Central Carolina Technical College: NURSING 221 Questions and Answers,100% CORRECT
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NURSING 221
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NURSING 221
Central Carolina Technical College: NURSING 221 Questions and Answers
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?
A. Bounding pedal pulse
B. Capillary refill le...
central carolina technical college nursing 221 questions and answers
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Central Carolina Technical College: NURSING 221 Questions
and Answers
A nurse is assessing for compartment syndrome in a client who has a short leg
cast. Which of the following findings should the nurse identify as a manifestation
of this condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
D. Areas of warmth on the cast C. Pain that increases with passive movement
A nurse is providing teaching to a client who has a severe form of stage II Lyme
disease. Whichof the following statements made by the client reflects an
understanding of the teaching?
A. "I will need to take antibiotics for 1 year"
B. "My partner will need to take an antiviral medication"
C. "My joints ache because I have Lyme disease"
D. "I will bruise easily because I have Lyme disease" C. "My joints ache
because I have Lyme disease"
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The
amount available is oral solution 125 mg/5 mL. How many mL should the nurse
administer? 24
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
A. Flush the line before administering antibiotics
B. Position the client in Trendelenburg to obtain measurements
C. Have the client bear down when readings are obtained
D. Place a pressure bag around the flush solution D. Place a pressure bag
around the flushsolution
A nurse is updating the plan of care for a client who is receiving chemotherapy.
Which of the following findings should the nurse identify as the priority?
A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis A. Report of sore throat
A nurse is reviewing the medical record of a client who has systemic lupus
erthematosus (SLE). Which of the following findings should the nurse expect?
A. Facial butterfly rash
B. Bradycardia
C. Esophagitis
D. Interstitial fibrosis A. Facial butterfly rash
A nurse is planning care for a client who is postoperative following a
,parathyroidectomy. Whichof the following actions should the nurse identify as
the priority?
A. Use pillows to support the client's head and neck
B. Offer opioid medication
C. Place a tracheostomy tray at the bedside
D. Place the client in semi-Fowler's position C. Place a tracheostomy tray at the
bedside
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
A. Low urine specific gravity
B. Hypertension
C. Bounding peripheral pulses
D. Hyperglycemia A. Low urine specific gravity
, A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include?
A. "You will have an implant placed twice each month for the duration of the
treatment"
B. "You should remain at least 6 feet away from others between treatments"
C. "You should expect to have blood in your urine for a few days after treatment"
D. "You will need to stay still in the bed during each treatment session" D.
"You will need tostay still in the bed during each treatment session"
A nurse is planning care for a client who is scheduled for a thoracentesis. Which
of the following interventions should the nurse include in the plan?
A. Encourage the client to take deep breaths after the procedure
B. Assist the client to hold their arms up during the procedure
C. Instruct the client to remain NPO after midnight prior to the procedure
D. Keep the client on bedrest for 8 hr following the procedure A. Encourage
the client to take deep breaths after the procedure
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which of
the following actions should the nurse anticipate taking?
A. Administer an antihistamine
B. Slow the infusion rate
C. Give the client a corticosteriod
D. Elevate the client's lower extremities B. Slow the infusion rate
A nurse is providing teaching to a client who has end-stage kidney disease and is
waiting for a kidney transplant. Which of the following information should the
nurse provide?
A. Kidney donation must come from a living donor
B. Immunosuppressive therapy is necessary until the donated kidney begins
producing urine
C. Hemodialysis is sometimes required following surgery
D. Kidney transplant recipients can resume their regular diet following
surgery C.
Hemodialysis is sometimes required following surgery
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect?
A. Constipation
B. Insomnia
C. Tachycardia
D. Diaphoresis A. Constipation
A nurse is providing preoperative teaching for a client who is scheduled for a
mastectomy. Which of the following statements should the nurse make?
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