MDC 1 Final Exam Questions With 100% Correct Answers.

MDC 1 Final Exam Questions With 100% Correct Answers. The nurse is caring for a 65-year-old client and notes a temperature of 101 F◦. how does the nurse interpret this finding? Hyperthermia What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)? These drugs inhibit viral replication What is not an expected assessment finding in a client with inflammation? Polyuria A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation? Once the tissue has necrosed from high-pressure. It does not regenerate. The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include? "There are many adaptive devices such as grab bars, reacting tools, grasping devices and adaptive silverware available that may help you." A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action? Maintain the client's blood pressure A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement by the client indicates a correct understanding of the teaching? "I should avoid eating liver and other organ meats." What level of Maslow's Hierarchy of needs does shelter belong to? Physiological The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education? You should not take more than 4000mg acetaminophen a day. The nurse is caring for a client with rheumatoid arthritis one day after the shoulder surgery. What would prompt the nurse to call the provider immediately? The client had paresthesia in her fingers and intense increasing pain in her shoulder. A client with systemic lupus erythematous complains of flank pain. Which laboratory test does the nurse anticipate will be ordered? Creatinine The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse? "How does this impact your role in your family?" A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event? The client's incision site has eviserated. Most adults with human immunodeficiency virus will exhibit which of the following laboratory values? Lower than normal number of CD4+ T-cells are normal A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her symptoms. What should the nurse include in the client education? Establish a regular sleep pattern. What is a sign of inadequate perfusion? Pallor in toes A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority? Administer antibiotics to the client. The client states, "Why am I getting protein supplements while I am healing from a bed sore?" What is the best response by the nurse? "Protein has amino acids that promotes wound healing." A client has a new diagnosis of human immunodeficiency virus HIV. The client is distraught and does not know what to do. What intervention by the nurse is the best? Assess the client's support system. The nurse is providing education to a client regarding the administration of eye drops. Which of the following actions indicates the need for further client education? The client touches the administration dropper to her eye. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5cm by 3cm. The nurse observes bone and tendon at the base of the wound. How would the nurse document this wound? Stage IV pressure injury Which of the following lab tests should be used for diagnosing connective tissue diseases? (Select all that apply) -Rheumatoid factor (RF) -Erythrocyte sedimentation rate (ESR) -Anti-nuclear antibody (ANA) -C-reactive protein (CRP) A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding? Purulent A client with lupus experiences Raynaud's phenomenon. What should the nurse include when providing client education about this? "In order to avoid flare-ups of Raynaud's, ensure you are wearing gloves in winter" Which client is at high risk of compromised immunity? A client who just had surgery. Which organization publishes the National Patient Safety Goals? The Joint Commission The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event? An unexpected event involving death or serious physical or psychological injury. A nurse is providing teaching to an older adult client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching? I can use either heat or ice to help relieve the discomfort. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous? Urine output of 20mL/hr. Which of the following statements by a client with human immunodeficiency virus (HIV) requires further teaching? (Select all) -"I can spread this through contact surfaces, so I need to wear gloves in public." -"Because I have HIV, that means I'm an AIDS patient." -"I can still have unprotected intercourse with my partner since he does not have HIV." What lifestyle habits negatively affect skin integrity? (Select all) -Tattoos -Smoking -Tanning The nurse is preparing to administer medications to a client with osteoarthritis. What is the goal of medication therapy? Reduce pain and inflammation A nurse working in an orthopedic unit is caring for 4 clients. Which of the following clients should the nurse identify as being at highest risk for skin breakdown? An older adult who has a hip fracture and is immobile. What is the nurse's priority action for a client with compromised immunity? Wash hands before entering the client's room. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur? Raynaud's phenomenon A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. What is included in the evaluation of the neurovascular status of the client's affected extremity (Select all) -Color -Temperature -Sensation A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy? "This must be hard news to hear. Tell me more about it." Where will the nurse collect the most the most reliable source of pain assessment? From the client. Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery? Client will remain free from falls throughout their hospital stay. A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action? Put on non-sterile gloves The client with rheumatoid arthritis is having her rheumatoid factor (RF) drawn while she is having a flare-up of the disease. Which result is seen in clients with rheumatoid arthritis? A positive rheumatoid factor The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take? Encourage the child to continue coughing Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client indicates need for further teaching about preventing dry skin? "I will shower every day in hot water" What is not appropriate client education on preventing the spread of methicillin-resistant Staphylococcus aureus (MRSA)? Use a bath sponge to cleanse the skin A client is diagnosed with narcolepsy. What is the nurse's priority intervention? Inform the client that driving would be dangerous. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse? The client has a vase of fresh flowers on the table. A client is post-operative day 1 and reports a sudden increase in blood-tinged liquid draining from his incision after feeling a popping sensation. What is the nurse's next action? Assess the wound for signs of dehiscence. A client arrives speaking only Spanish. What is the priority nursing intervention? Request a medical interpreter. What is a symptom of the expected disease pattern of rheumatoid arthritis? Bilateral joint pain. A client has cellulitis on his left arm. What statement by the client indicates understanding of system management? "I can use a warm, moist towel on my arm." Which of the following statements made by a client diagnosed with human immunodeficiency virus (HIV) would require further teaching? "I will only need to take HIV medications for 6 months, and I will be cured." What can the nurse teach the client with acquired immunodeficiency syndrome (AIDS) to reduce the risk of infection? (Select all) -Avoid raw fruits and vegetables -Avoid cleaning your toothbrush with bleach -Wash your hands thoroughly A client on bed rest complains of pain and burning in the right calf area. What is the nurse's action? Compare the circumference to the left calf. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)? Administer topical hydrocortisone. How many mg is 3000 mcg? 3