Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?
Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?
A. Diabetic ketoacidosis
Fever
Increased intracranial pressure
Spinal meningitis
QUESTION 302
A 47-year-old client has been admitted to the general surgery unit for bowel obstruction. The doctor has ordered that an NG tube be inserted to aid in bowel de-compression. When preparing to insert a NG tube, the nurse measures from the:
A. Lower lip to the shoulder to the upper sternum
B. Tip of the nose to the lower lip to the umbilicus
C. End of the tube to the first measurement line on the tube
D. Tip of the nose to the ear lobe to the xiphoid process or midepigastric area
“
QUESTION 303
Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adherence to a low-tyramine diet. Which of the following are foods that she should avoid?
A. Pickled, aged, smoked, and fermented foods
B. Fresh vegetables
C. Broiled fresh fish and fowl
D. Fresh fruit such as apples and oranges
QUESTION 304
The nurse documents a client’s surgical incision as having red granulated tissue. This indicates that the wound is:
Infected
Not healing
Necrotic
Healing
QUESTION 305
A 16-year-old client with a diagnosis of oppositional defiant disorder is threatening violence toward another child. In managing a potentially violent client, the nurse:
A. Must use the least restrictive measure possible to control the behavior
B. Should put the client in seclusion until he promises to behave appropriately C. Should apply full restraints until the behavior is under control
D. Should allow other clients to observe the acting out so that they can learn from the experience
QUESTION 306
A client returns to the cardiovascular intensive care unit following his coronary artery bypass graft. In planning his care, the most important electrolyte the nurse needs to monitor will be:
Chloride
HCO3
Potassium
Sodium
QUESTION 307
A client is admitted to the hospital with diabetic ketoacidosis.
The emergency room nurse should anticipate the administration of:
A. Humulin N
B. Humulin R
C. Humulin U
D. Humulin L
QUESTION 308
A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?
A. 0.5 ng/mL
B. 1.0 ng/mL
C. 2.0 ng/mL
D. 3.0 ng/mL
QUESTION 309
A male client received a heart-lung transplant 1 month ago at a local transplant center. While visiting the nursing center to have his blood pressure taken, he complains of recent weakness and fatigue. He also tells the nurse that he is considering stopping his cyclosporine because it is expensive and is causing his face to become round. He fears he will catch viruses and be more susceptible to infections. The nurse responds to this last statement by explaining that cyclosporine:
A. Is given to prevent rejection and makes him less susceptible to infection than other oral corticosteroids B. Is available at discount pharmacies for a reduced price
C. Is usually not necessary after the first year following transplantation
D. May initially cause weakness, dizziness, and fatigue, but these side effects will gradually resolve themselves
QUESTION 310
Decreased pulmonary blood flow, right-to-left shunting, and deoxygenated blood reaching the systemic circulation are characteristic of:
A. Tetralogy of Fallot
B. Ventricular septal defect
C. Patent ductus arteriosus
D. Transposition of the great arteries
“
QUESTION 311
As a postoperative cholecystectomy client completes tomorrow’s dinner menu, the nurse knows that one of the following meal choices will best provide the essential vitamin(s) necessary for proper tissue healing?
A. Liver, white rice, spinach, tossed salad, custard pudding
B. Fish fillet, carrots, mashed potatoes, butterscotch pudding
C. Roast chicken, gelatin with sliced fruit
D. Chicken breast fillet in tomato sauce, potatoes, mustard greens, orange and strawberry slices
QUESTION 312
While changing the dressing on a client’s central line, the nurse notices redness and warmth at the needle insertion site. Which of the following actions would be appropriate to implement based on this finding?
A. Discontinue the central line.
B. Begin a peripheral IV.
C. Document in the nurse’s notes and notify the physician after redressing the site.
D. Clean the site well and redress.
QUESTION 313
The nurse has been assigned a client who delivered a 6- lb, 12-oz baby boy vaginally 40 minutes ago. The initial assessment of greatest importance for this client would be:
A. Length of her labor
B. Type of episiotomy
C. Amount of IV fluid to be infused
D. Character of the fundus
QUESTION 314
When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:
A. 20 mL
B. 25 mL
C. 30 mL
D. 50 mL
QUESTION 315
The nurse begins morning assessment on a male client and notices that she is unable to palpate either of his dorsalis pedis pulses in his feet. What is the first nursing action after assessing this finding?
A. Palpate these pulses again in 15 minutes.
B. Use a Doppler to determine presence and strength of these pulses.
C. Document the finding that the pulses are not palpable.
D. Call the physician and notify the physician of this finding.
QUESTION 316
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?
A. Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.
B. Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
C. Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.
D. Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.
QUESTION 317
In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, “Forget all those rules. I always get along well with the nurses.” Which nursing response to him would be most effective?
A. “OK, don’t listen to the rules. See where you end up.”
B. “I’m pleased that you get along so well with the staff.
You must still know and abide by the rules.”
C. “It is irrelevant whether you get along with the nurses.”
D. “I’m not the other nurses. You better read the rules yourself.”
QUESTION 318
A client is having a pneumonectomy done today, and the nurse is planning her postoperative care. Nursing interventions for a postoperative left pneumonectomy would include:
A. Monitoring the chest tubes
B. Positioning the client on the right side
C. Positioning the client in semi-Fowler position with a pillow under the shoulder and back D. Monitoring the right lung for an increase in rales
QUESTION 319
The nurse recognizes that a client with the diagnosis of cholecystitis and cholelithiasis would expect to have stools that are:
A. Clay or gray colored
B. Watery and loose
Bright-red streaked
Black
QUESTION 320
Following a fracture of the left femur, a client develops symptoms of osteomyelitis. During the acute phase of osteomyelitis, nursing care is directed toward:
A. Moving or turning the client’s left leg carefully to minimize pain and discomfort
B. Allowing the client out of bed only in a wheelchair or gurney to minimize weight bearing on the left leg C. Providing the client with a high-protein, high-fiber diet to promote healing
D. Instituting physical therapy to ensure restoration of optimal functioning of the leg
QUESTION 321
In working with a manipulative client, which of the following nursing interventions would be most appropriate?
A. Bargaining with the client as a strategy to control the behavior
B. Redirecting the client
C. Providing a consistent set of guidelines and rules
D. Assigning the client to different staff persons each day
QUESTION 322
A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:
A. Reclining to control bleeding
B. Any position in which the client is comfortable
C. Side-lying, either left or right
D. Sitting with head support
QUESTION 323
A 50-year-old depressed client has recently lost his job. He has been reluctant to leave his hospital room.
Nursing care would include:
A. Forcing the client to attend all unit activities
B. Encouraging the client to discuss why he is so sad
C. Monitoring elimination patterns
D. Providing sensory stimulation
QUESTION 324
A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:
A. Including the client in planning sessions to select the type of meal plan and foods for his diet B. Working with the nutritionist to devise a diet with significantly increased calories
C. Selecting foods for the client’s diet that are high in calories and instituting a strict calorie count
D. Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods
“
QUESTION 325
A 68-year-old man was recently diagnosed with endstage renal disease. He has not yet begun dialysis but is experiencing severe anemia with associated symptoms of dyspnea on exertion and chest pain. Which statement best describes the management of anemia in renal failure?
A. Hematocrit levels usually remain slightly below normalin clients with renal failure.
B. Transfusion is often begun as early as possible to prevent complications of anemia such as dyspnea and
angin
A.
C. Anemia in renal failure is frequently caused by low serum iron and ferritin and corrected by oral iron and ferritin replacement therapy.
D. The renal secretion of erythropoiesis is decreased. The bone marrow requires erythropoietin to mature red blood cells.
QUESTION 326
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client’s level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
A. Within therapeutic range
B. Below therapeutic range
C. Above therapeutic range
D. At a level of toxic poisoning
QUESTION 327
Chorioamnionitis is a maternal infection that is usually associated with:
A. Prolonged rupture of membranes
B. Postterm deliveries
C. Maternal pyelonephritis
D. Maternal dehydration
QUESTION 328
A male client had a right below-the-knee amputation 4 days ago. His incision is healing well. He has gotten out of bed several times and sat at the side of the bed. Each time after returning to bed, he has experienced pain as if it were located in his right foot. Which nursing measure indicates the nurse has a thorough understanding of phantom pain and its management?
A. Phantom pain is entirely in the client’s mind. The client should be instructed that the pain is psychological and should not be treated.
B. The basis for phantom pain may occur because the nerves still carry pain sensation to the brain even though the limb has been amputated. The pain is real, intense, and should be treated.
C. The cause of phantom pain is unknown. The nurse should provide the client with support, promote sleep, and handle the injured limb smoothly and gently.
D. Phantom pain is caused by trauma, spasms, and edema at the incisional site. It will decrease when postoperative edema decreases. It should be treated with nonnarcotic medication whenever possible.
