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WorksheetsN201 Midterm Review
Total questions: 29
Worksheet time: 22mins
The nurse is planning the care of a client diagnosed with asthma and has written a problem of "anxiety." Which nursing intervention should be implemented?
Remain with the client.
Apply oxygen at 8 L/min via nasal cannula
Notify the health-care provider.
Administer an anxiolytic medication.
A client with asthma is being taught how to use a peak flow meter to monitor how well the asthma is being controlled. What should the nurse instruct the client to do?
Perform the procedure once in the morning and once at night.
Move the trunk to an upright position and then exhale while bending over.
Inhale completely and then blow out as hard and as fast as possible through the mouthpiece.
Place the mouthpiece between the lips and in front of the teeth before starting the procedure.
Which long term goal would the nurse identify for a client diagnosed with COPD?
Reducing activity level to conserve functional lung tissue.
Increasing frequency of postural drainage to every 2 hours.
Increasing pulmonary residual volume.
Improving pulmonary ventilation and gas exchange.
The nurse is completing the admission assessment on a 23-year-old client diagnosed with an acute exacerbation of asthma. Which signs and symptoms would the nurse expect to find?
Fever and wheezing
Tachypnea and crackles
Dyspnea and cough
Stridor and cough
A client is admitted to the ED with an acute exacerbation of COPD. Which interventions would the nurse implement while caring for this client? (Select all that apply).
Administering 10 liters per minute of oxygen via nasal cannula
Notifying the respiratory therapist
Placing the client in a high fowlers position
Obtaining a stat pulse ox reading
Encouraging the client to breathe in and out of mouth
The nurse observes the UAP removing the nasal cannula from the client diagnosed with COPD while ambulating the client to the bathroom. Which action should the nurse implement?
Praise the UAP since this prevents the client from tripping on the oxygen tubing.
Place the oxygen back on the client while sitting in the bathroom and say nothing.
Explain to the UAP in front of the client oxygen must be left in place at all times.
Discuss the UAP's action with the charge nurse so appropriate action can be taken.
In assisting a client diagnosed with MS, which topic would be important to include in client teaching?
Effect of stress and fatigue on symptoms
Need for small, frequent meals
Need for strenuous exercise
Positive effect of a high-protein diet
A home health nurse is making a home visit to a client with multiple sclerosis. Which question should the nurse ask to determine their effectiveness of the client's medication, Baclofen?
How has your appetite been?
Are you having any difficulty with having regular bowel movements?
Are you having trouble with spasms?
Does your urine look clear and not infected?
Which of the following instructions would the nurse give to a client with multiple sclerosis who has urinary retention?
Run water whenever you experience difficulty initiating urination.
Decrease the amount of fluid you drink to prevent urge incontinence.
Drink a caffeinated beverage to promote the ability to form urine.
Catheterize your bladder according to the schedule we discussed earlier.
The nurse is teaching the client with myasthenia gravis about the prevention of myasthenic crises. The nurse tells the client that this is most effectively done by:
Eating large well-balanced meals.
Doing muscle strengthening exercises.
Doing all chores early in the day while less fatigue.
Taking medications on time to maintain therapeutic blood levels.
A nurse enters the room of a client with myasthenia gravis and identified that the client is experiencing increased dysphagia. What should the nurse do first?
Administer oxygen
Raise the head of the bed
Perform tracheal suctioning
Call the health care provider
A client with myasthenia gravis asked the nurse why the disease has occurred. What pathology underlies the nurses reply?
A genetic defect in the production of acetylcholine.
An inefficient use of the neurotransmitter acetylcholine.
A decreased number of functioning acetylcholine receptor sites.
An inhibition of the enzyme AChE, leaving the inner plates folded.
When assessing a client with angina, which assessment data is considered a common precipitating factor for pain?
Exposure to heat
Smoking
Prolonged rest
Eating a light meal
The client has chronic atrial fibrillation and is prescribed anticoagulants. Which discharge teaching should the nurse discuss with the client?
