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NURS 566 CH16 STUDY GUIDE-Drugs Affecting The Cardiovascular&Renal System 2023 UPDATE
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NURS 566 CH16 STUDY GUIDE-Drugs Affecting The Cardiovascular&Renal System 2023 UPDATE
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NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUAREDSUCCESS A+
The nurse has taught a client who is receiving prescribed alendronate. Which of the following statements by
the client would indicate a correct understanding of the teaching? Select all that apply.
a. "I will take alendronate 1/2 hour before I eat breakfast.
b. "I should avoid weight-bearing exercises while taking alendronate."
c. "I should discontinue alendronate if I experience nausea or vomiting."
d. "I will need to remain in an upright position for 30 minutes after I take alendronate.
e. "I should notify my primary health care provider if I experience difficulty swallowing while
taking alendronate."
The nurse has taught a client who is prescribed a low-sodium diet about appropriate food choices. Which of
the following statements by the client would indicate a correct understanding of the teaching?
a. "I will eat steamed, fresh broccoli with herbs and spices for an evening meal.
b. "I will add cottage cheese and other dairy products to my daily diet.
c. "I am glad I can still enjoy eating cereals, such as bran flakes with raisins."
d. "I am glad I can eat lean meats daily because I eat ham sandwiches for an afternoon meal."
The nurse has observed a staff member tell a client with bipolar disorder that there will be consequences
for making negative comments about conditions in the facility. When the nurse meets privately with the
staff member, which of the following statements would be most appropriate for the nurse to make to the
staff member?
a. "Threatening a client can result in the immediate dismissal of a staff member."
b. "Staff members who have difficulty with control issues often seek power over
clients." c. "Clients have a right to complain about services without fear of punishment."
d. "Staff should set limits with clients in a non-judgmental manner."
The nurse is preparing to insert a peripheral venous access device (VAD) for a client. Which of the
following actions should the nurse take?
a. Ask the client to open and close the fist multiple times.
b. Tap the client's vein multiple times to promote dilation.
c. Apply the tourniquet 9 to 10 in (22.5 to 25 cm) above the venipuncture site.
d. Palpate for a vein after cleansing the selected site.
The nurse is caring for assigned clients. Which of the following clients would be at increased risk for the
skin wound shown below? Select all that apply.
,NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED
SUCCESS A+
a. a 65-year-old client who has a beefy, red tongue
b. a 60-year-old client who is receiving a low-fiber diet
c. a 55-year-old client who is exhibiting cognitive impairment
d. a 70-year-old client who has a body mass index (BMI) of 24
e. a 65-year-old client who has a blood glucose level of 96 mg/dL (5.3 mmol/L)
The nurse is screening clients for those at increased risk for developing cancer. At highest risk for developing
leukemia is the client who
a. received more than 3 blood transfusions
b. has a magnetic resonance imaging (MRI) scan annually
c. has polycythemia vera and requires phlebotomy treatments
d. had colon cancer and received prescribed chemotherapy treatments
The nurse is preparing to insert a peripheral venous access device (VAD) for a client who requires prescribed
antibiotics intravenously. Which of the following actions by the nurse will increase the likelihood of success
in initiating the VAD? Select all that apply.
a. Select a vein that is visible but not palpable.
b. Massage the arm distal to the selected venipuncture site.
c. Apply a tourniquet tightly enough to suppress the radial pulse.
d. Apply a warm compress to the client's arm for 10 to 15 minutes.
e. Use the nondominant hand to hold the skin taut against the selected vein.
The nurse is preparing a staff education conference about total parenteral nutrition (TPN). Which of the
following information should the nurse include? Select all that apply.
a. "The TPN intravenous tubing should be changed once a week."
b. "TPN can be administered through a peripherally inserted central catheter (PICC)."
c. "Clients receiving TPN should be weighed daily."
d. "An infusion pump is used to deliver TPN."
e. "Blood glucose levels should be monitored in clients receiving TPN."
The nurse is preparing to administer a prescribed unit of packed red blood cells (PRBCs) to a client. Which of
the following actions should the nurse take?
a. Assess the client's recent urine output.
b. Prime a Y-tubing blood administration set with lactated Ringer's solution.
c. Ensure that the client has a peripheral venous access device (VAD) that is 24-gauge or larger.
d. Verify with another nurse that the client's room number is on both the blood product label and the
client's identification band.
The nurse has become aware of the following client situations. The nurse should first assess the client
a. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's position while lying on the
right side
b. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing and reporting
hemoptysis
c. who had a wedge resection of the left lung 24 hours ago and is sitting in the high-Fowler's
position d. with heart failure who has a productive cough and is restless
The nurse is caring for a client who is receiving a blood transfusion and states, "I feel chilled and am having
back pain." Which of the following actions should the nurse take? Select all that apply.
, NURS 1327 EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023 ASSUARED
SUCCESS A+
a. Stop the transfusion.
b. Check the client's vital signs.
c. Notify the client's primary health care provider.
d. Return the blood and infusion tubing to the blood bank.
e. Infuse 5% dextrose in water through the intravenous catheter.
f. Administer a dose of an antiemetic prescribed p.r.n. to the client.
The nurse is preparing to admit a client who has pleuritic chest pain and is reporting a cough productive of yellow
sputum for the past 1 week. The client has a pulse oximetry reading of 90% on room air. Which of the following
infection control precautions should the nurse implement?
a. Use a stethoscope that is designated for use with the client only.
b. Wear sterile gloves when inserting a peripheral venous access device
(VAD). c. Assign the client to a private room with monitored negative air
pressure.
d. Place a box of surgical masks inside the client's room.
13.A A client admitted to the maternity unit is at 38 weeks of gestation and has bright red vaginal bleeding. It would
be
most important for the nurse to assess which of the following?
a. history of bleeding at any other time during the pregnancy
b. complaints of abdominal pain
c. temperature
d. length of time of the bleeding
14. The nurse has attended a staff education program about infection control precautions. It would indicate
a correct understanding of the teaching if the nurse is observed
a. wearing a particulate respirator mask (N95) when entering the room of a client with
Haemophilus influenzae pneumonia
b. placing a client with streptococcal pneumonia in a room with a client who has respiratory syncytial virus
(RSV)
c. wearing a protective gown when entering the room of a client with Escherichia coli O157:H7 who is
incontinent
d. placing a client with pediculosis capitis (head lice) in a room with a client who has scabies
15. The nurse is calculating a client's output for an 8-hour shift. The client has a 3-way continuous bladder
irrigation (CBI) that is infusing at 200 mL/hr. The drainage bag was emptied twice during the shift for a total of
2,000 mL. How many mL should the nurse record as the client's output? Record your answer using a whole
number.
a. Answer: 400 mL
16. The nurse is assessing a client with suspected gout. Which of the following findings would support a
diagnosis of gout? Select all that apply.
a. elevated serum uric acid level
b. a swollen, red joint
c. reports of moderate fatigue
d. distal extremities cool to touch
e. pain associated with movement of the affected extremity
f. intolerance of dairy products
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