Term 1 of 135
A nurse is collecting data from a client who is having an acute asthma exacerbation. When
auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Expiratory wheeze
Fever
Increased breath sounds
Peripheral edema
Term 2 of 135
A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of
Raynaud's phenomenon. Which of the following statements should the nurse identify as an
indication that the client needs further teaching?
"i will avoid any cold beverages or foods."
"I will keep my house at a cool temperature."
"i will exercise outdoors in cold weather regularly."
"i will dress in layers to stay warm."
,Term 3 of 135
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of
the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes
there has not been any urinary output in the last hour. Which of the following actions should the
nurse perform first?
Verify that the suction regulator is on.
Auscultate the client's abdomen.
Notify the provider.. Determine the patency of the tubing.
Check the client's vital signs.
Term 4 of 135
A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the following
reactions from the client should the nurse initially expect?
Denial
Anger
Hoarseness
Purulent
Term 5 of 135
A nurse is assisting with caring for a client who has a new concussion following a motor-vehicle
crash. The nurse should monitor the client for which of the following manifestations of increased
intracranial pressure?
Lethargy
Stupor
Fever
Hypertension
,Term 6 of 135
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about
the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should
the nurse make?
"the biopsy will be very painful, and you should prepare for that."
"the biopsy is a quick procedure and won't require any anesthesia."
"The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible."
"you won't feel anything during the biopsy; it's completely painless."
Term 7 of 135
A nurse is caring for a client who has second- and third-degree burns and a prescription for a
high-calorie, high-protein diet. Which of the following menu choices should the nurse
recommend?
Salad with low-fat dressing and fruit
Turkey and cheese sandwich with scalloped potatoes
Vegetable stir-fry with tofu
Pasta with marinara sauce and garlic bread
Term 8 of 135
A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse
should reinforce to the client to take which of the following dietary supplements with this
medication?
Calcium
Iron
Zinc
Denial
, Term 9 of 135
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which
of the following instructions should the nurse include in the teaching?
Only take temperature if feeling unwell.
Take temperature only when experiencing symptoms of fever.
Take temperature once a day
Take temperature every hour to monitor closely.
Term 10 of 135
A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the
following interventions should the nurse recommend?
Wash daily with an antibacterial soap.
Avoid washing the leg to prevent irritation.
Use only water to rinse the area without soap.
Apply a thick layer of lotion to the affected area.
Term 11 of 135
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following
manifestations should the nurse expect?
Bruising
Candidiasis
Fever
Hypotension
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