Exam 1: Adult Health

A nurse is assessing a 58-year-old client with blurred vision and reduced visual fields.  Which manifestation is of most concern to the nurse?

The oncology nurse is caring for a client with tumor lysis syndrome.  Which prescription should the nurse question?

A client calls the primary care clinic reporting diarrhea for 4 days and a low grade fever.  What instruction is most important for the nurse to give to the client?

The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment.  Which of the following instructions are appropriate for the nurse to include in the teaching?  Select all that apply.

The nurse is caring for a client with immune thrombocytopenic purpura.  Which client statements indicate a need for further teaching?  Select all that apply.

A client is receiving an infusion of total parenteral nutrition (TPN) with 20% dextrose through a central line at 75 mL/hr.  The nurse responds to the client's IV pump alarm, which indicates that the bag is empty.  The new bag is not expected to arrive from the pharmacy for an hour.  What is the most appropriate nursing action?

A 62-year-old client is scheduled for open abdominal aneurysm repair.  What key assessment should be made by the nurse preoperatively?

The nurse teaching a group of clients about celiac disease will include which meal in the teaching plan?

The nurse is providing care for a client with Alzheimer disease who often becomes angry and agitated 20 minutes or more after eating.  The client accuses the nurse of not providing food, saying, "I'm hungry.  You didn't feed me."  The nurse should take which action?

A client arrives at the clinic for a follow-up after an emergency department visit the night before.  The client sustained an ulnar fracture, and a fiberglass cast was applied.  Which of the following teachings related to cast care should the nurse reinforce?  Select all that apply.

The nurse is caring for a client with left-sided weakness from a stroke.  When assisting the client to a chair, what should the nurse do?

The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago.  On initial assessment, which finding requires the most immediate action by the nurse?

A client with a history of headaches is scheduled for a lumbar puncture to assess the cerebrospinal fluid pressure.  The nurse is preparing the client for the procedure.  Which statement by the client indicates a need for further teaching by the nurse?

The nurse is caring for a client with end-stage liver failure from hepatitis C who is being seen in the clinic for worsening ascites.  The client is treated in the infusion center with intravenous (IV) albumin, IV furosemide, and oral spironolactone.  The following day the nurse checks the client's labs.  Which of the following lab findings is most important for the nurse to communicate to the health care provider?

The nurse is teaching self-care management to a client experiencing an outbreak of genital herpes.  Which statement by the client indicates a need for further teaching?

A 70-year-old female client with type 2 diabetes mellitus comes to the emergency department with diaphoresis, nausea, generalized weakness, and epigastric burning pain.  Which intervention should the nurse implement first?

The nurse prepares a client for discharge following a vasectomy.  The client asks, "When can I have sexual intercourse with my wife without using a condom?"  What is the best response by the nurse?

A client with type 2 diabetes, coronary artery disease, and peripheral arterial disease developed hospital-acquired pneumonia (HAP) and has been receiving intravenous (IV) antibiotics for 4 days.  Which parameter monitored by the nurse best indicates the effectiveness of treatment?

The registered nurse is developing a nursing care plan for a client who has just undergone surgery for treatment of ulcerative colitis with the creation of a permanent ileostomy.  What is the priority outcome for this client?

The nurse is caring for a client admitted for a seizure disorder.  The nurse witnesses the client having a tonic-clonic seizure with increasing salivation.  Which actions should the nurse take?  Select all that apply.