335 Review

While assessing a client recently diagnosed with rheumatoid arthritis, the nurse should focus the assessment on the severity of:

• Deformed joints of the hands limited motion of the joints

• Limited motion of the joints

• Early morning stiffness

• Rheumatoid nodules

Your pt is taking furosemide. What do you need to assess before giving the medication?

Metoprolol is a ______ drug and the RN needs to assess for_____?

A nurse is providing health teachings regarding antiplatelet medications. Which of the following is not true regarding the use of this medication?

• Antiplatelet medications cannot be used with anticoagulants.

• Take the medication with food to prevent gastrointestinal upset.

• A routine bleeding time is monitored during the therapy.

• Antiplatelet medication inhibits the aggregation of platelets in the clotting process, thereby prolonging bleeding time.

Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team?

• Auscultate lung sounds

• Review lab results

• Call the provider

• Initiate heparin drip

A client has a history of chronic renal failure and received hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which of the following interventions is not included in this client’s plan of care?

• Assess the AV fistula for a bruit and thrill

• Keep the AV fistula site dry

• Teach the patient about the fistula

• Take the blood pressure in the left arm

Which of the following clients is at greatest risk for developing acute renal failure?

• A client with diabetes who had a heart catheterization

• A pregnant woman who has a fractured femur

• A teenager who has an appendectomy

• A dialysis client who gets influenza

A client with osteoarthritis states that her friend with rheumatoid arthritis takes steroid pills for his condition, and asks why she is not prescribed these pills. Which of the following would be the best explanation by the nurse?

• Oral corticosteroids pills can be used for osteoarthritis

• Osteoarthritis and rheumatoid arthritis are similar conditions

• Corticosteroid injections in the joints are used to treat osteoarthritis

• Osteoarthritis is treated by using a systemic effect which means it goes throughout th body

A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates a further immediate action?

• BP 88/48

• Pain 2/10

• Resp 22

• c/o abd pain

A client is diagnosed with chronic renal failure and told she must start hemodialysis. Client teaching would include which of the following instructions?

• There will be no lifestyle changes.

• Stick to your dialysis schedule as directed by provider.

• Direct phlebotomy to draw from the fistula.

• You will get a shunt put in your abdomen for dialysis.