PRN1409 / PRN 1409 Final Exam Review | Client Centered Care III Review | Verified Questions & Answers | (Latest 2026/2027 Update)100% Correct Solutions | Grade A | Rasmussen

PRN1409 / PRN 1409 Final Exam Review | Client Centered Care III Review | Verified Questions & Answers | (Latest 2026/2027 Update)100% Correct Solutions | Grade A | Rasmussen Q: The nurse is caring for a patient with chronic lung disease who is receiving oxygen via a nonrebreathing mask. Which observation indicates to the nurse that the system is function as expected Answer Both side vents closed on inspiration, reservoir bag inflated Q: The nurse is caring for a patient who is on a ventilator and the high-pressure alarm sounds. What should the nurse consider as the cause of this alarm Answer The tubing is obstructed Q: The nurse recognizes that the patient is experiencing a respiratory emergency when the patient has wheezes and stridor. What do these sounds indicate Answer This is an indication of bronchospasm Q: The LPN/LVN is caring for a patient with COPD who is using oxygen at 2 L/min. The patient becomes short of breath and requests that the oxygen flow rate be increased. What is the LPN/LVN's next step Answer Contact the physician for guidance Q: The LPN/LVN is caring for a patient with a chest tube and notices that the tubing appears to be occluded with clots. What is the LPN/LVN's next nursing intervention Answer If tubing appears to be occluded, consult with the HCP for specific orders Q: The nurse is assessing a patient's respiratory system and notices upon auscultation bibasilar crackles. How would the nurse explain these findings to the patient Answer "When you took a deep breath, I heard sounds like cellophane being crumpled" Q: The nurse is preparing a patient for a spirometer test to diagnose COPD. The patient asks how to prepare for this test. How should the nurse respond Answer "Refrain form using a short-acting inhaler 6 to 8 hours prior to testing" Q: A patient comes to the HCP's office reporting a serious sore throat that "has lasted for 2 weeks." A rapid streptococcal antigen test is positive for strep throat. Which is the most important additional test the nurse expects the HCP to order Answer Laboratory tests for renal function Q: The nurse is previewing teaching information for a patient who is diagnosed with noncancerous, chronic laryngitis. Which topic is least useful in addressing modifiable causes of the patient's condition Answer Sensitivity to multiple allergens Q: The nurse is proving care for a patient immediately after a tonsillectomy. Which action by the nurse should be avoided Answer Provide the patient with hot tea sweetened with honey Q: The patient is diagnosed with nasal polyps. For which additional health problems should the nurse assess this patient? Select all that apply Answer -allergy to aspirin -asthma Q: The nurse is caring for a patient with pneumonia. Which set of laboratory tests will be most helpful to the nurse to monitor the condition of this patient Answer White blood cell (WBC) count, arterial blood gases (ABGs) Q: The nurse is providing care for a patient admitted for a lower respiratory infection. On admission, the patient's vital signs were blood pressure (BP) 140/80 mmHg, apical pulse (AP) 112 beats/min. Respiratory rate (R) 32 breaths/min., and pain level of 8 on a scale of 0 to10. After assisting the patient to bed and applying the prescribed oxygen, which finding helps the nurse evaluate the effectiveness of nursing care Answer Respiratory rate 20 breaths/min Q: The nurse is providing care for a patient with a lower respiratory tract infection who is having difficulty expectorating secretions. The patient is weak and easily fatigued. Which action by the nurse will best assist the patient in maintaining and clear airway Answer Explain the importance of fluid intake Q: A patient is diagnosed with respiratory failure. Which acid-base abnormality should the nurse expect the patient to demonstrate Answer respiratory acidosis Q: A doctor has prescribed a dose of salmeterol for a patient with asthma. What effects does the nurse expect the patient to exhibit after receiving this medication Answer Keep airways dilated up to 12 hrs Q: A client with cystic fibrosis is being treated with pancreatic enzyme replacement to help reduce the symptoms related to malabsorption and improve nutritional status. The nurse will ensure that the patient follows which of the following diet? Select all that apply Answer -nutrient dense -high calorie Q: A nurse administered albuterol to a client with asthma, who is now reporting dizziness, especially when standing up. When analyzing the client's record for potential sources, which of the following medical conditions should the nurse address Answer Cardiac disease Q: A patient with cystic fibrosis is admitted to the hospital. Based on the pathophysiology of the disease the nurse knows that which of these medical treatments should be avoided Answer Restricted fluids Q: A client is experiencing a severe asthma attack and has the following arterial blood gas results; pH 7.33, PCO2 58, HCO3 26. Which of the following prescription should the nurse perform first Answer Albuterol (proventil) via nebulizer Q: A new graduate nurse is preparing to teach a client about his chest tube. Which of the following statements if made by a