NUR 233 EXAM 3 QUESTIONS AND VERIFIED
ANSWERS A+ GRADED
Which of the following statements by the nurse indicates appropriate technique when
assessing a client's renal system?
A. "I must palpate the client first if a tumor is suspected."
B. "I must first auscultate the pulse at the normal pulse location on the client's wrist."
C. "I must first auscultate the client, then perform percussion and palpation."
D. "I must first examine tender abdominal areas and then proceed to nontender areas." -
ANSWER C. "I must first auscultate the client and then proceed to percussion and
palpation."
A health care provider orders enalapril for a client. Which nursing action is necessary?
A. Monitor the client for hypokalemia.
B. Have the client take the medication with food.
C. Monitor the client's blood pressure during therapy.
D. Instruct the client that the dose may be doubled at the next scheduled time if one is
missed. - ANSWER C. Monitor the client's blood pressure during the course of therapy.
A nurse is caring for a client who has orders for furosemide daily, a 2-gram sodium diet,
and an oral fluid restriction of 1200 mL daily. The most recent laboratory results are
blood urea nitrogen (BUN) 42 mg/dL (15.2 mmol/L) and creatinine 1.1 mg/dL (97
mcmol/L). Based on the assessment data, which is the most appropriate action by the
nurse?
A. Administering the furosemide as scheduled
B. Initiating strict intake and output measurements
,C. Sending a urine specimen for specific gravity testing
D. Notifying the healthcare provider about the results - ANSWER D. Notifying the
healthcare provider about the results
After reviewing the client's reports, the main healthcare provider suggests palliative
care for the patient. Which of the following conditions would qualify the client for such
care? Select all that apply.
A. Peptic ulcer
B. Chronic renal failure
C. Cognitive impairment
D. Congestive heart failure
E. Chronic obstructive lung disease - ANSWER B. Chronic renal failure
D. Congestive heart failure
E. Chronic obstructive lung disease
A health care provider orders daily docusate sodium for a client. The nurse tells the
client that this medication has what action?
A. Lubricates the feces
B. Creates an osmotic effect
C. Stimulates motor activity
D. Softens the feces - ANSWER D. Softens the feces
Which life-threatening complication may occur in clients taking high-dose or long-term
ibuprofen?
Anaphylaxis
GI bleeding
Cardiac dysrhythmia
Disulfiram reaction - ANSWER B. GI bleeding
,The nurse is planning care for a client admitted to the hospital with abdominal spasms
and pain associated with severe diarrhea. Which serum blood level would the nurse
monitor?
Urea
Chloride
Potassium
Creatinine - ANSWER C. Potassium
Which of the following clinical manifestations would the nurse expect to find when
examining a client diagnosed with Meniere disease?
A. Nausea
B. Dizziness
C. Slowed pulse rate
D. Elevated temperature
E. Jerky lateral nystagmus - ANSWER A. Nausea
B. Dizziness
E. Jerky lateral nystagmus
Based on the information obtained from the assessment interview, what actions would
the nurse implement as a priority course of intervention?
A. Initiate suicide precautions with 15-minute visual checks
B. Instruct staff to minimize visual and auditory stimuli on the unit
C. Request a nutritional consult for evaluation and meal planning guidance
D. Encourage the client to express feelings concerning the accident and wife's death -
ANSWER D. Encourage the client to express feelings concerning the accident and wife's
death
, For clients with glaucoma, which of the following clinical findings would the nurse be
most likely to find when taking history related to openangle glaucoma?
A. Constant blurring
B. Abrupt attacks of acute pain
C. Sudden, complete loss of vision
D. Impairment of peripheral vision - ANSWER D. Impairment of peripheral vision
For the following question, choose the correct option.
The nurse is explaining glaucoma to a client. Which information would the nurse
include?
A. An increase in the pressure within the eyeball
B. An opacity of the crystalline lens or it's capsule
C. A curvature of the cornea that becomes unequal
D. A detachment of the neural retina from the pigmented retina - ANSWER A. An
increase in the pressure within the eyeball
What would the nurse explain to a client who asks what a cataract is?
A. An opacity of the lens
B. A thin film over the cornea
C. Crystallization of the pupil
D. An increase in the density of the conjunctiva - ANSWER A. An opacity of the lens
Which of the following directions is important for the nurse to teach the client to adhere
to after cataract surgery?
A. Remain supine for 3 hours
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