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,13. A nurse is collecting data from a client who has emphysema. Which of the following findings should
the nurse expect? (Select all that apply.)
1 ) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
5) Bradycardia
1 ) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
14. A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene
care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril.
Which of the following actions should the nurse take first?
a. Test the drainage for glucose
b. Suction the nostril
c. Notify the physician
D. Ask the client to blow his nose
a. Test the drainage for glucose
Cerebrospinal fluid (CSF), also known as cranial fluid, does contain glucose.
15. A nurse is collecting data from a client who has open-angle glaucoma. Which of the following
findings should the nurse expect?
Loss of peripheral vision
Headache
Halos around lights
Discomfort in the eyes
Loss of peripheral visionLoss of peripheral vision
, Open-angle glaucoma is the most common form of glaucoma. It occurs when the eye's drainage canals
become clogged over time, leading to an increase in intraocular pressure. This increased pressure can
damage the optic nerve, leading to vision loss.
19. A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been
taking ferrous gluconate for several weeks. Which of the following instructions should the nurse
include?
Take this medication between meals.
Limit intake of Vitamin C while taking this medication.
Take this medication with milk.
Limit intake of whole grains while taking this medication.
Take this medication between meals.
21. A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following
interventions should the nurse recommend?
Apply topical antifungal agents.
Apply fresh ice packs every 4 hr.
Wash daily with an antibacterial soap.
Keep draining lesions uncovered to air dry.
Wash daily with an antibacterial soap.
Cellulitis is a bacterial skin infection that can occur anywhere on the body, but most commonly affects
the legs.
23. A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for
an escharotomy and wants to know what the procedure involves. Which of the following statements is
appropriate for the nurse to make?
"An escharotomy surgically removes dead tissue."
"A cannula will be inserted into the bone to infuse fluids and antibiotics."
"A piece of skin will be removed and grafted over the burned area."
"Large incisions will be made in the burned tissue to improve circulation."
"Large incisions will be made in the burned tissue to improve circulation."