180 questions you can study with
177. A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect? a. Dependent edema
178. A nurse is reinforcing teaching to an adult client who is prescribe Lipitor. The nurse should
advise the client that which of the following is an adverse effect of this medication and should be
reported to the provider? b. Unexplained muscle pain
179. A nurse is planning client care for a shift. Which of the following should the nurse plan to
delegate to an assistive personnel? d. Ambulating a client receiving patient-controlled
analgesia.
A 58 year old client has been admitted to the hospital for treatment of septic arthritis. Which of
the following is NOT a risk factor for this condition?
a. poorly controlled diabetes
b. an artificial joint implant
c. taking medications for rheumatoid arthritis
d. a history of femur fracture d. a history of femur fracture
A client has been diagnosed with stress incontinence and has frequent episodes of leaking urine.
Which of the following nursing interventions are most appropriate in this situation? Select all
that apply
a. examine the client for signs of pelvic muscle weakness
b. teach the client how to perform intermittent catheterization
c. help the client to use an anti-incontinence device
d. collect a urine sample to test for infection
e. teach the client to perform Kegal exercises a. examine the client for signs of pelvic
muscle weakness
c. help the client to use an anti-incontinence device
d. collect a urine sample to test for infection
e. teach the client to perform Kegal exercises
A client has developed a reaction after receiving a blood transfusion. The nurse suspects that it is
a bacterial reaction due to a contaminated blood product. Which of the following signs or
symptoms would the nurse see with this type of reaction? Select all that apply
a. hypertension
b. distended neck veins
c. vomiting
d. nausea
e. fever and chills c. vomiting
d. nausea
e. fever and chills
, A client present to the emergency department with abdominal pain. The client states she has not
had a bowel movement for one week. An x-ray confirms constipation, and the provider is
concerned about a blockage if the client doesn't have a bowel movement soon. Which of the
following medications pulls water into the colon to soften the stool?
a. metformin
b. mannitol
c. meperidine
d. methylprednisone b. mannitol
A client presents for the care of a primary care facility. The client is coughing and has a fever of
102. Which statement from the nurse regarding protective equipment is most appropriate in
preventing the potential spread of this client's infection?
a. please wait while I put on a mask before taking your vital signs
b. I'm sorry, but you cannot come in here with your symptoms
c. you will need to wear a mask, gown, and gloves while you wait to see the doctor
d. you will need to wear a mask while you wait to see the provider you will need to wear a mask
while you wait to see the provider
A client with a lung infection must undergo a bronchoalveolar lavage. The nurse assists the
physician during the procedure in the endoscopy suite. Which of the following considerations
regarding this type of bronchoscopy are true. Select all that apply
a. a tube is inserted into the lung tissue to visualize lesions associated with cancer
b. a bronchoscope is passed into the lung tissue and a small amount of tissue is taken out using
forceps
c. medication is instilled into the lung tissue and a small amount of fluid is inserted
d. a bronchoscopy is passed into the lung tissue and a small amount fo fluid is inserted
e. fluid is inserted the lung tissue, some of it is suctioned into a trap and then analysed
d, e d. a bronchoscopy is passed into the lung tissue and a small amount fo fluid is inserted
e. fluid is inserted the lung tissue, some of it is suctioned into a trap and then analysed
A client with COPD is receiving care at the primary provider's clinic with worsening of
symptoms of emphysema. The provider orders an outpatient chest xray to determine if there have
been any changes in lung structure. Which best describes what would show on a chest x-ray in
the later stages of emphysema?
a. increase size of heart
b. flattened diaphragm
c. plaque formation scattered throughout the lung
d. mediastinal shift to the right b. flattened diaphragm
A client with major depressive disorder is receiving care for suicidal ideation. THe nurse is
talking to the client about treatment options. Which of the following is a feature of shared
decision making used to meet this client's needs for care?
a. shared decision making checks the physical feature of the client and his healthcare problems
and appoints a guardian to share in the assessment
b.shared decision making considers multiple alternatives to the client's provisions to determine
the best choice of care
c. shared decision making occurs when a person is able to make a decision on behalf of, or in a
way that impacts another person