phase?
"The client will maintain present muscle strength."
A client sustains a fractured right femur after an automobile accident and is admitted to
the hospital's emergency department. Which assessment is the priority?
Take the client's pedal pulse in the affected extremity.
Which individual is at risk of developing carpal tunnel syndrome?
Software engineer
To prevent thrombophlebitis in the immediate postoperative period, which action is
most important for a nurse to include in the client's plan of care?
Encourage early mobility.
Non-weight bearing with crutches has been prescribed for a client with a leg injury. The
nurse provides teaching before ambulation is begun. To facilitate walking with crutches,
what is the most important activity the nurse should teach the client?
Exercise the triceps, finger flexors, and elbow extensors.
A client has a total hip arthroplasty. What should the nurse do when caring for this
client after surgery?
Use a pillow to keep the legs abducted.
, A client with osteoporosis is prescribed raloxifene. What should the nurse monitor in
the client?
Monitor liver function tests
A woman fractured her left tibia and fibula one week ago and has a cast in place. She is
taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive. She
began experiencing left calf pain 3 days ago and began having shortness of breath and
chest pain 15 minutes ago. When the shortness of breath and chest pain increase, she
calls the emergency department and communicates this information to the triage nurse.
What is the triage nurse's best response?
"Give me your name and address. I am sending an ambulance to your home. You need
emergency care."
A client with a fractured tibia and fibula is to be discharged from the emergency
department with a right leg cast and crutches. In addition to the technical aspects of
crutch walking, the nurse should teach the client to do what?
Remove loose rugs from the environment.
A client with severe varicose veins has surgery that involves ligation, dissection, and
removal of incompetent vessels. In which position should the nurse place the client after
surgery?
Supine with the legs elevated at a 15-degree angle
The nurse enters a client's room and finds the client on the floor crying for help. It is
obvious to the nurse that the client has sustained a hip fracture. Which action should
the nurse take first?
Immobilize the affected extremity.
Correct Answers
A client is scheduled for a lumbar puncture. What nursing care should be implemented
after the procedure?
Maintaining the client in the supine position for several hours
A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to
pediatric clients should the nurse anticipate?
Tendon rupture
A nurse is caring for a group of clients with myasthenia gravis, Guillain-Barré
syndrome, and amyotrophic lateral sclerosis (ALS). Which information should the
nurse consider when planning care for this group of clients?
Increased risk for respiratory complications
A nurse provides discharge teaching to a client who had a total hip replacement. The
client states that the plan is to go swimming at the community pool the day after
discharge. How should the nurse respond?
Explain that the incision should not be immersed in water until it has healed.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis.
What is the primary reason for instruction on exercise?
To improve the cellular uptake of glucose
A nurse is assessing a client with a cast to the extremity. Which assessment finding is the
priority?
Numbness
,Which joint in the client's body is an example of a gliding joint?
Sacroiliac
A healthcare provider prescribes a diagnostic workup for a client who may have
myasthenia gravis. What is the initial nursing objective for the client during the
diagnostic phase?
"The client will maintain present muscle strength."
A client sustains a fractured right femur after an automobile accident and is admitted to
the hospital's emergency department. Which assessment is the priority?
Take the client's pedal pulse in the affected extremity.
Which individual is at risk of developing carpal tunnel syndrome?
Software engineer
To prevent thrombophlebitis in the immediate postoperative period, which action is
most important for a nurse to include in the client's plan of care?
Encourage early mobility.
Non-weight bearing with crutches has been prescribed for a client with a leg injury. The
nurse provides teaching before ambulation is begun. To facilitate walking with crutches,
what is the most important activity the nurse should teach the client?
Exercise the triceps, finger flexors, and elbow extensors.
A client has a total hip arthroplasty. What should the nurse do when caring for this
client after surgery?
Use a pillow to keep the legs abducted.
, A client with osteoporosis is prescribed raloxifene. What should the nurse monitor in
the client?
Monitor liver function tests
A woman fractured her left tibia and fibula one week ago and has a cast in place. She is
taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive. She
began experiencing left calf pain 3 days ago and began having shortness of breath and
chest pain 15 minutes ago. When the shortness of breath and chest pain increase, she
calls the emergency department and communicates this information to the triage nurse.
What is the triage nurse's best response?
"Give me your name and address. I am sending an ambulance to your home. You need
emergency care."
A client with a fractured tibia and fibula is to be discharged from the emergency
department with a right leg cast and crutches. In addition to the technical aspects of
crutch walking, the nurse should teach the client to do what?
Remove loose rugs from the environment.
A client with severe varicose veins has surgery that involves ligation, dissection, and
removal of incompetent vessels. In which position should the nurse place the client after
surgery?
Supine with the legs elevated at a 15-degree angle
The nurse enters a client's room and finds the client on the floor crying for help. It is
obvious to the nurse that the client has sustained a hip fracture. Which action should
the nurse take first?
Immobilize the affected extremity.