QUESTION 329
A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessment was initiated by the nurse. Which skill would cause the nurse to be concerned about the infant’s developmental progression?
A. She sits briefly alone with assistance.
B. She creeps and crawls.
C. She pulls herself to her feet with help.
D. She stands while holding onto furniture.
QUESTION 330
A 70-year-old homeless woman is admitted with pneumoni
A. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:
A. Tilt her head backwards
B. Swallow as tube passes
C. Hold breath as tube passes
D. Cough as tube passes
QUESTION 331
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse’s anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client’s behavior?
A. “I feel angry when I hear that tone of voice.”
B. “You make me angry when you talk to me that way.”
C. “Are you trying to get me angry?”
D. “Why do you treat me that way?”
QUESTION 332
The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for tomorrow’s menu. Which vitamin is the most essential in promoting tissue healing?
A. Vitamin C
B. Vitamin B1
C. Vitamin D
D. Vitamin A
QUESTION 333
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty.
He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?
A. “You will not be allowed to remain in your room if you continue to bother things.”
B. “I can see how uncomfortable you are, but I would like you to walk with me so I can show you around the unit.”
C. “Tell me why your room needs to be so clean.”
D. “I’ve inspected this room and it is perfectly clean.”
QUESTION 334
A baby who was diagnosed with pyloric stenosis has continued to have projectile vomiting. With prolonged vomiting, the infant is prone to:
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
.
QUESTION 335
A client with cystic fibrosis exhibits activity intolerance related to the pulmonary problems associated with his
disease. However, he needs to be encouraged to participate in daily physical exercise. The ultimate aim of exercise is to:
Create a sense of well-being and self-worth
Help him overcome respiratory infections
Establish an effective, habitual breathing pattern
Promote normal growth and development
QUESTION 336
The nurse is caring for a client with pancreatitis. Which of the following IV medications would the nurse expect the physician to prescribe for control of pain in this client?
A. Morphine sulfate
B. Kerolac tromethamine (Toradol)
C. Promethazine (Phenergan)
D. Meperidine (Demerol)
QUESTION 337
At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks’ gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant’s intrauterine growth retardation is:
A. The client’s young age
B. The client’s previous abortion
C. The client’s history of drug, ethyl alcohol, and tobacco use
D. The client’s late prenatal care
QUESTION 338
A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner
in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this “psych stuff.” When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:
Guilt
Shame
Despair
Anger
QUESTION 339
A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which client statement?
A. “HIV is a virus transmitted by sexual contact.”
B. “Condoms reduce the transmission of HIV.”
C. “HIV is a virus that is easily transmitted by casual contact.”
D. “HIV can be transmitted to an unborn infant.”
QUESTION 340
A 70-year-old female client is admitted to the medical intensive care unit with a diagnosis of cerebrovascular accident (CVA). She is semicomatose, responding to pain and change in position. She is unable to speak or cough. In planning her nursing care for the first 24 hours following a CVA, which nursing diagnosis should receive the highest priority?
A. Ineffective airway clearance related to immobility, ineffective cough, and decreased level of consciousness
B. Altered cerebral tissue perfusion related to pathophysiological changes that decrease blood flow
C. Potential for injury related to impaired mobility and seizures D. Impaired verbal communication related to aphasia
QUESTION 341
A client had a transurethral resection of the prostate yesterday. He is concerned about the small amount of blood that is still in his urine. The nurse explains that the blood in his urine:
A. Should not be there on the second day
B. Will stop when the Foley catheter is removed
C. Is normal and he need not be concerned about it
D. Can be removed by irrigating the bladder
QUESTION 342
A 28-year-old client performs a long, involved ritual in getting up and preparing for the day. He became unable to get to his job before noon. His family, in desperation, has admitted him to the hospital’s psychiatric unit. On the unit, he is always late for breakfast, which is served at 8 am. The nurse identifies that the best approach to this problem is to:
A. Allow him to eat late
B. Suggest that he do the rituals after breakfast
C. Get him up early so that he can complete the ritual before breakfast
D. Ask him to get all the other clients up so that he will forget about his ritual
QUESTION 343
A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolation, intubated, and receives mechanical ventilation. When performing suctioning, the nurse should: E. Suction for a maximum of 20 seconds
F. Hyperoxygenate before and after suctioning
G. Suction for a maximum of 30 seconds
H. Maintain clean technique during suctioning
QUESTION 344
A 67-year-old postoperative TURP client has hematuri
A. The nurse caring for him reviews his postoperative orders and recognizes that which one of the following prescribed
medications would best relieve this problem?
