GCC 101 - 125

A client is diagnosed with second-degree burns. The nurse expects the physician to order:

• Application of cool water or saline-soaked gauze to the burn.
• Application of ice to the burn.
• Cleansing with betadine.
• Cleansing with hydrogen peroxide.
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The nurse is providing dietary teaching for a client with Meniere's disease. Which statement indicates that the client understands the role of diet in triggering her symptoms?

• I can expect to see more problems with tinnitus if I eat a lot of dairy products.
• I need to limit foods that taste salty or that contain a lot of sodium.
• I can help control problems with vertigo if I avoid breads and cereals.
• I need to eat fewer foods that are high in potassium, such as raisins and bananas.
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A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, "The varicose veins in my legs have really been bothering me lately." Which of the following instructions would be helpful?

• Perform slow contraction and relaxation of the feet and ankles twice daily.
• Take frequent rest periods with the legs elevated above the hips.
• Avoid support hose that reach above the leg varicosities.
• Take a leave of absence from your job to avoid prolonged standing.
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A client taking Laniazid (isoniazid) asks the nurse how long she must take the medication before her sputum cultures will return to normal. The nurse recognizes that the client should have a negative sputum culture within:

• 2 weeks
• 6 weeks
• 2 months
• 3 months
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The nurse is assisting in the care of a patient with diverticulosis. Which of the following assessment findings would necessitate a report to the doctor?

• Bowel sounds of 5-20 seconds
• Intermittent left lower-quadrant pain
• Constipation alternating with diarrhea
• Hemoglobin 26% and hematocrit 32
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Which medication provides artificially acquired passive immunity?

• Diptheria and tetanus toxoid.
• Snakebite antivenin.
• Haemophilus influenzae type B conjugate vaccine.
• Influenza virus vaccine.
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A patient is injected with a radiographic contrast medium and immediately shows signs of dyspnea, flushing, and pruritus. Which intervention should take priority?

• Checking his vital signs
• Making sure his airway is patent
• Applying a cold pack to the I.V. site
• Calling the physician
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A patient, age 32, is admitted with a diagnosis of endometriosis. Which of the following is the nurse most likely to find during an assessment of a patient with endometriosis?

• Chronic, severe pain related to menstruation
• Loss and grieving associated with infertility problems
• Changes in body image, self-concept, and sexuality
• High anxiety with a need for perfection and control
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An elderly client is admitted with dehydration and has a pitcher of water at the bedside. The nurse assesses the client's thirst with every visit to the room and the client denies thirst each time. While calculating the end-of-shift intake and output, the nurse notes the client has had very little to drink. What is the best explanation for this finding?

• The client has had enough to drink.
• The thirst mechanisms of elderly clients are depressed.
• The client does not like the choices of fluids offered.
• The client's family is bringing in fluids for the client to drink that are not included in the intake and output totals.
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A client receives an implanted port. After insertion, an x-ray is performed to determine proper positioning. The tip of the catheter should be located in which vascular structure?

• Inferior vena cava.
• Superior vena cava.
• Left atrium.
• Aortic arch.
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