A 28-year-old woman seeks advice about oral contraceptives
from the nurse in her company health office. What should the
nurse tell her if she is a smoker? Correct Answers Oral
contraceptives can cause thrombophlebitis
A 31-year-old client is seeking contraceptive information.
Before responding to the client's questions about contraceptives,
the nurse obtains a health history. What factor in the client's
history indicates to the nurse that oral contraceptives are
contraindicated? Correct Answers Blood pressure 162/110
A burn victim has waxy white areas interspersed with pink and
red areas on the anterior trunk and all of both arms. The nurse
calculates the percentage of total body surface area (TBSA).
Which percentage will the nurse report? Correct Answers 36
A child is diagnosed with hepatitis A. The client's parent
expresses concern that the other members of the family may get
hepatitis because they all share the same bathroom. What is the
nurse's best reply? Correct Answers All family members,
including your child, need to wash their hands after using the
bathroom.
A chronically ill, older client tells the home care nurse that the
daughter with whom the client lives seems run-down and
disinterested in her own health, as well as the health of her
children, who are 5, 7, and 12 years old. The client tells the
nurse that the daughter coughs a good deal and sleeps a lot. Why
is it important that the nurse pursue the daughter's condition for
,potential case findings? Correct Answers Older adults with
chronic illness are more susceptible to tuberculosis.
A client comes into the emergency department with neurologic
deficits after falling off a ladder. Which client assessment will
the nurse perform for the Glasgow Coma Scale? Correct
Answers Correct4
Motor response to verbal commands
A client has a craniotomy for a meningioma. For which response
should the nurse assess the client in the postanesthesia care unit?
Correct Answers Blurred vision
A client has a tonic-clonic seizure at work and is admitted to the
emergency department. Which question is most useful when
planning nursing care related to the client's seizure? Correct
Answers Were you aware of anything different or unusual just
before your seizure began?"
A client has a tuberculin purified protein derivative test as part
of a yearly physical examination. The area of induration is 10
mm within 48 hours after having the test. What does the nurse
conclude about the client based on this response? Correct
Answers the client has been exposed to the tubercle bacillus
A client has expressive aphasia. The client's family members ask
how they can help the client regain as much speech function as
possible. Which information should the nurse share with the
family? Correct Answers Correct2
Encourage the client to speak while allowing time to respond
, A client has sensorineural hearing loss. Which finding in the
client's history will alert the nurse to the most likely cause of the
sensorineural hearing loss? Correct Answers Correct1
Prolonged exposure to noise
A client is admitted to the birthing unit in active labor. Cervical
dilation has progressed from 2 to 3 cm over the previous 8
hours. The primary healthcare provider determines that the
client has hypotonic dystocia, and an infusion of oxytocin is
prescribed to augment her contractions. What is the most
important nursing action at this time? Correct Answers
Monitoring the duration and intensity of the contractions
A client is admitted to the hospital for a total hip replacement.
Included in the primary healthcare provider's prescriptions is a
prescription for digoxin 2.5 mg by mouth daily. The nurse
knows that digoxin is supplied in 0.125 mg tablets. What should
the nurse do? Correct Answers Verify the prescription with the
primary healthcare provider
A client is admitted to the hospital for an emergency cardiac
catheterization. What adaptation is the client most likely to
complain of after this procedure? Correct Answers pain at
insertion site
A client is admitted to the hospital with a diagnosis of acute
Guillain-Barré syndrome. Which assessment is priority? Correct
Answers respiratory exchange
A client is admitted with extensive bone and soft-tissue injuries
to the leg. Sterile dressings are applied. Two days later, when