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NU100 quiz 1 Advanced Directive Med Surg Succ... Rationales maternal/
Teacher 43 terms Teacher 12 terms 394 terms
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A nurse is caring for a client who D. Contractions
is at 33 weeks of gestation
following an amniocentesis. The
nurse should monitor the client
for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
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A nurse is providing teaching to D. Eat a light snack before bedtime
an older adult client about
methods to promote nighttime
sleep. Which of the following
instructions should the nurse
include?
A. Stay in bed at least 1 hr if
unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to
bedtime
D. Eat a light snack before
bedtime
,A nurse on a telemetry unit is B. Defibrillate
caring for a client who becomes
unconscious and whose monitor
displays ventricular tachycardia.
Which of the following actions
should the nurse take first after
determining the client does not
have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
A nurse is admitting a client who C. Request a female interpreter through the facility
1 week postpartum and reports
excessive vaginal bleeding. The
nurse does not speak the same
language as the client. The
client's partner and 10-year-old
child are accompanying her.
Which of the following actions
should the
nurse take to gather the client's
admission data?
A. Have the client's child
translate
B. Allow the client's partner to
translate
C. Request a female interpreter
through the facility
D. Ask a nursing student who
speaks the same language as
the client to translate
A nurse is caring for a client who d. Shivering
is febrile. To reduce the client's
fever, the nurse applies a
cooling blanket. Which of the
following findings indicates the
client is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
,A nurse is caring for a client who B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on
has deep-vein-thrombosis of the heparin
left lower extremity. Which of
the following actions should the
nurse take? (Exhibit)
A. Position the client with the
affected extremity lower than
the heart
B. Withhold heparin IV infusion
PTT- 30-40 seconds; x2 if on
heparin
C. Administer acetaminophen
D. Massage the affected
extremity every 4 hr
A nurse is reviewing assessment B. A client who has a nonhealing leg ulcer
data from several clients. For
which of the following clients
should the nurse recommend
referral to a dietitian?
A. An older adult client who has
a BMI of 24
B. A client who has a nonhealing
leg ulcer
C. An older adult client who has
presbyopia
D. A client who has an albumin
level of 3.7 g/dL (normal 3.4-5.4)
8. A nurse is providing discharge a. Eat 1 g/kg of protein per day
teaching to a client who has a
chronic kidney disease and is
receiving hemodialysis. Which of
the following instructions should
the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide
for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in
potassium- restrict
, A nurse is caring for a client who B. A history of gastroesophageal reflux disease
is receiving intermittent enteral
tube feedings. Which of
the following places the client at
risk for aspiration?
A. Sitting in a high-Fowler's
position during the feeding
B. A history of gastroesophageal
reflux disease
C. Receiving a high osmolarity
formula
D. A residual of 65 mL 1 hr
postprandial?
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?A nurse is providing prenatal D. Maternal serum alpha-fetoprotein- 16 to 18 weeks
teaching to a client who is at 12
weeks of gestation. The nurse
should tell the client that she will
undergo which of the following
screening tests at 16 weeks of
gestation?
A. Chorionic villus sampling- as
early as 8 weeks
B. Cervical cultures for
chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-
fetoprotein- 16 to 18 weeks
A nurse is caring for a client who C. Swollen area on calf
is on bed rest. The nurse should
recognize that which of
the following findings is a
complication of immobility?
A. Decreased serum calcium
levels- increased serum calcium
B. Increased blood pressure-
hypotension
C. Swollen area on calf
D. Urinary frequency-