GCC 951 - 975

In the stages of death and dying as defined by Elisabeth Kubler-Ross, loss, grief, and intense sadness are symptoms of:

• depression.
• denial.
• anger.
• acceptance.
• -

A client is being discharged from the hospital. The client has an unsteady gait and has weakness in the right leg. What assistive device would be most appropriate for the client?

• Quad cane.
• Single straight-legged cane.
• Walker.
• Lofstrand crutches.
• -

An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:

• Elbow restraints
• Full arm restraints
• Wrist restraints
• Mummy restraints
• -

To encourage adequate nutritional intake for a patient with Alzheimer's disease, the nurse should:

• stay with the patient, and encourage him to eat.
• help the patient fill out his menu.
• give the patient privacy during meals.
• fill out the menu for the patient.
• -

An 82-year-old female client who recently relocated to the United States from a small Caribbean island is treated for a laceration to the right forearm. The physician orders both tetanus immune globulin human (Baytet) (TIG), and diptheria-tetanus (DT). Which is a true statement regarding this client's medication care?

• Tetanus immune globulin, human, provides active immunity for the patient.
• Diptheria-tetanus (DT) provides passive immunity for this patient.
• The TIG and the diptheria-tetanus should be given in opposite arms.
• Other vaccinations can be given once a week after receiving these medications.
• -

The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

• Turning the client to the left side
• Milking the tube to ensure patency
• Slowing the intravenous infusion
• Notifying the physician
• -

A child with cystic fibrosis takes pancreatic enzymes with each of his meals and between meal snacks. Which finding indicates that the prescribed amount of pancreatic replacement is adequate?

• Improved respiratory function
• Decreased sodium excretion
• Increased weight
• Decreased chloride excretion
• -

When assessing a 16-year-old primigravid client at 37 weeks' gestation diagnosed with severe preeclampsia, which of the following indicates the client needs continued management for the preeclampsia?

• Blood pressure of 138/94 mm Hg.
• Severe blurring of vision.
• Less than 2 g of protein in a 24-hour sample.
• Weight gain of 0.5 lb in 1 week.
• -

The nurse is caring for a client with an opportunistic infection of the central nervous system. The nurse knows that opportunistic infections affecting the central nervous system are extremely likely once the CD4 count drops below which level?

• < 50/mm3.
• < 75/mm3.
• > 200/mm3.
• > 200/mm3.
• -

A 4-year-old with cystic fibrosis has a prescription for Viokase pancreatic enzymes to prevent malabsorption. The correct time to give pancreatic enzyme is:

• 1 hour before meals
• 2 hours after meals
• With each meal and snack
• On an empty stomach
• -