A. Acetaminophen suppository 650 mg
B. Meperidine 50 mg IM
C. Promethazine 25 mg IM
D. Aminocaproic acid (Amicar) 6 g/24 hr
QUESTION 345
Before completing a nursing diagnosis, the nurse must first:
A. Write goals and objectives
B. Perform an assessment
C. Plan interventions
D. Perform evaluation
QUESTION 346
A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:
A. He will manipulate the other clients for his own benefit B. He will cause the other clients to become psychotic
C. He will become delusional and hallucinate as a result of the excess attention given to him by peers D. He may exhibit self-mutilative behavior
QUESTION 347
A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?
A. Peanut butter and jelly sandwich and milk
B. Corn beef and cabbage and boiled potatoes
C. Oatmeal, whole-wheat toast, and milk
D. Tuna on whole-wheat bread and iced tea
.
QUESTION 348
A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardi A. She has a history of asthm
A. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
QUESTION 349
A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at this time is:
A. Intake and output measurement
B. Daily weights
C. Straining of all urine
D. Administration of O2 therapy
QUESTION 350
A client returned to the unit following a pneumonectomy. As the nurse is assessing her incision, she notices fresh blood on the dressing. The nurse should first:
A. Reinforce the dressing.
B. Continue to monitor the dressing.
C. Notify the physician.
D. Note the time and amount of blood.
QUESTION 351
A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in assisting her in expressing her feelings. Which activity should the nurse provide the child to assist her in expressing her feelings?
A. Books with colorful pictures
Music
Riding toys
Puppets
QUESTION 352
Which of the following blood gas parameters primarily reflects respiratory function?
PCO2
CO2 content of the blood
HCO3
Base excess
QUESTION 353
A 2-day-old infant boy has been diagnosed with an atrial septal defect due to a persistent patent foramen ovale. When explaining the diagnosis to the mother, the nurse includes in the discussion the function of the foramen ovale. In fetal circulation, the foramen ovale allows a portion of the blood to bypass the:
A. Left ventricle
B. Pulmonary system
Liver
Superior vena cava
QUESTION 354
A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running
down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:
A. Decreased cardiac output related to excessive bleeding
B. Potential for fluid volume excess related to fluid resuscitation
C. Anxiety related to threat to self
D. Alteration in parenting related to potential fetal injury
QUESTION 355
Home-care instructions for the child following a cardiac catheterization should include:
A. Notify the physician if a slight bruise develops around the insertion site.
B. Use sponge bathing until stitches are removed.
C. Give aspirin if the child complains of pain at the insertion site.
D. Keep a clean, dry dressing on the insertion site for 2 days.
QUESTION 356
The nurse is caring for a client who has had a tracheostomy for 7 years. The client is started on a fullstrength tube feeding at 75 mL/hr. Prior to starting the tube feeding, the nurse confirms placement of the tube in the stomach. The hospital policy states that all tube feeding must be dyed blue. On suctioning, the nurse notices the sputum to be a blue color. This is indicative of which of the following?
A. The client aspirated tube feeding.
B. The nurse has placed the suction catheter in the esophagus.
C. This is a normal finding.
D. The feeding is infusing into the trache
.QUESTION 357
A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:
A. Continue to monitor the foot
B. Notify the physician immediately
C. Reposition and reassess the foot
D. Assure the client that his foot is fine
QUESTION 358
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect.
Based on his developmental stage, the nurse:
A. Uses pictures to explain the procedure to the child and his parents that evening
B. Explains the procedure using simple words and sentences just before the preoperative sedation C. Asks the parents to explain the procedure to the child after she explains it to them
D. Asks the parents to leave the room while the preoperative medication and instructions are given
QUESTION 359
A 34-year-old client who is gravida 1, para 0 has a history of infertility and conceived this pregnancy while taking fertility drugs. She is at 32 weeks’ gestation and is carrying triplets. She is complaining of low back pain and a feeling of pelvic pressure. Her cervical exam reveals a long, closed cervix. The nurse notes that the client is experiencing mild uterine contractions every 7–8 minutes after the nurse has placed her on the fetal monitor. Her condition should indicate that:
A. Her cervix shows she will likely deliver soon
B. The nurse should not be alarmed because mild uterine activity is common at 32 weeks’ gestation
C. She may be in preterm labor because this is more common with multiple pregnancies
D. She most likely has a urinary tract infection (UTI) because this is common with pregnancy
.
