Custojohnkeynes

MULTIPLE CHOICE 1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are met c. Tellsthe client and family about all upcoming tests d. Thoroughly orients the client and family to the room ANS: A Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect compassion...

MULTIPLE CHOICE 1. A nurse cares for a dying client. Which manifestation of dying should the nurse treat first? a. Anorexia b. Pain c. Nausea d. Hair loss ANS: B Only symptoms that cause distress for a dying client should be treated. Such symptoms include pain, nausea and vomiting, dyspnea, and agitation. These problems interfere with the clients comfort. Even when symptoms, such as anorexia or hair loss, disturb the family, they should be treated only if the client is distressed by th...

1. A nurse is presenting information at a health fair concerning cancer. When questioned about the use of green tea, the nurse would point out which potential effect of green tea? A) Dental caries B) Damage to heart C) Insomnia D) Damage to liver Answer: C Rationale: The nurse should inform the client that green tea can cause insomnia, nervousness, restlessness, and GI upset because it contains caffeine. Green tea is known to improve dental health and maintain health of the heart and l...

1. The nurse works with a number of clients who require immunosuppressive treatment of autoimmune diseases. What classes of drugs would the nurse expect health care providers to order? Select all that apply. A. Corticosteroids B. Calcineurin inhibitors C. Sodium channel antagonists D. Biologics E. Antibiotics F. Diuretics Answer: A, B, D Rationale: Drugs used to suppress immunity include corticosteroids, calcineurin inhibitors, mTOR inhibitors, IMDH inhibitors, biologics, and monoclon...

1. A nurse is preparing to administer ferrous to a client. Which adverse reaction should the nurse point out to the client to report if noted? A) Headache B) Allergic reaction C) Soreness D) Backache Answer: B Rationale: The nurse needs to closely monitor the client for an allergic reaction and report to the health care provider if symptoms are noted. Headache and backache are the generalized system reactions to iron supplements. Soreness is a generalized system reaction to the adminis...

1. A nurse is prepared to administer a varicella vaccine to a female client planning to start a family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant? A) 2 weeks B) 4 weeks C) 8 weeks D) 12 weeks Answer: D Rationale: The nurse should instruct the client to wait at least 12 weeks (3 months) before getting pregnant after receiving measles, mumps, rubella, and varicella vaccines. Measles, mumps, rubella, and varicella vaccines are con...

1. The nursing instructor is teaching a session explaining the various drugs usedto treat urinary tract infections. The instructor determines the session is successful when the students correctly choose which organ as most often affected by infections? A) Bladder B) Kidney C) Urethra D) Ureters Answer: A Rationale: The urinary tract consists of the following anatomic structures: kidneys, ureters, bladder, prostate gland, and urethra. UTIs most commonly affect the bladder. Question fo...

1. A nurse is preparing to administer goserelin to a client with prostate cancer. Which assessment findings should the nurse prioritize on the ongoing assessment? A) Breast atrophy, sexual dysfunction B) Pharyngitis, asthenia C) Breast tenderness, edema D) Hyperglycemia, leukocytosis Answer: A Rationale: Breast atrophy and sexual dysfunction may be seen as adverse reactions of goserelin therapy. Pharyngitis and asthenia are seen with the useof anastrozole. Breast tenderness and edema a...

1. A client is prescribed oxytocin for intranasal use. The nurse will explain to the client this will achieve which result? A) Antistimulating properties on the uterus B) Diuretic effect C) Stimulation of the milk ejection reflex D) Control of antepartum bleeding Answer: C Rationale: Oxytocin, when administered intranasally, stimulates the milk ejection (milk letdown) reflex. Oxytocin has uterine-stimulating properties, not antistimulating properties, on the uterus. Tocolytics have an a...

1. A client who is prescribed digoxin is receiving electrolyte replacement therapy. The nurse would monitor the client for signs of digoxin toxicity if which electrolyte is administered? A) Sodium B) Potassium C) Magnesium D) Phosphorous Answer: B Rationale: The nurse should monitor a client taking digoxin for signs of digoxin toxicity if potassium is being given. The use of magnesium and digoxin can result in heart block. Sodium is necessary for normal heart action. The use of phosph...