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Nursing Practice Iv Care Of Clients Physiologic And Psychosocial Alterations

100 Questions  I  By Rnpedia
Nursing Practice IV Care of Clients  Physiologic and Psychosocial Alterations
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1.  A client with hypertension ask the nurse which factors can cause blood pressure to drop to normal levels?
A.
B.
C.
D.
2.  Nurse Sugar is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately?
A.
B.
C.
D.
3.  Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?
A.
B.
C.
D.
4.  A male client with a gunshot wound requires an emergency blood transfusion. His blood type is AB negative. Which blood type would be the safest for him to receive?
A.
B.
C.
D.
5.   The nurse is aware that the following terms used to describe reduced cardiac output and perfusion impairment due to ineffective pumping of the heart is:
A.
B.
C.
D.
6.  Situation: Stacy is diagnosed with acute lymphoid leukemia (ALL) and beginning chemotherapy.Stacy’s mother states to the nurse that it is hard to see Stacy with no hair. The best response for the nurse is:
A.
B.
C.
D.
7.  Maritess was recently diagnosed with a genitourinary problem and is being examined in the emergency department. When palpating the her kidneys, the nurse should keep which anatomical fact in mind?
A.
B.
C.
D.
8.  Which of the following laboratory test results would suggest to the nurse Len that a client has a corticotropin-secreting pituitary adenoma?
A.
B.
C.
D.
9.  Francis with leukemia has neutropenia. Which of the following functions must frequently assessed?
A.
B.
C.
D.
10.  Nurse Kate is aware that one of the following classes of medication protect the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation is:
A.
B.
C.
D.
11.  Which of the following treatment is a suitable surgical intervention for a client with unstable angina?
A.
B.
C.
D.
12.  Nurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
A.
B.
C.
D.
13.  Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)?
A.
B.
C.
D.
14.  Nurse Tristan is caring for a male client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat:
A.
B.
C.
D.
15.  Kristine is scheduled for a bronchoscopy. When teaching Kristine what to expect afterward, the nurse's highest priority of information would be:
A.
B.
C.
D.
16.  Nurse Lourdes is teaching a client recovering from addisonian crisis about the need to take fludrocortisone acetate and hydrocortisone at home. Which statement by the client indicates an understanding of the instructions?
A.
B.
C.
D.
17.  A male client has jugular distention. On what position should the nurse place the head of the bed to obtain the most accurate reading of jugular vein distention?
A.
B.
C.
D.
18.  After cardiac surgery, a client’s blood pressure measures 126/80 mm Hg. Nurse Katrina determines that mean arterial pressure (MAP) is which of the following?
A.
B.
C.
D.
19.  Situation: Stacy is diagnosed with acute lymphoid leukemia (ALL) and beginning chemotherapy.Stacy is discharged from the hospital following her chemotherapy treatments. Which statement of Stacy’s mother indicated that she understands when she will contact the physician?
A.
B.
C.
D.
20.   Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can develop in the client who is diagnosed with:
A.
B.
C.
D.
21.  The nurse is ware that the most relevant knowledge about oxygen administration to a male client with COPD is
A.
B.
C.
D.
22.  Anthony suffers burns on the legs, which nursing intervention helps prevent contractures?
A.
B.
C.
D.
23.  Nurse Alexandra teaches a client about elastic stockings. Which of the following statements, if made by the client, indicates to the   nurse that the teaching was successful?
A.
B.
C.
D.
24.  Nurse Sarah expects to note an elevated serum glucose level in a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which other laboratory finding should the nurse anticipate?
A.
B.
C.
D.
25.  After a motor vehicle accident, Armand an 22-year-old client is admitted with a pneumothorax. The surgeon inserts a chest tube and attaches it to a chest drainage system. Bubbling soon appears in the water seal chamber. Which of the following is the most likely cause of the bubbling?
A.
B.
C.
D.
26.  The term “blue bloater” refers to a male client which of the following conditions?
A.
B.
C.
D.
27.  A 37-year-old male client was admitted to the coronary care unit (CCU) 2 days ago with an acute myocardial infarction. Which of the following actions would breach the client confidentiality?
A.
B.
C.
D.
28.  An 18-year-old male client admitted with heat stroke begins to show signs of disseminated intravascular coagulation (DIC). Which of the following laboratory findings is most consistent with DIC?
A.
B.
C.
D.
29.  Norma asks for information about osteoarthritis. Which of the following statements about osteoarthritis is correct?
A.
B.
C.
D.
30.  If a client requires a pneumonectomy, what fills the area of the thoracic cavity?
A.
B.
C.
D.
31.  Arnold, a 19-year-old client with a mild concussion is discharged from the emergency department. Before discharge, he complains of a headache. When offered acetaminophen, his mother tells the nurse the headache is severe and she would like her son to have something stronger. Which of the following responses by the nurse is appropriate?
A.
B.
C.
D.
32.  Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
A.
B.
C.
D.
