An adult client who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. The client appears anxious, restless, and mildly cyanotic. The nurse should
further assess the client for which condition?
• pulmonary embolism
• heart failure
• tuberculosis
• bronchitis
Correct Answer: pulmonary embolism
Which information should the nurse obtain when performing an initial assessment of a
client who presents to the emergency department with a painful ankle injury? (Select all
that apply.)
• quality of the pain
• signs of inflammation
• ankle range of motion
• muscle strength testing
• visible deformities of the joint
Correct Answer: - quality of the pain
,• signs of inflammation
• ankle range of motion
• visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
• joint pain is worse in the morning and involves symmetric joints
• joint pain is better in the morning and worsens throughout the day
• joint pain is consistent throughout the day and is relieved by pain medication
• joint pain is worse during the day and involves unilateral joints
Correct Answer: joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-
termgastroesophagealreflux disease (GERD)?
• hoarseness
• dry mouth
• mouth ulcers
• weight loss
Correct Answer: hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
shouldthe nurse anticipate?
,• bilateral lower leg stasis dermatitis
• clubbing of fingers and toes
• intermittent claudication
• peripheral cyanosis
Correct Answer: bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction.Which action by the nurse is the priority when caring for this client?
• assess neurovascular status
• change the client's position
• inspect the traction equipment
• review pain medication orders
Correct Answer: assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed?
• I will cut back on smoking cigarettes daily
• I will avoid drinking caffeinated beverages
• I will rest frequently and avoid vigorous exercise
• I will eat a bland, low-fat, high-protein diet
Correct Answer: I will cut back on smoking cigarettes daily
, (*avoid nicotine entirely)
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurseinclude? (Select all that apply.)
• remove the diaphragm immediately after intercourse
• wash the diaphragm with an alcohol solution
• use the diaphragm to prevent conception during the menstrual cycle
• do not leave the diaphragm in place longer than 8 hours after intercourse
• replace the old diaphragm every 3 months
Correct Answer: - do not leave the diaphragm in place longer than 8 hours after
intercourse
• replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. What information is best for the nurse to provide? (Select all that apply.)
• marijuana cigarettes do not affect sperm count
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