Client Been Given Assignment Help: How to Answer This Question

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Original Question

51. A client has been given instructions for taking nitrofurantoin in the oral suspension form. The nurse determines that the client does not fully understand the medication information given if the client states that which of the following? a.”This medication turns the urine a brownish color.” B. “I should rinse my mouth with water to avoid staining my teeth.” C. “If a dose is missed, I should double the dose in the next scheduled time.” D. “I should avoid driving while taking this medication because it can cause dizziness.” 52. A nurse is assigned to assist with caring for a client receiving peritoneal dialysis and notes a brownish color to the dialysate output. The nurse interprets that this finding could result from which of the following conditions? a.Early infection. B. Bowel perforation. C. Bladder perforation. D. Insufficient fluid installation. 53. A nurse is assigned to assist with caring with client who has returned from post anesthesia care unit after prostatectomy. The client has three-way Foley catheter with an infusion of continuous bladder irrigation. The nurse determines that the flow rate is adequate if the color of the urinary drainage is which of the following? A. Dark cherry. B. Clear as water. C. Pale yellow or slightly pink. D. Concentrated yellow with small clots. 54. A nurse has collected nutritional data from a client with cystitis, The nurse teaches the client that which beverage should be consumed to minimize the recurrence of cystitis? A. Tea B. Water C. Coffee D. White wine 55. A nurse is providing dietary instructions to a client with a uric acid renal stone. Which dietary instruction should the nurse provide to the client? a. Seafood is allowed in the diet. B. Increase your intake of legumes. C. Organ-meat type foods can be included in the diet. D. Increase your intake of cranberries and citrus fruits 56. A nurse is carrying out an order for a 24-hour urine collection for a client with suspected renal disorder. Which of the following actions should the nurse avoid to ensure proper collection technique? Which of the following actions should the nurse avoid to ensure proper collection technique? A .Refrigerate container or place on ice. B. Save all voiding after the first one during the 24-hour period. C. Ask the client to void at the end of time and add this specimen in the container. D. Ask the client to void at the start time and place his specimen in the container. 57. A client with Chronic Renal Failure has an indwelling catheter in the abdomen that is used for peritoneal dialysis. While bathing, the client spills water on the dressing that covers the catheter. The licensed practical nurse reports the occurrence to the registered nurse and plans to immediately assist with which of the following? A. Changing the dressing. B. Removing the catheter. C. Flushing the peritoneal dialysis catheter. D. Scrubbing the catheter with povidone-iodine. 58. A nurse has provided instructions about diet and fluid restrictions to client with chronic renal failure. The nurse determines that the client best understands the information presented if the client selects which of the following desserts from the dietary menu? A. Jell-O. B. Sherbet. C. Ice cream. D. Angel food cake. 59. A nurse is caring for a client who just returned to the nursing unit after an intravenous pyelogram (IVP). The nurse determines that which of the following is a priority for the post procedure care of this client? A. Maintaining the client on bed rest. B. Ambulating the client in the hallway. C. Encouraging the increased intake of oral fluids. D. Encouraging the client to try to void frequently 60. A nurse has given instructions about site care to a hemodialysis client who had an implantation of an arteriovenous (AV) fistula in the right arm. The nurse determines that the client requires further instruction if the client states to: A .Sleep on the right side. B. Avoid carrying objects with the right arm. C. Report an increased temperature, redness or drainage at the site D. Perform range- of- motion exercises routinely with the right arm. 61. A nurse is caring for a client with ascites. The nurse plans to avoid which of the following actions in the care of the client? a. Record abdominal girth daily at the level of the umbilicus. B. Encourage frequent exercise. C. Elevate the legs while in bed. D. Limit sodium intake 62. A client who is recovering from Acute Renal Failure needs to learn dietary modifications that include limiting potassium in the diet. The nurse teaches the client to do which of the following when preparing meals? a.Increase the use of bananas and oranges. B. Increase meat intake to at least 12 oz per day. C. Use salt substitutes instead of salt. D. Check the labels on food seasonings before use. 63. A nurse is providing dietary instructions to a client with renal uric acid calculi. Which dietary instruction should the nurse provide to the client? a.Organ meats can be included in the diet. B. Seafood is allowed in the diet. C. Increase the intake of legumes. D. Increase the intake of cranberries and citrus fruits. 