Comprehensive Questions

The nurse is assessing a client’s left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. What procedure does the nurse anticipate for this client?

• • Arthrocentesis

• • Magnetic resonance imaging (MRI)

• • Arthroscopy

• • Bone biopsy

The nurse is caring for a client taking fluticasone. Which of the following is most important for the nurse to implement?

• • Monitor blood pressure while on high doses

• • Instruct the client to rinse mouth after use

• • Administer the corticosteroid prior to administering the adrenergic inhaler

• • Inform the client that overuse can cause rebound bronchospasm

• Inform the client that overuse can cause rebound bronchospasm

• • G4P4

• • G4P1M3

• • P4G1M3

• • P1G4

The nurse is caring for a client with a mechanical valve replacement. Which statement made by the client requires correction?

• • “There is a chance I could develop infective endocarditis (IE).”

• • “I may get blood clots with this kind of valve.”

• • “This valve might last 20 to 30 years.”

• • “I have to take anticoagulant therapy for only a few years.”

The nurse is caring for a client with diabetes who has a blood glucose level of 400 mg/dL. The client insists they follow the prescribed treatment plan. Which test will the nurse anticipate being ordered to determine blood glucose results over 3 months?

• • Fasting blood glucose (FBG)

• • Oral glucose tolerance test (OGTT)

• • Random blood glucose (RBG)

• • Glycosylated hemoglobin

The nurse is caring for a client with meningitis. Which intervention should the nurse plan to implement?

• • Use a warming blanket

• • Provide additional stimulation

• • Administer acetaminophen as ordered

• • Place the client in contact isolation

The nurse is caring for a client with seborrheic dermatitis. In which locations can the nurse expect to find this disease? Select all that apply.

• • Feet

• • Scalp

• • Groin

• • Hands

• • Axilla

The nurse is caring for a client with trichomoniasis. Which medication should the nurse expect to administer?

• • Penicillin G

• • Metronidazole (Flagyl)

• • Ceftriaxone (Rocephin)

• • Tetracycline

The nurse is caring for a group of clients. Which client is at highest risk for prostate cancer?

• • A 21-year-old male who has a high testosterone level

• • A 34-year-old male who easts a diet high in fat

• • A 67-year-old male whose father had prostate cancer

• • A 50-year-old male whose second cousin had prostate cancer

The nurse is preparing a class on prevention of sexually transmitted infections (STIs). Which of the following should the nurse include in the presentation? Select all that apply.

• • Limit sexual partners to people you know well.

• • Use a new condom with each sexual encounter.

• • Practice oral sex instead of vaginal intercourse.

• • Know what clinical manifestations of STIs to report.

• • Avoid alcohol in situations where sex may occur.