Nursing Expert Answers & Study Resources

80. Physical conditions that cause hypertension include: a. thyroid dysfunction b. atherosclerosis c. arteriosclerosis d. all of the above Match the term used to identify hypertension with the description provided. a. primary b. secondary c. malignant 81. Severe,difficult, or impossible to control 82. Without another identifiable cause 83. Results form renal disease or another identifiable cause .

Match the temperature variations that are considered normal. Note: Answers may be used more than once. a. oral b. axillary c. rectal 51. Average 98.6°F 52. Average 97.6°F 53. Average 99.6°F 54. Normal 36.5°C 55. Normal 37°C .

6. The nurse is caring for a client with a chronic cough who has had a bronchoscopy. Which of the following actions should the nurse include in the nursing care plan after the procedure? a. Elevate the head of the bed to 80–90 degrees. b. Keep the client NPO until.

16. The nurse notes darker skin pigmentation in the skin folds of a client who has a body mass index of 40 kg/m2. Which of the following topics would the nurse include in client teaching? a. Teach the client about the risk for type 2 diabetes. b. Educate the client.

Match each examination position with its corresponding description. a. anatomical position b. sitting position c. supine position d. dorsal recumbent position e. prone position f. Sims’ position g. knee-chest position h. Fowler’s position i. semi-Fowler’s position j. lithotomy position k. Trendelenburg position l. Kraske position 31. Position in which the knees are bent, allowing for the relaxation of the abdominal muscles 32. Position used.

11. The nurse is reviewing a client’s laboratory results and identifies which of the following values as a normal tidal volume? a. 100 mL b. 250 mL c. 500 mL d. 1 000 mL 12. The nurse is admitting a client to the emergency department who has sudden onset shortness.

10. The nurse is admitted an older-adult client to an assisted-living facility and notes abnormalities on the skin. Which of the following abnormalities is the priority to discuss immediately with the health care provider? a. Several dry, scaly patches on the face b. Numerous varicosities noted on both legs c..

36. The nurse is caring for a client with a possible pulmonary embolism who has symptoms of chest pain and difficulty breathing. The nurse assesses a heart rate of 142, BP 100/60 mm Hg, and respirations of 42 breaths/minute. Which of the following actions should the nurse implement first? a..

Match each term with its definition. a. tachycardia b. bradycardia c. arrhythmia d. inspiration e. expiration f. blood pressure g. idiopathic hypertension h. orthostatic hypotension i. pulse pressure j. auscultatory gap 46. Fluctuating pressure that the blood exerts against the arterial walls as the heart alternately contracts and relaxes 47. Consistent heart rate of more than 100 beats per minute 48. Refers to.

11. The nurse is teaching a client who is receiving standard multidrug therapy for tuberculosis (TB) about possible toxic effects of the antitubercular medications. Which of the following findings should the nurse instruct the client to report to the health care provider? a. Yellow-tinged skin b. Changes in hearing c..

11. The nurse is caring for a client who is scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx. The client asks the nurse, “How will I talk after the surgery?” Which of the following responses by the nurse is best? a. “You will breathe.

11. The nurse is caring for a client who is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. Which of the following actions would the nurse plan to implement to minimize complications from this procedure? a. Cleanse the skin carefully with an antiseptic soap. b. Shield.

Match each term with its definition. a. disinfectant b. table paper c. fasting process d. NPO e. specimen container f. patient gown g. foot stool h. helmet i. goggles j. earplugs k. fenestrated drape l. gait belt 21. Wide strap used to make it easier to assist the patient in a wheelchair to stand or walk 22. Should be worn for sports such as.

6. The nurse is caring for a client who has deep partial-thickness and full-thickness burns of the face and chest and is having the wounds treated with the open method. Which of the following nursing actions should be included in the plan of care? a. Restrict all visitors to prevent.

Match the temperature conversion and comparison (Celsius vs. Fahrenheit). Note: Answers may be used more than once. a. freezing b. body temperature c. pasteurization d. boiling e. sterilizing (autoclave) 66. 121°C 67. 32°F 68. 250°F 69. 212°F 70. The temperature-regulating center in the body is located in the _______________________. a. circulatory system b. heart/lung region c. autonomic nervous system d. hypothalamus of the brain .

1. The nurse is caring for a client who has had an anterior packing for severe epistaxis.Which of the following nursing interventions should be included in the plan of care? a. Educate the client to return in 3 days to have the nasal packing removed. b. Reassure the client that.

