Galen College of Nursing

1.A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C 4. Hepatitis D ANS: 1 Hepatitis A virus (HAV) is spread through the fecal-oral route. Child care workers are at greater risk because of potentially poor hygiene practices. Child care workers are not at the same risk for contracting hepatitis B, C, or D. 2. An olde...

A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? 1. Protective environment 2. Airborne precautions 3. Droplet precautions 4. Contact precautions Contact precautions Clients who have a compromised immune system require a ___ . protective environment ___ are a requirement for clients who have infections that spread via droplet nuclei that are smaller than...

Test bank for anatomy and physiology openstax 2nd edition full test all chapters included

A young adult patient who is being seen in the clinic has excessive secretion of the anterior pituitary hormones. Which laboratory test result would the nurse expect? a. Increased urinary cortisol b. Decreased serum thyroxine c. Elevated serum aldosterone d. Low urinary catecholamines -Correct Answer ANS: A Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior pituitary gland will lead to an increase in serum and urinary cortisol levels. An increase, rather than a decrea...

A nurse assesses a client's electrocardiograph tracing and observes that not all QRS complexes are preceded by a P wave. How should the nurse interpret this observation? a. The client has hyperkalemia causing irregular QRS complexes. b. Ventricular tachycardia is overriding the normal atrial rhythm. c. The client's chest leads are not making sufficient contact with the skin. d. Ventricular and atrial depolarizations are initiated from different sites. -Correct Answer ANS: D Normal...

The nurse has provided discharge instructions to a client who is newly diagnosed with nephrotic syndrome. Which of the following client statements indicates a correct understanding of the teaching -Correct Answer I must protect myself from developing an infection The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse to follow up with the PCP if the client -Correct Answer Had a AAA repair 2 days ago and has a creatinine that has increased from 0.9 ...

When do females usually begin puberty? -Correct Answer 2 years before males A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl? -Correct Answer "The medications can make acne appear worse at first; try to give it a few more weeks." The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds an...

A nurse is caring for a client with liver failure and is performing an assessment of the client's increased risk of bleeding. The nurse recognizes that this risk is related to the client's inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of function? A. Alterations in glucose metabolism B. Retention of bile salts C. Inadequate production of albumin by hepatocytes D. Inability of the liver to use vitamin K -Correct Answer D. Inability ...

The nurse caring for a pt w/ and endotracheal tube recognizes several disadvantages of an endotracheal tube. What would the nurse recognize as a disadvantage? a. cognition is decreased b. Daily ABGs are necessary c. slight tracheal bleeding is anticipated d. the cough reflex is depressed -Correct Answer D What would the critical care nurse recognize as a condition that may indicate a pt's need to have a tracheotomy? a. a pt has a respiratory rate of 10 breaths/min b. a pt required pe...

The pt w fibromyalgia is suffering from pain at 12 of the 18 identification sites, including the neck & upper back & knees. The pt also reports non-refreshing sleep, depression, & being anxious when dealing w multiple tasks. The nurse should teach this pt about what treatments? Select all that apply: a. Minimal aerobic exercise b. Relaxation strategy (biofeedback) c. Anti-seizure during phenytoin d. Serotonin reuptake inhibitor (e.g. sertraline) e. Establish a regular sleep pattern -Correct...