The nurse is teaching a client preparing to have a total knee replacement about
interventions to help prevent surgical infection. What interventions would the nurse
include in this teaching? (Select all that apply.)
A) Using nasal mupirocin for at least a week before surgery
B) Avoiding sleeping with pets in the client's bed
C) Showering the night before and the morning of surgery with chlorhexidine
D) Giving antibiotics before and after surgery for at least 3 days
E) Sleeping on clean linen wearing clean nightwear
Give this one a try later!
, A) Using nasal mupirocin for at least a week before surgery
B) Avoiding sleeping with pets in the client's bed
C) Showering the night before and the morning of surgery with
chlorhexidine
E) Sleeping on clean linen wearing clean nightwear
All of these interventions are used to help prevent infection except for the
use of long-term antibiotics. Long-term antibiotic therapy is used to treat
rather than prevent postoperative infection.
What are some diseases/conditions that could cause secondary osteoporosis?
Give this one a try later!
• Diabetes mellitus
• Hyperthyroidism
• Hyperparathyroidism
• Cushing syndrome
• Growth hormone deficiency
• Metabolic acidosis
• Female hypogonadism
• Rheumatoid arthritis
• Prolonged immobilization
• Bone cancer
• Cirrhosis
• HIV infection
Which trends in serum electrolyte values will the nurse expect to find in a client who
has untreated hypoparathyroidism?
A) Below normal calcium levels; above normal phosphorus levels
B) Below normal calcium levels; below normal phosphorus levels
C) Above normal calcium levels; above normal phosphorus levels
D) Above normal calcium levels; below normal phosphorus levels
,Give this one a try later!
A) Below normal calcium levels; above normal phosphorus levels
With hypoparathyroidism, the lack of parathyroid hormone (PTH)
decreases serum calcium levels by increasing kidney calcium excretion and
inhibiting calcium absorption from the GI tract. Low levels of calcium cause
a corresponding increase in serum phosphorus levels because calcium and
phosphorus exist in a balanced reciprocal relationship in which a decrease
in one always causes an increase in the other.
The nurse reviews the vital signs of a client diagnosed with Graves disease and notes
that the client's temperature is 99.6° F (37.6° C). After notifying the primary health care
provider, what is the nurse's best next action?
A) Administering acetaminophen
B) Observing for the presence of chills
C) Initiating the Rapid Response Team
D) Assessing cardiac status
Give this one a try later!
D) Assessing cardiac status
Graves disease is manifested by symptoms of hyperthyroidism and
increased metabolic rate, including fever. The nurse must next assess the
client's cardiac status as atrial fibrillation or other dysrhythmias may have
developed. If the client has a cardiac monitor, the nurse needs to check for
any dysrhythmias.Administering a nonsalicylate antipyretic such as
acetaminophen is appropriate, but is not a priority action for this client.
Alerting the Rapid Response Team is not needed at this time as no
instability has been noted. Unlike with infection, temperature elevations in a
client with hyperthyroidism are not associated with chills.
, After instructing a client about the correct procedure for a 24-hour urine test, which
client statement indicates to the nurse a need for further teaching?
A) "I will not eat any fatty foods when I am collecting urine for this test."
B) "To end the collection, I must empty my bladder and add this urine to the
collection."
C) "I need to keep the urine container cool in a separate refrigerator or cooler."
D) "I won't save the first urine sample of the day."
Give this one a try later!
A) "I will not eat any fatty foods when I am collecting urine for this test."
A need for further teaching is needed when the client says that he/she will
not eat any fatty foods while collecting urine for a 24-hour urine test to
evaluate a hormone level. Eating fatty foods does not interfere with
collection or testing of the urine sample. The other statements indicate
correct understanding of the client's actions for collection of an accurate
24-hour urine specimen.
For which assessment finding in a client who had a transsphenoidal hypophysectomy
yesterday will the nurse notify the primary health care provider immediately?
A) Dry lips and oral mucosa on examination
B) Nasal drainage that tests negative for glucose
C) Urine specific gravity of 1.016
D) Client report of a headache and stiff neck
Give this one a try later!
D) Client report of a headache and stiff neck
Headache and stiff neck (nuchal rigidity) are symptoms of meningitis that
have immediate implications for the client's care. The finding requires the
nurse to immediately notify the primary health care provider.Dry lips and
mouth are not unusual after surgery. Nasal drainage that tests negative for
interventions to help prevent surgical infection. What interventions would the nurse
include in this teaching? (Select all that apply.)
