NURSING 201 (NURSING 201)

Saunders Review Test 2.
1.ID: 2
The nurse is caring for a woman who is starting medroxyprogesterone injections for birth control. What statements by the client would indicate a need for further teaching? Select all that apply. A. “I may experience some weight gain.” Incorrect B. “I may not have regular periods while taking this medication.” C. “I should return in approximately 6 months for my next injection.” Correct D. “Because it is highly effective, I can use this m...

Saunders Review Test 1
1.ID: 6
A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate the need for further teaching? Select all that apply. A. “Limiting fiber is necessary to avoid diarrhea.” Correct B. “I should empty my bladder when I feel the urge.” C. “Avoiding pain medication will prevent constipation.” Correct D. “I s...

Focus on Delegating, Etc.
1.ID: 0
A registered nurse (RN) on the 7 a.m.–3 p.m. shift is planning client assignments for the day. Which clients would be appropriate for the RN to assign to the licensed practical nurse (LPN)? Select all that apply. A. A client who had a mastectomy 2 days ago Correct B. A client with type 1 diabetes mellitus who has a foot ulcer Correct C. A client with left-side weakness who will need assistance with personal care Correct D. A newly admitted client ...

⦁ ID: 4 ⦁ A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply. ⦁ Constipation ⦁ Tall T waves Correct ⦁ Hyporeflexia ⦁ Shallow respirations ⦁ Prolonged PR interval Correct ⦁ Hyperactive bowel sounds Correct ⦁ Rationale: Spironolactone is a potassium-sparing diuretic. Potassium-sparing diuretics can cause hyperkalemia. Cardiovascular manifestatio...

⦁ 1.ID: 5 ⦁ An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the nurse prepares for which action? ⦁ Ask the laboratory to perform virologic testing Correct ⦁ Obtain blood from the umbilical cord to send to the laboratory ⦁ Perform a heelstick to obtain a specimen for a Western blot assay ⦁ Perform a fingerstick to obtain a specimen for an enzyme-linked immunosorbent assay (ELISA) ⦁ Rationale: Traditional HIV antibody measu...

⦁ 1.ID: 6 ⦁ A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate the need for further teaching? Select all that apply. ⦁ “Limiting fiber is necessary to avoid diarrhea.” Correct ⦁ “I should empty my bladder when I feel the urge.” ⦁ “Avoiding pain medication will prevent constipation.” Correct ⦁ “I should drink ple...

⦁ 1.ID: 2 ⦁ The nurse is caring for a woman who is starting medroxyprogesterone injections for birth control. What statements by the client would indicate a need for further teaching? Select all that apply. ⦁ “I may experience some weight gain.” Incorrect ⦁ “I may not have regular periods while taking this medication.” ⦁ “I should return in approximately 6 months for my next injection.” Correct ⦁ “Because it is highly effective, I can use this medication for ma...

A client is being assessed for post-partum depression. Which actions by the client would indicate a need for follow-up by the nurse? Select all that apply. A. Not responding to the infant’s cries. Correct B. Crying after talking with spouse on the phone. Correct C. Stating that family was not supportive of the pregnancy. Correct D. Making statements about being fat and unattractive now. Correct E. Stating that that the infant latched on properly during a feeding.
Rationale: The weeks ...

The charge nurse is making a client assignment for the upcoming shift. In order to create a safe assignment, the charge nurse plans to assign those clients requiring airborne precautions amongst different nurses. Which clients should be assigned to different nurses? Select all that apply. A. A client with measles. Correct B. A client with C. difficle. C. A client with influenza. Incorrect D. A client with pneumonia. E. A client with tuberculosis. Correct
Rationale: Airborne precaution...