11. When a patient has been moved from a wheelchair to the examination table and then needs to remove clothing, you should: a. get someone to help you b. let the provider undress the patient c. leave the patient alone to undress d. undress the patient by yourself 12. The term recumbent means: a. sitting upright b..

Match each term with its definition. a. disinfectant b. table paper c. fasting process d. NPO e. specimen container f. patient gown g. foot stool h. helmet i. goggles j. earplugs k. fenestrated drape l. gait belt 26. This has a special opening to provide access to the area being examined 27. Provided to patients if a urine sample is needed Match each examination position.

6. The nurse is caring for a client with right lower-lobe pneumonia who has been treated with intravenous (IV) antibiotics for 2 days. Which of the following assessment data obtained by the nurse indicates that the treatment has been effective? a. Bronchial breath sounds are heard at the right base..

1. Which assessment information documented in a client’s chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old client admitted with bacterial pneumonia? a. “Scattered macular brown areas on extremities” b. “Skin brown and wrinkled, skin tenting on forearm” c. “Longitudinal nail bed.

21. The nurse is teaching a client about the use of a wet dressing to reduce pruritus. Which of the following time frames would the nurse instruct the client to leave the dressing on for? a. 5–15 minutes b. 10–30 minutes c. 30–45 minutes d. 45–60 minutes 22. The nurse.

Match the type of patient education to the description provided. Note: Answers may be used more than once. a. to prevent injuries of the face and head b. to protect the skin c. to prevent diseases of the respiratory system and other contagious diseases 46. Discourage smoking or tobacco use of any kind. (Post.

6. Which of the following causes is the most common cause of acute pharyngitis? a. Fungal b. Viral c. Acute follicular d. Peritonsillar 7. The nurse is caring for a client with a tracheostomy who has a new prescription for a fenestrated tracheostomy tube. Which of the following actions should.

Match the temperature conversion and comparison (Celsius vs. Fahrenheit). Note: Answers may be used more than once. a. freezing b. body temperature c. pasteurization d. boiling e. sterilizing (autoclave) 61. 0°C 62. 145°F 63. 100°C 64. 98.6°F 65. 37°C .

Match the type of patient education to the description provided. Note: Answers may be used more than once. a. to prevent injuries of the face and head b. to protect the skin c. to prevent diseases of the respiratory system and other contagious diseases 51. Use earplugs to protect ears from exposure to loud.

6. The ____ will probably be the main person with whom a patient interacts prior to the examination. a. physician b. office manager c. medical assistant d. receptionist 7. Patients should be instructed to empty their bladder: a. before the initial screening and vitals are taken b. after the initial screening and vitals are taken c. after the.

1. The nurse is admitting a client with acute shortness of breath. Which of the following actions should the nurse take during the initial assessment of the client? a. Complete a full physical examination to determine the systemic effect of the respiratory distress. b. Obtain a comprehensive health history to.

21. The health care provider inserts a chest tube in a client with a hemo-pneumothorax. When monitoring the client after the chest tube placement, which of the following findings is of greatest concern? a. A large air leak in the water-seal chamber b. 400 mL of blood in the collection.

26. To determine the effectiveness of prescribed therapies for a client with cor pulmonale and right-sided heart failure, which of the following assessments should the nurse make? a. Lung sounds b. Heart sounds c. Blood pressure d. Peripheral edema 27. The nurse is caring for a client with primary pulmonary.

1. Following assessment of a client with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which of the following information best supports this diagnosis? a. Weak, nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of.

21. The nurse notes a bright red skin colour for a client who was found unconscious from smoke inhalation in a burning house. Which of the following actions should the nurse take first? a. Insert two large-bore IV lines. b. Check the client’s orientation. c. Place the client on 100%.

1. Before every patient enters the examination room, you must ensure that the room is all but which of the following? a. sterilized b. well-organized c. clean d. at a comfortable temperature 2. The table pillow should be covered with: a. nothing b. a reusable plastic cover c. a disposable towel d. a standard pillowcase 3. Paper towels and biohazard.

17. The nurse is admitting a client who is hypothermic with an O2 saturation of 96%. Which of the following actions should the nurse take next? a. Initiate rewarming of the client. b. Complete a head-to-toe assessment. c. Obtain arterial blood gases (ABGs). d. Place the client on high-flow oxygen..

Match the classification of fevers. Note: Answers may be used more than once. a. slight b. moderate c. severe d. dangerous e. fatal 76. 37.5°–38.3°C 77. 102.0°–104.0°F 78. 38.8°–40.0°C 79. Hypertension can result from all but which of the following? a. active lifestyle b. obesity c. high salt intake d. stress .

