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 »
Marco, who was diagnosed with a brain tumor, was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of: A. Diuretics B. Antihypertensive C. Steroids D. Anticonvulsants Correct Answer: C. Steroids Glucocorticoids (steroids) are used for their anti-inflammatory… Read More »
An elderly client is admitted to the nursing home setting. The client is occasionally confused and her gait is often unsteady. Which of the following actions, if taken by the nurse, is most appropriate? A. Ask the woman’s family to provide personal items such as photos or mementos. B. Select a room with a bed… Read More »
Patients with Type 1 diabetes mellitus may require which of the following changes to their daily routine during periods of infection? A. No changes B. Less insulin C. More insulin D. Oral diabetic agents Correct Answer: C. More insulin During periods of infection or illness, patients with… Read More »
A client with a diagnosis of HPV is at risk for which of the following? A. Hodgkin’s lymphoma B. Cervical cancer C. Multiple myeloma D. Ovarian cancer Correct Answer: B. Cervical cancer The client with HPV is at higher risk for cervical and vaginal cancer related to… Read More »
A patient in labor and delivery has just received an amniotomy. Which of the following is correct? Select all that apply. A. Frequent checks for cervical dilation will be needed after the procedure. B. Contractions may rapidly become stronger and closer together after the procedure. C. The FHR (fetal heart rate) will be… Read More »
What is the first intervention for a client experiencing myocardial infarction? A. Administer morphine B. Administer oxygen C. Administer sublingual nitroglycerin D. Obtain an electrocardiogram Correct Answer: B. Administer oxygen Administering supplemental oxygen to the client is the first priority of care. The myocardium is deprived of oxygen during… Read More »
Nurse Greta is working on a surgical floor. Nurse Greta must logroll a client following a: A. Laminectomy B. Thoracotomy C. Hemorrhoidectomy D. Cystectomy Correct Answer: A. Laminectomy The client who has had spinal surgery, such as laminectomy, must be log rolled to keep the spinal column… Read More »