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Test Bank Medical Surgical Nursing 9th Edition Ignatavicius Workman, chapter 61, chapter 62, chapter 63, chapter 64, chapter 65 & chapter 66

Chapter 65: Assessment of the Renal/Urinary System,MULTIPLE CHOICE 1. A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should the nurse take? a. Document findings and continue to monitor the client. b. Contact the provider and recommend a 24-hour urine test. c. Review the clients recent dietary selections. d. Perform a capillary artery glucose assessment. ANS: D Glucose normally is not found in the urine. The normal renal threshold for glucose...

MULTIPLE CHOICE 1. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? a. Administer the prescribed tetanus toxoid vaccine. b. Assess the clients wounds for signs of infection. c. Encourage the client to breathe deeply every hour. d. Wash your hands on entering the clients room. ANS: D Infection can occur when microorganisms from another per...

MULTIPLE CHOICE 1. A nurse teaches a client who has very dry skin. Which statement should the nurse include in this clients education? a. Use lots of moisturizer several times a day to minimize dryness. b. Take a cold shower instead of soaking in the bathtub. c. Use antimicrobial soap to avoid infection of cracked skin. d. After you bathe, put lotion on before your skin is totally dry. ANS: D The client should bathe in warm water for at least 20 minutes and then apply lo...

MULTIPLE CHOICE 1. A nurse is assessing a client who has suffered a nasal fracture. Which assessment should the nurse perform first? a. Facial pain b. Vital signs c. Bone displacement d. Airway patency ANS: D A patent airway is the priority. The nurse first should make sure that the airway is patent and then should determine whether the client is in pain and whether bone displacement or blood loss has occurred. DIF: Applying/Application REF: 547 KEY: Trauma| medical emergencies MS...

MULTIPLE CHOICE 1. A nursing student caring for a client removes the clients oxygen as prescribed. The client is now breathing what percentage of oxygen in the room air? a. 14% b. 21% c. 28% d. 31% ANS: B Room air is 21% oxygen. DIF: Remembering/Knowledge REF: 529 KEY: Oxygen| physiology MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 2. A client is scheduled to have a tracheostomy placed in an ...

MULTIPLE CHOICE 1. While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous membranes. Which action should the nurse take next? a. Ask the client about current medications he or she is taking. b. Use pulse oximetry to assess the clients oxygen saturation. c. Auscultate the clients lung fields for adventitious sounds. d. Palpate the clients bilateral radial and pedal pulses. ANS: B Cyanosis can be present when impaired gas exchange occurs. In a c...

MULTIPLE CHOICE 1. A nurse assesses several clients who have a history of asthma. Which client should the nurse assess first? a. A 66-year-old client with a barrel chest and clubbed fingernails b. A 48-year-old client with an oxygen saturation level of 92% at rest c. A 35-year-old client who has a longer expiratory phase than inspiratory phase d. A 27-year-old client with a heart rate of 120 beats/min ANS: D Tachycardia can indicate hypoxemia as the body tries to circulate the oxygen ...

MULTIPLE CHOICE 1. A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60pack-year smoking history. Which action is most important for the nurse to take when interviewing this client? a. Tell the client that he needs to quit smoking to stop further cancer development. b. Encourage the client to be completely honest about both tobacco and marijuana use. c. Maintain a nonjudgmental attitude to avoid causing the client...

MULTIPLE CHOICE 1. The student nurse learning about cellular regulation understands that which process occurs during the S phase of the cell cycle? a. Actual division (mitosis) b. Doubling of DNA c. Growing extra membrane d. No reproductive activity ANS: B During the S phase, the cell must double its DNA content through DNA synthesis. Actual division, or mitosis, occurs during the M phase. Growing extra membrane occurs in the G1 phase. During the G0 phase, the cell is working but is n...