RN Concept-Based Assessment Level 2
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1. A nurse is providing postop- CORRECT: a- The nurse should instruct the client that the small
erative education for a client adhesive bandages will lose their adhesiveness in 7 to 10
following a laparoscopic chole- days. The client can then remove the bandages or allow the
cystectomy for cholelithiasis. bandages to fall off over time as the incision heals.
Which of the following client
statements indicates an under- INCORRECT:
standing of the teaching?
b- The nurse should instruct the client that she can shower or
a- "The adhesive bandages on bathe the day following the surgery.
my incision will fall off as the
c- The nurse should instruct the client to resume a regular diet
incision heals."
following surgery and slowly introduce foods containing fat to
b- "I will be able to take a show-
determine tolerance.
er in 1 week."
c- "I will need to follow a liquid
d- The nurse should instruct the client to rest for the first
diet for the first 3 days after
24 hours following surgery and then begin resuming normal
surgery."
activities. The client should be able to resume usual activities
d- "I can begin to resume
within 1 week.
my normal activity level in 2
weeks.
2. A nurse is assessing a client CORRECT: c- The nurse should expect a client who has Graves'
who has Graves' disease. disease, an autoimmune form of hyperthyroidism, to experi-
Which of the following findings ence exophthalmos, which is protrusion of the eyeballs.
should the nurse expect?
INCORRECT:
a- Somnolence
b- Cold intolerance a- The nurse should expect a client who has hyperthyroidism to
c- Exophthalmos experience insomnia. Somnolence is a common manifestation
d- Dry, scaly skin of HYPOthyroidism.
b- The nurse should expect a client who has hyperthyroidsim
to experience heat intolerance. cold intolerance is a common
, RN Concept-Based Assessment Level 2
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manifestation of HYPOthyroidism
d- The nurse should expect a client who has hyperthyroidism
to exhibit warm, moist, and smooth skin. Cool, dry scaly skin is
a common manifestation of HYPOthyroidsim.
3. A nurse is teaching a client CORRECT: c- The nurse should instruct the client to apply the
who has scabies about a new lotion and leave it in place fore 8 to 12 hours and then remove
prescription for lindane lotion. it by washing it off.
Which of the following client
statements indicates an under- INCORRECT:
standing of the treatment for
a- The nurse should instruct the client to apply the lotion, once.
this parasitic infection?
If live mites are still present, the nurse should instruct the client
a- "I will apply the lotion once a to reapply a second application one week following the first
day for 1 week." application.
b_ "I will rub the lotion thor-
b- The nurse should instruct the client to apply approximately
oughly from my face to my
60mL of the lotion in a thin film covering the body from the
toes."
neck down.
c- "I will wash the lotion off 12
hours after I apply it."
d- The nurse should instruct the client to bathe with soap and
d- " I should avoid bathing for
water, dry the skin well, and allow it to cool prior to applying
6 hours prior to applying the
the lotion.
lotion."
4. A nurse is teaching a client who CORRECT: d- The nurse should encourage the client not to eat
has GERD about ways to pre- anything at least 3 hours before bedtime to prevent reflux.
vent reflux. Which of the fol-
lowing information should the INCORRECT:
nurse include in the teaching?
a- The nurse should tell the client not to drink tomato juice or
a- Drink tomato juice with the any acidic beverages because acidic beverages can increase
breakfast meal. reflux.
, RN Concept-Based Assessment Level 2
Study online at https://quizlet.com/_8kh1a7
b- Suck on peppermint when
having indigestion. b- The nurse should encourage the client not to suck on pep-
c- Elevate the head of the bed permint because it increases reflux.
10 cm (4 in) using wooden
c- The nurse should instruct the client to elevate the head of
blocks
the bed 15.2 to 30.5 cm (6 to 12 in) by placing a foam wedge
d- Plan to finish eating at least
under the head of the bed to decrease reflux.
3 hours before bedtime.
5. A nurse is teaching a client CORRECT: b- The nurse should instruct the client to monitor for
who has a deep-vein thrombo- blood in the urine. The client should report a pink-tinged urine
sis about a new prescription color to the provider.
for warfarin. Which of the fol-
lowing client statements indi- INCORRECT:
cates an understanding of the
a- The nurse should instruct the client not to abruptly stop
teaching?
taking this medication. If the client needs to discontinue the
a- "I will stop taking the med- medication, the provider will taper the dose gradually.
ication immediately if I experi-
c- The nurse should review foods that are high in vitamin K
ence nausea."
with the client and instruct the client to maintain consistent
b- "I should contact my
intake of these foods. Inconsistent intake of these foods, such
provider if I notice a
as increasing the intake of spinach, can result in a fluctuation
pink-tinged color to my urine."
of prothrombin time or INR levels.
c- "I will increase my dietary in-
take of spinach."
d- The nurse should instruct the client to use an electric razor
d- "I will not be able to use an
for shaving to reduce the risk of the risk of bleeding from a
electric razor while I am taking
bladed razor cut.
this medication."
6. A nurse is reviewing the med- CORRECT: b - When using the urgent vs nonurgent approach
ical record of a client who has to client care, the nurse should determine that the priority
a peptic ulcer. Which of the fol- finding to report to the provider is the hemoglobin below the
lowing findings is a priority to expected reference range, which is an indication of the peptic
Study online at https://quizlet.com/_8kh1a7
1. A nurse is providing postop- CORRECT: a- The nurse should instruct the client that the small
erative education for a client adhesive bandages will lose their adhesiveness in 7 to 10
following a laparoscopic chole- days. The client can then remove the bandages or allow the
cystectomy for cholelithiasis. bandages to fall off over time as the incision heals.
