CJE PRACTICE EXAM 2 – Questions With Verified
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Terms in this set (36)
The nurse is teaching pain relief Use warm, moist compresses
measures to a client with rheumatoid
arthritis. What instructions should the Use warm, moist compresses-Correct-helps as pain
nurse provide in the teaching? relief measure
1
Apply ice packs to joints
2
Use warm, moist compresses
3
Take aspirin daily for pain
4
Avoid rest periods during day
,The nurse is assessing a client who Place the client on seizure precautions
ingested a half bottle of antacids and Activate fall precautions
has developed metabolic alkalosis.
What interventions should the nurse 1. Place the client on seizure precautions-Correct-the
implement? Select all that apply imbalance causes overexcitement of the nervous
system and can lead to seizure activity
1 2. Activate fall precautions-Correct-alkalosis causes
Place the client on seizure hypotension and muscle weakness leading to the
precautions potential for falls
2 3. Administer sodium bicarbonate-this will add more
Activate fall precautions base to an already excessive state worsening the
3 imbalance
Administer sodium bicarbonate 4. Prepare to intubate the client-initially the client will
4 be breathing fast, but intubation is not a part of initial
Prepare to intubate the client treatment
5 5. Administer a thiazide diuretics-this treatment
Administer a thiazide diuretic promotes acid loss and leads to metabolic alkalosis
The nurse is assessing a client who Inspect the surgical dressing
had a laminectomy. The client reports
having a sudden headache. What Inspect the surgical dressing- correct -loss of large
should be the priority action? amount of CSF can cause a sudden headache
1
Administer an opioid analgesic
2
Inspect the surgical dressing
3
Turn off all light sources
4
Tell the client a headache is to be
expected
, The nurse is planning care for a client Blood pressure 170/60 mm Hg
who is scheduled to have a lumbar
puncture. Which information is most Blood pressure 170/60 mm Hg- correct- LP is
important for the nurse to report to contraindicated with signs of increased ICP as shown
the healthcare provider prior to the with a widen pulse pressure
procedure?
1
Temperature 102.50F
2
Nuchal rigidity
3
Blood pressure 170/60 mm Hg
4
Muscle weakness of lower extremities
A nurse manager is providing an in- "Place my finger at the back of the throat to feel for
service to a group of nurses on the the object."
correct technique for the abdominal
thrust maneuver. Which statement by a "Place my finger at the back of the throat to feel for
nurse requires further teaching? the object."-Correct-this can cause the object to
become lodged farther and obstruct the airway
1
"My fist should be placed between
the client's lower rib cage and navel."
2
"If the client is conscious, they should
be standing or sitting."
3
"If the first thrust is unsuccessful, I can
repeat the steps."
4
"Place my finger at the back of the
throat to feel for the object."