Nurse Caring Young Explained for Students (Easy Guide)

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Original Question

q1-A nurse is caring for a young adult client who has testicular cancer and expresses concern about their sexual functions following an orchiectomy of the involved testicle. Which of the following responses should the nurse make? A. The removal of a single testicle will not prevent you from having an erection. B. You should focus on recovering from your cancer right now C. I am sure any partner will understand that you have no control over this. D. There are other ways to express intimacy besides intercourse q2-nurse is caring for a client in hospice care who is dying. The client’s partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse? 1-I will call the provider to discuss your concerns.” 2-Encourage your partner to wake up to interact with family members.” 3-I can ask the provider to prescribe à medication that will minimize drowsiness.” 4-Sitting quietly near the bedside can provide comfort and support.” q3-nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client’s need for which of the following immunizations? 1-measles, mumps, and rubella 2-inactivated poliovirus 3-Human papilloma virus 4-Herpes zoster a4-A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care? A. Occupational therapist B. Dietitian C. Herbalist D. Social worker q5-A nurse is collecting data from a client who underwent a thyroidectomy 4 hr. ago,. Which of the following findings indicates a complication of the procedure? A. Tingling of the fingers B. Soreness at the incision site C. Report of sore throat D. Serosanguineous drainage on the dressing. q6nurse is reinforcing teaching about environmental modifications in the home with a family member of a client who has Alzheimer’s disease Which of the following information should the nurse include in the teaching? 1-Leave the television on. 2-Schedule alternate caregivers. 3-install locks at the top of doors. 4-Place throw rugs on the floor. q731-A nurse is prioritizing care for four clients following change-of-shift report. Which of the following clients should the nurse attend to first? 1-A client who has diverticulitis and a temperature of 38.3° C (100.9° F) 2- A client who has a prescription for a sputum specimen to be obtained before breakfast 3- A client who sustained a head injury 2 days ago and has a decreased level of consciousness 4- A client who has Alzheimer’s disease and requires assistance to the bathroom q8-A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan? 1- Have assistive personnel feed the client. 2- Ask the provider for a prescription for a pureed diet. 3-. Obtain a referral for physical therapy 4-. Apply foam handles to the clients’ eating utensils q9-A nurse is caring for a client who has diabetic neuropathy of the lower extremities and has a new prescription for a heating pad. The prescription reads, “Apply to the left foot for 20 min.” Which of the following actions should the nurse take? 1-Complete Semmes-Weinstein monofilament testing following treatment. 2-Apply the heating pad as prescribed by the provider. 3- Clarify the prescription with the provider. 4- Observe the skin 10 min after the start of treatment. q10An occupational health nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result? A. A client whose injection site is ecchymosis B. A client whose injection site is firm and measures 3 mm (0.1 in) C. A client whose injection site has an elevated area measuring 15 mm (0.6 in) D. A client whose injection site is scabbed q11A nurse is reviewing the laboratory report of a client who has cancer and is experiencing anorexia. Which of the following laboratory values should indicate to the nurse that the client is experiencing malnutrition? A. Hematocrit 45% B. WBC count 6,000/mm3 C. Prealbumin 10.5 mg/dL D. Bun 15 mg/dL q12–.A nurse is monitoring a client who is receiving a transfusion of of packed RBCs. Which of the following findings should the nurse identify as an indication that the client should receive diphenhydramine? A. Urticaria B. Pulmonary congestion C. Jugular vein distention D. Vomiting q13A nurse is reinforcing teaching about immunization with an older adult client. Which of the following instruction should the nurse include? A. You should receive one dose of the pneumococcal vaccine. B. You should receive the hepatitis A vaccine every 10 year C. You should receive the live, attenuated influenza vaccine every other year D. You should receive the human papillomavirus vaccine. q14A nurse is caring for a client who is 8 hr postoperative following left hip arthroplasty. Which of the following laboratory values indicates the nurse should notify the provider? A. Potassium 3.6 mEq/L B. Blood glucose 98 mg/dL C. Hemoglobin 8.6 g/dL D. Bun 18 mg/dL q15-A nurse is caring for a client who is 2 days postoperative following abdominal surgery. The nurse auscultates hypoactive bowel sounds and the client reports cramping abdominal pain. Which