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Terms in this set (61)
The nurse is caring for a Yellowish sclera.
client with tuberculosis
who is receiving isoniazid Possible side effect related to liver damage
and rifampin for
tuberculosis. Which
adverse effect should the
nurse be most concerned
with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
,What would the nurse Acute confusion
expect to find in the care
of an 80-year-old client Dry cough - Vague sign
who is experiencing a Acute confusion - Correct - sign of infection in an
complication after a right older adult
knee replacement? The Increased temperature - Older adult may not exhibit
patient is post-op day 1. normal signs of infection
Purulent drainage from incision - Older adult may not
1 exhibit normal signs of infection
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from
incision
,Which of these clients 48-year-old African-American male who is obese and
should the nurse consider father and mother have type 2 DM.
at greatest risk for
developing type 2
diabetes mellitus?
1
48-year-old African-
American male who is
obese and father and
mother have type 2 DM.
2
50-year-old male
hemoglobin A1C of 5.5%
during a routine physical
examination.
3
A 30-year-old female who
delivered a 9-pound baby.
4
A 62-year-old male with
an elevated triglyceride
level.
, The nurse is assessing a "You should add a thickener all liquids and make sure
client with Parkinson's he sits upright while eating."
disease who has been
admitted to the hospital
because of significant
weight loss. Assessment
data reveals a masklike
facial expression and
slurred speech. A
swallowing evaluation
reveals some difficulty
swallowing. The client's
daughter asks the nurse,
"How am I supposed to
feed him at home?" What
is an appropriate response
by the nurse?
1
"He will be scheduled for
surgery to have a feeding
tube placed".
2
"It's best to feed him only
three meals a day to
reduce the chance of
choking."
3
"Make sure he drinks all
liquids through a straw
and recline in chair while
eating."
4
"You should add a
thickener all liquids and
make sure he sits upright
while eating."