QUESTION 360
Clients receiving antipsychotic drug therapy will often exhibit extrapyramidal side effects that are reversible with which of the following agents ordered by the physician?
Phenothiazines
Anticholinergics
Anti-Parkinsonian drugs
Tricyclic agents
QUESTION 361
An 80-year-old widow is living with her son and daughter- in-law. The home health nurse has been making weekly visits to draw blood for a prothrombin time test. The client is taking 5 mg of coumadin per day. She appears more debilitated, and bruises are noted on her face. Elder abuse is suspected. Which of the following are signs of persons who are at risk for abusing an elderly person?
A. A family member who is having marital problems and is regularly abusing alcohol
B. A person with adequate communication and coping skills who is employed by the family
C. A friend of the family who wants to help but is minimally competent
D. A lifelong friend of the client who is often confused
QUESTION 362
The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:
A. Maintaining an adequate level of hydration
B. Providing pain relief
C. Preventing infection
D. O2 therapy
QUESTION 363
A client is to have a coronary artery bypass graft performed in the morning using a saphenous vein. He wants to know why the physician does not use the internal mammary artery for his bypass graft because his friend’s physician uses this artery. The nurse tells the client that the internal mammary artery:
A. Takes more time to remove
B. Has a greater risk of becoming reoccluded
C. Is smaller in diameter
D. Has too many valves
.
QUESTION 364
A client has ascites, which is caused by:
A. Decreased plasma proteins
B. Electrolyte imbalance
C. Decreased renal function
D. Portal hypertension
QUESTION 365
The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:
A. Careful monitoring of weight loss or gain
B. Carefully recording amounts and types of foods ingested
C. Keeping a strict account of the number of calories ingested
D. Keeping a careful account of the amount of pancreatic enzymes ingested
QUESTION 366
A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg. The nurse should:
A. Remind the client that he no longer has that part of his leg and assure him he will be OK B. Call the physician to request a psychological consultation for the client
C. Turn on the television to distract the client’s attention from his amputated leg D. Give the client his order of Demerol 50 mg IM prn
QUESTION 367
A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks’ gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings
concerning the abdomen would include:
A. A rigid, boardlike abdomen
B. Uterine atony
C. A soft relaxed abdomen
D. Hypertonicity of the uterus
QUESTION 368
Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients.
The nurse explains that the purpose of the drug is to:
A. Relax muscles
B. Relieve anxiety
C. Reduce secretions
D. Act as an anesthetic
QUESTION 369
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
A. His priority needs are limited to medical management
B. There is no real psychological basis for his illness
C. The disorder is a threat to his physical well-being
D. He is unable to participate in planning his care
QUESTION 370
A client has just been transferred to the floor from the labor and delivery unit following delivery of a stillborn
term infant. She is very despondent. When the nurse attempts to take her vital signs, she responds in anger, stating, “You leave me alone. You don’t care anything about me. It’s people like you who let my baby die.” The nurse’s best course of action is to:
A. Quietly leave her room, allowing her more private time to deal with her loss.
B. Tell her that what happened was for the best and that she is still young and can have other children.
C. Tell her how sorry you are, and let her know that her child is now a little angel in heaven.
Tell her how sorry you are about the loss of her baby, and acknowledge her anger as being a normal stage of grief. Assure her that you are there to help her in any way you can.
QUESTION 371
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
A. Assigning her to occupational therapy
B. Having her sit with the nurses while they chart
C. Helping her to make friends
D. Facilitating communication
QUESTION 372
A 72-year-old client with a new colostomy is being evaluated at the clinic today for constipation. When discussing diet with the client, the nurse recognizes that which one of the following foods most likely caused this problem?
A. Fried chicken
Eggs
Tapioca
Cabbage
QUESTION 373
Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?
A. Monitor liver function.
B. Monitor renal function.
C. Assess knowledge of respiratory isolation.
D. Monitor compliance with drug therapy.
QUESTION 374
A successful executive left her job and became a housewife after her marriage to a plastic surgeon. She started doing volunteer work for a charity organization. She developed pain in her legs that advanced to the point of paralysis. Her physicians can find no organic basis for the paralysis. The client’s behavior can be described as:
A. Housework phobia
Malingering
Conversion reaction
Agoraphobia
QUESTION 375
The nurse needs to be aware that the most common early complication of a myocardial infarction is:
A. Diabetes mellitus
B. Anaphylactic shock
C. Cardiac hypertrophy
D. Cardiac dysrhythmia
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
