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. Question Number 21 of 40
Question Number 15 of 40 Clients taking lithium must be particularly sure to
A client is admitted with severe injuries from an maintain adequate intake of which of these
auto accident. The client's vital signs are BP elements?
120/50, pulse rate 110, and respiratory rate of
28. The initial nursing intervention would be to A)Potassium
B)Sodium
A)begin intravenous therapy C)Chloride
B)initiate continuous blood pressure D)Calcium
monitoring
C)administer oxygen therapy
D)institute cardiac monitoring Question Number 22 of 40
The spouse of a client with Alzheimer's disease
expresses concern about the burden of
Question Number 16 of 40 caregiving. Which of the following actions by the
The visiting nurse makes a postpartum visit to a nurse should be a priority?
married female client. Upon arrival, the nurse
observes that the client has a black eye and A)Link the caregiver with a support group
numerous bruises on her arms and legs. The B)Ask friends to visit regularly
initial nursing intervention would be to C)Schedule a home visit each week
D)Request anti-anxiety prescriptions
A)call the police to report indications of .
domestic violence
B)confront the husband about abusing his Question Number 23 of 40
wife As a general guide for emergency management
C)leave the home because of the unsafe of acute alcohol intoxication, it is important for
environment the nurse initially to obtain data regarding which
D)interview the client alone to determine the of the following?
origin of the injuries
A)What and how much the client drinks,
according to family and friends
Question Number 17 of 40 B)The blood alcohol level of the client
A client telephones the clinic to ask about a C)The blood pressure level of the client
home pregnancy test she used this morning. D)The blood glucose level of the client
The nurse understands that the presence of
which hormone strongly suggests a woman is Question Number 24 of 40
pregnant? What must be the priority consideration for
nurses when communicating with children?
A)Estrogen
A)Present environment A)bowel sounds
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A)Bluish coloration of the cervix and vaginal A)Serum albumin 2.5 g/dl
walls B)LDL Cholesterol 140 mg/dl
B)Pronounced softening of the cervix C)Serum glucose 90 mg/dl
C)Clot of very thick mucous that obstructs D)RBC 5.0 million/mm3
the cervical canal
D)Slight rotation of the uterus to the right
Question Number 32 of 40
The nurse is teaching a client about the
Question Number 26 of 40 difference between tardive dyskinesia (TD) and
A client diagnosed with chronic depression is neuroleptic malignant syndrome (NMS). Which
maintained on tranylcypromine (Parnate). An statement is true with regards to tardive
important nursing intervention is to teach the dyskinesia?
client to avoid which of the following foods?
A)TD develops within hours or years of
A)Wine, beer, cheese, liver and chocolate continued antipsychotic drug use in
B)Wine, citrus fruits, yogurt and broccoli people under 20 and over 30
C)Beer, cheese, beef and carrots B)It can occur in clients taking antipsychotic
D)Wine, apples, sour cream and beef steak drugs longer than 2 years
C)Tardive dyskinesia occurs within minutes
of the first dose of antipsychotic drugs
Question Number 27 of 40 and is reversible
The nurse is caring for a 2 month-old infant with D)TD can easily be treated with
a congenital heart defect. Which of the following anticholinergic drugs
is a priority nursing action?
Question Number 3 of 20
Question Number 38 of 40
A nurse is working with a client in an extended
The nurse is aware that the effect of
antihypertensive drug therapy may be affected care facility. Which bed position is preferred for
by a 75 year-old client's a client, who is at risk for falls, as part of a
prevention protocol?
A)poor nutritional status
B)decreased gastrointestinal motility All 4 side rails up, wheels locked, bed closest
A)
C)increased splanchnic blood flow to door
D)altered peripheral resistance
B) Lower side rails up, bed facing doorway
D) determine the client’s status of pain D) Swab the mouth with glycerin swabs
An 86 year-old nursing home resident who has After a myocardial infarction, a client is placed
impaired mental status is hospitalized with on a sodium restricted diet. When the nurse is
pneumonic infiltrates in the right lower lobe. teaching the client about the diet, which meal
When the nurse assists the client with a clear plan would be the most appropriate to suggest?
liquid diet, the client begins to cough. What
should the nurse do next? 3 oz. broiled fish, 1 baked potato, ½ cup
A)
canned beets, 1 orange, and milk
A) Add a thickening agent to the fluids
3 oz. canned salmon, fresh broccoli, 1 biscuit,
B)
B) Check the client’s gag reflex tea, and 1 apple
C) Feed the client only solid foods A bologna sandwich, fresh eggplant, 2 oz
C)
fresh fruit, tea, and apple juice
D) Increase the rate of intravenous fluids
3 oz. turkey, 1 fresh sweet potato, 1/2 cup
D)
fresh green beans, milk, and 1 orange
Question Number 7 of 20
Question Number 8 of 20
Question Number 12 of 20
Which statement best describes the effects of
immobility in children? The nurse is caring for a 7 year-old with acute
glomerulonephritis (AGN). Findings include
Immobility prevents the progression of moderate edema and oliguria. Serum blood urea
A)
language and fine motor development nitrogen and creatinine are elevated. What
dietary modifications are most appropriate?
Immobility in children has similar physical
B)
effects to those found in adults A) Decreased carbohydrates and fat
Children are more susceptible to the effects of B) Decreased sodium and potassium
C)
immobility than are adults
C) Increased potassium and protein
Children are likely to have prolonged
D)
immobility with subsequent complications D) Increased sodium and fluids
Question Number 9 of 20