64. A nurse is caring for a client who is having a peritoneal dialysis catheter inserted. The nurse enhances the client’s comfort during the procedure by: a.Telling the client not to speak during the catheter insertion. B. Assisting the client to a side-lying position. C. Encouraging the client to refrain from breathing while the catheter is introduced. D. Requesting an order for premedication. 65. The client with uric acid calculi is placed on low purine diet. The nurse instructs the client to restrict the intake of which of the following foods? A. Cranberries B. Plum juice C. Fruit juice D. Fish 66. A nurse is monitoring the intravenous site of a client receiving an IV solution that contains Potassium chloride. The nurse ects phlebitis. The nurse understands that which of the following is the most likely cause of the phlebitis? A.THe inflammation of the vein B. The collection of the blood vessels in the tissue. C. Respiratory alkalosis D. Respiratory acidosis 67. A nurse is monitoring the intravenous site of a client receiving an IV solution and suspects infiltration. Which sign indicates that infiltration has occurred? a.Inflammation at the IV site. B. Redness around the IV site C. Edema and coolness as the IV site. D. A hard or cord-like feeling along the veins. 68. Hyperalimentation is what kind of IV solution? a.Hypertonic B. Hypotonic C. Combination of 2 hypotonics D. Isotonic 69. A client is treated for hypocalcemia. The nurse monitors for which of the following as the most serious electrolyte disturbance that can accompany the treatment of this disorder? A .Hypokalemia. B. Hyponatremia C. Hyperphosphatemia D. Hypomagnesemia. 70. The reviews a child’s health care record and notes that the laboratory value indicate a potassium level of 3.2 mEq/L. Which clinical manifestation does the nurse expect to note in this child? a.Nausea B. Cardiac arrhythmias C. Increased bowel sounds D.Elevated blood pressure 71. A nurse is monitoring a client with hypoparathyroidism for the signs of hypocalcemia. The nurse taps the facial nerve and the side of the face twitches. The nurse documents the findings knowing that this test signifies the presence of which of the following? a.Homan’s sign B. Chvostek’s sign C. Trousseau sign D. Positive Allen’s test 72. A client is receiving isotonic IV solution at 75 mL/hour. Which of the following is an isotonic IV fluid solution? A. Dextrose 10% Water B. 3% Sodium Chloride C. 0.9% Physiological Saline D. Dextrose 5% in Lactated Ringers Solution 73. A nurse is monitoring the IV site of the client receiving an IV solution that contains potassium chloride. The nurse notes heat, redness and tenderness at the site and suspects phlebitis. The nurse understands that which of the following is the most likely cause of the phlebitis? A. The inflammation of the vein. B. The collection of blood vessels in the tissues. C. The activity of the arm. D. The nutritional status of the patient. 74. The client with atherosclerosis asks the nurse about dietary modifications to lower the risk of heart disease. The encourages the client to eat which of the following foods? A. Fresh cantaloupe B. Broiled cheeseburger C. Baked chicken with skin D. Mashed potato with gravy 75. A nurse is collecting data from a client with a cardiovascular disorder. The nurse can best check for the presence of pallor in which of the following area? A .The nail beds B. The fingertips C. The buccal mucosa D. Over the palms of the hands 76. A client with hyperlipidemia is advised to limit the intake of dietary cholesterol. The nurse provides dietary instructions and tells the client to choose which of the following options because it is the lowest in fats? A.Liver B. Bacon C. Spare ribs D. Baked scrod 77. A nurse is assisting with providing emergency treatment for a client experiencing ventricular tachycardia. The licensed practical nurse understands which action by the registered nurse provides the safest environment during a defibrillation attempt? a.Placing no lubricant in the paddles B. Performing a visual and verbal check of “all clear” C. Holding the client upper torso stable while the defibrillation is performed. D. Handling the charged paddles separately to the person who is performing the defibrillation 78. A nurse determines that which of the following clients is the least likely candidate for the implantation of the internal automatic cardioverter defibrillator(AICD)? a.A client with syncopal episodes related to ventricular tachycardia. B. A client with ventricular dysrhythmias despite medication therapy. C. A client with one episode of cardiac arrest related to myocardial infarction D. A client with three episodes of cardiac arrest unrelated to myocardial infarction. 