NUR 233 EXAM 3 Q&A
Which statement by the nurse indicates effective technique in assessment of a clients renal
system?
A. "I must first palpate the client if a tumor is suspected."
B. "I must first listen for normal pulse at the client's wrist region."
C. "I must first auscultate the client and then proceed to percussion and palpation."
D. "I must first examine tender abdominal areas and then proceed to nontender areas." - =C. "I
must first auscultate the client and then proceed to percussion and palpation."
A healthcare provider prescribes enalapril for a client. Which nursing action is important?
A. Assess the client for hypokalemia.
B. Ensure that the medication is ingested with food.
C. Monitor the client's blood pressure during therapy.
D. Teach that a missed dose can be doubled at the next scheduled time. - =C. Monitor the
client's blood pressure during therapy.
A nurse is caring for a client with orders for furosemide daily, a 2-gram sodium diet, and an oral
fluid restriction of 1200 mL daily. The most recent laboratory results are blood urea nitrogen
(BUN) 42 mg/dL (15.2 mmol/L) and creatinine 1.1 mg/dL (97 mcmol/L). Considering the
assessment findings, which is the most appropriate intervention by the nurse?
A. Administering the furosemide as scheduled
B. Starting strict intake and output measurements
C. Sending a urine specimen for specific gravity testing
D. Notifying the healthcare provider about the results - =D. Notifying the healthcare provider
about the results
,After reviewing a client's reports, the primary healthcare provider suggests palliative care for
the patient. Which conditions would qualify the client for this type of care? Select all that apply.
A. Peptic ulcer
B. Chronic renal failure
C. Cognitive impairment
D. Congestive heart failure
E. Chronic obstructive lung disease - =B. Chronic renal failure
D. Congestive heart failure
E. Chronic obstructive lung disease
A health care provider prescribes daily docusate sodium for a client. The nurse explains to the
client that this medication has what action?
A. Lubricates the feces
B. Creates an osmotic effect
C. Stimulates motor activity
D. Softens the feces - =D. Softens the feces
Which life-threatening complication may occur in clients taking high-dose or long-term
ibuprofen?
A. Anaphylaxis
B. GI bleeding
C. Cardiac dysrhythmia
D. Disulfiram reaction - =B. GI bleeding
The nurse is planning care for a client admitted to the hospital with abdominal spasms and pain
associated with severe diarrhea. Which serum blood level would the nurse monitor?
,A. Urea
B. Chloride
C. Potassium
D. Creatinine - =C. Potassium
Which clinical indicators would the nurse expect when assessing a client with Meniere disease?
Select all that apply.
A. Nausea
B. Dizziness
C. Decreased pulse rate
D. Increased temperature
E. Jerky lateral eye movements - =A. Nausea
B. Dizziness
E. Jerky lateral eye movements
In light of the information elicited during the assessment interview, which initial action would
the nurse take?
A. Initiate suicide precautions with 15-minute visual checks
B. Instruct staff to minimize visual and auditory stimuli on the unit
C. Request a nutritional consult for evaluation and meal planning guidance
D. Encourage the client to express feelings concerning the accident and wife's death - =D.
Encourage the client to express feelings concerning the accident and wife's death
Which clinical indicator is the nurse most likely to identify when exploring the history of a client
with open-angle glaucoma?
, A. Constant blurring
B. Abrupt attacks of acute pain
C. Sudden, complete loss of vision
D. Impairment of peripheral vision - =D. Impairment of peripheral vision
Which information would the nurse include in explaining glaucoma to a client?
A. An increase in the pressure within the eyeball
B. An opacity of the crystalline lens or it's capsule
C. A curvature of the cornea that becomes unequal
D. A separation of the neural retina from the pigmented retina - =A. An increase in the pressure
within the eyeball
Which explanation would the nurse provide a client who asks what a cataract is?
A. An opacity of the lens
B. A thin film over the cornea
C. Crystallization of the pupil
D. An increase in the density of the conjunctiva - =A. An opacity of the lens
Which instruction is important for the nurse to provide to the client after cataract surgery?
A. Remain flat for 3 hours
B. East a soft diet for 2 days
C. Breathe and cough deeply
D. Avoid bending from the waist - =D. Avoid bending from the waist
Which statement by the nurse indicates effective technique in assessment of a clients renal
system?
