Test Flashcards
Two clients with polydipsia and polyuria arrived at the hospital. Both were having similar symptoms but were diagnosed with different types of diabetes insipidus. Which assessment finding helped to differentiate the diagnosis?
Urine osmolarity
The registered nurse is teaching a student nurse the points to be included while educating a client on cortisol replacement therapy about self-management. Which statement provided by the student nurse indicates the need for further teaching?
“I will advise the client to take the medication before meals.”
A mother reports feeding her infant immediately before arriving in the emergency department. After completing the assessment, the nurse reports which finding immediately to the primary healthcare provider because it likely indicated pyloric stenosis?
Peristaltic waves that transverse the epigastrium.
The nurse concludes that a client with glaucoma needs education when the client makes which statement?
“It is dangerous for me to use sedatives.”
Sedatives have no effect on intraocular pressure
A nurse is planning to teach a school-aged child with newly diagnosed type 1 diabetes about self-care. After an assessment of what the child knows about diabetes, what is the next nursing intervention?
Developing a sequence of goals with the child and parents.
A 15-year-old with cystic fibrosis (CF) is admitted with a respiratory infection. The nurse determines that the adolescent is cyanotic, has a barrel-shaped chest, and is in the 10th percentile for both height and weight. What is the priority nursing intervention?
Performing postural drainage
The nurse is caring for a client before, during and immediately after surgery. Which type of care is provided to the client?
Care that supports homeostatic regulation
A nurse is teaching a 15-year-old adolescent with newly diagnosed type 1 diabetes about self-care. What is the primary long-term goal this nurse and client should agree on?
Maintaining normoglycemia
A client has a history of GERD. Why should the nurse monitor the client for clinical manifestation of heart disease?
Esophageal pain may imitate the symptoms of a heart attack
Two clients with polydipsia and polyuria arrived at the hospital. Both were having similar symptoms but were diagnosed with different types of diabetes insipidus. Which assessment finding helped to differentiate the diagnosis?
Urine Osmolarity
A primary healthcare provider prescribes a low-sodium, high-potassium diet for client with Cushing Syndrome. Which explanation should the nurse provide to the client about the need to follow this diet?
“Excessive aldosterone and cortisone cause retention of sodium and loss of potassium.”
A client with GERD is being treated with dietary management. The client states, “I like to have a glass of juice everyday.” Which juice will the nurse recommend?
Apple Juice
A client is admitted to the hospital with intractable pain. What instruction should the nurse provide the UAP who is assisting with a bed bath?
Take measures to promote as much comfort as possible
A female client who has breast cancer with metastasis to the liver and spine is admitted with constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline (Elavil) for pain control at home. During the admission assessment, which information is most important for the nurse to obtain?
Sensory pattern, area, intensity, and nature of the pain.
The home health care nurse is caring for a client with cancer who is complaining of acute pain. The most appropriate determination of the client’s pain should include which assessment?
The client’s pain rating
When conducting discharge teaching for a client who has had a mechanical valve replacement, which information should the nurse plan to include? -
The client will need to take an antibiotic before dental procedures.
ANTIBIOTIC PROPHYLAXIS FOR DENTAL PROCEDURES!
The nurse is developing a plan of care for a client with Cushing’s syndrome. The nurse documents a client problem of excess fluid volume. Which nursing actions should be included in the care plan for this client?
Select all that apply. - ANSWER- Answer: Monitor daily weight.
Monitor intake and output.
Assess extremities for edema
A nurse is caring for a client who has Cushing’s syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)
ANSWER- 1) Buffalo hump
2) Purple striations
3) Moon face
End of life plan of care -
Pain management is a priority
