Summer Special Limited Time 65% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: exc65

A dose of theophylline may need to be altered if a client with COPD:

A.

Is allergic to morphine

B.

Has a history of arthritis

C.

Operates machinery

D.

Is concurrently on cimetidine for ulcers

A client is taught to eat foods high in potassium. Which food choices would indicate that this teaching has been successful?

A.

Pork chop, baked acorn squash, brussel sprouts

B.

Chicken breast, rice, and green beans

C.

Roast beef, baked potato, and diced carrots

D.

Tuna casserole, noodles, and spinach

Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?

A.

Broiled fish with rice

B.

Bran flakes with fresh peaches

C.

Lasagna with garlic bread

D.

Cauliflower and lettuce salad

A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?

A.

A pull toy to encourage locomotion

B.

A mobile to improve hand-eye coordination

C.

A large toy with movable parts to improve pincer grasp

D.

Various large colored blocks to teach visual discrimination

A client delivered her first-born son 4 hours ago. She asks the nurse what the white cheeselike substance is under the baby’s arms. The nurse should respond:

A.

“This is a normal skin variation in newborns. It will go away in a few days.”

B.

“Let me have a closer look at it. The baby may have an infection.”

C.

“This material, called vernix, covered the baby before it was born. It will disappear in a few days.”

D.

“Babies sometimes have sebaceous glands that get plugged at birth. This substance is an example of that condition.”

A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting

15 seconds. The nurse interprets this test to be:

A.

Nonreactive

B.

Reactive

C.

Positive

D.

Negative

A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?

A.

“I should shave with my electric razor while on Coumadin.”

B.

“I will inform my dentist that I am on anticoagulant therapy before receiving dental work.”

C.

“I will continue with my usual dosage of aspirin for my arthritis when I return home.”

D.

“I will wear an ID bracelet stating that I am on anticoagulants.”

A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate

(MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

A.

Deep tendon reflexes are absent

B.

Urine output is 20 mL/hr

C.

MgSO4serum levels are>15 mg/dL

D.

Respirations are>16 breaths/min

Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

A.

Eat high-calorie, high-protein foods

B.

Take vitamin supplementation

C.

Eliminate intake of milk and milk products

D.

Eat small, frequent meals

A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child’s mother for the home treatment of croup?

A.

Take him in the bathroom, turn on the hot water, and close the door.

B.

Give him a dose of antihistamine.

C.

Give large amounts of clear liquids if drooling occurs.

D.

Place him near a cool mist vaporizer and encourage crying.

An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant’s mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant’s home care?

A.

“Lay the infant flat on her left side after feeding.”

B.

“Feed the infant every 4 hours with half-strength formula.”

C.

“Antacids need to be given an hour before feeding.”

D.

“Play activities should be carried out before instead of after feedings.”

Iron dextran (Imferon) is a parenteral iron preparation.

The nurse should know that it:

A.

Is also called intrinsic factor

B.

Must be given in the abdomen

C.

Requires use of the Z-track method

D.

Should be given SC

Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:

A.

Cleanse area around the meatus twice a day

B.

Empty the catheter drainage bag at least daily

C.

Change the catheter tubing and bag every 48 hours

D.

Maintain fluid intake of 1200–1500 mL every day

The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

A.

“I will wash my hands before instilling eye medications.”

B.

“I will wear sunglasses when going outside.”

C.

“I will wear an eye patch for the first 3 postoperative days.”

D.

“I will maintain the sterility of the eye medications.”

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

A.

“Keep breathing with your abdominal muscles as long as you can.”

B.

“Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16–20 times a minute with shallow chest breaths.”

C.

“Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles.”

D.

“If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well.”

A 42-year-old client with bipolar disorder has been hospitalized on the inpatient psychiatric unit. She is dancing around, talking incessantly, and singing. Much of the time the client is anorexic and eats very little from her tray before she is up and about again. The nurse’s intervention would be to:

A.

Confront the client with the fact that she will have to eat more from her tray to sustain her

B.

Try to get the client to focus on her eating by offering a detailed discussion on the importance of nutrition

C.

Let her have snacks and drinks anytime that she wants them because she will not eat at regular meal times

D.

Not expect the client to sit down for complete meals; monitor intake, offering snacks and juice frequently

Other drugs may be ordered to manage a client’s ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

A.

Methylprednisolone sodium succinate (Solu-Medrol)

B.

Loperamide (Imodium)

C.

Psyllium

D.

6-Mercaptopurine

A male infant is to be discharged home this morning. Which instruction related to his cord care should be included in his mother’s discharge teaching plan?

A.

Keep the umbilical area moist with Vaseline until the stump falls off.

B.

Keep the umbilical area covered at all times with the diaper.

C.

Clean the umbilical cord with alcohol at each diaper change.

D.

Clean the umbilical cord daily with soap and water during the bath.

A primigravida with a blood type A negative is at 28 weeks’ gestation. Today her physician has ordered a RhoGAM injection. Which statement by the client demonstrates that more teaching is needed related to this therapy?

A.

“I’m getting this shot so that my baby won’t develop antibodies against my blood, right?”

B.

“I understand that if my baby is Rh positive I’ll be getting another one of these injections.”

C.

“This shot should help to protect me in future pregnancies if this baby is Rh positive, like my husband.”

D.

“This shot will prevent me from becoming sensitized to Rh-positive blood.”

A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?

A.

Encourage the child to cough up blood if present.

B.

Give warm clear liquids when fully alert.

C.

Have child gargle and do toothbrushing to remove old blood.

D.

Observe for evidence of bleeding.