Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the
development of cerebral edema after surgery, the nurse should expect the use of:
a. Diuretics
b. Antihypertensive
c. Steroids
d. Anticonvulsants - Answers c. Steroids
Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the
development of edema.
Halfway through the administration of blood, the female client complains of lumbar pain. After
stopping the infusion Nurse Hazel should:
a. Increase the flow of normal saline
b. Assess the pain further
c. Notify the blood bank
d. Take vital signs - Answers a. Increase the flow of normal saline
The blood must be stopped at once, and then normal saline should be infused to keep the line
patent and maintain blood volume.
Nurse Maureen knows that the positive diagnosis of HIV infection is made based on which of
the following:
a. A history of high-risk sexual behaviors
b. Positive ELISA and western blot test
c. Identification of a positive associated opportunistic infection
d. Evidence of extreme weight loss and high fever - Answers b. Positive ELISA and western blot
test
These tests confirm the presence of HIV antibodies that occur in response to the presence of
,the human immunodeficiency virus (HIV).
Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure
recognizes an adequate amount of high-biologic-value protein when the food the client selected
from the menu was:
a. Raw carrots
b. Apple juice
c. Whole wheat bread
d. Cottage Cheese - Answers d. Cottage Cheese
One cup of cottage cheese contains approximately 225 calories, 27 g of protein, 9 g of fat, 30
mg cholesterol, and 6 g of carbohydrate. Proteins of high biologic value (HBV) contain optimal
levels of amino acids essential for life.
Kenneth who was diagnosed with uremic syndrome has the potential to develop complications.
Which among the following complications should the nurse anticipates:
a. Flapping hand tremors
b. An elevated hematocrit level
c. Hypotension
d. Hypokalemia - Answers a. Flapping hand tremors
Elevation of uremic waste products causes irritation of the nerves, resulting in flapping hand
tremors.
A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant
assessment would be:
a. Flank pain radiating in the groin
b. Distention of the lower abdomen
c. Perineal edema
d. Urethral discharge - Answers b. Distention of the lower abdomen
, This indicates that the bladder is distended with urine, therefore palpable.
A client has undergone with penile implant. After 24 hrs of surgery, the client's scrotum was
edematous and painful. The nurse should:
a. Assist the client with sitz bath
b. Apply warm soaks into the scrotum
c. Elevate the scrotum using a soft support
d. Prepare for a possible incision and drainage - Answers c. Elevate the scrotum using a soft
support
Elevation increases lymphatic drainage, reducing edema and pain.
Nurse Hazel receives emergency laboratory results for a client with chest pain and immediately
informs the physician. An increased myoglobin level suggests which of the following?
a. Liver disease
b. Myocardial damage
c. Hypotension
d. Cancer - Answers b. Myocardial damage
Detection of myoglobin is a diagnostic tool to determine whether myocardial damage has
occurred.
Nurse Maureen would expect a client with mitral stenosis would demonstrate symptoms
associated with congestion in the:
a. Right atrium
b. Superior vena cava
c. Aorta
d. Pulmonary - Answers d. Pulmonary
When mitral stenosis is present, the left atrium has difficulty emptying its contents into the left
ventricle because there is no valve to prevent backward flow into the pulmonary vein, the