EXIT 2024 - 2 QUESTIONS AND CORRECT ANSWERS

exit y2024 y#2
Study yonline yat
yhttps://quizlet.com/_enjjkc
1.A yclient ywith ycirrhosis yof ythe yliver yis yadmitted ywith ycomplications
yrelated yto yend ystage yliver ydisease ywhich yinterventions yshould ythe ynurses

yimplement? ySATA: y-Monitor yAbdominal ygirth,

-Report yserum yalbumin yand yglobulin ylevels
-note ysigns yof yswelling yand yedema.
2.An yolder yclient ywith ya yhistory yof ycataracts yis yrecovering yfrom yan
yintraocular yimplant ysurgery yto ythe ynext yeye. yDuring ythe ypost yprocedure

yperiod ywhich yin- yterventions yshould ythe ynurse yimplement?: yTeach ya

yfamily ymember yto yadminister yeye ydrops.

3.A ynewly yadmitted yclient yvomits yinto yan yemesis ybasin yas yseen yin ythe
ypicture. yThe ynurse yshould yconsult ywith ythe yhealthcare yprovider ybefore

yadministering ywhich yof ythe yclients yprescribed ymeds? ySATA: yClopidogrel,

yIbuprofen, yEnoxaparin

4.In yassessing yan yinfant y10 yhours yafter ybirth, ythe ynurse ynotes ythat ythe
yinfant yis yslightly ycyanotic yand yhas ylarge yamounts yof ymucus. yWhich

yinterventions yshould ythe ynurse yimplement yfirst?: ySuctioning yinfant yas

yneeded

5.A yclient ywith yobstructive ysleep yapnea yambulates yin ythe yhallway ywith ythe
ynurse yprior yto ybedtime yand ythen yreturns yto ybed. yWhich yintervention yis

yimportant yfor ythe ynurse yto yimplement ybefore yleaving ythe yclient?: yApply

ythe yclient's ypositive yairway ypressure ydevice.

6.The ynurse yplans yto ycontact ythe yhealthcare yprovider yregarding ya yclient's
yneeds yfor ya ybelt yrestraint. yWhich yinformation yis ymost yimportant yto yreport

yto ythe yhealthcare yprovider?: yMeasures yalready ytaken yto ymaintain yclient

ysafety.

7.The ynurse yis yproviding yteaching yto ya yclient ywith ytype y2 ydiabetes
yabout ymanaging ycare yat yhome. yWhich yinformation ystated yby ythe

yclient yindicates yunderstanding?: yAvoid yseasoning yfood ywith ysalt

yand ysalt ycontaining yspices.

8.The ynurse yis ycaring yfor ya yclient ywho yis yadmitted ywith yhead yand yneck
yinjury yfollowing ya ymotor yvehicle yaccident. yThe ynurse yidentify ywhich

yclinical ymani- yfestations yare yassociated ywith ya ycomplete ytransection yof

ythe ycervical yspinal ycord.: y-Tetraplegia y(quadriplegia), y-Paraplegia

-Absence yof ysensory yand ymotor yfunction
9.the ynurse yadministers ythe yosmotic ydiuretic ymannitol yto ya yclient ywho
yhas ya yclosed yhead yinjury. yWhich yassessment yfinding yindicates yan

yimmediate yre-

sponse yto yadministration yof ythe ymannitol?: yA ydecrease yof yintracranial
ypressure


1 y/
y25

, exit y2024 y#2
Study yonline yat
yhttps://quizlet.com/_enjjkc
10.While ythe ynurse yis yadmitting ya yclient ywith ypartial ythickness yburns yto

ythe yupper yextremities, ychest, yand yabdomen, ythe yclient yexperiences
ydifficulty yswal- ylowing. yThe yclient yis ydrooling yand yanxious. yWhat

yintervention yshould ythe ynurse yimplement yfirst?: yAuscultate yover ymain

ystem ybronchus

11.The ynurse yis yreviewing ythe yplan yof ycare yfor ya ynewly yadmitted yclient
ywho yis yintoxicated yon yadmission. yWhich yfindings yshould ythe ynurse

yinclude yas yindica-




2 y/
y25

, exit y2024 y#2
Study yonline yat
yhttps://quizlet.com/_enjjkc
tors yto ybegin yimplementing ythe ydetoxification ymedication yprotocol?: yNause
yVomiting

Diaphoresis
Anxiety yand yTremors
12.The ynurse yplans yto ycollect ya y24-hour yurine yspecimen yfor ya ycreatinine
ytest. yWhich yinstruction yshould ythe ynurse yprovide yto ythe yadult ymale

yclient?: yUrinate yat ya yspecific ytime, yDiscard ythe yurine, yand ycollect yall

ythe ysubsequent yurine yduring ythe ynext y24 yhours.

13.Which yintervention yis ymost yimportant yfor ythe ynurse yto yinclude yin ythe
yplan yof ycare yfor ya yclient ywho yis y12 yhours ypost ythyroidectomy?: yMaintain ya

ysemi-fowler yposition

14.The ynurse yis ycaring yfor ya y3 yyear yold ychild ytwo yhours ypostoperative
yfrom ya ycardiac ycatheterization yvia ythe yright yfemoral yartery. yWhich

yassessment yfinding yis yan yindication yof yarterial yobstruction?: yThe yright

yfoot yis ycool yto ythe ytouch yand yappears ypale yand yblanched

15.The ynurse yleading ya ycare yteam yon ya ymedical ysurgical yunit yis yassigning
yclient ycare yto ya ypractical ynurse yand yan yunlicensed yassistive ypersonnel.

yWhich ytask yshould ythe ynurse yassign yto ythe yPN?: yTitrate yoxygen yto

yprescribed yparameters.

16.When yis yit ymost yimportant yfor ythe ynurse yto yassess ya ypregnant yclient's
ydeep ytendon yreflex?: yIf ythe yclient yhas yan yelevated yblood ypressure

17.A yclient ywith yeczema yis yexperiencing ysevere ypruritus. yWhich yPRN
yprescrip- ytions yshould ythe ynurse yadminister?: yTopical yCorticosteroid,

yOral yAntihistamine

18.A yclient ywith yarthritis yhas ybeen yreceiving ytreatment ywith ynaproxen yand
ynow yreports yongoing ystomach ypain, yincreasing yweakness yand yfatigue.

yWhich ylaboratory ytest yshould ythe ynurse ymonitor?: yHemoglobin

19.A ypreschool-aged ychild ywho yis ybeing ytreated yfor ystreptococcal
ypharyngitis yreturns yto ythe yclinic yfor ysigns yof yscarlet yfever. yWhich

yassessment yfinding yprovides ythe yearliest yindication yto ythe ynurses ythat

ythe ychild yis yexperiencing ya yreaction yto ythe ytoxins ythat yare ycreated yby ythe

ystreptococcus ybacteria?: yWhite ycoating yon ytongue

20.While yteaching ya yyoung ymale yadult yto yuse yan yinhaler yfor yhis ynewly
ydiag- ynosed yasthma, yThe yclient ystares yinto ythe ydistance yand yappears yto

ybe yconcen- ytrating yon ysomething yother ythan ythe ylesson ythe ynurse yis

ypresenting. yWhich yaction yshould ythe ynurse ytake?: yAsk ythe yclient ywhat yhe

yis ythinking yabout yat ythis ytime

21.When yconducting yan yadmission yassessment, ythe ynurse ynotes ythat yan
yadult yfemale yclient yhas ydeveloped ytwo ynew yallergies ysince yher ylast

3 y/
y25