NUR 203 Review

The nurse is reviewing the laboratory results of a patient diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?

• Increased calcium level

• Increased white blood cells

• Decreased blood urea nitrogen

• Decreased number of plasma cells in the bone marrow

A client at risk for shock secondary to pneumonia develops restlessness and is agitated and confused. Urinary output has decreased and the blood pressure is 92/68 mmHg. The nurse minimally suspects which stage of shock based on this data?

• Stage 1

• Stage 2

• Stage 3

• Stage 4

The nurse is instructing a hospitalized patient with a diagnosis of emphysema about measures that will enhance the effectiveness of breathing during dyspneic periods. Which position should the nurse instruct the client to assume?

• Sitting up in bed

• Side-lying in bed

• Sitting in a recliner chair

• Sitting up and leaning on an overbed table

As part of chemotherapy education, the nurse teaches a female client about the risk for bleeding and self-care during the period of greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed if the client makes which statement?

• “I should avoid blowing my nose.”

• “I may need a platelet transfusion if my platelet count is too low.”

• “I will count the number of pads and tampons I use when menstruating."

• “I’m going to take aspirin for my headache as soon as I get home.”

The nurse performs an admission assessment on a client with a diagnosis of tuberculosis. The nurse should check the results of which diagnostic test that will confirm this diagnosis?

• Chest x-ray

• Bronchoscopy

• Sputum culture

• Tuberculin skin test

 A client in shock develops a central venous pressure (CVP) of 2 mmHg and a mean arterial pressure (MAP) of 60 mmHg. Which prescribed intervention should the nurse implement first?

• Increase the rate of O₂ flow

• Insert an indwelling urinary catheter

• Increase the rate of intravenous (IV) fluids

• Obtain arterial blood gas results

The nurse is instructing a client with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the client?

• Administer the iron at mealtimes

• Administer the iron through a straw

• Mix the iron with cereal to administer

• Add the iron to apple juice for easy administration

A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse sees no electrocardiographic complexes on the screen. Which is the priority nursing action?

• Call a code

• Check the client’s status

• Call the healthcare provider

• Document the lack of complexes

The nurse is caring for a client after a bronchoscopy. Which finding, if noted in the client, should be reported immediately to the primary health care provider?

• Dry cough

• Hematuria

• Bronchospasm

• Blood-streaked sputum

The nurse should plan to implement which intervention in the plan of care of a client experiencing neutropenia as a result of chemotherapy?

• Restrict all visitors

• Restrict fluid intake

• Teach the client and family about the need for hand hygiene

• Insert an indwelling urinary catheter to prevent skin breakdown