of the following actions should the nurse take first? A. Administer a glycerin suppository B. Offer an analgesic medication C. Ambulate the client in the hallway D. Request the client to be NPO q16-A nurse is collecting data from an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection? A. Temperature 37.3 C (99.1 F) B. Changed mental status C. WBC count 9,000/mm3 D. Diminished reflexes q17-A nurse is caring for a client who is in skin traction. Which of the following actions should the nurse take? A. Ensure the weights hang freely from the client’s bed. B. Maintain 6.8 kg (15 lb) of weight for the client’s skin traction C. Inspect the client’s skin every 12 hr for signs of breakdown D. Loosen the ropes of the pulleys when repositioning the client in bed q18A nurse is caring for an older adult client who has stomatitis due to poorly fitting dentures. Which of the following actions should the nurse take? A. Offer the client hot beverages to drink B. Provide the client with a high-protein diet C. Rinse the client’s mouth twice daily with an alcohol-based mouthwash D. Increase the client’s fluid intake to 2,000mL daily q19-A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately? A. Right-sided weakness B. Difficulty speaking C. Inability to follow direction D. A change in pupil size q20-.A nurse is caring for a client who is experiencing muscle spasms and has a new prescription for an aquathermia pad. Which of the following actions should the nurse take? A. Use safety pins to secure the pad in place. B. Cover the pad prior to use C. Fill the pad with sterile water D. Apply the pad for 45 min at a time q21-.A nurse is collecting data from a client prior to administering bydrochlorothiaxige for mild hypertension. Which of the following findings should the nurse identify as a contraindication to administering the medications? A. 2 + pedal edema B. History of GERD C. Allergy to shellfish D. Potassium 2.8 mEq/L q22-A nurse reinforcing teaching about a foot is with a client who has diabetes mellitus. Which of the following client statements indicates an understanding of the teaching? A. I should round the corners of my toenails with a nail file to prevent ingrown nails B. I should apply a heating pad to my feet every night to help with circulation C. I should put lotion between my toes every day to prevent dryness and cracking D. I should use my wrist to test the temperature of the water before bathing. q23.A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care? A. Occupational therapist B. Dietitian C. Herbalist D. Social worker q24A nurse is reinforcing teaching with a client about colorectal cancer. Which of the following risk factors should the nurse include? A. Chronic constipation B. Duodenal ulcer C. Ulcerative colites D. Biliary colic q25A nurse is assisting with the development of the plan of care for a client who has a low WBC count. Which of the following interventions should the nurse include? A. Obtain the client’s rectal temperature every 4 hr B. Encourage the client to eat a low-protein diet C. Prohibit fresh flowers in the client’s room D. Initiate airborne precautions for the client q26-A nurse is reinforcing teaching with a female client who has a history of urinary tract infection. Which of the following instructions should the nurse include? A. Urinate before and after sexual intercourse B. Increase milk consumption to make the urine more alkaline C. Use a vaginal douche once a week D. Empty the bladder at least every 6 hr q27-A nurse is caring for a client who has bladder cancer and is 1-day postoperative following placement of an ill conduit. Which of the following information should the nurse report to the provider? (Click on the “exhibit” button for additional information about the client. There are three tabs that contain separate categories of data) A. Stoma color B. Bowel sounds C. Platelet count D. Urine output q28A nurse is preparing a client for a colposcopy following an abnormal Papanicolaou’s (Pap) test. Which of the following actions should the nurse take? A. Reinforce teaching that the procedure involves dilation of the cervix B. Instruct the client to avoid sexual intercourse until the cervix is healed C. Place the client in the position of the sim D. Insert a tampon following the procedure q29A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago,.which of the following findings indicates a complication of the procedure? A. Tingling of the fingers B. Soreness at the incision site C. Report of sore throat D. Serosanguineous drainage on the dressing q30-.A nurse is reinforcing discharge teaching with a client who had an excision biopsy of the left breast. Which of the following instructions should the nurse include? A. Expect numbness to last for up to 4 months B. Use bandages to absorb bleeding at the incision site. C. Apply an ice pack to the incision site to treat discomfort D. Refrain from wearing a bra for 10 days after the surgery

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