A. "I must first palpate the client if a tumor is suspected."
B. "I must first listen for normal pulse at the client's wrist region."
C. "I must first auscultate the client and then proceed to percussion and palpation."
D. "I must first examine tender abdominal areas and then proceed to nontender areas." - =C. "I
must first auscultate the client and then proceed to percussion and palpation."
A healthcare provider prescribes enalapril for a client. Which nursing action is important?
A. Assess the client for hypokalemia.
B. Ensure that the medication is ingested with food.
C. Monitor the client's blood pressure during therapy.
D. Teach that a missed dose can be doubled at the next scheduled time. - =C. Monitor the
client's blood pressure during therapy.
A nurse is caring for a client with orders for furosemide daily, a 2-gram sodium diet, and an oral
fluid restriction of 1200 mL daily. The most recent laboratory results are blood urea nitrogen
(BUN) 42 mg/dL (15.2 mmol/L) and creatinine 1.1 mg/dL (97 mcmol/L). Considering the
assessment findings, which is the most appropriate intervention by the nurse?
A. Administering the furosemide as scheduled
B. Starting strict intake and output measurements
C. Sending a urine specimen for specific gravity testing
D. Notifying the healthcare provider about the results - =D. Notifying the healthcare provider
about the results
,After reviewing a client's reports, the primary healthcare provider suggests palliative care for
the patient. Which conditions would qualify the client for this type of care? Select all that apply.
A. Peptic ulcer
B. Chronic renal failure
C. Cognitive impairment
D. Congestive heart failure
E. Chronic obstructive lung disease - =B. Chronic renal failure
D. Congestive heart failure
E. Chronic obstructive lung disease
A health care provider prescribes daily docusate sodium for a client. The nurse explains to the
client that this medication has what action?
A. Lubricates the feces
B. Creates an osmotic effect
C. Stimulates motor activity
D. Softens the feces - =D. Softens the feces
Which life-threatening complication may occur in clients taking high-dose or long-term
ibuprofen?
A. Anaphylaxis
B. GI bleeding
C. Cardiac dysrhythmia
D. Disulfiram reaction - =B. GI bleeding
The nurse is planning care for a client admitted to the hospital with abdominal spasms and pain
associated with severe diarrhea. Which serum blood level would the nurse monitor?
,A. Urea
B. Chloride
C. Potassium
D. Creatinine - =C. Potassium
Which clinical indicators would the nurse expect when assessing a client with Meniere disease?
Select all that apply.
A. Nausea
B. Dizziness
C. Decreased pulse rate
D. Increased temperature
E. Jerky lateral eye movements - =A. Nausea
B. Dizziness
E. Jerky lateral eye movements
In light of the information elicited during the assessment interview, which initial action would
the nurse take?
A. Initiate suicide precautions with 15-minute visual checks
B. Instruct staff to minimize visual and auditory stimuli on the unit
C. Request a nutritional consult for evaluation and meal planning guidance
D. Encourage the client to express feelings concerning the accident and wife's death - =D.
Encourage the client to express feelings concerning the accident and wife's death
Which clinical indicator is the nurse most likely to identify when exploring the history of a client
with open-angle glaucoma?
, A. Constant blurring
B. Abrupt attacks of acute pain
C. Sudden, complete loss of vision
D. Impairment of peripheral vision - =D. Impairment of peripheral vision
Which information would the nurse include in explaining glaucoma to a client?
A. An increase in the pressure within the eyeball
B. An opacity of the crystalline lens or it's capsule
C. A curvature of the cornea that becomes unequal
D. A separation of the neural retina from the pigmented retina - =A. An increase in the pressure
within the eyeball
Which explanation would the nurse provide a client who asks what a cataract is?
A. An opacity of the lens
B. A thin film over the cornea
C. Crystallization of the pupil
D. An increase in the density of the conjunctiva - =A. An opacity of the lens
Which instruction is important for the nurse to provide to the client after cataract surgery?
A. Remain flat for 3 hours
B. East a soft diet for 2 days
C. Breathe and cough deeply
D. Avoid bending from the waist - =D. Avoid bending from the waist
