GCC 1301 - 1325

When assessing a patient with anemia from acute blood loss, the nurse would expect to find which of the following?

• Sudden onset of symptoms, hypotension, and tachycardia
• Exertional dyspnea, poor nutrition, and hypotension
• Sudden onset of symptoms, glossitis, and tachycardia
• Fatigue, neuropathy, and tachycardia
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Which nursing action is most appropriate immediately following the removal of a nasogastric tube?

• Providing mouth care
• Auscultating bowel sounds
• Offering fluids
• Checking for abdominal distention
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A post-operative client has called the nurse's station with complaints of pain. The first action by the nurse should be to:

• Check to see when the client received pain medication
• Administer the prescribed pain medication
• Notify the charge nurse of the client's complaints
• Assess the location and character of the client's pain
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A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:

• 1 hour before meals
• 30 minutes after meals
• With the first bite of a meal
• Daily at bedtime
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When planning a class for primigravid clients about the common discomforts of pregnancy, which of the following physiologic changes of pregnancy should the nurse include in the teaching plan?

• The temperature decreases slightly early in pregnancy.
• Cardiac output increases by 25% to 50% during pregnancy.
• The circulating fibrinogen level decreases as much as 50% during pregnancy.
• The anterior pituitary gland secretes oxytocin late in pregnancy.
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A client provides a list of medications for the nurse. The medications include atorvastatin (Lipitor), clopidogrel (Plavix), and phenelzine sulfate (Nardil). Which statement indicates the client requires further education regarding medications?

• I'm looking forward to my birthday celebration tonight. I'm even going to have wine with my meal!
• I've finally begun using an electric razor to shave. That was hard to change over.
• My doctor took me off my other blood thinner when he started me on that cholesterol medication.
• I wish I could have chocolate again. I miss having a candy bar every once in a while.
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Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following?

• Anemia.
• Hypertension.
• Dysmenorrhea.
• Acne vulgaris.
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A client is complaining of pain rated an 8 out of 10 on the numeric pain scale. The nurse administers an oral pain medication to the client and starts a CD of the client's favorite relaxing music. Fifteen minutes later, the client rates the pain as 2 out of 10 on the numeric pain scale. What type of nonpharmacologic pain relief intervention has the nurse used?

• Distraction.
• Biofeedback.
• Progressive relaxation.
• Cutaneous stimulation.
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A male client and his partner have decided not to have more children. The client requests information about permanent, male birth control options. The nurse explains:

• Vasectomy is a highly effective and safe surgical procedure.
• Abstinence should be considered rather than vasectomy.
• Permanent solutions, such as vasectomy, cannot be reversed.
• Vasectomy is a surgical procedure covered by insurance.
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A client complains of crushing chest pain 3 hours prior to arrival in the emergency department. Initial vital signs show hypotension; a weak, thready pulse; cool, clammy skin; and confusion. Which intervention should the nurse perform first?

• Airway management.
• Intravenous access.
• Obtaining an EKG.
• Preparing for intra-aortic balloon pump.
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