Mr. Rodriguez is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30? A. Septic arthritis B. Traumatic arthritis C. Intermittent arthritis D. Gouty arthritis … Read More »
Among the following signs and symptoms, which would most likely be present in a client with mitral regurgitation? A. Altered level of consciousness B. Exertional Dyspnea C. Increase creatine phosphokinase concentration D. Chest pain Correct Answer: B. Exertional Dyspnea Mitral regurgitation (MR) is defined as an abnormal reversal of… Read More »
The nurse knows that neurologic complications of multiple myeloma (MM) usually involve which of the following body systems? A. Brain B. Muscle spasm C. Renal dysfunction D. Myocardial irritability Correct Answer: B. Muscle spasm Back pain or paresthesia in the lower extremities may indicate impending spinal cord… Read More »
When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should: A. Attempt to replace the cord B. Place the client on her left side C. Elevate the client’s hips D. Cover the cord with a dry, sterile gauze Correct Answer: C. Elevate the… Read More »
A child is admitted to the hospital with an uncontrolled seizure disorder. The admitting physician writes orders for actions to be taken in the event of a seizure. Which of the following actions would not be included? A. Notify the physician. B. Restrain the patient’s limbs. C. Position the patient on his/her… Read More »
Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)? A. Less than 5 years B. 5 to 7 years C. 10 years D. More than 10 years Correct Answer: C. 10 years… Read More »
A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that apply. A. Weight loss B. Increased clotting time C. Hypertension D. Headaches E. Tinnitus Correct Answer: B, C, D & E Polycythemia vera is a… Read More »
A 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first? A. Prepare the child for X-ray of upper airways B. Examine the… Read More »
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? A. Infusing I.V. fluids rapidly as ordered. B. Encouraging increased oral intake. C. Restricting fluids. D. Administering glucose-containing I.V. fluids as ordered. Correct Answer: C. Restricting fluids. To reduce… Read More »
A female client is experiencing a painful and rigid abdomen and is diagnosed with a perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in A. Sims position B. Supine position C. Semi-fowlers position D. Dorsal recumbent position… Read More »