NSG 210

1.You are caring for three clients who have the following blood count values: Client A has 24,500/mm3 white blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a 250,000/mm3 platelet count. Which statement correctly describes the condition of each client? A) Client A has a normal WBC count, client B has a higher hemoglobin count than normal, and client C has a normal platelet count. B) Client A has a higher WBC count than normal, client B has a normal hemoglobin co...

1.You are caring for a client who is post–sinus surgery. When you assess this client, you ask him how many fingers you are holding up. Why do you assess postoperative visual acuity? A) To assess possible hemorrhage B) To assess damage to the optic nerve C) To assess postoperative infection D) To assess impaired drainage Ans: B Feedback: A client who has undergone a sinus surgery faces a serious risk of damage to the optic nerve. Therefore, the nurse assesses postoperative visual acui...

1.The family nurse practitioner is performing a physical assessment on a client with a suspected lymphatic disorder. What would be the nurse practitioner's primary assessment for all clients with lymphatic disorders? A) Fever and sore throat B) Painful joints C) Signs of leukopenia and thrombocytopenia D) Enlargement of the lymph glands Ans: D Feedback: Most of the disorders related to the lymph glands cause an inflammation of the lymph nodes. As a result, the nurse should assess the ...

1.A client has just been diagnosed with prehypertension. What would the nurse instruct this client to do to restore his blood pressure below hypertensive levels? A) Increase iodine intake. B) Decrease sodium intake. C) Increase fluid intake. D) Avoid over-the-counter decongestants. Ans: B Feedback: The nurse should instruct clients with prehypertension to avoid or decrease sodium and iodine intake. Increasing fluid intake raises circulating blood volume and systemic vascular resistance...

1.A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client? A) Patchy flakes clinging to the eyelashes B) A red pustule in the internal tissue of the eyelid C) Redness surrounding the conjunctival sac D) A halo around the pupil Ans: A Feedback: Blepharitis is an inflammation of the lid margins. The nurse monitors visible patchy flakes clinging to the eyelashes and about the lids. The condition does not cause redness or a halo around the pupil. In case...

1.The family nurse practitioner is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly? A) Moving the head toward both sides B) Lightly tapping the lower portion of the neck to detect sensation C) Moving the head and chin toward the chest D) Gently pressing the bones on the neck Ans: C Feedbac...

1.A client with a neurologic deficit has been admitted to your unit. The nurse caring for the client is assessing the client and observes significant changes in the client's status. Which of the following action should the nurse perform immediately? A) Use the Glasgow Coma Scale. B) Use the Mini-Mental Status Examination. C) Report the change to the physician. D) Monitor the blood pressure. Ans: C Feedback: When significant changes occur, the nurse should immediately report them to the...

1.A client presents to the walk-in clinic complaining of a migraine. The client is prescribed a neuronal stabilizer. What should the nurse suggest to the client? A) Avoid crowds. B) Take drugs only after meals at night. C) Avoid caffeine and alcohol. D) Use caution while driving or performing hazardous activities. Ans: D Feedback: A client who is prescribed a neuronal stabilizer needs to exercise caution while driving and avoid performing hazardous activities. A client taking nonsteroid...

1.A client with major depression is having a disturbed sleep pattern. Which of the following nursing interventions will help the client to get maximum sleep during the night? A) Acknowledge the client's feeling of despair. B) Encourage active exercise before bedtime. C) Encourage the client to go to bed early. D) Keep the client busy during the day. Ans: D Feedback: The nurse should keep the client busy during the day and discourage the client from going to bed early. Left alone, depre...

1.Building trust is especially critical to developing a therapeutic relationship with an anxious client. Which of the following interventions contributes to this trust? A) Leave the client alone during a new experience. B) Give support in nonverbal ways. C) Be available and attentive to the client's requirements. D) Give detailed explanations and do not repeat them frequently. Ans: C Feedback: Building trust is especially critical to developing a therapeutic relationship with an anxiou...