MDC final Exam|Complete Questions with 100% Correct Answers

MDC final Exam|Complete Questions with 100% Correct Answers What lifestyle habits negatively affect skin integrity? select all that apply a. Tanning c. Smoking e. Tattoos Which of the following statements made by a client diagnosed with human immunodeficiency virus (HIV) would require further teaching? b. I will only need to take HIV medications for 6 months and I will be cured A has acquired immunodeficiency syndrome (AIDS). which of these assessment findings indicate possible infection? (select all that apply) a. Temperature: 101.3-degree Fahrenheit d. Purulent drainage Which of the following lab tests may be used for diagnosing connective tissue diseases? select all that apply. a. Erythrocyte sedimentation rate (ESR) b. C-reactive protein (CRP) c. Anti-nuclear antibody (ANA) d. Rheumatoid factor (FR) A client diagnosed with narcolepsy. What is the nurse's priority intervention? e. Inform the client that driving would be dangerous A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse prepares to enter the room, what personal protective equipment (PPE) should the nurse don? GOWN A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as incorrect carpal tunnel syndrome? c. Elementary school teacher A client is diagnosed with systemic sclerosis (Scleroderma). What symptom is the first to occur? c. Raynaud's phenomenon The nurse is caring for four clients. Which of these clients will the nurse see first? a. A client with sudden and increasing pain in his fracture arm Most adult with human immunodeficiency virus will exhibit which of the following laboratory values? Lower-than-normal number of CD4t T-Cells and CD8t T-cells are normal When assessing the skin in the elder, what age-related change should the nurse consider? a. Loss of elasticity of the dermal layer The nurse is caring for a 65-year-old client and note a temperature of 101 F. How does the nurse interpret this finding? Hyperthermia The nurse is preparing to administer medications to a client with osteoarthritis. What is the goal of medication therapy? Reduce pain and inflammation The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks the nurse how this can happen. What is the best response by the nurse? Bleeding and swelling cause increased pressure in an area that cannot expand. A nurse assesses an audible grating sound (crepitus) when a client with osteoarthritis moves his knees. What is the cause of this sound? Popping bursae from standing A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding? Purulent The client complains of fatigue and joint pain and reports that they are unable to walk due to pain in the knee. What is the most appropriate statement by the nurse? Please tell me more about when your pain started What are some of the expected outcomes when medications are given for rheumatoid arthritis? select all that apply. Reduced inflammation Decreased pain A client is bedridden and appears to be frail and malnourished. Which nursing intervention will decrease the risk of pressure injury? select all that apply. a. Cleansing the skin routinely after soiling occurs. b. Applying moisturizer to dry areas of skin c. Using a Hoyer lift for all transferd. e. Reposition client once per shift A provider has ordered a wound culture for a client with a non-healing. What is the nurse's first action? Put on non-sterile gloves What are opportunistic infection associated with acquire immunodeficiency syndrome (AIDS) select all that apply. a. Candidiasis c. Pneumocystis jiroveci pneumonia D. NON-hodkins lymphoma What client is a susceptible host most at risk for infection? A client with Leukemia The client is at risk for impaired skin integrity related to the need for several weeks of bed rest. The nurse evaluates the client after one week and finds the skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action? b. Keep the nursing diagnosis in the plan of care the same since the risk factors are still present By providing measures to reduce skin breakdown, how does the nurse break the chain of infection? b. Maintaining the integrity of a portal of entry A client arrives speaking only Spanish. What is the priority nursing intervention? C. Request a medical interpreter The nurse is preparing communication for a provider. The client experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a "pins and needles" sensation. The pulse is weak and thready but is bounding on all unaffected extremities, what emergent condition does the nurse suspect? c. Compartment syndrome 27. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same? a. The client with AIDS is a susceptible host A client has a new diagnosis of human immunodeficiency virus HIV. The client is distraught and does not know what to do. What intervention by the nurse is best? a. Assess the client's support system Where will the nurse collect the most reliable source of pain assessment? From the client The nurse is performing a psychosocial assessment on a client with severe rheumatoid arthritis, what would be the most appropriate statement by the nurse? c. How does this impact your role in your family Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client indicates a need for further teaching about preventing dry skin? i will shower everyday in hot water Convert 60ml to ounces (Record as a whole number) 2 ounces 2 Which of the following clients should be placed in isolation for airborne precaution? b. A client that recently traveled and developed a fever with cough A nurse is admitting a client who has tuberculosis. What transmission-based precautions should the nurse initiate? a. Airborne Which of the following nonpharmacological methods can be used to manage the chronic pain of a client with rheumatoid arthritis? select all that apply a. Adequate rest c. Hot showers d. Heat for 20-30 minutes A client has been suffering from arthritis for many years and is experiencing an exacerbation. The client states he has a lot of stress from his position nd his job is not getting better. what is the most appropriate reason from the nurse? You are stating that this job is not getting better. Tell me more about that Antibodies are passed from mother to fetus through the placenta. What is this type of immunity called? c. Natural passive A client is post-operative day 1 and reports a sudden increase in blood-tinged liquid draining from his incision after feeling a popping sensation. What is the nurse action next action? c. Assess the wound for signs of dehiscence What should the nurse do first if they are stuck by a needle? a. Flush the exposed skin with water A nurse is assessing a client's vital signs. The oxygen saturation is 85%. What intervention should the nurse perform first? c. Raise the head of the bed . The nurse is caring for four clients. What client should the nurse see first? c. A client on Methotrexate with a fever Which assessment is a nonverbal sign of pain? select all that apply a. Increased agitation c. Grimacing e. Increase in heart rate The nurse documented the following wound assessment: Shallow, open, reddened ulcer with no slough on the anterior region of the right heel? What stage is the wound b. Stage 2 A client is admitted for treatment of a wound. What is true about wound healing and nutrition? c. Wound healing is negatively impacted by poor nutrition What steps are included In preparing a sterile field? select all that apply b. Do not turn away from the sterile field c. Add items to the sterile field by dropping them gently e. prepare the client before setting up sterile field The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process? b. Assessment What statement by the client indicates a correct understanding of the timing of progression of human immunodeficiency virus (HIV) to acquired immunodeficiency syndrome (AIDS)? b. My diet does not influence the progression of HIV to AIDS How many mg is 3000 mcg? 3 Which organization published the National Patient Safety Goals? c. The Joint Commission A client on bedrest complains of pain and burning in the right calf area. What is the nurse's next action? c. Compare the circumference to the left calf A nurse working on an orthopedic unit is caring for four clients. Which of the following client should the nurse identify as being at highest risk for skin breakdown?