Font size
Worksheets335 Review
Total questions: 36
Worksheet time: 35mins
While assessing a client recently diagnosed with rheumatoid arthritis, the nurse should focus the assessment on the severity of:
Deformed joints of the hands limited motion of the joints
Limited motion of the joints
Early morning stiffness
Rheumatoid nodules
Your pt is taking furosemide. What do you need to assess before giving the medication?
Metoprolol is a ______ drug and the RN needs to assess for_____?
A nurse is providing health teachings regarding antiplatelet medications. Which of the following is not true regarding the use of this medication?
Antiplatelet medications cannot be used with anticoagulants.
Take the medication with food to prevent gastrointestinal upset.
A routine bleeding time is monitored during the therapy.
Antiplatelet medication inhibits the aggregation of platelets in the clotting process, thereby prolonging bleeding time.
Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team?
Auscultate lung sounds
Review lab results
Call the provider
Initiate heparin drip
A client has a history of chronic renal failure and received hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which of the following interventions is not included in this client’s plan of care?
Assess the AV fistula for a bruit and thrill
Keep the AV fistula site dry
Teach the patient about the fistula
Take the blood pressure in the left arm
Which of the following clients is at greatest risk for developing acute renal failure?
A client with diabetes who had a heart catheterization
A pregnant woman who has a fractured femur
A teenager who has an appendectomy
A dialysis client who gets influenza
A client with osteoarthritis states that her friend with rheumatoid arthritis takes steroid pills for his condition, and asks why she is not prescribed these pills. Which of the following would be the best explanation by the nurse?
Oral corticosteroids pills can be used for osteoarthritis
Osteoarthritis and rheumatoid arthritis are similar conditions
Corticosteroid injections in the joints are used to treat osteoarthritis
Osteoarthritis is treated by using a systemic effect which means it goes throughout th body
A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates a further immediate action?
BP 88/48
Pain 2/10
Resp 22
c/o abd pain
A client is diagnosed with chronic renal failure and told she must start hemodialysis. Client teaching would include which of the following instructions?
There will be no lifestyle changes.
Stick to your dialysis schedule as directed by provider.
Direct phlebotomy to draw from the fistula.
You will get a shunt put in your abdomen for dialysis.
Steroids may cause (a) in pts with or without diabetes?
A nurse is giving discharge instructions to a patient who is taking Synthroid (levothyroxine). The nurse instructs the client to notify the physician if which of the following occurs?
Tremors
Muscle cramps
Cold intolerance
Coarse, dry hair
Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?
Decreased attention span
Decreased blood sugar
Decreased urinary output
Decreased blood pressure
Viagra (sildenafil) is given to a patient with erectile dysfunction. Which of the following history is contraindicated with the medication?
Use of vitamins
Use of nitrates
Blurred vision
Neuralgia
A major side effect of insulin use that can be life threatening is:
(a)
Signs of hypoglycemia include:
Diarrhea, itching, hypertension
C. Anxiety, weakness, pallor, sweating
Fruity breath, thirst, flushed skin
Muscle ache, fever, thirst
Name an ototoxic drug.
captopril is a ______ drug
beta 2 adrenergic
ARB
ACE inhibitor
Nitrate
When a client is experiencing diabetic ketoacidosis, the insulin that would be administered is:
Human regular insulin
Insulin glargine injection
Human NPH insulin
Insulin lispro injection
A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to:
Administer 5% dextrose intravenously
Apply an electrocardiogram monitor
Correct the acidosis
Administer regular insulin intravenously
Cris, with a history of chronic infection of the urinary system, complains of urinary frequency and burning sensation. To figure out whether the current problem is of renal origin, the nurse should assess whether the client has discomfort or pain in the
Suprapubic area
Pain in the labium
Right or left costovertebral angle
Urinary meatus
A client has 15% blood loss. Which of the following nursing assessment findings indicates hypovolemic shock?
Pulse rate less than 60 bpm
Pupils unequally dilated
Systolic blood pressure less than 90mm Hg
Respiratory rate of 4 breath/min
List the 6 P's
The nurse is aware the early indicator of hypoxia in the unconscious client is:
Restlessness
Increased respirations
Hypertension
Cyanosis
Persons with lupus are generally encouraged to do the following except
Avoid sun
Get adequate sleep
Stay sedentary
Get immunizations
Sign and symptoms of fibromyalgia.
GERD
Widespread pain
Extreme thirst
Muscle wasting
You are caring for a patient with a gunshot wound. As a result of the patient’s Coumadin therapy, the prothrombin time is twice the normal amount. Which blood product do you expect the physician to order?
Crystalloids
Platelets
Fresh frozen plasma
PRBCs
Types of incontinence include
(a)
A client with urolithiasis is scheduled for extracorporeal shock wave lithotripsy (ESWL). The nurse assesses to ensure that which of the following items are in place or maintained before sending the client for the procedure?
signed informed consent, NPO status, and an IV lined.
NPO status and a foley catheter
signed informed consent and clear liquid restriction preprocedure
IV line and a foley catheter
Main cause of bladder cancer (a)
Assessment for a CVA include ______
Test completed asap when a stroke is suspected
Chronic bronchitis is caused by
Air trapped in the alveoli
Excess mucous
Inflammation of bronchus
Air trapped in the pleural space
The nurse should visit which of the following clients first?
The client with hypertension being maintained on Lisinopril
The client with Raynaud’s diseased
The client with diabetes with a blood glucose of 95mg
The client with chest pain and a history of angina
Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?
Take prescribed anti-inflammatory medications with meals.
Avoid weight-bearing activity
Avoid exercise because it fatigues the joints.
Avoid exercise because it fatigues the joints.
When educating a patient about managing gout, the nurse recommends that the patient avoid foods high in purine. What are the foods that the patient should limit.
Watermelon
Liver
Bananas
Broccoli
