NURS 498 - Midterm 1 Quizzes Questions With Complete
Solutions
The nurse is caring for a client following spinal surgery. Which
of the following nursing interventions is most appropriate when
turning the client?
A. Having the client turn to the side by grasping the side rails to
help turn over.
B. Elevating the head of the bed 30 degrees and having the
client extend the legs while turning.
C. Turning the client's head and shoulders and then the hips,
keeping the client's body centred in the bed.
D. Placing a pillow between the client's legs and turning the
body as a unit.
D. Placing a pillow between the client's legs and turning the
body as a unit.
The nurse is reinforcing health teaching about the management
of osteoarthritis (OA) with a client. Which of the following
client statements indicate a need for additional instruction?
A. "I should try to stay standing all day to keep my joints from
becoming stiff."
D. "I should take the celecoxib (Celebrex) as prescribed to help
control the pain."
C. "I can use a cane if I find it helpful in relieving the pressure
on my back and hip."
D. "A warm shower in the morning will help relieve the stiffness
I have when I get up."
,A. "I should try to stay standing all day to keep my joints from
becoming stiff."
A patient will be taking bisphosphonate alendronate
(Fosamax®). What instruction should the nurse provide to the
patient regarding administration? As instructed by the nurse,
when should the patient take this medication?
A. Between meals, on an empty stomach
B. In the evening just before bedtime
C. In the morning, with a 240-mL glass of water
D. With the first bite of the morning meal
C. In the morning, with a 240-mL glass of water
The nurse is completing discharge teaching with an older-adult
client who underwent right total hip arthroplasty (THA). Which
of the following client statements indicates a need for further
instruction?
A. Maintain hip in adduction and internal rotation.
B. Use a toilet elevator on toilet seat.
C. Notify future caregivers about the prosthesis.
D. Avoid crossing his legs.
A. Maintain hip in adduction and internal rotation.
A client in the outpatient clinic has a new diagnosis of
peripheral artery disease (PAD). Which of the following
medication categories should the nurse plan to include when
providing client teaching about PAD management?
A. Thrombolytics
B. Anticoagulants
, C. Vitamins
D. Statins
D. Statins
Which of the following interventions in the care of a client with
a diagnosis of chronic venous insufficiency (CVI) is priority?
A. Application of topical antibiotics to venous ulcers
B. Administration of oral and subcutaneous anticoagulants (or
both)
C. Maintaining the client's legs in a dependent position
D. Teaching the client the correct use of compression stockings
D. Teaching the client the correct use of compression stockings
The nurse is caring for a client with heart failure who is taking
spironolactone. Which of the following laboratory results should
the nurse monitor?
A. Creatinine
B. Serum potassium
C. pH
D. Serum sodium
B. Serum potassium
The nurse is admitting preoperative client with a suspected
abdominal aortic aneurysm (AAA). The medication history
reveals that the client has been taking warfarin on a daily basis.
Based on this history and the client's admission diagnosis, the
nurse should prepare to administer which of the following
medications?
a. Protamine sulphate
Solutions
The nurse is caring for a client following spinal surgery. Which
of the following nursing interventions is most appropriate when
turning the client?
A. Having the client turn to the side by grasping the side rails to
help turn over.
B. Elevating the head of the bed 30 degrees and having the
client extend the legs while turning.
C. Turning the client's head and shoulders and then the hips,
keeping the client's body centred in the bed.
D. Placing a pillow between the client's legs and turning the
body as a unit.
D. Placing a pillow between the client's legs and turning the
body as a unit.
The nurse is reinforcing health teaching about the management
of osteoarthritis (OA) with a client. Which of the following
client statements indicate a need for additional instruction?
A. "I should try to stay standing all day to keep my joints from
becoming stiff."
D. "I should take the celecoxib (Celebrex) as prescribed to help
control the pain."
C. "I can use a cane if I find it helpful in relieving the pressure
on my back and hip."
D. "A warm shower in the morning will help relieve the stiffness
I have when I get up."
,A. "I should try to stay standing all day to keep my joints from
becoming stiff."
A patient will be taking bisphosphonate alendronate
(Fosamax®). What instruction should the nurse provide to the
patient regarding administration? As instructed by the nurse,
when should the patient take this medication?
A. Between meals, on an empty stomach
B. In the evening just before bedtime
C. In the morning, with a 240-mL glass of water
D. With the first bite of the morning meal
C. In the morning, with a 240-mL glass of water
The nurse is completing discharge teaching with an older-adult
client who underwent right total hip arthroplasty (THA). Which
of the following client statements indicates a need for further
instruction?
A. Maintain hip in adduction and internal rotation.
B. Use a toilet elevator on toilet seat.
C. Notify future caregivers about the prosthesis.
D. Avoid crossing his legs.
A. Maintain hip in adduction and internal rotation.
A client in the outpatient clinic has a new diagnosis of
peripheral artery disease (PAD). Which of the following
medication categories should the nurse plan to include when
providing client teaching about PAD management?
A. Thrombolytics
B. Anticoagulants
, C. Vitamins
D. Statins
D. Statins
Which of the following interventions in the care of a client with
a diagnosis of chronic venous insufficiency (CVI) is priority?
A. Application of topical antibiotics to venous ulcers
B. Administration of oral and subcutaneous anticoagulants (or
both)
C. Maintaining the client's legs in a dependent position
D. Teaching the client the correct use of compression stockings
D. Teaching the client the correct use of compression stockings
The nurse is caring for a client with heart failure who is taking
spironolactone. Which of the following laboratory results should
the nurse monitor?
A. Creatinine
B. Serum potassium
C. pH
D. Serum sodium
B. Serum potassium
The nurse is admitting preoperative client with a suspected
abdominal aortic aneurysm (AAA). The medication history
reveals that the client has been taking warfarin on a daily basis.
Based on this history and the client's admission diagnosis, the
nurse should prepare to administer which of the following
medications?
a. Protamine sulphate
