GCC 176 - 200

When assessing a patient with glaucoma, the nurse should expect which finding?

• Complaints of double vision
• Complaints of halos around lights
• An intraocular pressure (IOP) of 15 mm Hg
• A soft globe on palpation
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Jugular vein distention is most prominent in which disorder?

• Abdominal aortic aneurysm
• Heart failure
• MI
• Pneumothorax
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Examination of a primigravid client complaining of increased vaginal secretions since becoming pregnant reveals clear, highly acidic vaginal secretions. The client denies any perineal itching or burning. The nurse interprets these findings as a response related to which of the following?

• A decrease in vaginal glycogen stores.
• Development of a sexually transmitted disease.
• Prevention of expulsion of the cervical mucus plug.
• Control of the growth of pathologic bacteria.
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The nurse identifies ventricular tachycardia on the heart monitor. Which action should the nurse prepare to take?

• Administer atropine sulfate
• Check the potassium level
• Administer an antiarrhythmic medication such as Lidocaine
• Defibrillate at 360 joules
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The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.025. The nurse recognizes that:

• The client has impaired renal function.
• The client has a normal specific gravity.
• The client has mild to moderate dehydration.
• The client has diluted urine from fluid overload.
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The nurse is assisting a client with a total hip replacement to a chair. Which type of chair is appropriate for the client following a total hip replacement?

• A recliner
• A rocking chair
• A straight chair
• A sofa chair
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To maintain a therapeutic environment with a patient and his family, the nurse can use communication techniques such as clarification. An example of clarification is:

• How is it going?
• You say you aren't concerned, but you've asked me many questions on this same subject.
• What do you mean when you say ...?
• For now, I would like to concentrate on ...
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Preoperative teaching for the patient about to have surgery should focus on which area?

• Deciding if the patient should have the surgery
• Giving emotional support to the patient and his family
• Giving minute details of the surgery to the patient and his family
• Providing general information to reduce patient and family anxiety
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Which hepatitis virus is most likely to be transmitted through the fecal-oral route?

• Hepatitis A.
• Hepatitis B.
• Hepatitis C.
• Hepatitis D.
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A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?

• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• Checking the lab work
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