33.  Nurse Michelle calculates the IV flow rate for a postoperative client. The client receives 3,000 ml of Ringer’s lactate solution IV to run over 24 hours. The IV infusion set has a drop factor of 10 drops per milliliter. The nurse should regulate the client’s IV to deliver how many drops per minute?
A.
B.
C.
D.
34.  Capillary glucose monitoring is being performed every 4 hours for a client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Mariner should expect the dose's:
A.
B.
C.
D.
35.  Ricardo is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia?
A.
B.
C.
D.
36.  Ruby is receiving thyroid replacement therapy develops the flu and forgets to take her thyroid replacement medicine. The nurse understands that skipping this medication will put the client at risk for developing which of the following lifethreatening complications?
A.
B.
C.
D.
37.  Wilfredo with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse Patricia position the client for this test initially?
A.
B.
C.
D.
38.  Norma, with recent colostomy expresses concern about the inability to control the passage of gas. Nurse Oliver should suggest that the client plan to:
A.
B.
C.
D.
39.  When prioritizing care, which of the following clients should the nurse Olivia assess first?
A.
B.
C.
D.
40.  When evaluating an arterial blood gas from a male client with a subdural hematoma, the nurse notes the Paco2 is 30 mm Hg. Which of the following responses best describes the result?
A.
B.
C.
D.
41.  Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to:
A.
B.
C.
D.
42.  A male client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, Nurse Oliver notes that the client's stoma appears dusky. How should the nurse interpret this finding?
A.
B.
C.
D.
43.  Katrina has an abnormal result on a Papanicolaou test. After admitting that she read her chart while the nurse was out of the room, Katrina asks what dysplasia means. Which definition should the nurse provide?
A.
B.
C.
D.
44.  A male client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to:
A.
B.
C.
D.
45.  Instructions for a client with systemic lupus erythematosus (SLE) would include information about which of the following blood dyscrasias?
A.
B.
C.
D.
46.  Situation: Stacy is diagnosed with acute lymphoid leukemia (ALL) and beginning chemotherapy.During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen, when the IV is touched Stacy shouts in pain. The first nursing action to take is:
A.
B.
C.
D.
47.  The nurse knows that neurologic complications of multiple myeloma (MM) usually involve which of the following body system?
A.
B.
C.
D.
48.  For a client with Graves' disease, which nursing intervention promotes comfort?
A.
B.
C.
D.
49.  Mr. Mendoza who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, Nurse Celia should:
A.
B.
C.
D.
50.  Jestoni with chronic renal failure (CRF) is admitted to the urology unit. The nurse is aware that the diagnostic test are consistent with CRF if the result is:
A.
B.
C.
D.
51.  After undergoing a cardiac catheterization, Tracy has a large puddle of blood under his buttocks. Which of the following steps should the nurse take first?
A.
B.
C.
D.
52.  Nurse Sherry is teaching male client regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker?
A.
B.
C.
D.
53.  A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?
A.
B.
C.
D.
54.  Nurse Ron begins to teach a male client how to perform colostomy irrigations. The nurse would evaluate that the instructions were understood when the client states, “I should:
A.
B.
C.
D.
55.  Mario has burn injury. After Forty48 hours, the physician orders for Mario 2 liters of IV fluid to be administered q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the flow to provide:
A.
B.
C.
D.
56.  Marco falls off his bicycle and injuries his ankle. Which of the following actions shows the initial response to the injury in the extrinsic pathway?
A.
B.
C.
D.
57.  Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler's position on either his right side or on his back. The nurse is aware that this position:
A.
B.
C.
D.
58.  A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He’s now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?
A.
B.
C.
D.
59.    Rico with diabetes mellitus must learn how to self-administer insulin. The physician has prescribed 10 U of U-100 regular insulin and 35 U of U-100 isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instruction?
A.
B.
C.
D.
60.  Situation: Mr. Gonzales was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver:Which laboratory test indicates liver cirrhosis?
A.
B.
C.
D.
61.    Cleo is diagnosed with osteoporosis. Which electrolytes are involved in the development of this disorder?
A.
B.
C.
D.
62.  Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to correct this electrolyte imbalance, the nurse would expect to:
A.
B.
C.
D.
63.  A 66-year-old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?
A.
B.
C.
D.
64.  Aldo with a massive pulmonary embolism will have an arterial blood gas analysis performed to determine the extent of hypoxia. The acid-base disorder that may be present is?
A.
B.
C.
D.
65.  A female client arrives at the emergency department with chest and stomach pain and a report of black tarry stool for several months. Which of the following order should the nurse Oliver anticipate?
A.
B.
C.
D.
66.  Jomari is diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?
A.
B.
C.
D.
67.  Nurse Nikki knows that laboratory results supports the diagnosis of systemic lupus erythematosus (SLE) is:
A.
B.
C.
D.
68.  The nurse is aware that one of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?
A.
B.
C.
D.
69.  The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and hematuria is to decrease:
A.
B.
C.
D.
