NURS 2420nailed it
NR235 Final Exam
5.) The nurse is planning care for a client who has end stage cirrhosis of the liver with encephalopathy.
Which of the following interventions should the nurse plan to implement to decrease the client's
ammonia level?
Restrict the client’s intake of protein.
6.) The nurse is caring for a client who is receiving cisplatin lasting for treatment of ovarian cancer. The
clients most recent complete blood count (CBC) is shown in the table below it is important for the nurse
to consider which of the following for the client?
The client has an increased risk for bleeding.
7.) A nurse is planning care for a client who has cystitis. Which of the following interventions should the
nurse include in the plan?
Instruct the client to avoid drinking carbonated beverages.
8.) A nurse is caring for a client who had an evacuation of subdural hematoma. Which of the following
actions should the nurse take first?
Check the oximeter.
9.) A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which
of the following activities should the nurse anticipate being the most difficult for this client to perform
with her right hand?
Combing her hair
10.) A nurse in an emergency department is caring for a client who had a seizure and became
unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are
as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a
temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse
suspect?
Hemorrhagic stroke
11.) A nurse is caring for a client who has a traumatic brain injury. Which of the following findings
should the nurse identify as an indication of increased intracranial pressure (ICP)?
Restlessness
12.) A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of
the following findings in the client’s history should the nurse recognize as consistent with the diagnosis
of endometriosis?
Dysmenorrhea that is unresponsive to NSAIDS.
13.) A nurse is teaching a class about preventative care to clients who are at risk for acquiring viral
hepatitis. Which of the following information should the nurse include in the presentation?
Avoid foods prepared with tap water.
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, 14.) A nurse is providing postoperative teaching to a client who was scheduled for cataract surgery.
Which of the following information should the nurse include?
Vision will be greatly improved on the day of surgery
15.) A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA).
Which of the following parameters should the nurse use first in order to assess the client's pain level?
A self-report pain rating scale
16.) A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which
of the following instructions should the nurse include?
17.) A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of
the following interventions should the nurse include in the plan of care?
18.) A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s
priority?
19.) A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs).
Which of the following client statements indicates a need for further teaching?
20.) A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.
The nurse should inform the client to expect which of the following adverse effects from the treatment?
21.) A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings
should the nurse identify as an indication the client is at a risk for experiencing autonomic dysreflexia?
22.) A nurse is planning care for a client who is being treated with chemotherapy and radiation for
metastatic breast cancer, and who has neutropenia. The nurse should include which of the following
restrictions in the client’s plan of care?
23.) A nurse is caring for a client who has Cushing’s syndrome. The nurse should recognize that which of
the following are manifestations of Cushing’s syndrome? (Select all that apply)
24.) A nurse is a setting goals for a client who has AIDS and is at the end of life. Which of the following
are realistic goals?
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NR235 Final Exam
5.) The nurse is planning care for a client who has end stage cirrhosis of the liver with encephalopathy.
Which of the following interventions should the nurse plan to implement to decrease the client's
ammonia level?
Restrict the client’s intake of protein.
6.) The nurse is caring for a client who is receiving cisplatin lasting for treatment of ovarian cancer. The
clients most recent complete blood count (CBC) is shown in the table below it is important for the nurse
to consider which of the following for the client?
The client has an increased risk for bleeding.
7.) A nurse is planning care for a client who has cystitis. Which of the following interventions should the
nurse include in the plan?
Instruct the client to avoid drinking carbonated beverages.
8.) A nurse is caring for a client who had an evacuation of subdural hematoma. Which of the following
actions should the nurse take first?
Check the oximeter.
9.) A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which
of the following activities should the nurse anticipate being the most difficult for this client to perform
with her right hand?
Combing her hair
10.) A nurse in an emergency department is caring for a client who had a seizure and became
unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are
as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a
temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse
suspect?
Hemorrhagic stroke
11.) A nurse is caring for a client who has a traumatic brain injury. Which of the following findings
should the nurse identify as an indication of increased intracranial pressure (ICP)?
Restlessness
12.) A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of
the following findings in the client’s history should the nurse recognize as consistent with the diagnosis
of endometriosis?
Dysmenorrhea that is unresponsive to NSAIDS.
13.) A nurse is teaching a class about preventative care to clients who are at risk for acquiring viral
hepatitis. Which of the following information should the nurse include in the presentation?
Avoid foods prepared with tap water.
This study source was downloaded by 100000832558064 from CourseHero.com on 04-29-2022 00:09:07 GMT -05:00
https://www.coursehero.com/file/91802579/nailed-itdocx/
, 14.) A nurse is providing postoperative teaching to a client who was scheduled for cataract surgery.
Which of the following information should the nurse include?
Vision will be greatly improved on the day of surgery
15.) A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA).
Which of the following parameters should the nurse use first in order to assess the client's pain level?
A self-report pain rating scale
16.) A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which
of the following instructions should the nurse include?
17.) A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of
the following interventions should the nurse include in the plan of care?
18.) A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s
priority?
19.) A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs).
Which of the following client statements indicates a need for further teaching?
20.) A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.
The nurse should inform the client to expect which of the following adverse effects from the treatment?
21.) A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings
should the nurse identify as an indication the client is at a risk for experiencing autonomic dysreflexia?
22.) A nurse is planning care for a client who is being treated with chemotherapy and radiation for
metastatic breast cancer, and who has neutropenia. The nurse should include which of the following
restrictions in the client’s plan of care?
23.) A nurse is caring for a client who has Cushing’s syndrome. The nurse should recognize that which of
the following are manifestations of Cushing’s syndrome? (Select all that apply)
24.) A nurse is a setting goals for a client who has AIDS and is at the end of life. Which of the following
are realistic goals?
This study source was downloaded by 100000832558064 from CourseHero.com on 04-29-2022 00:09:07 GMT -05:00
https://www.coursehero.com/file/91802579/nailed-itdocx/
