265 Exam 4 study questions exam with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answers |||\\\
The nurse working in the ED has triaged a client who presented with chest pain, sob, a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
productive cough and reports or night sweats. The client has a health hx of AIDS and recents
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
labs show a low CD4+ count. Which of the following actions should the nurse take next?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Initiate airborne precautions
|||\\\ |||\\\ |||\\\ |||\\\
- Check the clients temp
|||\\\ |||\\\ |||\\\ |||\\\
- Assess the client for shingles
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Obtain a throat culture - correct answer✔✔Initiate airborne precautions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
just diagnosed with PJP. Which of the following interventions should the nurse preceptor
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
question? |||\\\
- Offering the client foods high in calories and protein
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Instructing the client to drink at least 2-3L of fluid throughout the day
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Wearing a surgical mask when standing within 3 ft of the client
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Auscultating the client's breath sounds for crackles at least once per shift - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Wearing a surgical mask when standing within 3 ft of the client. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a patient who has AIDS and has just been diagnosed with toxoplasmosis
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
encephalitis. Which of the following actions should the nurse take? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Thicken the pt's liquids to honey consistency
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Initiate airborne precautions for the next 72 hrs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Ask the client if they ingested undercooked meat
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Monitor the client's level of orientation - correct answer✔✔Ask the client if they ingested
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
undercooked meat. |||\\\
,The nurse working in a community health center has instructed a group of clients who have
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
AIDS about ways to prevent infection. Which of the following statements by a client indicated
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the need for additional teaching?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I should clean my toothbrush by running it through the dishwasher once a week
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I will avoid eating undercooked fruits and veggies
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I will notify my provider if my temp is greater than 101 F
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I will avoid drinking water that has been standing for longer than an hour. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔I will notify my primary healthcare provider if my temp is greater than 101 F |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is admitting a client who has AIDS and has developed an infection caused by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cryptosporidium. Which of the following client statements is consistent with the diagnosis? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- "I have lost 5 lbs this past week"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- "I have developed a persistent dry cough"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- "I have noticed that my speech has become slurred"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-"I have noticed that my food does not taste the same" - correct answer✔✔"I have noticed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
that my speech has become slurred" |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client who had a heart transplant 10 years ago. Which findings from
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the box below require follow-up by the nurse?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Prolonged prothrombin time (PT)
|||\\\ |||\\\ |||\\\ |||\\\
2. Activity intolerance
|||\\\ |||\\\
3. Weight gain of 3 lbs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Shortness of breath
|||\\\ |||\\\ |||\\\ |||\\\
5. Hypotension
|||\\\
6. Irritability - correct answer✔✔2. Activity intolerance
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Weight gain of 3 lbs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Shortness of breath
|||\\\ |||\\\ |||\\\ |||\\\
, 5. Hypotension
|||\\\
The nurse attended a conference about kidney transplantations. Which of the following clients
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
who had end-stage renal disease (ESRD) does the nurse recognize as being a transplant
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
candidate? |||\\\
- a 35 yr old client who is reporting burning with urination and is receiving abdominal radiation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a 42 yr old client who is sobbing after receiving a new diagnosis of ovarian cancer
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a 24 yr old client who is receiving neck radiation and is reporting xerostomia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a 56 yr old client who is receiving chest radiation and has developed changes in taste. -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔A 35 yr old client who is reporting burning with urination and is receiving
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
abdominal radiation |||\\\
The nurse is caring for a client who has a liver transplant 48 hours ago. It is a priority for the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse to notify the PHCP if the client has |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- An increasing bilirubin level
|||\\\ |||\\\ |||\\\ |||\\\
- Scant amounts of serosanguinous drainage from the incision
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- A urine output that has decreased from 65 to 45mL/ Hr since surgery
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- An increase in BP from 115/68 to 122/74 - correct answer✔✔An increasing bilirubin level
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority for the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse to notify the PHCP if the client has |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Only used the incentive spirometer once since last evening
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Developed sputum that is yellow-tinged
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- A pain rating of 7/10 when taking a deep-breath
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Refused high- frequency chest wall oscillation for the past 24 hrs. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Developed sputum that is yellow-tinged |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client who had a kidney transplant 2 week ago. Which findings from
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the box below should the nurse correlate to possible organ rejection?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answers |||\\\