nurse indicates that she herself does not understand how the chest tube functions Answer " The chest tube measurement on the bedside table" Q: An LVN is caring for a client who was hospitalized for epistaxis. To assess the extent of bleeding, the nurse instructs the patient to Answer Not to swallow blood Q: A nurse admits a patient after a thoracentesis. What data is found on assessment warrants immediate action? Select all that apply Answer -asymmetrical chest movements -Deviated trachea Q: A nurse is caring for a client with active tuberculosis who has started medication therapy that includes rifampin. Which of the following indicates an expected outcome Answer Red-colored body secretions Q: A nurse instructs the patient with COPD to sit on the side of the bed with the arms folded across the bedside table. What rationale should the nurse offer for assuming this position Answer Allows the accessory muscles to function more effectively Q: A nursing diagnosis for the patient with a laryngectomy would be impaired verbal communication related to removal of the larynx. Which intervention ii carried out by the nurse is incorrect Answer Help visitors and staff refrain from conversations with the patient to reduce his stress level Q: A patient develops a pneumothorax. The nurse should initially prepare the patient for which procedure Answer -ultrasound -chest x-ray -CT scan Q: A patient with pneumonectomy returns to the unit after the procedure. Which position to the nurse place the patient Answer Consult the surgeon for specific positioning orders Q: A patient with a primary diagnosis of pulmonary embolism has an order for the drug Alteplase (Activase). The nurse should be aware that this drug is listed under what classification Answer Thrombolytic agents A physician has inserted a chest tube in a client with pneumothorax. The client asks "What is the purpose of the tube?" The nurse should instruct the patient that it was inserted for what purpose Answer To remove air and fluid from the lung Interpret the following ABG values and select a medical diagnosis: pH 7.27, HCO3= 26, PaCO2= 50. Answer Metabolic acidosis The diagnosis listed for a patient is hemothorax. A chest drainage system is placed. If the system is placed correctly which chamber to the nurse expect to find tidaling Answer The water seal chamber Which laboratory test result indicates that a client is infectious for pulmonary tuberculosis Answer Positive sputum for acid-fast bacillus The nurse administers theophylline (Theo-dur) to a client. When evaluating the effectiveness of this medication, the nurse should assess the client for which of the following Answer Less difficulty breathing While giving a report to the oncoming shift., A nurse states that the patient with asthma has experienced persistent, severe and prolonged bronchospasm. What diagnosis will most likely be listed in the patient's chart Answer Status asthmaticus What would be the nurses first action when a chest tube is accidentally pulled out Answer Pack the wound with petroleum gauze The nurse is reviewing data collected on a patient with a respiratory disorder. Which factors does the nurse identify as placing the patient at risk for lung cancer? Select all that apply Answer -diet poor in fruits and vegetables -exposure to arsenic -smoking tobacco products The nurse works primarily with patients diagnosed with lung cancer. Which patient with lung cancer does the nurse recognize as having the best prognosis? The patient with Answer squamous cell carcinoma The nurse is assessing the patient diagnosed with pulmonary edema and hears moist bubbling lung sounds are an inspiration and expiration. The nurse documents appropriately which of the following Answer Course crackles The nurse find a patient gasping for breath and looking very anxious. Based on the patient's history, the nurse believes the patient may be experiencing a pulmonary embolism (PE). Which action should the nurse take first Answer Call for help and start oxygen The nurse is providing care for a patient with suspected pulmonary embolus. Nursing process for the patient with a pulmonary embolism must include Answer Monitor heart sounds and peripheral edema A patient is diagnosed with respiratory acidosis. Which health etiologies should the nurse consider as causing the patient's diagnosis Answer A patient was returned to the nursing unit 1 hour after receiving a thoracentesis. Which finding is noted on assessment could indicate that the patient is experiencing complications from the procedure Respiratory labored A client arrives in the emergency room stating inability to sleep, tightness in the chest, and difficulty breathing. Upon assessment, nurse notes expiratory wheezes and dyspnea. Which action should the nurse take Find a healthcare provider to immediately evaluate the client The nurse is assessing a patient and notes that the client is responsive and has suffered a flail chest involving at least three broken ribs. The nurse to do which of the following to assist the client's respiratory status Splint the chest with a pillow for coughing The nurse is auscultating the chest of a client who was diagnosed with pleurisy 48 hours ago. The client does not have a pleural friction rub, which was auscultated the previous day. The nurse interprets that this is most likely the result of Accumulation