Which of the following client
statements indicates an under- INCORRECT:
standing of the teaching?
b- The nurse should instruct the client that she can shower or
a- "The adhesive bandages on bathe the day following the surgery.
my incision will fall off as the
c- The nurse should instruct the client to resume a regular diet
incision heals."
following surgery and slowly introduce foods containing fat to
b- "I will be able to take a show-
determine tolerance.
er in 1 week."
c- "I will need to follow a liquid
d- The nurse should instruct the client to rest for the first
diet for the first 3 days after
24 hours following surgery and then begin resuming normal
surgery."
activities. The client should be able to resume usual activities
d- "I can begin to resume
within 1 week.
my normal activity level in 2
weeks.
2. A nurse is assessing a client CORRECT: c- The nurse should expect a client who has Graves'
who has Graves' disease. disease, an autoimmune form of hyperthyroidism, to experi-
Which of the following findings ence exophthalmos, which is protrusion of the eyeballs.
should the nurse expect?
INCORRECT:
a- Somnolence
b- Cold intolerance a- The nurse should expect a client who has hyperthyroidism to
c- Exophthalmos experience insomnia. Somnolence is a common manifestation
d- Dry, scaly skin of HYPOthyroidism.
b- The nurse should expect a client who has hyperthyroidsim
to experience heat intolerance. cold intolerance is a common
, RN Concept-Based Assessment Level 2
Study online at https://quizlet.com/_8kh1a7
manifestation of HYPOthyroidism
d- The nurse should expect a client who has hyperthyroidism
to exhibit warm, moist, and smooth skin. Cool, dry scaly skin is
a common manifestation of HYPOthyroidsim.
3. A nurse is teaching a client CORRECT: c- The nurse should instruct the client to apply the
who has scabies about a new lotion and leave it in place fore 8 to 12 hours and then remove
prescription for lindane lotion. it by washing it off.
Which of the following client
statements indicates an under- INCORRECT:
standing of the treatment for
a- The nurse should instruct the client to apply the lotion, once.
this parasitic infection?
If live mites are still present, the nurse should instruct the client
a- "I will apply the lotion once a to reapply a second application one week following the first
day for 1 week." application.
b_ "I will rub the lotion thor-
b- The nurse should instruct the client to apply approximately
oughly from my face to my
60mL of the lotion in a thin film covering the body from the
toes."
neck down.
c- "I will wash the lotion off 12
hours after I apply it."
d- The nurse should instruct the client to bathe with soap and
d- " I should avoid bathing for
water, dry the skin well, and allow it to cool prior to applying
6 hours prior to applying the
the lotion.
lotion."
4. A nurse is teaching a client who CORRECT: d- The nurse should encourage the client not to eat
has GERD about ways to pre- anything at least 3 hours before bedtime to prevent reflux.
vent reflux. Which of the fol-
lowing information should the INCORRECT:
nurse include in the teaching?
a- The nurse should tell the client not to drink tomato juice or
a- Drink tomato juice with the any acidic beverages because acidic beverages can increase
breakfast meal. reflux.
, RN Concept-Based Assessment Level 2
Study online at https://quizlet.com/_8kh1a7
b- Suck on peppermint when
having indigestion. b- The nurse should encourage the client not to suck on pep-
c- Elevate the head of the bed permint because it increases reflux.
10 cm (4 in) using wooden
c- The nurse should instruct the client to elevate the head of
blocks
the bed 15.2 to 30.5 cm (6 to 12 in) by placing a foam wedge
d- Plan to finish eating at least
under the head of the bed to decrease reflux.
3 hours before bedtime.
5. A nurse is teaching a client CORRECT: b- The nurse should instruct the client to monitor for
who has a deep-vein thrombo- blood in the urine. The client should report a pink-tinged urine
sis about a new prescription color to the provider.
for warfarin. Which of the fol-
lowing client statements indi- INCORRECT:
cates an understanding of the
a- The nurse should instruct the client not to abruptly stop
teaching?
taking this medication. If the client needs to discontinue the
a- "I will stop taking the med- medication, the provider will taper the dose gradually.
ication immediately if I experi-
c- The nurse should review foods that are high in vitamin K
ence nausea."
with the client and instruct the client to maintain consistent
b- "I should contact my
intake of these foods. Inconsistent intake of these foods, such
provider if I notice a
as increasing the intake of spinach, can result in a fluctuation
pink-tinged color to my urine."
of prothrombin time or INR levels.
c- "I will increase my dietary in-
take of spinach."
d- The nurse should instruct the client to use an electric razor
d- "I will not be able to use an
for shaving to reduce the risk of the risk of bleeding from a
electric razor while I am taking
bladed razor cut.
this medication."
6. A nurse is reviewing the med- CORRECT: b - When using the urgent vs nonurgent approach
ical record of a client who has to client care, the nurse should determine that the priority
a peptic ulcer. Which of the fol- finding to report to the provider is the hemoglobin below the
lowing findings is a priority to expected reference range, which is an indication of the peptic
