Prophecy general ICU A V1 Questions & Answers, Distinction Level Assignment Has everything
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Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every ho...
which information is a priority for the rn to reinforce to an older client afte
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Prophecy General ICU RN A v1
Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health
care provider if it should decrease. Correct Answer: D) Measure the urine output
for the next day and immediately notify the health care provider if it should
decrease.
A client has altered renal function and is being treated at home. The nurse
recognizes that the most accurate indicator of fluid balance during the weekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight Correct Answer: D) weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers and,
if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual areas of the stomach or intestine Correct Answer: B) It is critical to report
promptly to your health care provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the
nurse take first?
A) Check the protein level in urine
,B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output Correct Answer: B) Have the client turn to the left
side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and
the ventricular rate is controlled at 75. Which of the following findings is cause for
the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea Correct Answer: C) A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home
health nurse. Which finding suggests that antibiotic therapy is not effective, and
must be reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness Correct Answer: B) Fever of 103 degrees Fahrenheit (39.5
degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
Which of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of sperm in the testicles. The sperm can no longer enter your semen and
no sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48
hours. If your work doesn't involve hard physical labor, you can return to your job
as soon as you
feel up to it. The stitches generally dissolve in seven to ten days.
D)The health care provider at this clinic recommends rest, ice, an athletic supporter
or over-the-counter pain medication to relieve any discomfort. Correct Answer: A)
Until the health care provider has determined that your ejaculate doesn't contain
sperm, continue to use another form of contraception.
,A client who is to have antineoplastic chemotherapy tells the nurses of a fear of
being sick all the time and wishes to try acupuncture. Which of these beliefs stated
by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the
body and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
— known as qi or chi — are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in
your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture
points in various combinations it is believed that energy flow will rebalance to
allow the body's natural healing mechanisms to take over. Correct Answer: C) The
flow of life is believed to flow through major pathways or nerve clusters in your
body.
The nurse is discussing with a group of students the disease Kawasaki. What
statement made by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the
hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to2 weeks Correct Answer: C) Kawasaki disease occurs
most often in boys, children younger than age 5 and children of Hispanic descent
A client has viral pneumonia affecting 2/3 of the right lung. What would be the
best position to teach the client to lie in every other hour during first 12 hours after
admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees Correct Answer: A)
Side-lying on the left with the head elevated 10 degrees
, A client has an indwelling catheter with continuous bladder irrigation after
undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which
finding at this time should be reported to the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter Correct Answer: C)
minimal drainage into the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest.
Another nurse enters the room in response to the call. After checking the client's
pulse
and respirations, what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive Correct Answer: C) Participate with the
compressions or breathing
The nurse assesses a 72 year-old client who was admitted for right sided
congestive heart failure. Which of the following would the nurse anticipate
finding?
A) Decreased urinary output
B) Jugular vein distention
C) Pleural effusion
D) Bibasilar crackles Correct Answer: B) Jugular vein distention
A client with heart failure has a prescription for digoxin. The nurse is aware that
sufficient potassium should be included in the diet because hypokalemia in
combination with this medication
A) Can predispose to dysrhythmias
B) May lead to oliguria
C) May cause irritability and anxiety
D) Sometimes alters consciousness Correct Answer: A) Can predispose to
dysrhythmias
A nurse assesses a young adult in the emergency room following a motor vehicle
accident. Which of the following neurological signs is of most concern?
A) Flaccid paralysis
B) Pupils fixed and dilated
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