79. An older client who has not been hospitalized previously is extremely anxious after hospital admission. To provide a safe environment for the client and minimize the stress of hospitalization, the nurse should do which of the following? a.Keep visitors to the minimum number possible. B. Keep the door open and the room lights on at all times. C. Admit the client to a room far away from the nurses’ station. D. Allow the client to have as many choices related to care as possible. 80. A nurse is delivering a meal tray to a client with heart failure. The nurse should remove which item from the tray before bringing it to the client’s bedside because the food item would be unsafe for the client to consume? a.Sherbet B. Green beans C. Baked chicken D. Saltine crackers 81. A licensed practical nurse(LPN) is assisting a registered nurse with caring for a client who just underwent cardiac catheterization via the femoral artery approach. The nurse should avoid taking which of the following actions when caring for this client because it would be unsafe? a.Resuming prescribed medications. B. Having the client at upright for a meal. C. Encouraging the client to drink extra fluids. D. Asking the client to wiggle the toes when collecting data about the neurovascular status. 82. A client is scheduled to undergo cardiac catheterization for the first time. Which of the following points should the nurse plan to include in the preprocedure teaching to provide the client with accurate information? a.The procedure is performed in the operating room. B. The initial catheter insertion is quite painful after that, there is little or no pain. C. The client may feel fatigue and have various aches because it is necessary to lie quietly on a hard x-ray table for approximately 4 hours. D.The client may feel certain sensations at various points during the procedure, such as skipped beats, a flushed warm feeling a desire to cough and palpitations. 83. A nurse is assisting with planning care for the client who is scheduled for admission to the nursing unit after femoral-popliteal bypass grafting. The nurse understands that which of the following would be unsafe for use because it would impair circulation to the affected extremity? A. Sheepskin B. Bed cradle C. Elastic wraps D. Lightweight blanket 84. A nurse is providing home care instructions to a client who has had a vascular bypass surgery on a lower limb. To prevent the complications associated with the surgical procedure, the nurse teaches the client to do which of the following? Select all that apply: a.Initiate a daily walking regimen. B. Avoid lifting anything heavier than 20 pounds. C. Take a tub bath daily to keep the incision clean. D. Eat high fiber diet and drink plenty of fluids. E. Promptly report signs of incisional signs of infection to the physician. F. Expect to feel fatigued and plan for rest periods throughout the day. 85. A nurse is reinforcing dietary instructions to a hypertensive client. The nurse encourages which of the following snack foods as being acceptable for this client? a.Frozen pizza B. Cheese and crackers C. Canned tomato soup. D. Honeydew melon slices. 86. A client is being discharge to home after angioplasty that involved the use of the right femoral area where the catheter was inserted. The nurse reinforces horne-care instructions to the client and explains that which of the following signs or symptoms after the procedure. a.A temperature as high as 101 degrees Fahrenheit. B. Mild discomfort in the right groin. C. A large area of bruising in the right groin. D. Coolness or discoloration of the right foot. 87. A client was started on an oral anticoagulant therapy was hospitalized. The client is no being discharged to home and is intermittently confused. The nurse determines that the client has the best support system for successful anticoagulant monitoring. If the client: A. Lives with the daughter and son-in-law. B. Has a home health aide coming to the house for 9 weeks. C. Will have blood drawn in the home by a local laboratory. D. Has a good friend living next door who will take the client to the doctor. 88. A client with an order for a 12 lead EKG has never had this procedure done before. The nurse most effectively reduced the client’s anxiety by stating which of the following ? a.It’s important to lie still during the procedure. B. It should take about 30 minutes to complete the ECG tracing.” C. The EKG tells the doctor what might be wrong with your heart.” D. “The test is painless and will record the electrical activity of your heart.” 