A male client is scheduled for a transsphenoidal hypophysectomy to remove a pituitary tumor. Preoperatively, the nurse should assess for potential complications by doing which of the following? A. Testing for ketones in the urine. B. Testing urine specific gravity. C. Checking temperature every 4 hours. D. Performing capillary glucose testing… Read More »
A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient? A. The patient is allergic to shellfish. B. The patient has a pacemaker. C. The patient suffers from claustrophobia. D. The patient takes… Read More »
A patient received surgery and chemotherapy for colon cancer, completing therapy three (3) months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations would account for her symptoms? A. The symptoms may… Read More »
The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites? A. Inspection of the abdomen for enlargement B. Bimanual palpation for hepatomegaly C. Daily measurement of abdominal girth D. Assessment for a fluid wave Correct Answer: C. Daily measurement… Read More »
Which of the following represents a significant risk immediately after surgery for repair of aortic aneurysm? A. Potential wound infection B. Potential ineffective coping C. Potential electrolyte imbalance D. Potential alteration in renal perfusion Correct Answer: D. Potential alteration in renal perfusion There is a potential alteration… Read More »
The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis? A. No increase in the thyroid-stimulating hormone (TSH) level after 30 minutes during the TSH stimulation test. B. A decreased TSH level. C. An increase… Read More »
A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? A. The patient will be admitted to the medicine unit for observation and medication. B. The patient will be admitted to the day… Read More »
A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? Select all that apply. A. Partial thromboplastin time B. Prothrombin time C. Platelet count D. Hemoglobin E. Complete Blood Count F. White Blood Cell Count Correct Answer: A, B,… Read More »
A female client is scheduled to receive a heart valve replacement with a porcine valve. Which of the following types of transplant is this? A. Allogeneic B. Autologous C. Syngeneic D. Xenogeneic Correct Answer: D. Xenogeneic A xenogeneic transplant is between a human and another species. Option… Read More »
A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan? A. Monitor for fever every 4 hours. B. Require… Read More »