EXIT EXAM 11.19.23

The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder?

• A 26 year old woman who runs

• A 36 year old an who has asthma

• A 70 year old man who consumes excess alcohol

• A 65 year old woman who smokes cigarettes

Levothyroxine is prescribed for a client diagnosed with hypothyroidism. Upon review of the client's record, the nurse notes that the client is taking warfarin. Which modification to the plan of care would the nurse review with the client's primary health care provider?

• A decreased dosage of levothyroxine

• An increased dosage of levothyroxine

• A decreased dosage of Warfarin

• An increased dosage of Warfarin

The nurse is teaching a client with emphysema about positions that help breathing during dyspneic episodes. The nurse instructs the client that which positions alleviate dyspnea? Select all that apply.

• Sitting up and leaning on a table

• Standing and leaning against a wall

• Lying supine with the feet elevated

• Sitting up with the elbows resting on knees

• Lying on the back in a low-Fowler's position

The nurse is caring for a client in septic shock with hyperlactatemia. The nurse notes the first serum lactate level was drawn at 1200. When would the nurse expect the next lactate level to be drawn?

• 1400

• 1600

• 1800

• 2000

The nurse is monitoring a client receiving total parenteral nutrition (TPN). The client suddenly develops respiratory distress, dyspnea, and chest pain, and the nurse suspects air embolism. In order of priority, what actions would the nurse take? Arrange the actions in the order that they would be performed. All options must be used.

• Take client's vital signs

• Position the client in a left Trendelenburg's Position

• Administer oxygen

• Contact the primary care provider

• Clamp IV catheter

The nurse is preparing a room for a client diagnosed with pertussis. Which type of precautions would the nurse plan to implement for the client?

• Droplet

• Airborne

• Contact

• Standard

The nurse is caring for a client with acute bacterial gastroenteritis. Which of the following primary health care provider prescriptions would require a need for follow-up?

• Monitor strict intake and output

• Administer IV ciprofloxacin as ordered

• Fresh AppleAdminister 2 mg oral loperamide as needed every 6 hours diarrhe

• Administer IV 0.9% Normal Saline at 75 mL/hr.

The nurse is assigned to the following clients. The nurse would assess the clients in which order of priority? Place the client in the order of priority for assessment. All options must be used.

• A client who is undergoing surgery for a hysterectomy on the following day

• A client with heart failure who has a 4-lb weight gain since yesterday and is experiencing shortness of breath

• A 24-hour postoperative client who had a wedge resection of the lung and has a closed chest tube drainage system

• A client admitted to the hospital for observation who has absent bowel sounds

The nurse is caring for a client with diagnosed appendicitis that is awaiting surgical intervention scheduled the next day. In which of the following positions would it be best for the nurse to place the client?

• Prone

• Supine

• Semi-Fowler's

• Left-Lateral

Match the following

• Diffusion

• Movement of fluid through a cell or vessel membrane due to hydrostatic pressure differences on either side

• Filtration

• The concentration of solutions in a solution. The greater the osmolality of a solution the more solutes are found within the solution

• Omolality

• The free movement of particles across a semi-permeable membrane from an area of higher concentration to an area of lower concentration. Speed is related to the difference in particle concentration.

• Third Spacing

• Shift of fluid from the vascular space into an area where it is not available for physiological use - such as in the abdomen, bowel, pleural, and peritoneal spaces. Which can result from burns, tissue damage, surgery, or other.

• Osmosis

• Water moves across a selectively permeable membrane from an area of higher concentration to an area of lower concentration (solute particles do not move)