NUR1211 Exam 4 2024 x x x x
x
1. xA xnurse xis xvisiting xa xclient xwho xis xreceiving xhome xhealth xcare, xfocusing xon
xmedication xand x
x
dietary xinstructions xand xmanagement xof xheart xfailure. xThe xnurse xshould xreinforce
xwhich
x
instruction?
x
A.) If xyou xfeel xtired xand xshort xof xbreath, xlie xdown xflat xand xprop xup xyour xfeet. x
x
B.) Eating xliver xseveral xtimes xa xweek xwill xhelp xbuild xup xyour xstrength. x
x
C.) Your xdaily xdose xof xfurosemide xshould xbe xtaken xfirst xthing xin xthe xmorning. x
x
D.) The xdose xof xenalapril xwill xhelp xprevent xvasodilation xfrom xoccurring. x- xAnswer: xC x
x
2. xA xnurse xplanning xcare xfor xa xclient xwho xhas xundergone xtransurethral xresection xof xthe
xprostate x
x
(TURP) xremembers xthat xthe xmost xcommon xcause xof xpostoperative xpain xis xwhich
xfactor?
x
A.) Bladder xspasms x
x
B.) Bleeding xwithin xthe xbladder x
x
C.) The xlocation xof xthe xincision x
x
D.) Tension xon xthe xFoley xcatheter x- xAnswer: xA x
x
3. xA xnurse xassessing xthe xskin xof xa xclient xwho xis ximmobile xnotes xthis xchange xin xappearance
xof xthe x
x
skin xin xthe xsacral
xarea:
x
The xnurse xdocuments xthis xfinding xin xwhich xway? x
x
A.) Stage xI xpressure xulcer x
x
B.) Stage xII xpressure xulcer x
x
C.) Stage xIII xpressure xulcer x
x
D.) Stage xIV xpressure xulcer x- xAnswer: xA x
x
4. xA xnurse xreinforces xteaching xgiven xto xa xclient xwith xgastroesophageal xreflux xdisease
x(GERD) xabout xmeasures xto xmanage xthe xdisease. xWhat xdoes xthe xnurse xencourage xthe xclient
xto xdo xto xobtain xrelief xof xthe xsymptoms? x
x
A.) Limit xintake xof xcoffee xand xtea. x
x
B.) Eat xthree xlarge, xwell-balanced xmeals xper xday. x
x
C.) Rest xin xa xsupine xposition xfor x30 xminutes xafter xeach xmeal. x
, x
D.) Elevate xthe xhead xof xthe xbed xat xleast x6 xto x8 xinches xfor xsleep. x- xAnswer: xD x
x
5. xA xnurse xprovides xinstructions xto xa xclient xwho xis xtaking xallopurinol xfor xthe xtreatment xof
xgout. x
x
Which xstatements xby xthe xclient xindicate xan xunderstanding xof xthe
xmedication?
x
A.) "I xneed xto xtake xthe xmedication x1 xhour xbefore xI xeat." x
x
B.) "I xneed xto xdrink xat xleast x8 xglasses xof xfluid xevery xday." x
x
x C. x"I'll xstart xtaking xa xvitamin xC xsupplement xeach xmorning." x
x
x D.) x"I xcan xuse xan xantihistamine xlotion xif xI xget xan xitchy xrash." x- xAnswer: xB x
x
6. xA xclient xwith xphantom xlimb xpain xhas xdecided xto xuse xtranscutaneous xelectrical xnerve
xstimulation x
(TENS) xas xprescribed xby xthe xhealth xcare xprovider. xThe xnurse xreinforces xinstructions xregarding
xthe x
x
use xof xthe xTENS xunit. xWhich xstatements xby xthe xclient xindicate xa xneed xfor xfurther
xinstruction
x
regarding xthis xpain-relief
xmeasure?
x
A.) "I'm xso xglad xthis xwill xhelp xrelieve xthe xpain." x
x
B.) "Now xI xwon't xneed xto xtake xso xmany xpain xmedications." x
x
C.) "I xneed xto xput xthe xelectrodes xon xthe xareas xthat xyou xmarked." x
x
D.) "I'm xnot xsure xI'm xgoing xto xlike xhaving xthose xelectrodes xattached xto xmy xskin." x- xAnswer:
xC x
x
7. xA xhospitalized xclient xhas xjust xbeen xfound xto xhave xacute xrenal xfailure x(ARF). xThe
xlaboratory xcalls xthe xnursing xunit xand xreports xthat xthe xclient xhas xa xserum xpotassium xlevel xof
x6.4 xmEq/L. xOn xthe xbasis xof xthis xlaboratory xfinding, xthe xnurse xshould xfirst xtake xwhich
xaction? x
x
A.) Call xthe xhealth xcare xprovider x
x
B.) Check xthe xclient's xsodium xlevel x
x
C.) Encourage xthe xclient xto xincrease xfluid xintake x
x
D.) Have xthe xclient xdecrease xintake xof xpotassium-rich xfoods x- xAnswer: xA x
x
8. xA xnurse xis xcaring xfor xa xclient xwho xhas xjust xhad xa xplaster xleg xcast xapplied. xWhich xmeasure
xdoes x
x
the xnurse ximplement xto xprevent xthe xdevelopment xof xcompartment
xsyndrome?
