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please help me answer the following questions Which of the following is a priority for a client who has just had a myocardial infarction? A. Low back training program B.Risk modification education C.Strength training program D. Jogging exercise program A nurse is caring for a client in a physician’s office who has new laboratory test results that reveal total cholesterol 230 mg/dL, HDL 30 mg/dL, and LDL 156 mg/dL. The client states, “I am so upset about these results.” Which of the following would be the nurse’s most appropriate response? A. While you cannot control some risk factors, there are others that you can control. B. There is no need to be upset. Everything is within normal limits for your age. C. The only thing that you have to worry about is increasing your LDL cholesterol. D. The only thing that you have to worry about is decreasing your HDL cholesterol. A nurse is planning client teaching related to hypercholesterolemia. Which of the following is an expected client outcome of this teaching? A. The client will list the ways that HDL can be increased B. The client will list the ways that LDL can be increased C. The client will state that he will avoid vegetables such as potatoes D. The client will state that he will avoid fruits, such as bananas A nurse is teaching a client about birth control and preventing sexually transmitted infections. Which method is most effective in preventing both pregnancy and sexually transmitted diseases? A. Condoms B. Birth control pills C. A diaphragm D. A vaginal ring The nurse is assessing a client on antibiotic therapy. Examination reveals swollen lips and tongue. What may have caused the client’s current condition? A. Response to antigen B. Low dosage of antibiotic C. Noncompliance with the antibiotic schedule D. Polypharmacy A nurse is caring for a client who is on a mechanical ventilator and who receives nutrition through a feeding tube. Which position would most likely reduce the risk of this client developing aspiration pneumonia? A. Supine with the head of the bed elevated 30 to 45 degrees B. Right side-lying C. Supine with the head of the bed elevated 15 degrees D. Left side-lying A nurse is caring for a client with Addison’s disease who has the following results on complete metabolic profile: sodium 128 mEq/L, potassium 3.8 mEq/L, calcium 10 mg/dL, HCO3 22 mEq/L, BUN 18 mg/dL, creatinine mg/dL 1.0. Which of the following conditions does this client have? A. Hyponatremia B. Hypokalemia C. Hypercalcemia D. Metabolic acidosis A nurse is assigned to a client newly admitted to the medical-surgical unit. The nurse reviews the list of home medications provided by the client. Which best describes the first step in medication reconciliation during the client’s admission? A. The nurse documents the information in the client’s record to be reviewed by the healthcare provider and pharmacist B. The nurse contacts the pharmacy for matching doses of the client’s medications C. The nurse administers the first dose of the client’s medication D. The nurse provides educational pamphlets to the client about his/her medications A client’s serum calcium level indicates hypocalcemia. Which of the following signs should a nurse assess in this client? A. Chadwick’s sign B. Chvostek sign C. Homan’s sign D. Ladin’s sign A nurse is caring for a client with a new ileostomy. Immediately after having surgery to an ileostomy, which goal has the highest priority? A. Providing relief from constipation B. Assisting the client with self-care activities C. Maintaining fluid and electrolyte balance D. Minimizing odor formation Which of the following actions by the nurse is the most effective means of preventing spread of nosocomial infection? A. Use of an impermeable gown B. Use of gloves for client contact C. Cohorting clients infected with the same pathogenic organism D. Hand hygiene before entry and upon exit of a client’s room A nurse is teaching a client about choosing a health care surrogate. Which of the following statements by the client indicates an understanding of the teaching? A. “I can change who I designate as my health care surrogate as long as I have my provider’s approval.” B. “If I become incapacitated, end-of-life choices will be made by my health care surrogate.” C. “I have to choose a family member as my health care surrogate.” D. “I can verbally indicate to my nurse who I want to assign as my health care surrogate.” A nurse is providing teaching for a client who has HIV and is having difficulty gaining weight. Which of the following statements by the client indicates an understanding of the teaching? A. “I will choose a diet high in fat.” B. “I will be sure to eat three large meals daily.” C. “I will drink up to 1 liter of liquid each day.” D. “I will add foods that are high in protein to my diet.” A nurse receives laboratory results for serum electrolytes for a client with fluid and electrolyte imbalance. Which of the following represents a normal serum sodium level? A. 126 mEq/L B. 138 mEq/L C. 148 mEq/L D. 152 mEq/L A nurse is caring for a client who is progressing to an oral diet following a traumatic brain injury. Which of the following actions should the nurse take to reduce the client’s risk for aspiration? A. Request to have the client’s oral medications provided in liquid form. B. Instruct the client to follow each bite of food with a drink of water. C. Encourage the client to tuck her chin when swallowing. D. Allow a minimum of 20 min for the client to eat. A nurse on a general surgical unit is caring for a client monitored through telemetry from a central location in the hospital. Which action must the nurse implement when the client is transported to the radiology department for a chest X-ray? A. Call the radiology department to see if they can perform the X-ray at the bedside B. Ask the physician to postpone the X-ray for a day C. Notify the central monitoring center that the patient will be going to radiology D. Call the client’s family to determine whether it is safe for the client to be exposed to radiation A nurse is planning to advise a client with heart failure who has a new prescription for digoxin. Which of the following signs of toxicity should the nurse include when advising the client? A. Increased pedal edema B. Redness on upper chest and neck C. Vision changes, including appearance of yellow haloes around some objects D. Dry cough An older adult is frequently incontinent of urine and must wear adult undergarments for urine leakage. Which statement by the nurse would be most appropriate when the client expresses embarassment or dismay? A. “Don’t worry, this happens to most people as they get older.” B. “This is most likely happening because you have been depressed.” C. “This happens to some people as they get older; it’s usually because of physical changes that are hard to control.” D. “Since we can’t stop this from happening, let’s get you cleaned up.” A nurse is caring for a client following a cardiac catheterization that was inserted through the femoral artery. While turning the client, the nurse discovers blood underneath the client on the bed. Which of the following complications should the nurse suspect? A. Retroperitoneal bleeding B. Cardiac tamponade C. Bleeding from the incisional site D. Sepsis A nurse is caring for a client who is undergoing diagnostic tests for renal function. The nurse administered captopril to the client during a renal scan. Which of the following actions should the nurse take? A. Assess for hypertension. B. Limit the client’s fluid intake. C. Monitor for orthostatic hypotension. D. Encourage the client to stand to void a urine sample. A nurse places a hand roll for a client who has paralysis of the right hand and arm after a stroke. Which best describes the purpose of a hand roll? A. To increase grip strength in the hand B. To promote circulation to the extremity C. To prevent contracture in the hand D. To support distal nerve function in the hand A nurse is caring for a client who has a history of Crohn’s disease. The client has concentrated urine, decreased turgor, hypotension, and weak, thready pulses. Which of the following is the most appropriate initial intervention by the nurse? A. Encourage the client to drink at least 1000 mL/day B. Provide parenteral rehydration therapy prescribed by the physician C. Turn and reposition every 2 hours D. Monitor vital signs every shift Which of the following is an advantage of using a central line to draw a blood sample? A. It decreases the risk of fluid volume deficit B. It does not require the use of a syringe C. It avoids frequent venipuncture D. It requires little to no contact with the client

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