Exam 1: Adult Health

The nurse identifies which risk factors as contributing to the development of peripheral artery disease?  Select all that apply.

The nurse is teaching a client with newly diagnosed lactase deficiency about dietary management.  Which statements by the client indicate a correct understanding of this condition?  Select all that apply.

A hospitalized client with a history of obstructive sleep apnea sleeps while wearing a full face mask with continuous positive airway pressure (CPAP).  Oxygen saturation drops to 85% during the night.  What is the nurse's first action?

The nurse is providing care for a client with cancer of the left lung who will undergo video-assisted thoracic surgery in the morning.  The client is nervous, jumpy, and short of breath.  Pulse is 120/min, respirations are 30/min and shallow, and expiratory wheezing is auscultated in the left upper and lower lung posteriorly.  Which of the following is the priority nursing action?

A client diagnosed with heart failure has an 8-hour urine output of 200 mL.  What is the nurse's first action?

The nurse assesses a client receiving peritoneal dialysis.  Which assessment findings are most important for the nurse to report to the health care provider?  Select all that apply.

The nurse provides discharge instructions to a 67-year-old client with chronic bronchitis who was hospitalized for community-acquired pneumonia.  Which instructions should be included in the discharge teaching plan?  Select all that apply.

The nurse is admitting a client with cholelithiasis and acute cholecystitis.  Suddenly, the client vomits 250 mL of greenish-yellow stomach contents and reports severe pain in the right upper quadrant with radiation to the right shoulder.  Which intervention would have the highest priority?

The nurse is providing teaching about contraception to a group of clients.  Which statement by the nurse is appropriate to include?

The charge nurse is assisting with a nonemergent cardioversion for a client with supraventricular tachycardia.  Which action by the primary nurse would cause the charge nurse to intervene?

The client with malignant left pleural effusion undergoes a thoracentesis and 900 mL of excess pleural fluid is removed.  Which of these manifestations, if noted on the post-procedure assessment, should the nurse report to the health care provider immediately?

A nurse in the gynecology clinic is reviewing client histories.  Which report would be most concerning to the nurse?

A client with aortic stenosis is scheduled for surgery in 2 weeks.  The client reports episodes of angina and passing out twice at home.  Which would be the best response by the nurse to explain the appropriate activity for this client at this time?

A hospitalized client develops acute hemorrhagic stroke and is transferred to the intensive care unit.  Which nursing interventions should be included in the plan of care?  Select all that apply.

A client involved in a motor vehicle collision reports severe pelvic and right heel pain.  While waiting for imaging, the nurse assesses the client.  Which finding should the nurse report to the health care provider immediately?

The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?

The nurse is assisting the health care provider (HCP) with a client's chest tube removal.  Just as the HCP prepares to pull the chest tube, what instructions should the nurse give the client?

The nurse gathers a health history from a 58-year-old male client with acute urinary retention.  Which of the following questions should the nurse ask to aid in assessing for benign prostatic hyperplasia?  Select all that apply.

A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up visit after beginning medication therapy.  The client states, "I've had really bad nausea and fatigue, but because my cough has already improved, I knew it would be alright to stop taking the medications."  The nurse identifies which priority nursing diagnosis (ND) in this client's care plan?

The emergency nurse admits a semiconscious client with periorbital bruising and severe tongue edema after a laceration sustained in an unwitnessed tonic-clonic seizure.  The health care provider prescribes a nasopharyngeal airway to maintain airway patency.  Which initial action by the nurse is appropriate?