of pleural fluid in the inflamed area A client seeks treatment in and ambulatory clinic for a compliant of hoarseness that has persisted for 8 weeks. Based on the symptom, the nurse interpreted the client is at risk for having Laryngeal cancer The nurse is assessing the respiratory status of the client following thoracentesis. The nurse will become most concerned with which of the following assessment findings Diminished breath sounds on affected side A client who has fallen from a ladder and fractured three ribs has arterial blood gas results of pH 7.38, PCO2 38 mmHG, PO2 86 mmHG, and HCO3 23 mEq/L. The nurse interprets that the clients ABG indicate which of the following Normal results A nurse administered a PPD skin test to a client who is low risk for developing TB. The nurse determines that the test is positive, if which of the following occurs An induration of 15 mm A client is admitted to the hospital with signs and symptoms of diabetes mellitus. Which of the following findings will the nurse most likely observe in the patient? Select all that apply -nocturia -excessive thirst -glucosuria A nurse is assessing a diabetic patient and notices tremors, irritability, confusion, and patient complaints of hunger. Which action should the nurse take first Fingerstick for blood glucose level, and administer glucose in the most appropriate form A newly diagnosed diabetic is admitted. The order states to check blood glucose levels two hours postprandial and at HS and to administer insulin per sliding scale. What action should the nurse take regarding the order Check blood glucose two hours after meals and at bedtime and administer insulin per sliding scale A nurse is discharging a patient who is going home on steroids. Which statement is made indicates that patient teaching was successful "I must complete the entire drug regime and not stop abruptly" A nurse is preparing A.M. insulin for a client. The vial reads U-100 R insulin. The nurse is correct if she interprets that There are 100 units of insulin in a milliliter A client with Graves' disease would not exhibit which of the following signs or symptom Cold intolerance Which of the following life-threatening emergency situations may result from complications of Diabetes Inspidus Hypovolemic shock In addition to IV fluid replacement, the patient with diabetes insipidus is most likely to receive: vasopressin The nurse is assessing a patient for evidence of a hypoglycemic reaction. Which assessments indicate the reaction Irregular heartbeat, palpitations, and shakiness Which of the following nursing interventions is indicated for a client who has myxedema Provide information about foods high in fiber Which symptom would be present in the client who has syndrome of inappropriate antidiuretic hormone (SIADH) weight gain Which of the following assessment findings should the nurse interpret as the classic symptoms of diabetes insipidus (DI) Diuresis, tachycardia, and weakness A patient who is being treated with prednisone for an autoimmune disease develops Cushing syndrome. The nurse knows that Cushing syndrome can be a complication of Taking corticosteroids for many years A patient with hypopituitarism must take medications for the rest of his or her life. What should the patient teaching plan include "You must become familiar with the signs and symptoms of inadequate or excessive hormone replacement." What medical condition can precipitate an Addisonian crisis Infection, trauma, or stress The nurse understands that norepinephrine is the fight-or-flight hormone, patients with pheochromocytoma have exaggerated symptoms which include Significant hypertension Vasopressin is ordered for your patient diagnosed with an antidiuretic hormone deficiency. You will monitor Daily weights and urine specific gravity An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate Aging causes the basal metabolic rate to change, and it's often normal to have less energy. The HCP ordered a 24 hour urine specimen for cortisol levels. Which of the following diseases require a 24 hour urine diagnostic test for cortisol Addison disease The nurse is assisting with the care of a patient who underwent surgery for the removal of the thyroid gland. Which of the following symptoms suggest a possible complication of the surgery Decreased serum calcium The licensed vocational nurse is assisting with the physical examination of a patient in the HCP's office. Which physical characteristics will the LVN observe in the patient with Cushingoid appearance Observe for Buffalo hump, moon face, and abdominal stretch marks The nurse is aware that the adrenal cortex secretes glucocorticoids. Which of the following is a function of glucocorticoids In females, they counterbalance estrogen effects A doctor has prescribed a dose of epinephrine for a patient. Which effects does the nurse expect the patient to exhibit after receiving this medication? (Select all that apply) -stimulates vasoconstriction in the skin and most viscera -decrease peristalsis -stimulates liver to convert glycogen to glucose -increases heart rate and force of contraction The nurse is monitoring a patient admitted for diagnostic testing for diabetes insipidus. Which observation by the nurse is unexpected Elevated blood glucose levels The nurse is gathering information from a a patient in an HCP's office. The