89. A nurse is assisting with caring for a client with a diagnosis of pulmonary edema who is on mechanical ventilator. The nurse should determine that the client could be anxious when the client exhibits: A.Hypotension, confusion and combative behaviors. B. Bradycardia, hand clenching and startling behaviors. C. Tachycardia, clinging to family members and pupil dilation. D. Tachypnea a decreased level of consciousness and palpitations. 90. A licensed practical nurse(LPN) is reinforcing teaching given by the registered nurse to a client who has been diagnosed with endocarditis. The LPN explains that is important for this client to use an electric razor rather than a straight razor for shaving for which of the following reasons? a.An electric razor can be sanitized more easily. B. Straight razors harbor too many microorganisms. C. The client is at higher risk for infection from any nick or cut. D. Any cuts or skin injuries should be avoided while taking anticoagulants. 91. A hospitalized client with hypertension is receiving captopril. To ensure the client safety, the nurse should be sure that the client does which of the following? a.Drinks plenty of water. B. Sits up and stands slowly. C. Eats foods that are high in potassium. D. Takes in sufficient amounts of high fiber foods. 92. A nurse is assisting with planning for a client diagnosed with deep vein thrombosis (DVT) of the left leg. Which intervention should the nurse to avoid? a.Elevating the client’s leg. B. Applying moist to the client’s leg. C. Ambulating the client in the hall once per shift. D. Administering acetaminophen to the client as prescribed. 93. A client is prepared to receive elective cardioversion to treat atrial fibrillation. Which of the following is unsafe preprocedure observation? a.The client’s digoxin has been withheld for the last 48 hours. B. The defibrillator has the synchronizer turned on and is set at 50 joules. C. The client received an intravenous(IV) dose of midazolam. D. The client is wearing a nasal cannula that is delivering oxygen at 2L/min. 94. A nurse is assisting during a code and the physician is preparing to defibrillate the client. Which item can safely remain in contact with the client while the client is defibrillated: a.Oxygen B. Ventilator C. Backboard D. Nitroglycerin 95. The nurse is reinforcing home-care instructions regarding the need to begin long-term anticoagulant therapy for a client who has atrial fibrillation. Which explanation describes the reasoning for this therapy? A .This dysrhythmia decreases the amount of blood flow from the heart, which can lead to blood clots forming in the brain.” B. “The antidysrhythmic medications you are taking can cause blood clots as a side effect, so you need this medication to prevent them.’ C. “Because this dysrhythmia, blood backs up in the legs and puts you at risk for blood clots, this is called “deep vein thrombosis.” D. “Because the atria are quivering, blood flows sluggishly through them. Clots can form along the heart wall which could then loosen and travel to the lungs or brain. 96. A nurse is teaching client who has been placed on a low-cholesterol diet about appropriate dessert items. The nurse teaches the client that which item is acceptable to eat? a.Sherbet B. Ice cream C. Pound cake D. Frosted slice of cake 97. The nurse is asked to monitor a client with cardiac disease for the presence of cyanosis. Which body area is the best site for checking for this condition? A. The nail beds B. In the sclera C. Over the palms of the hands D. At the junction of the hard and soft portions of the palate 98. A nurse is determining a hypertensive client’s understanding of dietary modifications to control the disease process. The nurse evaluates the client’s understanding as satisfactory if the client makes which of the following meal selections? a.Corned beef, fresh carrots and boiled potatoes. B. Hot dog on a bun, sauerkraut and baked beans. C. Turkey, baked potato and salad with oil and vinegar. D. Scallops, French fries and salad with Bleu cheese dressing. 99. A client with thromboangiitis obliterans asks the nurse what home-care measures can be implemented to alleviate the symptoms. The nurse tells the client which of the following about this disorder and symptom control? a.”There is no current treatment.” B. “Surgery is the most successful therapy. C. “Warmth, exercise and smoking cessation are most helpful.” D. “Analgesics are primarily used to control the symptom of the pain.” 100. A client who is scheduled for the implantation of automatic internal-converter-defibrillator(AICD) asks the nurse why there is a need to keep a diary after insertion and what should be written in the diary. The nurse teaches the client that the primary purpose of the diary is to: a.Determine which activities to avoid. B.Document events that precipitate a countershock. C. Provide a count of the number of shocks delivered D. Record a variety of data that are useful for the physician as part of medical management.

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