Revisiontestbanks

MULTIPLE CHOICE 1. The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what common complication will the nurse monitor? a. Hypertension b. Bradycardia c. Dehydration d. Pulmonary embolus ANS: C The client who has DI has fluid loss through excessive urination. Decreased fluid volume, or dehydration, is manifested by tachycardia, hypotension, and possibly elevated temperature. Pulmonary embolism (PE) could possible as a clot in the lower extremity (...

MULTIPLE CHOICE 1. The nurse is caring for a client scheduled to have a transjugular intrahepatic portal-systemic shunt (TIPS) procedure. What client assessment would the nurse perform prior to this procedure? a. Musculoskeletal assessment b. Neurologic assessment c. Mental health assessment d. Cardiovascular assessment ANS: D A postprocedure complication of a TIPS procedure is right-sided heart failure. Therefore, the nurse would perform a cardiovascular assessment before the p...

MULTIPLE CHOICE 1. The nurse is caring for a client who is prescribed sulfasalazine. Which question would the nurse ask the client before starting this drug? a. “Are you taking Vitamin C or B? b. “Do you have any allergy to sulfa drugs?” c. “Can you swallow pills pretty easily?” d. “Do you have insurance to cover this drug?” ANS: B Sulfasalazine is a sulfa drug given for clients who have ulcerative colitis. However, it should not be given to those who have an aller...

Chapter 46: Concepts of Care for Patients with Arthritis and Total Joint Arthroplasty Chapter 47: Concepts of Care for Patients with Musculoskeletal Trauma Chapter 48: Assessment of the Gastrointestinal System Chapter 49: Concepts of Care for Patients with Oral Cavity and Esophageal Problems Chapter 50: Concepts of Care for of Patients with Stomach

Chapter 41: Critical Care of Patients with Neurologic Emergencies Chapter 42: Assessment and Care of Patients with Eye and Vision Problems Chapter 43: Assessment and Care of Patients with Ear and Hearing Problems Chapter 44: Assessment of the Musculoskeletal System Chapter 45: Concepts of Care for Patients with Musculoskeletal Problems

MULTIPLE CHOICE 1. A nurse participates in a community screening event for oral cancer. What client is the highest priority for referral to a primary health care provider? a. Client who has poor oral hygiene practices. b. Client who smokes and drinks daily. c. Client who tans for an upcoming vacation. d. Client who occasionally uses illicit drugs. ANS: B Smoking and alcohol exposure create a high risk for this client. Poor oral hygiene is not related to the etiology of cancer bu...

MULTIPLE CHOICE 1. An older adult has had an instance of drug toxicity and asks why this happens, since the client has been on this medication for years at the same dose. What response by the nurse is best? a. “Changes in your liver cause drugs to be metabolized differently.” b. “Perhaps you don’t need as high a dose of the drug as before.” c. “Stomach muscles atrophy with age and you digest more slowly.” d. “Your body probably can’t tolerate as much medication anymo...

MULTIPLE CHOICE 1. During an interview, the client tells the nurse that the client has a duodenal ulcer. Which assessment finding would the nurse expect? a. Hematemesis b. Pain when eating c. Melena d. Weight loss ANS: C All of the other assessment findings are more commonly seen in clients who have gastric ulcers rather than duodenal ulcers. DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment KEY: Peptic ulcer disease, Assessment MSC: Client Needs Catego...

MULTIPLE CHOICE 1. An older client with diabetes is admitted with a heavily draining leg wound. The client’s white blood cell count is 38,000/mm3 (38  109/L) but the client is afebrile. Which nursing action is most appropriate at this time? a. Administer acetaminophen as needed. b. Educate the client on amputation. c. Place the client on Contact Precautions. d. Refer the client to the wound care nurse. ANS: C In the presence of a heavily draining wound, the nurse would pla...

MULTIPLE CHOICE 1. A nurse cares for a client with a recently fractured tibia. Which assessment would alert the nurse to take immediate action? a. Pain of 4 on a scale of 0-10 b. Numbness in the extremity c. Swollen extremity at the injury site d. Feeling cold while lying in bed ANS: B The client with numbness and/or tingling of the extremity may be displaying the first signs of acute compartment syndrome. This is an acute problem that requires immediate intervention because of ...