Julius is admitted with complaints of severe pain in the lower right quadrant of the abdomen. To assist with pain relief, the nurse should take which of the following actions? A. Encourage the client to change positions frequently in bed. B. Administer Demerol 50 mg IM q 4 hours and PRN. C.… Read More »
Which of the following complications should the nurse carefully monitor a client with acute pancreatitis? A. Myocardial Infarction B. Cirrhosis C. Peptic ulcer D. Pneumonia Correct Answer: D. Pneumonia A client with acute pancreatitis is prone to complications associated with the respiratory system. The relationship between Mycoplasma… Read More »
Which of the following complications is indicated by a third heart sound (S3)? A. Ventricular dilation B. Systemic hypertension C. Aortic valve malfunction D. Increased atrial contractions Correct Answer: A. Ventricular dilation Rapid filling of the ventricles causes vasodilation that is auscultated as S3. The third heart… Read More »
Nurse Tina prepares a client for peritoneal dialysis. Which of the following actions should the nurse take first? A. Assess for a bruit and a thrill. B. Warm the dialysate solution. C. Position the client on the left side. D. Insert a Foley catheter Correct Answer: B. Warm… Read More »
Which of the following strategies is not effective for the prevention of Lyme disease? A. Insect repellant on the skin and clothes when in a Lyme endemic area. B. Long sleeved shirts and long pants. C. Prophylactic antibiotic therapy prior to anticipated exposure to ticks. D. Careful examination of skin and… Read More »
Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit? A. Watery stool B. Yellow sclera C. Tarry stool D. Shortness of breath Correct Answer: B. Yellow sclera Liver inflammation and obstruction block the normal flow of… Read More »
Thrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant complication associated with thrombolytic therapy? A. Air embolus. B. Cerebral hemorrhage. C. Expansion of the clot. D. Resolution of the clot. Correct Answer: B. Cerebral hemorrhage. Cerebral hemorrhage is… Read More »
After an anterior wall myocardial infarction, which of the following problems is indicated by auscultation of crackles in the lungs? A. Left-sided heart failure B. Pulmonic valve malfunction C. Right-sided heart failure D. Tricuspid valve malfunction Correct Answer: A. Left-sided heart failure The left ventricle is responsible… Read More »
Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes? Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes? A. Diabetes mellitus B. Diabetes insipidus C. Diabetic ketoacidosis D. Syndrome of inappropriate antidiuretic hormone secretion (SIADH)… Read More »
A patient arrives at the emergency department complaining of midsternal chest pain. Which of the following nursing actions should take priority? A. A complete history with emphasis on preceding events. B. An electrocardiogram. C. Careful assessment of vital signs. D. Chest exam with auscultation. Correct Answer: C.… Read More »