GCC 826 - 850

The nurse is assessing a patient with ankylosing spondylitis. Which of the following initial signs or symptoms would the nurse most likely assess in this patient?

• Red, painful, swollen joints
• Fatigue and night sweats
• Low back pain
• Neck pain and stiffness
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A secondary latency phase that occurs in some diseases that is commonly followed by another acute phase is referred to as:

• remission.
• convalescence.
• the acute phase.
• the subclinical acute phase.
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A 25-year-old male is brought to the emergency room with a piece of metal in his eye. Which action by the nurse is correct?

• Use a magnet to remove the object.
• Rinse the eye thoroughly with saline.
• Cover both eyes with paper cups.
• Patch the affected eye only.
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Which of the following conditions can cause right-sided heart failure?

• A ventricular septal defect
• An anterior MI
• An atrial septal defect
• Constrictive pericarditis
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After administering hydralazine (Apresoline) 5 mg intravenously as ordered... the nurse should assess the client for:

• Tachycardia.
• Bradypnea.
• Polyuria.
• Dysphagia.
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The client using a diaphragm should be instructed to:

• Refrain from keeping the diaphragm in longer than 4 hours
• Keep the diaphragm in a cool location
• Have the diaphragm resized if she gains 5 pounds
• Have the diaphragm resized if she has any surgery
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Which of the following recommendations would be the most appropriate preventive measure to suggest to a primigravid client at 30 weeks’ gestation who is experiencing occasional heartburn?

• Eat smaller and more frequent meals during the day.
• Take a pinch of baking soda with water before meals.
• Decrease fluid intake to four glasses daily.
• Drink several cups of regular tea throughout the day.
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A nurse caring for a client with Alzheimer’s disease administers tacrine hydrochloride (Cognex)... The nurse knows this medication works by binding to:

• Acetylcholine.
• Cholinesterase.
• Norepinephrine.
• Epinephrine.
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A client admitted with a drug-resistant bacterial infection has been placed on contact precautions... What performance improvement action should the nurse take?

• No action is necessary... physician’s responsibility to use appropriate contact precautions.
• The nurse should say, “Doctor, are you aware that this client is on contact precautions?...”
• Tactfully and in a professional manner, inform the physician... emphasize the personal protective equipment...
• No action is necessary. The physician might be offended...
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A student nurse asks the clinical instructor where there is an accurate place to obtain information regarding immunizations. The instructor recommends:

• Looking up each vaccine in a current drug handbook.
• The Centers for Disease Control and Prevention website.
• Seeking information from the pharmaceutical manufacturer of each vaccine.
• Asking a physician colleague.
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