x
A.) Elevating xthe xlimb xand xapplying xice xto xthe xaffected xleg x
x
1. xA xnurse xis xvisiting xa xclient xwho xis xreceiving xhome xhealth xcare, xfocusing xon
xmedication xand x
x
dietary xinstructions xand xmanagement xof xheart xfailure. xThe xnurse xshould xreinforce
xwhich
x
instruction?
x
A.) If xyou xfeel xtired xand xshort xof xbreath, xlie xdown xflat xand xprop xup xyour xfeet. x
x
B.) Eating xliver xseveral xtimes xa xweek xwill xhelp xbuild xup xyour xstrength. x
x
C.) Your xdaily xdose xof xfurosemide xshould xbe xtaken xfirst xthing xin xthe xmorning. x
x
D.) The xdose xof xenalapril xwill xhelp xprevent xvasodilation xfrom xoccurring. x- xAnswer: xC x
x
2. xA xnurse xplanning xcare xfor xa xclient xwho xhas xundergone xtransurethral xresection xof xthe
xprostate x
x
(TURP) xremembers xthat xthe xmost xcommon xcause xof xpostoperative xpain xis xwhich
xfactor?
x
A.) Bladder xspasms x
x
B.) Bleeding xwithin xthe xbladder x
x
C.) The xlocation xof xthe xincision x
x
D.) Tension xon xthe xFoley xcatheter x- xAnswer: xA x
x
3. xA xnurse xassessing xthe xskin xof xa xclient xwho xis ximmobile xnotes xthis xchange xin xappearance
xof xthe x
x
skin xin xthe xsacral
xarea:
x
The xnurse xdocuments xthis xfinding xin xwhich xway? x
x
A.) Stage xI xpressure xulcer x
x
B.) Stage xII xpressure xulcer x
x
C.) Stage xIII xpressure xulcer x
x
D.) Stage xIV xpressure xulcer x- xAnswer: xA x
x
4. xA xnurse xreinforces xteaching xgiven xto xa xclient xwith xgastroesophageal xreflux xdisease
x(GERD) xabout xmeasures xto xmanage xthe xdisease. xWhat xdoes xthe xnurse xencourage xthe xclient
xto xdo xto xobtain xrelief xof xthe xsymptoms? x
x
A.) Limit xintake xof xcoffee xand xtea. x
x
B.) Eat xthree xlarge, xwell-balanced xmeals xper xday. x
x
C.) Rest xin xa xsupine xposition xfor x30 xminutes xafter xeach xmeal. x
, x
D.) Elevate xthe xhead xof xthe xbed xat xleast x6 xto x8 xinches xfor xsleep. x- xAnswer: xD x
x
5. xA xnurse xprovides xinstructions xto xa xclient xwho xis xtaking xallopurinol xfor xthe xtreatment xof
xgout. x
x
Which xstatements xby xthe xclient xindicate xan xunderstanding xof xthe
xmedication?
x
A.) "I xneed xto xtake xthe xmedication x1 xhour xbefore xI xeat." x
x
B.) "I xneed xto xdrink xat xleast x8 xglasses xof xfluid xevery xday." x
x
x C. x"I'll xstart xtaking xa xvitamin xC xsupplement xeach xmorning." x
x
x D.) x"I xcan xuse xan xantihistamine xlotion xif xI xget xan xitchy xrash." x- xAnswer: xB x
x
6. xA xclient xwith xphantom xlimb xpain xhas xdecided xto xuse xtranscutaneous xelectrical xnerve
xstimulation x
(TENS) xas xprescribed xby xthe xhealth xcare xprovider. xThe xnurse xreinforces xinstructions xregarding
xthe x
x
use xof xthe xTENS xunit. xWhich xstatements xby xthe xclient xindicate xa xneed xfor xfurther
xinstruction
x
regarding xthis xpain-relief
xmeasure?
x
A.) "I'm xso xglad xthis xwill xhelp xrelieve xthe xpain." x
x
B.) "Now xI xwon't xneed xto xtake xso xmany xpain xmedications." x
x
C.) "I xneed xto xput xthe xelectrodes xon xthe xareas xthat xyou xmarked." x
x
D.) "I'm xnot xsure xI'm xgoing xto xlike xhaving xthose xelectrodes xattached xto xmy xskin." x- xAnswer:
xC x
x
7. xA xhospitalized xclient xhas xjust xbeen xfound xto xhave xacute xrenal xfailure x(ARF). xThe
xlaboratory xcalls xthe xnursing xunit xand xreports xthat xthe xclient xhas xa xserum xpotassium xlevel xof
x6.4 xmEq/L. xOn xthe xbasis xof xthis xlaboratory xfinding, xthe xnurse xshould xfirst xtake xwhich
xaction? x
x
A.) Call xthe xhealth xcare xprovider x
x
B.) Check xthe xclient's xsodium xlevel x
x
C.) Encourage xthe xclient xto xincrease xfluid xintake x
x
D.) Have xthe xclient xdecrease xintake xof xpotassium-rich xfoods x- xAnswer: xA x
x
8. xA xnurse xis xcaring xfor xa xclient xwho xhas xjust xhad xa xplaster xleg xcast xapplied. xWhich xmeasure
xdoes x
x
the xnurse ximplement xto xprevent xthe xdevelopment xof xcompartment
xsyndrome?
x
A.) Elevating xthe xlimb xand xapplying xice xto xthe xaffected xleg x