A) Using nasal mupirocin for at least a week before surgery
B) Avoiding sleeping with pets in the client's bed
C) Showering the night before and the morning of surgery with chlorhexidine
D) Giving antibiotics before and after surgery for at least 3 days
E) Sleeping on clean linen wearing clean nightwear
Give this one a try later!
, A) Using nasal mupirocin for at least a week before surgery
B) Avoiding sleeping with pets in the client's bed
C) Showering the night before and the morning of surgery with
chlorhexidine
E) Sleeping on clean linen wearing clean nightwear
All of these interventions are used to help prevent infection except for the
use of long-term antibiotics. Long-term antibiotic therapy is used to treat
rather than prevent postoperative infection.
What are some diseases/conditions that could cause secondary osteoporosis?
Give this one a try later!
• Diabetes mellitus
• Hyperthyroidism
• Hyperparathyroidism
• Cushing syndrome
• Growth hormone deficiency
• Metabolic acidosis
• Female hypogonadism
• Rheumatoid arthritis
• Prolonged immobilization
• Bone cancer
• Cirrhosis
• HIV infection
Which trends in serum electrolyte values will the nurse expect to find in a client who
has untreated hypoparathyroidism?
A) Below normal calcium levels; above normal phosphorus levels
B) Below normal calcium levels; below normal phosphorus levels
C) Above normal calcium levels; above normal phosphorus levels
D) Above normal calcium levels; below normal phosphorus levels
,Give this one a try later!
A) Below normal calcium levels; above normal phosphorus levels
With hypoparathyroidism, the lack of parathyroid hormone (PTH)
decreases serum calcium levels by increasing kidney calcium excretion and
inhibiting calcium absorption from the GI tract. Low levels of calcium cause
a corresponding increase in serum phosphorus levels because calcium and
phosphorus exist in a balanced reciprocal relationship in which a decrease
in one always causes an increase in the other.
The nurse reviews the vital signs of a client diagnosed with Graves disease and notes
that the client's temperature is 99.6° F (37.6° C). After notifying the primary health care
provider, what is the nurse's best next action?
A) Administering acetaminophen
B) Observing for the presence of chills
C) Initiating the Rapid Response Team
D) Assessing cardiac status
Give this one a try later!
D) Assessing cardiac status
Graves disease is manifested by symptoms of hyperthyroidism and
increased metabolic rate, including fever. The nurse must next assess the
client's cardiac status as atrial fibrillation or other dysrhythmias may have
developed. If the client has a cardiac monitor, the nurse needs to check for
any dysrhythmias.Administering a nonsalicylate antipyretic such as
acetaminophen is appropriate, but is not a priority action for this client.
Alerting the Rapid Response Team is not needed at this time as no
instability has been noted. Unlike with infection, temperature elevations in a
client with hyperthyroidism are not associated with chills.
, After instructing a client about the correct procedure for a 24-hour urine test, which
client statement indicates to the nurse a need for further teaching?
A) "I will not eat any fatty foods when I am collecting urine for this test."
B) "To end the collection, I must empty my bladder and add this urine to the
collection."
C) "I need to keep the urine container cool in a separate refrigerator or cooler."
D) "I won't save the first urine sample of the day."
Give this one a try later!
A) "I will not eat any fatty foods when I am collecting urine for this test."
A need for further teaching is needed when the client says that he/she will
not eat any fatty foods while collecting urine for a 24-hour urine test to
evaluate a hormone level. Eating fatty foods does not interfere with
collection or testing of the urine sample. The other statements indicate
correct understanding of the client's actions for collection of an accurate
24-hour urine specimen.
For which assessment finding in a client who had a transsphenoidal hypophysectomy
yesterday will the nurse notify the primary health care provider immediately?
A) Dry lips and oral mucosa on examination
B) Nasal drainage that tests negative for glucose
C) Urine specific gravity of 1.016
D) Client report of a headache and stiff neck
Give this one a try later!
D) Client report of a headache and stiff neck
Headache and stiff neck (nuchal rigidity) are symptoms of meningitis that
have immediate implications for the client's care. The finding requires the
nurse to immediately notify the primary health care provider.Dry lips and
mouth are not unusual after surgery. Nasal drainage that tests negative for
