Practice Questions, Rationales, and Study Guide
Client is recovering from a transurethral prostatectomy. Which activity
should be limited until after the first postoperative visit with the
healthcare provider? - - VERIFIED ANSWER- Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a 1-10
scale. Which intervention should the nurse implement? - - VERIFIED
ANSWER- Administer opioid and non-opioid medications simultaneously
A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the
health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - - VERIFIED ANSWER- a. low
back pain and hypotension
,ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse
include?
a. Have small frequent meals and sit up for at least two hours after
meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products - -
VERIFIED ANSWER- c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following a
transurethral resection of the prostate (TURP). What is the best initial
nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
,c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent - - VERIFIED ANSWER-
c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine sulfate
patch for pain is short of breath and difficult to arouse. When performing
a head
-to-toe assessment, the nurse discovers four analgesic patches on - -
VERIFIED ANSWER- Remove all morphine patches
Coming down the basement steps, a client is brought to the emergency
room X-ray ... cast, which assessment finding warrants immediate
Intervention by the nurse? - - VERIFIED ANSWER- Right foot pale with
sluggish capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair. He tells the nurse that he is
feeling very weak and jittery.
, Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure - - VERIFIED ANSWER- a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days ago arrives to
the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r