patient reports difficulty speaking and swallowing, change in rings and show size, and headaches. Which additional manifestation does the nurse observe that indicates a possible growth hormone dysfunction Large fleshy hands A patient enters the emergency department in an adrenal crisis. The patient is lethargic and the vital signs are blood pressure 85/52 mmHg and pulse 88 beats/min. Which event in the patient's week most likely precipitated this crisis Being laid off from a job The nurse is providing care for a patient diagnosed with complications related to Cushing Syndrome. Which of the following nursing interventions should the nurse prioritize in the patient teaching Insulin administration for high glucose A patient is being discharged with prescribed treatment for long term hypoparathyroidism. Which does the nurse include in discharge teaching? Select all that apply -limit dietary phosphates -have regular eye examinations -eat a diet high in calcium -follow up with regular laboratory tests A patient with suspected hyperthyroidism is scheduled for a radioactive iodine uptake test. Which symptoms of hyperthyroidism do the nurse note on the medical record? Select all that apply -tremor -fatigue -weight loss A patient diagnosed with SIADH is scheduled for surgery in a few days. Which of the following does the nurse expect to be prescribed for this patient to help manage the symptoms until surgery? Select all that apply -furosemide -fluid restriction -hypertonic saline infusion -conviaptan The nurse is evaluating the knowledge of a patient recently diagnosed with Type 1 DM. Which statement by the patient indicates a need for additional information "I know that I am obese and can reduce my need for insulin with weight loss." The nurse is assisting with nutrition teaching for a patient who voices concern over coping with a diabetic diet. Which response by the nurse about medical nutrition therapy is correct Your diet will be well-balanced, individualized meal plan that is healthy for your whole family The nurse is providing care for a marathon runner who is recently diagnosed with DM. Which explanation regarding exercise is best for the nurse to provide You always need to take some emergency glucose with you when you are running The nurse is reinforcing teaching for a patient who is on two injections of regular insulin at 9am and 5pm daily. How many hours after each insulin injection does the nurse instruct the patient to be alert for symptoms of hypoglycemia 3 hours The nurse is providing information to a patient diagnosed with type 2 DM. The health care provider (HCP) prescribed oral hypoglycemic medication for BG control. The patient asks the nurse what is the difference between insulin and oral hypoglycemic drugs. Which information is the best comparison the nurse can give the patient between insulin and an oral hypoglycemic Oral hypoglycemic agents stimulate a partially working pancreas A patient being treated for type 2 DM is receiving a routine follow up assessment. The HCP told the patient he has the Somogyi effect. After the HCP left the room, the patient asked the nurse what is the Somogyi effect? The nurse best response is Blood sugar drops too low during the night A patient with diabetes has peripheral neuropathy. What should the nurse do to prevent related complications wash,dry and inspect feet daily A patient is diagnosed with diabetic ketoacidosis. Which manifestations should the nurse expect to observe in this patient? Select all that apply -flulike symptoms -dehydration -kussmaul's respirations A geriatric patient is being treated at the clinic for Graves' disease. It is essential that the nurse assess for which of the following Tachycardia A patient has an order for a short acting insulin. Which medication would the prudent nurse administer Regular Insulin Which of the following would the nurse deem correct regarding self administration of insulin Teach the patient to inject a 45 degree angle into fatty tissue The corticoids, which are hormones important for the defense against stress or injury to the body, are secreted by the Adrenal cortex A patient is admitted with hyperglycemic hyperosmolar nonketotic coma. The underlying etiology for this disorder Severe dehydration in type 2 patients A patient is diagnosed with hyperthyroidism. Which of the following medications is likely to be prescribed to decrease the activity of the thyroid gland propylthiouracil If the diabetic patient engages in exercise, his insulin requirement decreases A patient have an order for thyroid function laboratory tests? Which of the following results would the nurse expect to find the report "TSH, T3, and T4" A client with hyperthyroidism has been prescribed Methimazole. Which instruction should the nurse prioritize when teaching the client about the drug To be effective he must take the drug 12 to 18 months What action should a nurse implement to initiate Chovstek sign Tap the face over the facial nerve and watch for a spasm of the facial muscle Sulfonylureas help lower blood glucose by increasing the production of insulin by beta cells in the pancreas. Which do the following drugs belongs in the sulfonylurea classification Glipizide The nurse is providing teaching to a patient with reactive hypoglycemia. Which instructions related to glucose monitoring should the nurse provide