Family Practice Guidelines 4th 5th Edition Cash Glass Test Bank

RN Exit Hesi s s




1. Which information is a priority for the RN to reinforce to an older client after
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intravenous pylegraphy? s




A) Eat a light diet for the rest of the day
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B) Rest for the next 24 hours since the preparation and the test is tiring.
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C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2
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days

D) Measure the urine output for the next day and immediately notify the health care
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provider if it should decrease. - s s s s s


CORRECT ANSWERSThe correct answer is D: Measure the urine output for the next d
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ay and immediately
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notify the health care provider if it should decrease.
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2. A client has altered renal function and is being treated at home. The nurse recogni
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zes

that the most accurate indicator of fluid balance during the weekly visits is
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A) difference in the intake and output
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B) changes in the mucous membranes
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C) skin turgor
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D) weekly weight - CORRECT ANSWERSThe correct answer is D: weekly weight
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,3. A client has been diagnosed with Zollinger-
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Ellison syndrome.Which information is most important for the nurse to reinforce wit
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h the client?
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A)It is a condition in which one or more tumors called gastrinomas form in the pancr
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eas

or in the upper part of the small intestine (duodenum)
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B)It is critical to report promptly to your health care provider any findings of peptic
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ulcers

c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if
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possible, surgery to remove any tumors s s s s s




D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusu
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al

areas of the stomach or intestine -
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CORRECT ANSWERSThe correct answer is B: It is critical to report promptly to your h
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ealth care provider any
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findings of peptic ulcers. s s s




4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
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determines that the client's blood pressure is increasing. Which action should the nu
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rse

take first? s




A) Check the protein level in urine
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B) Have the client turn to the left side
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C) Take the temperature
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,D) Monitor the urine output -
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CORRECT ANSWERSThe correct answer is B: Have the client turn to the left side
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5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and th
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e

ventricular rate is controlled at 75. Which of the following findings is cause for the m
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ost

concern?

A) Diminished bowel sounds
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B) Loss of appetite
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C) A cold, pale lower leg
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D) Tachypnea - CORRECT ANSWERSThe correct answer is C: A cold, pale lower leg
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6. The client with infective endocarditis must be assessed frequently by the home he
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alth

nurse. Which finding suggests that antibiotic therapy is not effective, and must be
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reported by the nurse immediately to the healthcare provider?
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A) Nausea and vomiting
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B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
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C) Diffuse macular rash
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D) Muscle tenderness -
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CORRECT ANSWERSThe correct answer is B: Fever of 103 degrees F (39.5 degrees C)
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, 7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. W
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hich

of these points is most important to be reinforced by the nurse?
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A) Until the health care provider has determined that your ejaculate doesn't contain
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sperm, continue to use another form of contraception.
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B)This procedure doesn't impede the production of male hormones or the productio
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n ofs




sperm in the testicles. The sperm can no longer enter your semen and no sperm are i
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n

your ejaculate. s




C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours.
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If
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your work doesn't involve hard physical labor, you can return to your job as soon as y
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ou

feel up to it. The stitches
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generally dissolve in seven to ten days. s s s s s s




D)The health care provider at this clinic recommends rest, ice, an athletic supporter
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or

over-the-counter pain medication to relieve any discomfort. - s s s s s s s


CORRECT ANSWERSThe correct answer is A: Until the health care provider has deter
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mined that your ejaculate
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doesn't contain sperm, continue to use another form of contraception.
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8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of be
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ing