The nurse working in the ED has triaged a client who presented with chest pain, sob, a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
productive cough and reports or night sweats. The client has a health hx of AIDS and recents
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
labs show a low CD4+ count. Which of the following actions should the nurse take next?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Initiate airborne precautions
|||\\\ |||\\\ |||\\\ |||\\\
- Check the clients temp
|||\\\ |||\\\ |||\\\ |||\\\
- Assess the client for shingles
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Obtain a throat culture - correct answer✔✔Initiate airborne precautions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
just diagnosed with PJP. Which of the following interventions should the nurse preceptor
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
question? |||\\\
- Offering the client foods high in calories and protein
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Instructing the client to drink at least 2-3L of fluid throughout the day
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Wearing a surgical mask when standing within 3 ft of the client
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Auscultating the client's breath sounds for crackles at least once per shift - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Wearing a surgical mask when standing within 3 ft of the client. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a patient who has AIDS and has just been diagnosed with toxoplasmosis
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
encephalitis. Which of the following actions should the nurse take? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Thicken the pt's liquids to honey consistency
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Initiate airborne precautions for the next 72 hrs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Ask the client if they ingested undercooked meat
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Monitor the client's level of orientation - correct answer✔✔Ask the client if they ingested
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
undercooked meat. |||\\\
,The nurse working in a community health center has instructed a group of clients who have
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
AIDS about ways to prevent infection. Which of the following statements by a client indicated
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the need for additional teaching?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I should clean my toothbrush by running it through the dishwasher once a week
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I will avoid eating undercooked fruits and veggies
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I will notify my provider if my temp is greater than 101 F
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- I will avoid drinking water that has been standing for longer than an hour. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔I will notify my primary healthcare provider if my temp is greater than 101 F |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is admitting a client who has AIDS and has developed an infection caused by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cryptosporidium. Which of the following client statements is consistent with the diagnosis? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- "I have lost 5 lbs this past week"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- "I have developed a persistent dry cough"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- "I have noticed that my speech has become slurred"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-"I have noticed that my food does not taste the same" - correct answer✔✔"I have noticed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
that my speech has become slurred" |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client who had a heart transplant 10 years ago. Which findings from
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the box below require follow-up by the nurse?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1. Prolonged prothrombin time (PT)
|||\\\ |||\\\ |||\\\ |||\\\
2. Activity intolerance
|||\\\ |||\\\
3. Weight gain of 3 lbs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Shortness of breath
|||\\\ |||\\\ |||\\\ |||\\\
5. Hypotension
|||\\\
6. Irritability - correct answer✔✔2. Activity intolerance
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3. Weight gain of 3 lbs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
4. Shortness of breath
|||\\\ |||\\\ |||\\\ |||\\\
, 5. Hypotension
|||\\\
The nurse attended a conference about kidney transplantations. Which of the following clients
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
who had end-stage renal disease (ESRD) does the nurse recognize as being a transplant
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
candidate? |||\\\
- a 35 yr old client who is reporting burning with urination and is receiving abdominal radiation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a 42 yr old client who is sobbing after receiving a new diagnosis of ovarian cancer
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a 24 yr old client who is receiving neck radiation and is reporting xerostomia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- a 56 yr old client who is receiving chest radiation and has developed changes in taste. -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔A 35 yr old client who is reporting burning with urination and is receiving
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
abdominal radiation |||\\\
The nurse is caring for a client who has a liver transplant 48 hours ago. It is a priority for the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse to notify the PHCP if the client has |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- An increasing bilirubin level
|||\\\ |||\\\ |||\\\ |||\\\
- Scant amounts of serosanguinous drainage from the incision
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- A urine output that has decreased from 65 to 45mL/ Hr since surgery
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- An increase in BP from 115/68 to 122/74 - correct answer✔✔An increasing bilirubin level
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client who had a lung transplant 10 days ago. It is a priority for the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse to notify the PHCP if the client has |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Only used the incentive spirometer once since last evening
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Developed sputum that is yellow-tinged
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- A pain rating of 7/10 when taking a deep-breath
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Refused high- frequency chest wall oscillation for the past 24 hrs. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Developed sputum that is yellow-tinged |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client who had a kidney transplant 2 week ago. Which findings from
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the box below should the nurse correlate to possible organ rejection?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