m? Select all that apply -it is important to check you BG before meals -you will need to eat frequent small meals -you should avoid fasting and simple sugars A nurse is performing an intake examination on a patient with peripheral vascular disease (PVD). Which patient finding if present supports the diagnosis of PVD Pain in the calf with exercise Which patient teaching should be included for a patient with varicose veins Weight reduction A nurse is preparing to administer low molecular weight heparin (LMWH). What is a major advantage related to the administration of LMWH Bleeding is rare A patient with a diagnosis of varicose veins is to receive conservative treatment to relieve pain and avoid complications. What are the appropriate instructions for a nurse to provide that will help alleviate the symptoms Wear compression stockings to promote circulation Which of the following is a characteristic of venous stasis ulcer Rupture of small veins and skin breakdown at the medial mallelous of the ankle Which postoperative sign should a nurse report immediately when caring for a a patient with vascular bypass and graft Loss of pedal pulse A nurse records that a patient has putting edema to the right foot. How deep did the nurse's thumb depress the edematous area The finger imprint or indentation remains A nurse cautions a patient with peripheral vascular disease (PVD) who continued smoking, that smoking causes detrimental vasoconstriction for up to______ after only one cigarette 1 hour Which of the following conditions result from arterial insufficiency? Select all that apply -Raynaud disease -aneurysms What should a nurse include when developing a teaching plan for a patient with hypertension Reduce dietary sodium A patient with hypertension who comes to the emergency department is experiencing nausea and vomiting, is restless and confused. Vital signs are assessed at blood pressure, 220/130 mmHg, pulse 120 beats/min, and respirations 32 breaths/min. Based on these assessments the nurse concludes that the patient is experiencing Hypertensive emergency Which do the following is true regarding hypertension in older adults They are more sensitive to medications and need lower dosages A client's heart murmur is related to valve damage caused by childhood infection, the nurse would expect the client to report having had which disease Rheumatic fever An EKG monitor informs a nurse that a patient is experiencing atrial fibrillation and is unstable. Which medical intervention should the nurse anticipate preparing for the patient to receive Synchronized cardioversion An elderly adult has chest pain and shortness of breath. The healthcare provider prescribes sublingual nitroglycerin tablets. What should the nurse instruct the client to do Put the tablet under the tongue until the dissolves A nurse is caring for a client with coronary heart disease. Which statement made by the client indicates understanding of a quaternary artery bypass graft (CABG) The procedure will improve the blood flow to my heart As the nurse assesses a patient with severe chest pain which additional findings associated with myocardial infarction? The client is Sweating profusely What should be priority for the patient with hypertensive crisis IV nitroprusside to reduce BP Compared to men, women tend to have acute MI at an older age, with a higher mortality rate and more complications. Which of the following are atypical symptoms of MI reported by women Extreme fatigue and jaw pain Which of these normal heart sounds can be heard on the left, fifth intercostal space close to the clavicle and occurs at the mitral and tricuspid valves close simultaneously S1-lub Which of these symptoms is associated with left sided heart failure? Select all that apply -crackles and wheezes -dry hacking cough -dyspnea on exertion After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial node. What did the nurse see on this EKG tracing A positive P wave before QRS complex The nurse is reinforcing teaching for a patient who has a pacemaker. Which measure should the nurse include when explaining how the pulse should be monitored Take radial pulse for 1 minute The nurse notices that the ST segment on EKG strip is depressed on a patient who is complaining of chest pain. What action should the nurse take Alter the supervising RN and patient's physician immediately A patient recovering from an acute MI has a heart rate of 30 beats/min. Which area of the heart should the nurse consider as pacing this patient's heart rate Ventricular rate The nurse is interpreting a cardiac strip. The strip reveals QRS complex and regular P wave. The PR interval is 0.16 seconds and the QRS complex measure 0.06 seconds. The patient's heart rate is 62 beats/min. Which of the following is the correct interpretation of this rhythm Normal sinus rhythm The nurse is evaluating care provided to a patient with the nursing diagnosis of activity intolerance because of aortic regurgitation. Which outcome indicates that the medical care has been effective Engaged in desired daily and social activities Patient with a history mitral valve placement surgery is instructed to take prophylactic antibiotics before a scheduled dental root canal procedure. Which patient statement indicates to the nurse at the teaching has been effective "If I develop a fever in the next week or