31. The nurse is caring for a client who has just had a thoracentesis. Which of the following information is most important to communicate to the health care provider? 32. The nurse is caring for a client who has just been admitted with pneumococcal pneumonia has a temperature of 38.7°C.

6. The health care provider diagnoses impetigo for a client who has crusty vesicopustular lesions on the lower face. Which of the following topics would the nurse include in the teaching plan for this client? a. Avoidance of antibiotic ointments on the lesions b. How to clean the infected areas.

1. To decrease the risk for sun damage to the skin, which information should the nurse include when teaching clients? a. Waterproof sunscreens will provide good protection when swimming. b. Use a sunscreen with an SPF of at least 8–10 for adequate protection. c. Try to stay out of the.

41. If you are a female medical assistant, you may be asked to remain in the room when a female patient is being examined by a male provider (and vice versa). Which of the following is the rationale for this policy? a. Patient should feel more relaxed. b. Protect the provider from.

40. The nurse is caring for a client who has incisional pain, a poor cough effort, and scattered rhonchi after a thoracotomy. Which of the following actions should the nurse take first? a. Assist the client to sit up at the bedside. b. Splint the client’s chest during coughing. c..

1. The nurse is assessing a client who spilled hot oil on the right leg and foot and notes that the skin is red, swollen, and covered with large blisters. The client states that they are very painful. Which of the following burn descriptions should the nurse document? a. Full-thickness.

6. The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next? a. Assess the client for evidence of liver disease. b. Discuss the adverse effects of sun exposure on the skin. c. Educate the client about.

Match the temperature variations that are considered normal. Note: Answers may be used more than once. a. oral b. axillary c. rectal 56. Normal 37.5°C 57. Range 36–37°C 58. Range 97.6–99.6°F 59. Range 98.6–100.6°F Match the temperature conversion and comparison (Celsius vs. Fahrenheit). Note: Answers may be used more than once. a. freezing b. body temperature c. pasteurization d. boiling e. sterilizing (autoclave) 60..

Match the classification of fevers. Note: Answers may be used more than once. a. slight b. moderate c. severe d. dangerous e. fatal 71. 41.1°C 72. 99.6°–101.0°F 73. 104.0°–105.0°F 74. 101.0°–102.0°F 75. 38.3°–38.8°C .

16. The nurse is caring for a client who has burns on the back and chest from a house fire and has become agitated and restless 9 hours after being admitted to the hospital. Which of the following actions should the nurse take first? a. Stay at the bedside and.

16. Which of the following actions by the occupational health nurse at a manufacturing plant where there is potential exposure to inhaled dust is most helpful in reducing incidence of lung disease? a. Teach about symptoms of lung disease. b. Treat workers who inhale dust particles. c. Monitor workers for.

11. The nurse is caring for a client who is in the rehabilitation phase after having deep partial-thickness face and neck burns and has a nursing diagnosis of disturbed body image. Which of the following actions by the client indicates that the problem is resolving? a. Stating that the scarring.

Match each examination position with its corresponding description. a. anatomical position b. sitting position c. supine position d. dorsal recumbent position e. prone position f. Sims’ position g. knee-chest position h. Fowler’s position i. semi-Fowler’s position j. lithotomy position k. Trendelenburg position l. Kraske position 36. Patient is turned over so the dorsal surface may be examined 37. Position in which the chest and.

Match each term with its definition. a. tachycardia b. bradycardia c. arrhythmia d. inspiration e. expiration f. blood pressure g. idiopathic hypertension h. orthostatic hypotension i. pulse pressure j. auscultatory gap 41. Breathing out 42. Silent interval between systolic and diastolic pressure 43. Consistent heart rate below 60 beats per minute 44. Elevated blood pressure without apparent cause 45. Pulse that lacks a regular rhythm .

Match each term with its definition. a. disinfectant b. table paper c. fasting process d. NPO e. specimen container f. patient gown g. foot stool h. helmet i. goggles j. earplugs k. fenestrated drape l. gait belt 16. When a patient’s instructions include this notation, it means that the patient should not eat or drink anything 17. Supplied in a roll that is inserted.

17. Which of the following clients in the respiratory disease clinic should the nurse assess first? a. A 23-year-old, complaining of a sore throat, who has stridor b. A 34-year-old who has a “scratchy throat” and a positive rapid strep antigen test c. A 55-year-old who is receiving radiation for.