Correct Answers
The nurse is caring for a 65-year-old client and notes a temperature of 101 F◦. how does the nurse
interpret this finding? - Correct Answer Hyperthermia
What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)? - Correct
Answer These drugs inhibit viral replication
What is not an expected assessment finding in a client with inflammation? - Correct Answer Polyuria
A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best
explanation? - Correct Answer Once the tissue has necrosed from high-pressure. It does not
regenerate.
The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which
statement should the nurse include? - Correct Answer "There are many adaptive devices such as grab
bars, reacting tools, grasping devices and adaptive silverware available that may help you."
A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught.
What is the priority nursing action? - Correct Answer Maintain the client's blood pressure
A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the
management of gout. What statement by the client indicates a correct understanding of the
teaching? - Correct Answer "I should avoid eating liver and other organ meats."
What level of Maslow's Hierarchy of needs does shelter belong to? - Correct Answer Physiological
The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse
indicate in the education? - Correct Answer You should not take more than 4000mg acetaminophen a
day.
The nurse is caring for a client with rheumatoid arthritis one day after the shoulder surgery. What
would prompt the nurse to call the provider immediately? - Correct Answer The client had
paresthesia in her fingers and intense increasing pain in her shoulder.
, A client with systemic lupus erythematous complains of flank pain. Which laboratory test does the
nurse anticipate will be ordered? - Correct Answer Creatinine
The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis.
What would be the most appropriate statement by the nurse? - Correct Answer "How does this
impact your role in your family?"
A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a
bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What
does the nurse tell the physician about the event? - Correct Answer The client's incision site has
eviserated.
Most adults with human immunodeficiency virus will exhibit which of the following laboratory
values? - Correct Answer Lower than normal number of CD4+ T-cells are normal
A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her
symptoms. What should the nurse include in the client education? - Correct Answer Establish a
regular sleep pattern.
What is a sign of inadequate perfusion? - Correct Answer Pallor in toes
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the
nurse's priority? - Correct Answer Administer antibiotics to the client.
The client states, "Why am I getting protein supplements while I am healing from a bed sore?" What
is the best response by the nurse? - Correct Answer "Protein has amino acids that promotes wound
healing."
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 the best? - Correct Answer Assess the
client's support system.
The nurse is providing education to a client regarding the administration of eye drops. Which of the
following actions indicates the need for further client education? - Correct Answer The client touches
the administration dropper to her eye.