Instruct the client to use a soft-bristle toothbrush.
Discuss the importance of getting monthly CT scans.
Teach the client about signs of pacemaker malfunction.
Explain to the client the procedure for defibrillation.
While performing discharge teaching for a client with chronic heart failure, the nurse should stress which topic?
The need for a high-impact aerobic exercise program
A high-sodium, low-potassium diet
The signs and symptoms of pulmonary edema
The possibility of the need for surgical procedures
The nurse is discussing angina with a client who is diagnosed with CAD. Which action should the client take first when experiencing angina?
Put a nitroglycerin tablet on the tongue.
Stop the activity immediately and rest.
Document when and what activity caused the angina.
Notify the healthcare provider immediately.
The client is admitted to the ED and the nurse suspects a cardiac problem. Which assessment interventions will the nurse NOT implement?
Request an order for a stat EKG
Draw a basic metabolic panel
Attach telemetry monitor to the client
Start a saline lock in the right arm
The nurse is assessing the client diagnosed with CHF. Which laboratory data would indicate that the client is in severe congestive heart failure?
An elevated BNP
An elevated blood glucose
An elevated CK-MB
An positive D-dimer
The client is placed on neutropenic precautions. Which information should the nurse teach the client?
Shave with an electric razor and use a soft toothbrush
Eat plenty of fresh fruits and vegetables
Perform perineal care after every bowel movement
Some blood in the urine is not unusual
The 24 year old female client is diagnosed with ITP. Which question would be important for the nurse to ask during the admission interview?
"Do you become short of breath during activity?"
"How heavy are your menstrual periods?"
"Do you have a history of deep vein thrombosis?"
"How often do you have migraine headaches?"
The client diagnosed with cancer of the larynx has had 4 weeks of radiation therapy to the neck. The client is complaining of severe pain when swallowing. Which scientific rationale explains the pain?
The cancer has grown to obstruct the esophagus.
The treatments are working on the cancer and throat is edematous.
Cancers are painful and this is expected.
The treatments are also affecting the esophagus, causing ulcerations.
A client who is receiving chemotherapy for breast cancer develops myelosuppression. The nurse would include all of the following instructions in the teaching plan except?
Wash hands frequently
Treat a sore throat and fever with OTC products
Avoid crowded places such as shopping malls
Avoid activities that may cause bleeding
The nurse is teaching family members about precautions to take in visiting a client who has neutropenia. Which of the following instructions would NOT be included by the nurse in the discussion?
People who have colds or infectious disease should not visit.
Visitors must wash their hands before and after a visit.
Face masks should be worn by all those who come in contact with the client.
Fresh flowers will help to provide a cheerful environment.
A client has a platelet count of 18,000. What intervention must the nurse include in the plan of care?
Institute bleeding precautions
Institute reverse isolation
Schedule medications by intramuscular route when able
Obtain temperatures rectally
Which of the following drugs would be ordered by the physician to improve the platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?
Acetylsalicylic acid (ASA)
Corticosteroids
Methotrexate
Vitamin K
Which priority client problem should be included in the care plan for a client with Guillain-Barre Syndrome?
High risk for injury
Fear and anxiety
Altered nutrition
Ineffective breathing pattern
Which assessment data should the nurse assess in the client diagnosed with Guillain-Barre Syndrome?
An exaggerated startle reflex and memory changes
Cogwheel rigidity and inability to initiate voluntary movement
Sudden severe unilateral facial pain and inability to chew
Progressive ascending paralysis of the lower extremities and numbness
What assessment data should the nurse expect to observe for the client diagnosed with Parkinson's disease?
Ascending paralysis and pain
Masklike face and pill-rolling tremor
Diplopia and ptosis
Dysphagia and dysarthria
A client with Parkinson's disease ask the nurse "why do I drool so much?" Which is the nurse's best response?
We don't know why this happens.
There is a paralysis of the throat muscles.
You have a loss of involuntary movements.
Muscle rigidity prevents normal swallowing.
