Exam 1: Adult Health

The nurse is teaching general skin care guidelines to a client receiving teletherapy (external beam radiation therapy).  Which statements does the client make that indicate proper understanding of the teaching?  Select all that apply.

The nurse is making follow-up phone calls to clients who had cataract surgery with intraocular lens implantation the previous day.  The nurse receives which client report that requires priority intervention?

The nurse is caring for an adolescent client diagnosed with type 1 diabetes.  The client exhibits hot, dry skin and a glucose level of 350 mg/dL (19.4 mmol/L).  Arterial blood gases show a pH of 7.27.  STAT serum chemistry labs have been drawn.  Cardiac monitoring shows a sinus rhythm with peaked T waves, and the client has minimal urine output.  What is the nurse's next priority action?

The new graduate nurse provides care for a client with a halo external fixation device.  Which actions by the new nurse are appropriate?  Select all that apply.

The nurse is assessing a client with a possible diagnosis of peripheral artery disease.  Which client statement is consistent with the diagnosis?

The nurse provides home care education to a client newly diagnosed with von Willebrand disease.  Which of the following client statements demonstrate correct understanding of the education?  Select all that apply.

The nurse reinforces education to a female client about the use of a cervical cap to prevent pregnancy.  Which statement by the client indicates a need for further teaching?

The emergency nurse admits a client who was rescued from a burning building.  The client's arms and chest are covered with dry, leathery, charred skin that does not blanch.  Which new prescription should the nurse implement first?

The nurse is caring for a client with a fractured femur.  Which nursing intervention is most effective in helping reduce the risk for fat emboli?

The nurse is caring for a client who just had aortic valve replacement surgery.  Which assessment information is most important to report to the health care provider (HCP)?

The nurse is reinforcing education about home and lifestyle alterations to a client recently diagnosed with HIV.  Which of the following statements by the client indicates a need for further education?  Select all that apply.

The nurse is caring for a client with newly diagnosed infective endocarditis (IE).  Which assessment finding by the nurse is the highest priority to report to the health care provider (HCP)?

A client diagnosed with cirrhosis is experiencing pruritus.  Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity?  Select all that apply.

The nurse is caring for a client recovering from a thyroidectomy to treat hyperthyroidism.  Which assessment finding would require the nurse to immediately notify the health care provider?

During a camping trip, a camp counselor falls and gets a small splinter of wood embedded in the right eye.  What action should the volunteer camp nurse take first?

The office nurse for an orthopedic health care provider receives 4 telephone messages.  Which client does the nurse call back first?

Which client is at greatest risk for pulmonary embolism?

A client with coronary artery disease is being seen in the clinic for a follow-up examination.  During medication reconciliation, the nurse identifies which reported medication as requiring further investigation?

The nurse responds to a call for help from another staff member.  Upon entering the client's room, the nurse observes an unlicensed assistive personnel (UAP) performing chest compressions on an unconscious adult client while another nurse is calling for the emergency response team.  What action by the arriving nurse is the priority?

A client with a history of diverticular disease is being discharged after an episode of acute diverticulitis.  Which instructions should be included in the discharge teaching plan to reduce the risk of future episodes?  Select all that apply.