COMPLETE VERIFIED LATEST UPDATE
Which statement by the nurse indicates effective technique in assessment of a
clients renal system?
A. "I must first palpate the client if a tumor is suspected."
B. "I must first listen for normal pulse at the client's wrist region."
C. "I must first auscultate the client and then proceed to percussion and
palpation."
D. "I must first examine tender abdominal areas and then proceed to nontender
areas."
C. "I must first auscultate the client and then proceed to percussion and palpation."
A healthcare provider prescribes enalapril for a client. Which nursing action is
important?
A. Assess the client for hypokalemia.
B. Ensure that the medication is ingested with food.
C. Monitor the client's blood pressure during therapy.
D. Teach that a missed dose can be doubled at the next scheduled time.
C. Monitor the client's blood pressure during therapy.
,A nurse is caring for a client with orders for furosemide daily, a 2-gram sodium
diet, and an oral fluid restriction of 1200 mL daily. The most recent laboratory
results are blood urea nitrogen (BUN) 42 mg/dL (15.2 mmol/L) and creatinine 1.1
mg/dL (97 mcmol/L). Considering the assessment findings, which is the most
appropriate intervention by the nurse?
A. Administering the furosemide as scheduled
B. Starting strict intake and output measurements
C. Sending a urine specimen for specific gravity testing
D. Notifying the healthcare provider about the results
D. Notifying the healthcare provider about the results
After reviewing a client's reports, the primary healthcare provider suggests
palliative care for the patient. Which conditions would qualify the client for this
type of care? Select all that apply.
A. Peptic ulcer
B. Chronic renal failure
C. Cognitive impairment
D. Congestive heart failure
E. Chronic obstructive lung disease
B. Chronic renal failure
D. Congestive heart failure
E. Chronic obstructive lung disease
,A health care provider prescribes daily docusate sodium for a client. The nurse
explains to the client that this medication has what action?
A. Lubricates the feces
B. Creates an osmotic effect
C. Stimulates motor activity
D. Softens the feces
D. Softens the feces
Which life-threatening complication may occur in clients taking high-dose or
long-term ibuprofen?
A. Anaphylaxis
B. GI bleeding
C. Cardiac dysrhythmia
D. Disulfiram reaction
B. GI bleeding
The nurse is planning care for a client admitted to the hospital with abdominal
spasms and pain associated with severe diarrhea. Which serum blood level
would the nurse monitor?
A. Urea
B. Chloride
C. Potassium
D. Creatinine
, C. Potassium
Which clinical indicators would the nurse expect when assessing a client with
Meniere disease? Select all that apply.
A. Nausea
B. Dizziness
C. Decreased pulse rate
D. Increased temperature
E. Jerky lateral eye movements
A. Nausea
B. Dizziness
E. Jerky lateral eye movements
In light of the information elicited during the assessment interview, which initial
action would the nurse take?
A. Initiate suicide precautions with 15-minute visual checks
B. Instruct staff to minimize visual and auditory stimuli on the unit
C. Request a nutritional consult for evaluation and meal planning guidance
D. Encourage the client to express feelings concerning the accident and wife's
death
D. Encourage the client to express feelings concerning the accident and wife's death
Which clinical indicator is the nurse most likely to identify when exploring the
history of a client with open-angle glaucoma?