ANSWERS
A charge nurse is reviewing with a newly hired nurse the difference in
manifestations of a localized vs a systemic infection. Which of the following are
manifestations of a systemic infection. (select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate correct answer A. Fever
B. Malaise
E. Increase in pulse and respiratory rate
a nurse at a clinic is collecting data about pain from a client who reports severe
abdominal pain. the nurse asks the client whether he has nausea and has been
vomiting. which of the following pain characteristics is the nurse attempting to
determine?
a. presence of associated manifestations
b. location of the pain
c. pain quality
d. aggravating and relieving factors correct answer a. presence of associate
manifestations
,A nurse is assessing a client as part of an admission history. The client reports
drinking an herbal tea every afternoon at work to relieve stress. The nurse should
suspect the tea includes which of the following ingredients?
a. Chamomile
b. Ginseng
c. Ginger
d. Echinacea correct answer a. chamomile
A nurse is beginning a complete bed bath for a client. After removing the client's
gown and placing a bath blanket over the body, which of the following areas
should the nurse wash first?
A. face
B. feet
C. chest
D. arms correct answer A. face
A nurse is caring for a client scheduled for abdominal surgery. The client reports
being worried. Which of the following actions should the nurse take?
a. Offer information on a relaxation technique and ask the client if he is interested
in trying it.
b. Request a social worker to see the client to discuss meditation.
c. Attempt to use biofeedback techniques with the client
d. Tell the client many people feel the same way before surgery and to think of
something else correct answer a. Offer information on a relaxation technique and
ask the client if he is interested in trying it.
, A nurse is caring for a client who had an amphetamine overdose and has sensory
overload. Which of the following interventions should the nurse implement?
A. Immediately complete a thorough assessment.
B. Put the client in a room with a client who is hearing impaired.
C. Provide a private room, and limit stimulation.
D. Talk loudly to the client, and encourage ambulation. correct answer C. provide
a private room with a client who is hearing impaired
A nurse is caring for a client who has had a cough for 3 weeks and is beginning to
cough up blood. The client has manifestations of which of the following
conditions?
A. allergic reaction
B. ringworm
C. systemic lupus erythematosus
D. Tuberculosis correct answer D. Tuberculosis
A nurse is caring for a client who has several risk factors for hearing loss. As the
nurse reviews the client's medication history, which of the following medications
the client takes should alert the nurse to a further risk for ototoxicity? (Select all
that apply.)
A. Furosemide (Lasix)
B. Ibuprofen (Advil)