Description
D. Excretion of potassium via bowel movement
40. An adult male who is insulin dependent diabetic. Is admitted to the hospital because of headaches. When
the client stiffens and begins to seize. Which intervention is most important for the nurse to implement?
A. Pad all side rails with available pillows and blankets
B. Determine the clients blood glucose level
C. Give the client a rapid form of glucose supplement
D. Obtain a suction set-up in the room
41. A young adult is burned when wearing a shirt that was splashed with lighter fluid and caught. The shirt
immediately without unbuttoning. What should the nurse implement first?
A. Assess range of motion
B. Monitor pulse intensity
C.
D.
42. A female client returns to the clinic after being treated for chlamydia with azithromycin IM and reports
that she still has symptoms. The healthcare provider obtains a swab of the discharge from the cervix for
testing chlamydia. The client reports maintaining a monogamous relationship when laboratory results
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A. Determine if the clients sexual partner received treatment for chlamydia
A. Engage staff in evidence-based practice
D. Encourage the client and family to provide a semi-solid diet with thick liquids
A. Hematemesis
C. Asses the patency of the client's artificial airway
are positive for sexually transmitted infection. Which information should the nurse obtain to evaluate the
ineffective results of treatment?
B. Ask the client if the complete course of antibiotics was completed
C. Confer with the healthcare provider about a different course of antibiotics
D. Inquire further about all sexual encounters and any other sexual activity
43. The nurse implements a change in the approach to the client care after gathering evidence of a new
approach. What should the nurse do first?
B. Consult with clinical nursing expert
C. Revise clinical practice guidelines
D. Evaluate effectiveness of the change
44. The Home Health nurse is caring for a client with Parkinson's disease who is beginning to experience
swallowing difficulties. Which intervention should the nurse include for this client?
A. Teach the client to take his medication an hour before meals to enhance the swallowing reflex
B. Tell the client to lay on his left side to prevent his tongue from falling back in his mouth
C. Prepare the client and the family for the future need of a gastrostomy tube for feeding
45. A client with chronic cirrhosis has esophageal varices. it is most important for the nurse to monitor the
client for?
B. Brown foamy urine
C. Anorexia
D. Clay colored stool
46. The intracranial pressure of a brain-injured client who is on a ventilator has increased from 15 mm Hg to
25 mm Hg within the last 30 minutes. The client is beginning to flex all extremities intermittently. Based
on these findings, which immediate action should the nurse take?
A. Draw stat arterial gases to the hypercapnia
B. Manually ventilate the client using and ambu bag
D.
47. A young male client has a diagnosis of epididymitis and a positive culture for Escherichia coli. Which
information should the nurse include in the teaching plan?
A. Epididymitis is a pre-cancerous condition
B. Avoid penile contact with rectal area
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C. The client is most likely responding to treatment
C. Gently pat the solution on the sore areas, using cotton tipped applicators
D. Cardiac dysrhythmia
B. Tell the spouse to wait outside the room so the nurse can interview the client alone
D. Obtain an annual prostate digital exam
48. The ESR (sedimentation rate) of a client being treated with corticosteroids for rheumatoid arthritis has
decreased. Which explanation should the nurse provide the client to explain this change in lab values?
A. The treatment so far has not been effective
B. A value of 0 will indicate that that the client is cured
D. The client disease is currently in a remission