NUR 4227 Final Exam Practice Test Complex_II_Final_Exam_Review.

NUR 4227 Final Exam Practice Test A client exposed to Mycobacterium tuberculosis starts on chemotherapy. The nurse provides which instruction to the client? a. “You will take a single drug such as isoniazid (INH) PO daily for 6 to 12 months.” b. “You will be on at least 2 drugs effective against the tubercle bacillus for 3 months.” c. “You will be on combination therapy in order to prevent development of drug resistance.” d. “You will need to learn to give yourself SQ injections.” The nurse in the operating room is monitoring the physiological integrity of a client undergoing surgery. Which activity is most appropriate? a. Determine client satisfaction with care received. b. Assess client’s emotional status. c. Monitor asepsis in the environment. The clinic nurse is conducting health screenings. Which client assessment finding indicate that the client teaching is needed about the risk for stroke? Select all that apply. a. Weight 205 lbs. and height 5 ft 4 in b. Blood pressure 164/92 mmHg c. Eats bran for breakfast daily d. Smokes ½ pack cigarettes per day e. Serum cholesterol level is 172 mg/dL Which action would the nurse take to maintain medical asepsis when caring for a client with diabetes mellitus on the med-surg unit who requires irrigation of a leg ulcer and insulin injections? Select all that apply. a. Wash hands before and after client care. b. Wear PPE during the dressing change. c. Recap a needle after administering insulin. d. Change the dressing for a diabetic ulcer using sterile gloves. e. Wipe the rubber stopper on the insulin vial before withdrawing dose. Laboratory test results indicate a client is in the nadir period that follows administration of a chemotherapy drug. Which drug should the nurse avoid administering to this client at this time? a. Tylenol b. Motrin c. Benadryl d. Robitussin The nurse places highest priority on taking which action to reduce the spread of microorganisms when caring for a client at risk for infection? a. Wash hands before and after client care. b. Use clean gloves when implementing client care. c. Institute transmission-based precautions. d. Place the client in a private room. . The nurse would report to the physician which abnormal laboratory values for a 58yo client newly admitted to the nursing unit with fever and diarrhea? Select all that apply. a. WBC count 12,260/mm3 b. Na 142 mEq/L c. K 3.9 mEq/L d. BUN 38 mg/dL A postoperative client who has an order for heparin 5000 units SQ for three doses wants to know why this drug is being ordered. What information would the nurse provide to the client to best answer the question? a. “Heparin is used as a common medication in many clients who have surgery.” b. “Heparin is essential during the postoperative period to maintain adequate blood clotting levels.” c. “The injections will be given in the abdomen and are not usually associated with discomfort.” d. “Heparin is being used to prevent blood clots from forming as a result of surgery or decreased mobility.” After defibrillation, the client continues to be in a pulseless ventricular tachycardia. A lidocaine bolus of 100 mg IV is administered. The nurse would expect to see which therapeutic response to lidocaine? a. Conversion from a ventricular tachycardia to a ventricular fibrillation. b. Slowing of heart rate to 80 bpm. c. A reduction in ventricular irritability. d. An increase in the level of consciousness. A client with uncompensated metabolic acidosis is admitted. Which laboratory value would the nurse expect to find in this client? a. pH 7.4; serum K 3.8 mEq/L b. pH 7.36; serum K 3.1 mEq/L c. pH 7.2; serum K 6.2 mEq/L d. pH 7.0; serum K 5.0 mEq/L .....................................................continued..............................................