QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS | NEWEST
EXAM (JUST RELEASED)
A home health nurse is making an initial visit to a client who has multiple
sclerosis.
Which of the following actions is the priority for the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role changes
c. Review the use of adaptive grooming devices to promote client
independence
d. Give the client information about the local national multiple sclerosis
society ---------CORRECT ANSWER-----------------a. Discuss
recommendations for eating and swallowing techniques
A nurse in the emergency department is assessing a client. Which of the
following
actions should the nurse take first? Exhibit
a. Obtain a sputum sample for culture
b. Administer ondansetron
c. Initiate airborne precautions
d. Prepare the client for a chest x-ray ---------CORRECT ANSWER------------
-----c. Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify risk factors for
colorectal
cancer. The nurse should identify which of the following findings as
increasing the
client's risk?
a. History of Crohn's disease
b. BMI of 24
c. Diet high in fiber
,d. Age 46 years ---------CORRECT ANSWER-----------------a. History of
Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client
tells the
nurse, "I'm not sure I want to have a mastectomy." Which of the following
statements
should the nurse make?
a. "I can give you a list of other people who had the same procedure"
b. "You will be cancer-free if you have the procedure"
c. "I can give you additional information about the procedure"
d. "You should should get a second opinion regarding the procedure" -------
--CORRECT ANSWER-----------------c. I can give you additional information
about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is
anemic.
Identify the sequence of steps the nurse should follow.
a. Obtain venous access using 19-gauge needle
b. Obtain the unit of packed RBCs from blood bank
c. Verify blood compatibility with another nurse
d. Initiate transfusion of the unit of packed RBCs
e. Remain with the client for the first 15 to 30 min of the infusion ---------
CORRECT ANSWER-----------------a. Obtain venous access using 19-gauge
needle
b. Obtain the unit of packed RBCs from blood bank
c. Verify blood compatibility with another nurse
d. Initiate transfusion of the unit of packed RBCs
e. Remain with the client for the first 15 to 30 min of the infusion
A nurse is preparing to administer 1 unit of packed RBCs to an adult client.
Which of the
following actions should the nurse plan to take?
a. Administer through a 22-gauge IV catheter
,b. Prime the IV tubing with 0.45% sodium chloride
c. Complete the transfusion within 2 hour
d. Slow the transfusion rate if the client reports itching ---------CORRECT
ANSWER-----------------c. Complete the transfusion within 2 hours
A nurse is planning care for a client who has developed nephrotic
syndrome. Which of
the following dietary recommendations should the nurse include?
a. Increase phosphorus intake
c. Increase potassium intake
d. Decrease carbohydrate intake
b. Decrease protein intake ---------CORRECT ANSWER-----------------b.
Decrease protein intake
A nurse is caring for an older adult client who has dementia. Which of the
following
questions should the nurse ask to assess the client's abstract thinking?
a. "can you count backwards from 100 intervals of 7?"
b. "what is meant by the saying, don't beat around the brush?
c. "what do you understand about your condition?"
d. "can you tell me the state where you were born?" ---------CORRECT
ANSWER-----------------b. What is meant by saying, don't beat around the
bush?
A nurse is caring for a client who has cervical cancer and is receiving
brachytherapy.
Which of the following actions should the nurse take?
a. Keep the soiled bed linens in the client's room
b. Instruct visitors to remain 3 feet from the client
c. Discard the radioactive device in the client's trash can
d. Limit time for visitors to 2 hour per day ---------CORRECT ANSWER-------
----------a. Keep the soiled bed linens in the client's room
, A nurse is preparing a client for a lumbar puncture. Which of the following
images
indicates the position should the nurse assist the client into for this
procedure?
a. Side-lying (THIS IS A DIAGRAM CHOOSE THE PERSON IN A FETAL
POSITION) ---------CORRECT ANSWER-----------------SIDELYING
POSITION
A nurse is caring for a client who has cervical cancer and a sealed radiation
implant.
Which of the following actions should the nurse take?
a. Place long-handled forceps at the client's bedside
b. Attach a dosimeter badge to the client's gown
c. Leave unused equipment in the client's room until discharge
d. Move the client's soiled linens to a designated container outside the
room ---------CORRECT ANSWER-----------------A. Place long-handled
forceps at the client's bedside
A nurse is teaching a client who has Graves' disease about recognizing the
manifestations of the thyroid storm. Which of the following findings should
the nurse
include in the teaching?
a. Increased temperature
b. Decreased HR
c. Hypotension
d. Lethargy ---------CORRECT ANSWER-----------------a. Increased
temperature
A nurse is caring for a client who is postoperative following a complete
thyroidectomy.
Which of the following findings is the priority for the nurse to report to the
provider?
a. Serosanguineous drainage