Nurse Tristan is caring for a male client with acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat: A. Hypernatremia. B. Hypokalemia. C. Hyperkalemia. D. Hypercalcemia. Correct Answer: C. Hyperkalemia. Hyperkalemia is a common complication of acute… Read More »
A 67-year-old client develops acute shortness of breath and progressive hypoxia requiring right femur. The hypoxia was probably caused by which of the following conditions? A. Asthma attack B. Atelectasis C. Bronchitis D. Fat embolism Correct Answer: D. Fat embolism Long bone fractures are correlated with fat… Read More »
A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern? A. Bulging anterior fontanel. B. Repeated vomiting. C. Signs of sleepiness at 10… Read More »
Which of the following signs and symptoms would Nurse Maureen include in her teaching plan as an early manifestation of laryngeal cancer? A. Stomatitis B. Airway obstruction C. Hoarseness D. Dysphagia Correct Answer: C. Hoarseness Early warning signs of laryngeal cancer can vary depending on tumor location.… Read More »
During routine care, Francis asks the nurse, “How can I be anemic if this disease causes increased white blood cell production?” The nurse in-charge best response would be that the increased number of white blood cells (WBC) is: A. Crowded red blood cells B. Is not responsible for the anemia C. Uses… Read More »
Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually. B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7… Read More »
A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this? A. Acute asthma B. Chronic bronchitis C. Pneumonia D. Spontaneous pneumothorax Correct Answer: D. Spontaneous pneumothorax A spontaneous… Read More »
A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)? A. Small blue-white spots are visible on the oral mucosa. B. The rash begins on the trunk and spreads outward. C. There is low-grade fever. D. The lesions… Read More »
Karina, a client with myasthenia gravis, is to receive immunosuppressive therapy. The nurse understands that this therapy is effective because it: A. Promotes the removal of antibodies that impair the transmission of impulses B. Stimulates the production of acetylcholine at the neuromuscular junction. C. Decreases the production of autoantibodies that attack the… Read More »
A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He’s now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions? A. Bronchitis… Read More »