A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test: A. Because it is a state law B. To detect cardiovascular defects C. Because of her age D. To detect neurological defects … Read More »
A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is not correct? A. Scarlet fever is caused by infection with group A Streptococcus bacteria. B. “Strawberry tongue” is a characteristic sign. C. Petechiae occur on the soft palate. D. The pharynx is red… Read More »
Which of the following actions is the first priority care for a client exhibiting signs and symptoms of coronary artery disease? A. Decrease anxiety B. Enhance myocardial oxygenation C. Administer sublingual nitroglycerin D. Educate the client about his symptoms Correct Answer: B. Enhance myocardial oxygenation Enhancing myocardial oxygenation is… Read More »
A client underwent ileostomy, when should the drainage appliance be applied to the stoma? A. 24 hours later, when edema has subsided B. In the operating room C. After the ileostomy begins to function D. When the client is able to begin self-care procedures Correct Answer: B.… Read More »
Norma has started a new drug for hypertension. Thirty minutes after she takes the drug, she develops chest tightness and becomes short of breath and tachypnea. She has a decreased level of consciousness. These signs indicate which of the following conditions? A. Asthma attack B. Pulmonary embolism C. Respiratory failure D.… Read More »
Which of the following conditions most commonly causes acute glomerulonephritis? A. A congenital condition leading to renal dysfunction. B. Prior infection with group A Streptococcus within the past 10-14 days. C. Viral infection of the glomeruli. D. Nephrotic syndrome. Correct Answer: B. Prior infection with group A Streptococcus within… Read More »
Medical treatment of coronary artery disease includes which of the following procedures? A. Cardiac catheterization B. Coronary artery bypass surgery C. Oral medication administration D. Percutaneous transluminal coronary angioplasty Correct Answer: C. Oral medication administration Oral medication administration is a noninvasive, medical treatment for coronary artery disease.… Read More »
An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend? A. Massaging the groin area twice a day until… Read More »
Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas of the heart? A. Anterior B. Apical C. Inferior D. Lateral Correct Answer: C. Inferior The right coronary artery supplies the right ventricle or the inferior portion of the heart. Therefore,… Read More »
While monitoring a male client several hours after a motor vehicle accident, which assessment data suggest increasing intracranial pressure? A. Blood pressure has decreased from 160/90 to 110/70. B. Pulse is increased from 87 to 95, with an occasional skipped beat. C. The client is oriented when aroused from sleep and goes… Read More »