70.  JP has been diagnosed with gout and wants to know why colchicine is used in the treatment of gout. Which of the following actions of colchicines explains why it’s effective for gout?
A.
B.
C.
D.
71.    Norma has started a new drug for hypertension. Thirty minutes after she takes the drug, she develops chest tightness and becomes short of breath and tachypneic. She has a decreased level of consciousness. These signs indicate which of the following conditions?
A.
B.
C.
D.
72.  Hemoptysis may be present in the client with a pulmonary embolism because of which of the following reasons?
A.
B.
C.
D.
73.  The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin’s disease?
A.
B.
C.
D.
74.  Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered to treat hypertension is:
A.
B.
C.
D.
75.  Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?
A.
B.
C.
D.
76.  Jose is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. Nurse Oliver would expect the paco2 to be which of the following values?
A.
B.
C.
D.
77.  Situation: Stacy is diagnosed with acute lymphoid leukemia (ALL) and beginning chemotherapy.Stacy has beginning stomatitis. To promote oral hygiene and comfort, the nurse in-charge should:
A.
B.
C.
D.
78.    A 67-year-old client develops acute shortness of breath and progressive hypoxia requiring right femur. The hypoxia was probably caused by which of the following conditions?
A.
B.
C.
D.
79.  During a routine checkup, Nurse Mariane assesses a male client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?
A.
B.
C.
D.
80.  Macario had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the following conditions is suspected by the nurse when a decrease in platelet count from 230,000 ul to 5,000 ul is noted?
A.
B.
C.
D.
81.  A female client is scheduled to receive a heart valve replacement with a porcine valve. Which of the following types of transplant is this?
A.
B.
C.
D.
82.   A male client arriving in the emergency department is receiving cardiopulmonary resuscitation from paramedics who are giving ventilations through an endotracheal (ET) tube that they placed in the client’s home. During a pause in compressions, the cardiac monitor shows narrow QRS complexes and a heart rate of beats/minute with a palpable pulse. Which of the following actions should the nurse take first?
A.
B.
C.
D.
83.  Which of the following drugs would be ordered by the physician to improve the platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?
A.
B.
C.
D.
84.  Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby should monitor the client for the systemic side effect of:
A.
B.
C.
D.
85.  Patrick is treated in the emergency department for a Colles' fracture sustained during a fall. What is a Colles' fracture?
A.
B.
C.
D.
86.  Mickey, a 6-year-old child with a congenital heart disorder is admitted with congestive heart failure. Digoxin (lanoxin) 0.12 mg is ordered for the child. The bottle of Lanoxin contains .05 mg of Lanoxin in 1 ml of solution. What amount should the nurse administer to the child?
A.
B.
C.
D.
87.  Herbert, a 45 year old construction engineer is brought to the hospital unconscious after falling from a 2-story building. When assessing the client, the nurse would be most concerned if the assessment revealed:
A.
B.
C.
D.
88.  Nurse Ron is assessing a client admitted with second- and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem?
A.
B.
C.
D.
89.  A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?
A.
B.
C.
D.
90.  Which of the following groups of symptoms indicates a ruptured abdominal aortic aneurysm?
A.
B.
C.
D.
91.  Terence suffered form burn injury. Using the rule of nines, which has the largest percent of burns?
A.
B.
C.
D.
92.  The term “pink puffer” refers to the female client with which of the following conditions?
A.
B.
C.
D.
93.  The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis?
A.
B.
C.
D.
94.  A male client is scheduled for a transsphenoidal hypophysectomy to remove a pituitary tumor. Preoperatively, the nurse should assess  for potential complications by doing which of the following?
A.
B.
C.
D.
95.  Cyrill with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty-six hours later, the client's urine output suddenly rises above 200 ml/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?
A.
B.
C.
D.
96.  Situation: Mr. Gonzales was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver:When Mr. Gonzales regained consciousness, the physician orders 50 ml of Lactose p.o. every 2 hours. Mr. Gozales develops diarrhea. The nurse best action would be:
A.
B.
C.
D.
97.  Situation: Mr. Gonzales was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver:The biopsy of Mr. Gonzales confirms the diagnosis of cirrhosis. Mr. Gonzales is at increased risk for excessive bleeding primarily because of:
A.
B.
C.
D.
98.  Situation: Mr. Gonzales was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver:Mr. Gonzales develops hepatic encephalopathy. Which clinical manifestation is most common with this condition?
A.
B.
C.
D.
99.  Mario comes to the clinic complaining of fever, drenching night sweats, and unexplained weight loss over the past 3 months. Physical examination reveals a single enlarged supraclavicular lymph node. Which of the following is the most probable diagnosis?
A.
B.
C.
D.
100.    Timothy’s arterial blood gas (ABG) results are as follows; pH 7.16; Paco2 80 mm Hg; Pao2 46 mm Hg; HCO3- 24mEq/L; Sao2 81%. This ABG result represents which of the following conditions?
A.
B.
C.
D.
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