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FREE NURSING AND STUDY GAMES ABOUT EXAM 3 MS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -101 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: which client's statement alert the nurse the possibility of rhinitis mediacamentosa?
Answer:
my nose doesn't stay open even though i use nasal spray every hour Question 2: the client is being weaned from his tracheotomy tube and has tolerated the tubing cap for 24 hrs, which of the following should be the highest priority on the part of the nurse?
Answer:
placing the dry dressing over the stoma and secure it in place Question 3: when fecal urobilinogen concentration levels are decreased as result of biliary cirhosis the stool becomes lighter or clay colored.
Answer:
clay colored stools Question 4: the nurse is teaching the family member how to suction the clients tracheotomy at home, which of the following should be the highest priority action on the nurse to teach the family member?
Answer:
suction using clean technique
Question 5: the client tells the nurse that she feels shy going out in public places with her tracheotomy, which of the following should be the highest priority action on the part of the nurse?
Answer:
help the client drape attractive scarves so the tracheotomy is hidden Question 6: which dietary modifications will the nurse provide with client with hyperhyroidism?
Answer:
increase calories, proteins and carbs Question 7: which will the nurse assess next in a male client who begins to have fluid secretions from his breast?
Answer:
anterior pituitary hormones Question 8: which is a priority nursing diagnosis for a client with hypothyroidism?
Answer:
disturbed through process Question 9: which is the nurses best response to an older adult client who is hesitant to take the pneumococcal vaccination in the same year?
Answer:
the flu shot may protect you against influenza but won't protect against bacteria that causes pneumonia Question 10: which is the clinical manifestation for a client who has excessive production of the melanocytes stimulating hormone?
Answer:
darkening of the skin Question 11: the nurse observes the nursing student suctioning the client which intervention on the nursing student has the greatest potential to cause tissue damage?
Answer:
applying suction when the catheter is inserted
Question 12: the nurse assesses the client with a new tracheotomy and the new tracheotomy tube is pulsating in sync with the clients heartbeat. what is the nurses priority action?
Answer:
call the physician Question 13: which assessment finding alerts the nurse to the possibilities of pneumonia in the client with chronic bronchitis?
Answer:
percussion is dull in the left lower lobe Question 14: which action is highest priority for the nurse to teach the client with a tracheotomy to decrease the risk for aspirations?
Answer:
thicken all liquids Question 15: which statement by the client's family member indicates a accurate understanding of the correct way to provide the client with mouth care while he has a tracheotomy?
Answer:
i clean his mouth water and a toothette Question 16: when taking the blood pressure of a client after a parathyroidectomy, the nurse notices the clients hands has gone into flexion contractions. what does the nurse deteremine may be the cause of this symptom?
Answer:
hypocalemia Question 17: a client receiving continuous oxygen therapy by nasal cannula for an acute respiratory problem is becoming increasingly confused. what the nurse do first?
Answer:
assess pulse oximetrey Question 18: the nurse is caring for a client with recurrent bacterial pharyngitis, which is the nurses highest priority intervention?
Answer:
verify that the client understands the importance of completing the entire antibiotic prescription
Question 19: a client present with elevation in T3 and T4 and decrease in TSH levels which is the nurses priority intervention?
Answer:
monitor the apical pulse Question 20: the nurse assesses the client receiving oxygen via partial rebreather mask, the nurse will intervene for which assessment finding?
Answer:
oxygen flow rate is at 2 L Question 21: the client with manifestations of respiratory infection is suspected of inhalation anthrax. in addition to standard precaution which other infection could control precautions will the nurse use until the diagnosis is certain.
Answer:
No addition precautions, inhalation anthrax does not spread by person to person contact Question 22: the client with hyperthyroidism is taking lithium carbonate. which findings indicate that the client is having side effects of this therapy?
Answer:
lithium increases thirst and urination Question 23: the nurse is caring for a client who has been just diagnosed with end state pancreatic cancer. the nurse assess the clients emotional response to the diagnosis. which is the nurses initial action for assessment?
Answer:
determine if the client feels like talking about his or her feelings Question 24: the nurse is caring for a client with chronic pancreatitis, which statement by the client indicates additional teaching is needed?
Answer:
i will avoid simple carbohydrates and concentrated sweets Question 25: which client will caution to avoid taking over the counter decongestants for manifestations of a cold or flu?
Answer:
a middle age woman with hypertension
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