Exam 1: Adult Health

The nurse assesses a client with fever and productive cough for the last 10 days.  Which findings support the presence of pneumonia?  Select all that apply.

The nurse cares for a client scheduled for a percutaneous left kidney biopsy as an outpatient.  Which intervention should the nurse include in the client's post-procedure care plan?

The nurse is providing postoperative care to a client returning from a hemorrhoidectomy.  Which action is the priority for the nurse to perform?

A client with mitral valve prolapse (MVP) has been experiencing occasional palpitations, lightheadedness, and dizziness.  The health care provider prescribes a beta blocker.  What additional teaching should the nurse include for this client?

The nurse is caring for a client who has been receiving mechanical ventilation (MV) for 4 days.  During multidisciplinary morning rounds, the health care provider questions the development of a ventilator-associated pneumonia (VAP).  Which of the following manifestations does the nurse assess as the best indicator of VAP?

A nurse is discharging a client who has been hospitalized with streptococcal infective endocarditis (IE).  Which statement by the client would indicate a need for further teaching?

A client with newly diagnosed chronic heart failure is being discharged home.  Which statement(s) by the client indicate a need for further teachingby the nurse?  Select all that apply.

A client with ascites due to cirrhosis has increasing shortness of breath and abdominal pain.  The health care provider requests that the nurse prepare the client for a paracentesis.  Which nursing actions would the nurse implement prior to the procedure?  Select all that apply.

Which client is in need of follow-up education by the nurse?

The nurse employed in a woman's health care clinic would be most concerned about which client statement?

The nurse is teaching a client diagnosed with Raynaud phenomenon about ways to prevent recurrent episodes.  Which instructions should the nurse include?  Select all that apply.

A nurse is evaluating the teaching of weight reduction strategies to a client with obesity.  Which of the following statements indicate that the client understands the teaching?  Select all that apply.

The nurse teaches a client with osteopenia, who is lactose intolerant, how to increase dietary calcium and vitamin D intake.  Which lunch food is the best choice?

A client is admitted to the hospital for evaluation of suspected pulmonary tuberculosis (TB).  The nurse assesses for which characteristic presenting signs and symptoms associated with TB disease?  Select all that apply.

An obese 85-year-old client, who is an avid gardener and eats only home-grown fruits, legumes, and vegetables, is admitted to the hospital with pneumonia after having an upper respiratory tract infection for a week.  Which factor puts the client at greatest risk for developing pneumonia?

The nurse reinforces teaching to a client with HIV during a follow-up clinic visit after being on antiretroviral drugs for the past 2 months.  Which statement by the client indicates a need for further instruction?

The nurse cares for a client who had an abdominal aortic aneurysm repair 6 hours ago.  Which assessment would require immediate follow-up?

The nurse assesses a client during the dwell time of a peritoneal dialysis cycle.  Which assessment would require immediate intervention?

The nurse is teaching a client who is scheduled to have an inferior vena cava filter inserted via the right femoral vein.  Which statement by the client requires further teaching?

The nurse assesses a client with a burn on the arm and finds that the area is red, moist, and covered in shiny, fluid-filled vesicles.  Which burn stage does the nurse document?