so, I need to call my doctor right away" A patient is being admitted to your hospital medical-surgical unit after cardiac surgery. Which nursing action should you include in this patient's plan of care? Select all that apply -assist in head to toe data collection -note any patient shivering -assess breath sounds every shift Information with constructive trophic cardiomyopathy is being released from the hospital and is John continue treatment with atenolol (Tenormin) and disopyramid (Norpace) at home. What information should be included in the patient teaching plan. Select all that apply -eat small meals -plan activities in small amounts -drink fluids to remain hydrated A patient with peripheral venous disease (PVD) is sitting in a chair and has edematous and purple feet. What actions should the nurse take Place the patient's legs on a tall footstool The nurse is contributing to the teaching plan for a patient who is taking nitroglycerin. Which action should be included in chest pain occurs Take one tablet every 5 minutes for three doses until pain is relieved A patient with heart failure who has low potassium level of 3.0 mEq/L is to receive furosemide 20mg by mouth. What action should the nurse take Consult RN or doctor before giving Lasix The heart sound "dub" is heard at the start of diastole when the Aortic and pulmonic valve closes Sinus tachycardia is likely to result from Electrolyte imbalance The nurse is auscultating heart sounds and notes an S4 heart sound. The nurse knows an S4 sound may be heard in a patient with which condition hypertension The nurse reinforced teaching for a patient awaiting a heart transplant. Which statement should the nurse include in the preoperative teaching. Select all that apply -the risk of rejection is highest immediately after surgery -lifelong anti rejection therapy is required -immunosuppressive therapy is required to prevent rejection of the transplanted heart A patient with heart failure has quiet shallow respirations building up to deep breathing followed by a period of apnea. Vital signs are good pressure 162/84 MM Hg, pulse 120 beats/min, respirations 32/minute, and temperature 99.2. Which patient data requires immediate action Quiet, shallow respirations and apnea A home health LVN visit to the home of the patient with hear failure and diabetes and the LVN learns that the patient "feels strange". Data collected includes blood pressure 172/94 mmHg, pulse 112 beats/min, respirations 22/min, heart rhythm regular, and coarse crackles in lower lung bases. What should the LVN do Consult the registered nurse supervisor and the physician The nurse is caring for a patient admitted with chest pain and suspected myocardial infarction (MI). Which laboratory value should the nurse expect to see elevation Troponin Which invention be indicated for a client with thrombophlebitis of the leg Administer analgesics A patient is to have a stress test. Which of the following report, if made by the nurse, would cause the test to be terminated. The patient develops ingestion A patient with acute congestive heart failure has jugular vein distention, crackles bilaterally, and dyspnea. Which nursing diagnosis should have the highest priority Excess fluid volume The fibrous plaques for atherosclerosis serve as a Trap to which other substances adhere The nurse is caring for a patient with pericarditis who develops hypotension, confusion, tachycardia, tachypnea, and jugular venous distention. For which procedure should the nurse prepare the patient pericardiocentesis The nurse is collecting data from a patient three days after a motor vehicle crash in which the patient's chest hit the steering wheel. The data reveal symptoms of pericarditis. Which finding indicates the presence of pericarditis Pericardial friction rub The nurse is reinforcing teaching provided to patient with Raynaud disease. Which measure should the nurse include to prevent an attack Avoid stimulation that causes vasoconstriction. A patient has a sustained damage to the sinoatrial (SA) node. Which heart rates indicate that the patient's atrioventricular (AV) node has taken over as the pacemaker for the heart 40 to 60 Which of these should the nurse reinforce discharge teaching of a patient with endocarditis Have biannual dental cleanings The nurse evaluates the patient as understanding how to prevent rheumatic fever if the patient identifies that rheumatic fever can be prevented by treating streptococcal infections with which of the following penicillin A patient is 48 hours post operative for a prostatectomy. Which of the following are complications associated with radical prostatectomy? Select all that apply -erectile dysfunction -hemorrhage -loss of urinary control The client will have a radical hysterectomy tomorrow. Which of the following information will be most important for the nurse to explain to the client about the procedure The uterus, cervix, upper part of the vagina removed An elderly client with benign prostatic hyperplasia (BPH) asks what signs he should expect with the disease process. Which of the following responses are correct as stated by the nurse? Select all that apply In addition to administration of prescribed antibiotics, nursing interventions for a client who has epididymitis would include which of the following? Select all that apply -analgesics -scrotal support -ice packs to the affected area A client taking oral contraceptives is placed on a 10 day course of anabiotic's for an infection. Which of the following instructions should the nurse include in the teaching plan "use a barrier method of birth control for the rest of your cycle" A mother of a newborn with cryptorchidism asks the nurse about the disease. She is concerned about the long-term consequences of the disorder on her child. What information should the nurse include in the response " your child will be at higher risk for testicular cancer" A young female patient has been diagnosed with a severe form of vaginitis. She is scheduled to get her first dose of antibiotics. A competent nurse knows that Male sexual partner must also be treated What instruction should a nurse provided to patient after a vaginal culdoscopy Avoid sexual intercourse until the drainage stops A patient has a new prescription for tamsulosin (Flomax). What essential instruction should the nurse include when educating the patient Do not crush or chew the tablet After a mastectomy, many patients experienced the restrictive movement of the affected arm. What action and the patient take to minimize this problem Keep the arm elevated as much as possible A female student, seen in the campus clinic, states that she uses feminine hygiene douches every day and after intercourse. What is the best response from the nurse "Douching should only be done when ordered by a physician or nurse practitioner." A patient is scheduled for a total abdominal hysterectomy with bilateral Salpingo oophorectomy. She asks the nurse what this means. A competent nurse understands that She will have the uterus, ovaries, and fallopian tubes removed A 45 year old woman has several fibroid tumors located in the endometrium and is scheduled for dilation and curettage (D&C). The nurse understands the D&C consist of the following Dilation of the cervix and surgical scraping of the endometrial lining A 70-year-old client is to be discharged home with an indwelling catheter following a TURP done after prostate cancer was ruled out. Prior to discharge, the nurse reviews home care with the client and his wife. The nurse will determine that the client and his wife understand the home care instructions if the state which of the following important points. Select all that apply -monitor urine output and color of urine A client is asking for information about using an intrauterine device (IUD). The nurse would provide pertinent information on the advantages and disadvantages of IUD. The nurse correctly stated that an IUD is contraindicated in women Who have uterine abnormalities The nurse is discussing a self breast examination with a group of women in the clinic. One of the women asked, "when should I do this examination?" What is the best response for the nurse " self breast examination is best done one week after your menstrual period" A nurse is conducting a class on testicular self examination (TSE). Which statement is made by a participant in the case of the teaching has been effective " I will perform the exam when I take a warm shower" A nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER positive) and has been placed on a protocol of tamoixifen. The patient asks the nurse, "do you think I should take this medication?" Which statement is the most appropriate "Tamoxifen is an option to consider, because your tumor was ER positive" Continuous bladder irrigation has been ordered for a patient who has undergone a prostatectomy. Three hours after initiating the irrigation the patient complains of severe pain in the lower abdomen. What action should the nurse take first Check the tube and to ensure urine is draining A patient is being discharged after a vasectomy. What essential information should the nurse include as part of the teaching Use an alternative form of birth control until the semen is analyzed for sperm count A nurse teaching a seminar on breast cancer lists the signs that would allow a woman to the possibility of a tumor. What should those signs include? Select all that apply -nipple discharge -dimpling -skin texture changes -puckering A female patient was told that the lump in her breast is due to fibrocystic changes. What information should the nurse share with the patient Is a result of blockage of ducts so that cysts form around the trapped fluid Flatly has been ordered for a patient with a reproductive infection. What should the nurse teach the patient regarding this particular drug. Administration of estrogen is different in women who have an intact uterus or a hysterectomy. Which statement is correct Estrogen is administered alone after a hysterectomy A female patient who is 40 years of age is scheduled for baseline mammography. The patient becomes concerned when she learns that digital mammography is planned. The client states, "I thought that test was for high risk women." Which answer by the nurse is most appropriate " The image is computerized, allowing the radiologist to look more closely at specific areas" The nurse is collecting data from a female client who is having difficulty conceiving. The nurse notes that the client has increased amounts of body and facial hair, is moderately overweight and has acne-like lesions on the face. Which medical condition is the nurse likely to suspect Polycystic ovary syndrome (PCOS) Which of the following is described as "bag of worms" Varicocele Which of the following is an accurate regarding Leiomyoma Tend to be sensitive to estrogen After reviewing data, the nurse suspects that a young female patient is experiencing manifestations of toxic shock syndrome. Which findings does the nurse use to make this decision. Select all that apply -Sore throat -Red palms and soles of feet -Muscle pain and weakness A male client is scheduled for an outpatient cystourethrogrpahy to evaluate the degree of obstruction by an enlarged prostate. Which nursing care will the nurse provide after the procedure Place a warm moist cloth over the urethra for pain Email patient reports that manifestations of benign prostatic hyperplasia (BPH) have been occurring for several years. On which problems related to this condition does the nurse focus when collecting health information? Select all that apply -urosepsis -recurrent urinary tract infection -renal insufficiency -evidence of hydronephrosis The nurse is collecting a medication history from a man with erectile dysfunction. For which class of medication and lifestyle substances should the nurse focus on because they can cause erectile dysfunction? Select all that apply -Alcohol -caffeine -antihistimines A female patient who is experiencing symptoms related to menopause is the nine hormone replacement therapy by the HCP because of a family history of breast cancer and heart disease. Which of the following suggestions as likely to be effective for the management of symptoms Initiate a calcium and vitamin regimen A patient with frequent recurrent episodes of proctitis is diagnosed with rectal cancer. The patient is distraught and asks how cancer could develop. Which answer by the nurse is best Frequent inflammation of the anus and rectum causes cellular changes Which assessment findings are expected in a man diagnosed with testicular cancer -painless lump is noted on testicle -scrotum is swollen and heavy A 28-year-old male reports to the nurse that he has been having trouble maintaining an erection. Which assessment findings should the nurse further explore He drinks about a case of beer over each weekend The nurse is discharging a patient with endometriosis from an office visit. The patient says her medication helps but does not relieve all her discomfort. What other measures can the nurse recommend "Try using the relaxation exercises you learned in your childbirth classes. A warm compress to your abdomen might also help." A Nursing Instructor's teaching a session on the drugs used to treat prosthetic hypertrophy. The instructor determines the session is successful with the students correctly choose the drugs that exert through affect by preventing testosterone conversion into an androgen? Select all that apply A female patient is scheduled for laparoscopy for the determination of endometriosis. Following the procedure, which nursing care with a nurse perform Monitor the patient for pain in the neck, shoulders, and upper back The nurse is participating in the care of a male patient in the emergency department with hypotension. The patient takes sildenafil for erectile dysfunction. Medical history indicates the patient is being treated for hypertension and diabetes. Which additional information about other therapies does the nurse provide related to meeting this patient's erectile dysfunction management The effectiveness of some herbs remedies for erectile dysfunction The nurse is contributing to information for women with a fibrosisistic breast disease support group. Which information does the nurse include The manifestations of the condition usually subside with menopause A 60-year-old patient receives information that a prostate specific antigen PSA laboratory values is elevated. Which of the following tests is a specific test that will confirm the presence of prostate cancer A prostatic acid phosphatase test (IsoPSA) A female patient is diagnosed with the premenstrual dysphoric disorder PMDD. DHCP prescribes, along with hormonal contraceptives, supplements of calcium, magnesium, and vitamin E and B6. Which information is most important for the nurse to provide the patient regarding the physicians orders Instructions that increasing vitamin doses need HCP approval A patient is scheduled for a lumpectomy, to remove a lesion from the left breast, suspected to be malignant. Which care by the nurse is most important Presenting a calm and understanding attitude A nurse is caring for a female client who states she has a 28 day cycle. Which two hormones are influential in the female menstrual cycle Estrogen and progesterone A nurse collects data from a 21-year-old client who states that she does not mensturate. Which question is most important for the nurse should ask the client next Have you ever had a menstrual period A woman caused the clinic office and asks the nurse why she is having spotting between her monthly periods when she is taking birth control pills to control the menorrhagia. What is the nurse's most appropriate response " The pill must be taken at the same time daily to avoid intermenstrual spotting" After an incident at a track meet, a young male runner is brought to the emergency department complaining of intense pain in the scrotum, red and warm to the touch, and swollen. The nurse suspects Epididymitis