nursing management
Alliant International University
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Chapter 45--Dermatological Dysfunction: Nursing Management
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Chapter 45--Dermatological Dysfunction: Nursing Management

MULTIPLE CHOICE

	1.	A client’s wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called:
1	autolytic debridement.
2	enzymatic debridement.
3	mechanical debridement.
4	sharp debridement.



PTS:	1	DIF:	Analyze	REF:	Debridement		

	2.	A client is experiencing a circular lesion with an advancing, red, scaly border on the abdomen. The nurse recognizes this lesion as be...
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Chapter 44--Assessment of Integumentary Function
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Chapter 44--Assessment of Integumentary Function

MULTIPLE CHOICE

	1.	A client has sustained an injury to the skin that extends into the innermost layer, which is called the: 
1.	stratum germinativum.
2.	stratum granulosum.
3.	stratum lucidum.
4.	stratum spinosum.



PTS:	1	REF:	Epidermis

	2.	A client has a yellow tone to the skin. The nurse realizes that which of the following cells are responsible for the yellow tone of the skin?
1.	Carotenoids
2.	Langerhans’ cells
3.	Melanocytes
4.	Merkel...
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Chapter 43--Allergic Dysfunction: Nursing Management
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Chapter 43--Allergic Dysfunction: Nursing Management

MULTIPLE CHOICE

	1.	The nurse is determining if a client is experiencing an immune response. Which of the following is not one of the four R’s of the immune response?
1.	Recognize
2.	Remember
3.	Remove
4.	Respond


PTS:	1	DIF:	Analyze	REF:	Allergic Dysfunction	

	2.	A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is which type of hypersensitive reaction?
1.	Type 1
2.	Type 2
3.	Type 3
4.	Type ...
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Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management
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Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management

MULTIPLE CHOICE

	1.	A pregnant client diagnosed with human immunodeficiency virus (HIV) is asking about her baby’s risk of infection. Which of the following does put the newborn at risk?
1.	Bottle-feeding
2.	Changing diapers
3.	Kissing the baby
4.	Vaginal birth



PTS:	1	DIF:	Apply	
REF:	Human Immunodeficiency Virus Infection: Etiology

	2.	A health care provider has accidentally been stuck with a used needle. The health...
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Chapter 41--Assessment of Immunological Function
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Chapter 41--Assessment of Immunological Function

MULTIPLE CHOICE

	1.	The mother of a newborn baby is concerned that the baby will develop illnesses from being around so many people. The nurse should explain that the baby has immunity that is present at birth or:
1.	acquired immunity.
2.	adaptive immunity.
3.	innate immunity.
4.	specific immunity.



PTS:	1	DIF:	Apply	REF:	Overview of Immunity

	2.	The nurse instructs a client to use good handwashing and cover her nose and mouth when sneezing. ...
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Chapter 48--Nutrition, Malnutrition, and Obesity: Nursing Management
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Chapter 48--Nutrition, Malnutrition, and Obesity: Nursing Management

MULTIPLE CHOICE

	1.	The nurse is instructing a client on the types of carbohydrates to include in the diet. The nurse should include that the main groups of carbohydrates are:
1.	glucose and fructose.
2.	monosaccharides and disaccharides.
3.	fats and proteins.
4.	sucrose and cellulose.



PTS:	1	DIF:	Apply	REF:	Carbohydrates	

	2.	The nurse is instructing a client on the purpose of eating indigestible carbohydrates such as fi...
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Chapter 40--Auditory Dysfunction: Nursing Management
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Chapter 40--Auditory Dysfunction: Nursing Management

MULTIPLE CHOICE

	1.	A client is not able to successfully pass the whisper test. Which of the following would be indicated for this client? 
1.	Head CT scan
2.	Audiometry
3.	MRI of the brain
4.	Electroencephalogram


PTS:	1	DIF:	Analyze	
REF:	Auditory Dysfunction: Assessment with Clinical Manifestations

	2.	A client is prescribed a medication that is ototoxic. The nurse realizes that this medication may cause: 
1.	permanent or temporary visi...
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Chapter 39--Visual Dysfunction: Nursing Management
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Chapter 39--Visual Dysfunction: Nursing Management

MULTIPLE CHOICE

	1.	A client is diagnosed with strabismus. Which of the following will the client most likely experience with this disorder? 
1.	Nystagmus
2.	Diplopia
3.	Aphakic vision
4.	Ptosis


PTS:	1	DIF:	Analyze	REF:	Ocular Movement Disorders: Strabismus

	2.	A client is experiencing a gradual blurring of vision in both eyes not associated with any pain. The nurse suspects the client is experiencing:
1.	glaucoma.
2.	cataracts.
3.	macular ...
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Chapter 37--Degenerative Neurological Dysfunction: Nursing Management
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Chapter 37--Degenerative Neurological Dysfunction: Nursing Management

MULTIPLE CHOICE

	1.	A client is diagnosed with a headache from a secondary cause. The nurse realizes this type of headache can be caused by: 
1.	a tumor.
2.	tension.
3.	a migraine.
4.	cluster



PTS:	1	DIF:	Analyze	REF:	Headache

	2.	The nurse should instruct a client diagnosed with migraine headaches to be careful not to overdose on acetaminophen (Tylenol). Which drug should the nurse tell the patient to avoid?
1.	Aleve
2.	...
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Chapter 35--Dysfunction of the Brain: Nursing Management
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Chapter 35--Dysfunction of the Brain: Nursing Management

MULTIPLE CHOICE

	1.	For the client who is at risk for stroke, the most important guideline the nurse should teach is to:
1.	increase drinks with caffeine.
2.	monitor blood pressure.
3.	increase amounts of sodium in the diet.
4.	monitor weight and activity.



PTS:	1	DIF:	Apply	
REF:	Box 35-1 Modifiable Risk Factors for Stroke Development	

	2.	The family of a client diagnosed with a stroke asks the nurse if this health problem is very co...
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