Adult Health Proctored Prep

A client with a hip fracture asks the nurse why Buck's Traction is being applied before surgery. The nurse's response is based on the understanding that Buck's traction has which primary function?

• Allows bony healing to begin before surgery

• Provides rigid immobilization of the fracture site

• Lengthens the fractured leg to prevent severing of blood vessels

• Provides comfort by reducing muscle spasms and provides fracture immobilization.

A client with myocardial infarction suddenly becomes tachycardia, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. The nurse listens to breath sounds, expecting to hear which breath sounds bilaterally?

• Rhonchi

• Crackles

• Wheezes

• Diminished breath sounds

The nurse is reviewing the clients health record and notes the client has a renal disorder. Which laboratory results would indicate a decrease in renal function?

• Elevated serum creatinine

• Elevated thrombocyte cell count

• Decreased red blood cell (RBC) count

• Decreased white blood cell (WBC) count

• Elevated blood urea nitrogen (BUN) level

The nurse is collecting data from a client in the clinic. Which of these is an early symptom of BPH?

• Nocturia

• Urinary retention

• Urge incontinence

• Decreased force in the stream of urine

The nurse notes that the physical assessment findings for a client with meningeal irritation indicate a positive Brudzinski's sign. The nurse understands that with observation was made?

• The client rigidly extend the arms with pronated forearms and plantar flexion of the feet

• The client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended.

• The client passively flexes the hip and knee in response to new flexion and reports pain in the vertebral column.

• The client's upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated.

The nurse notes documentation that a Clint is exhibiting Cheyne-Stokes respirations. On data collection of the client, the nurse expects to note which finding?

• Rhythmic respirations with periods of apnea

• Regular rapid and deep, sustained respirations

• Totally irregular respiration in rhythm and depth without apnea

• Irregular respirations with pauses at the end of inspiration and expiration.

The nurse is planning clinical assignments for the day. The nurse knows not to assign which staff member to at the client with a diagnosis of herpes zoster?

• A staff member who has never had roseola

• A staff member who has never had mumps

• A staff member who has never had chicken pox

• A staff member who has never had German measles

The nurse is reviewing the health care record of a client with a lesion that has been diagnosed as malignant melanoma. The nurse should expect which characteristic of this type of lesion?

• A irregularly shaped lesion

• A small papule with a dry, rough scaled

• A firm nodular lesion topped with a crust

• A pearly papule with a central crater and a waxy border

Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client knowing that which would indicate the presence of systemic toxicity from this medication?

• Tinnitus

• Diarrhea

• Constipation

• Decreased respirations

The nurse is assisting with conducting a health promotion program to community members regarding testicular cancer. The nurse determine the further teaching I needed if a community member states that which is a symptom of testicular cancer?

• Alopecia

• Back pain

• Painless testicular swelling

• Heavy sensation in the scrotum