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.

Less than 2 g of protein in a 24-hour sample.

Weight gain of 0.5 lb in 1 week.

A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period?

Facilitating perineal wound drainage

Teaching how to irrigate the illeostomy

Stopping electrolyte loss in the incisional area

The nurse is teaching the patient with multiple sclerosis. When teaching the patient how to reduce fatigue, the nurse should tell the patient to:

rest in an air-conditioned room.

increase the dose of his muscle relaxant.

The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by constricting the cerebral blood vessels. Which of the following would accomplish this action?

Hyperventilation per mechanical ventilation

Insertion of a ventricular shunt

A client starts filgrastim (Neupogen) injections 11 days after completing a course of chemotherapy. Which lab value indicates the neupogen is effective?

Absolute neutrophil count 1100/mm3.

Absolute neutrophil count 750/mm3.

The nurse working on a surgical unit would identify which client as having the highest risk for pulmonary complications after surgery?

A 45-year-old with an open cholecystectomy

A 24-year-old with open reduction internal fixation of the ulnar

A 36-year-old after a hysterectomy

A 50-year-old after a lumbar laminectomy

Supervision of delegated client care responsibilities, tasks, and activities is essential to the delivery of quality, cost-effective, multidisciplinary client care. What is the correct definition of supervision?

Supervision involves direct oversight of the work or work product of others.

Supervision is the process of transferring the responsibility for the performance of selected tasks or jobs from one person to another.

Supervision is the coordination of care between members of the multidisciplinary health care team.

Supervision is an informal role based on professional knowledge and influence.

A patient, age 68, has benign prostatic hyperplasia. He is admitted for cystoscopy and transurethral resection of the prostate (TURP). During preoperative teaching, the nurse notes that the patient seems very anxious. Exploring the patient's anxiety, the nurse learns he is sexually active and is worried about becoming impotent. How should the nurse deal with his concerns?

Advise him that TURP seldom causes impotence.

Advise him to speak with the surgeon.

Tell him not to worry because he will not become impotent after surgery.

Refer him to the psychiatric clinical nurse specialist.

For which client would the use of acetaminophen (Tylenol) pose a higher risk?

A 54-year-old male who abuses alcohol.

A 42-year-old female who abuses cocaine.

A 23-year-old female who has asthma.

A 34-year-old male with sickle-cell anemia.

Which of the following client statements indicates a need for additional teaching about self-care during pregnancy?

I should sit in a hot tub for 20 minutes to relax after working.

I should use nonskid pads when I take a shower or bath.

I should avoid using soap on my nipples to prevent drying.

I should avoid douching even if my vaginal secretions increase.

GCC 951 - 975

Authored by Global Nurse Force undefined

Health Sciences

Professional Development

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MULTIPLE CHOICE QUESTION

1 min • 1 pt

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.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

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.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

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

MULTIPLE CHOICE QUESTION

1 min • 1 pt

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.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

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.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

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

MULTIPLE CHOICE QUESTION

1 min • 1 pt

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

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GCC 951 - 975

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

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?

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:

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

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:

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?

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?

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?

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:

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