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Original Question

The nurse is evaluating teaching about drug therapy to treat gout. Which statement by the client demonstrates an understanding of the use of allopurinol to treat gout? A. “I need to take this drug every day to keep from having any flare-ups.” B. “I should take this drug when I have gout attacks to reduce symptoms.” C. “The pain and swelling can be controlled by taking this drug every day.” D. “I need to take the prescribed amount of the drug to get rid of my gout.” The charge nurse is transcribing prescriptions for a client diagnosed with an acute exacerbation of inflammatory bowel disease (IBD). Which prescription should the charge nurse question and request clarification from the healthcare provider? A. Nothing by mouth (NPO) x B. Schedule for barium enema in the morning. X correct C. Infuse dextrose 5% and sodium chloride 0.45% at 125 mL/hour. D. STAT complete blood count and electrolytes. The nurse observes a decrease in a client’s level of consciousness. Which vital sign should the nurse obtain first? A. Respiratory Rate. B. Blood Pressure. C. Temperature. D. Pulse Rate. Which assessment is most important for the nurse to obtain after administering an IV dose of furosemide to a client with heart failure (HF)? A. Measure weight daily. B. Assess for dependent edema. C. Auscultate breath sounds. For fluid load in lungs D. Observe the color of sputum. Which nursing intervention should be implemented for a client with dysphagia and left-sided paresis following a stroke? A. Ensure the client sits erect while eating. B. Place food and utensils on the left side. C. Initiate oral intake with clear, thin liquids. D. Mix a thickener in foods if choking occurs. The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi? Jogs more frequently than usual daily routine. Drinks several bottles of carbonated water daily. Experiences additional stress since adopting a child. Eats a vegetarian diet with cheese 2 to 3 times a day vegs may have calcium which is contraindicated . A client with hyperthyroidism presents to the clinic with a report of dizziness since the previous night. The nurse obtains the following vital signs; pulse rate 147 beats/minute, blood pressure 116/76 mmHg, and respiratory rate 22 breaths/minute. While awaiting an ECG, which additional assessment is most important for the nurse to obtain? Length of capillary refill. Volume of pedal pulses. Degree of skin elasticity. Rhythm of apical pulse. The nurse is evaluating a male client’s hearing who reports hearing best in the left ear although words are muffled during conversation at a social gathering. Based on these findings, which assessment should the nurse implement? Ask the client if he has tinnitus. Differentiate ability to hear high and low-pitched sounds. Inspect the external ear canals. Determine ability to maintain balance with eyes closed. An adult who was recently diagnosed with glaucoma tells the nurse, “it feels like I am driving through a tunnel.” The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client? Wear prescription glasses Eat a diet high in carotene (RESEARCHED THIS) Maintain prescribed eye drop regimen CORRECT Avoid frequent eye pressure measurements The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a trans-urethral resections of the prostate (TURP). What is the best initial nursing action? Provide additional oral fluid intake Administer a PRN dose of an antispasmodic agent Increase the flow of the bladder irrigation Measure the client’s intake and output The nurse is admitting a client who just sustained a cerebrovascular accident (CVA). The client is lethargic and has left-sided hemiparesis. What is the priority nursing intervention? Assist to side-lying position with head of bed elevated Place the client on an alternating airflow mattress Initiate range of motion (ROM) activities of extremities 4. Elevate the affected arm on one-two pillows An obese client with emphysema who smokes at least a pack of cigarettes daily is admitted after experiencing a sudden increase in dyspnea and activity tolerance. Oxygen therapy is initiated, and it is determined that the client will be discharged with oxygen. Which information is most important for the nurse to emphasize in the discharge teaching plan? Approaches to conserve energy Guidelines for oxygen use Strategies for smoking cessation Methods for weight loss When planning care for a client with ulcerative colitis, which long term goal is most important for the nurse to include? Maintain a diet that is high in fiber content Ensure careful fluid and electrolyte balance Effectively manage pain, discomfort, and diarrhea Reduce number and severity of acute exacerbations A young adult client who is experiencing a severe asthma attack has been short of breath for three hours. The client’s arterial blood gas results are: pH 7.22; CO2 55 mmHg, HCO2 25 mEq/L. Which intervention should the nurse implement to address this problem? Position the client for maximum comfort Space nursing care to provide rest periods Instruct the client to use pursed lip breathing Administer a PRN dose of albuterol A middle-aged client diagnosed with cholelithiasis is choosing the evening meal. What food choice should the nurse encourage the client to omit? Ketchup Ice Cream Beef broth 4. Bread A client who was involved in a MVC is admitted with a fracture left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that the client’s distal pulses are diminished in the left foot. Which interventions should the nurse implement? (SATA) Evaluate the application of the splint to the left leg Verigy pedal pulses using a doppler pulse device Administer oral antispasmodics and narcotic analgesics Offer ice chips and oral clear liquids Monitor left leg for pain, pallor, paresthesia, paralysis, pressure The nurse is preparing a client for discharge who was hospitalized for an exacerbation of ulcerative colitis. Which instructions are most important to include in the client’s discharge teaching plan? Take prescribed cortisone accurately Increase daily intake of calories diet Provide time for physical and emotional rest Use cotton balls and water for perineal care Which intervention should the nurse implement to help osteoporosis in a client who has had a bariatric surgery? RESEARCH!!! Identify foods high in vitamin D Discuss importance for vitamin A Administer supplemental iron Encourage increased intake of milk A client diagnosed with Type 1 diabetes is NPO for a diagnostic test. The nurse is preparing to administer 24 units of 70/30 insulin. Which intervention should nurses implement? Call the department and request that this client’s test be done first Administer the insulin subcutaneously in the client’s abdomen Administer the insulin when the client returns from the test Contact the healthcare provider to adjust the insulin dosE The nurse is caring for an adolescent client with severe aplastic anemia. Which finding should the nurse report to the healthcare provider immediately? Dizziness when initially standing up Cold hand and feet Shortness of breath on exertion 4.Epistaxis that is difficult to control A client is hospitalized with heart failure exacerbation. The vital signs are as follows; blood pressure 180/96 mmHg, heart rate 95 beats/minute, respirations 16 breaths/minute, temperature 98.6 F and oxygen saturation on room air is 90%. The client is prescribed furosemide 40 mg IV push, and an inamrinone IV sliding dose of 0.75mg/kg to be given over 10 to 15 minutes. Which assessment is most important for the nurse to monitor? Heart rate Lung sounds Blood pressure Urine output The nurse is teaching a client who was recently diagnosed with gout how to manage the disease. Which information should the nurse include in this client’s teaching plan? A.Family history is not a risk factor for developing gout. B. Fluid intake should increase to at least 3 liters per day. C. There is no correlation between gout and alcohol intake. D. Chicken fettuccine should be avoided completely.

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