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NUR2571 Exam 3-Professional Nursing II -With 100%
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A nurse working in an outpatient clinic is assessing a client who has rheumatoid Arthritis (RA). The client reports increased joint tenderness and swelling. Which of the following findings should the nurse expect (SATA) A. Recent influenza B. Decreased Range of motion E. Pain at rest A nurse is teaching a client who has a new diagnosis of RA. Which of the following statements should the nurse include in the teaching? A. "You can experience morning stiffness when you get out of bed" A nurse is caring for a client who has RA. Which of the following lab tests are used to diagnose this disease? (SATA) B. Erythrocyte sedimentation rate (ESR) D. Antinuclear antibody (ANA) tier E. WBC count A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (SATA) A. Heerden's nodes D. Enlarged Joint Size E. Limp when walking The nurse is caring for a client who reports slow onset of a gradual loss of vision in the periphery of both eyes. What condition does the nurse anticipate? Glaucoma
A client is taking vancomycin. For which of the following side effects should the nurse assess? Tinnitus A nurse in a clinic is assessing a client who has acquired immunodeficiency syndrome (AIDS) and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following malignancies? Kaposi's sarcoma Which of the following tests can be done by the nurse to assess a client's hearing? (Select all that apply.) Rinne Weber's Cochlear Voice-whisper test The nurse begins to experience red, itchy hands after using gloves for client care. Which of the following should the nurse consider at causing these symptoms? Latex allergy A client newly diagnosed with type 1 diabetes mellitus wears glasses for myopia and asks the nurse how frequently he should see his ophthalmologist. Which is the nurse's best answer? "You are at risk for cataracts, glaucoma, and retinal blood vessel changes, so you should see the ophthalmologist yearly, even when you do not have a vision problem." The nurse is preparing short-acting and long-acting insulin for administration to a client. The nurse recognizes the purpose for the client taking these types of insulin is which of the following? *b. To mimic the body's own insulin patterns
A Client is diagnosed with rheumatoid arthritis. The nurse would expect to find which of the following during assessment? Symmetrical Joint involvement The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 180 mg/dL and hemoglobin A1C of 6.5%. What is the nurse's interpretations of these findings? b. The client's glucose control for the past 24 hours has been poor, but the overall control is good. A client's 1200 glucose was inaccurately documented as 310 mg/dL instead of 130 mg/dL. This error was not noticed until 1300. The nurse administered the sliding scale insulin for a blood glucose of 310 mg/dL. What should the nurse do first? Assess for hypoglycemia The laboratory values of a client with diabetes mellitus include a post meal blood glucose level of 145 mg/dL and hemoglobin A1C of 6.8%. What are the nurse's interpretations of these findings? The client glucose control for the past 24 hours has been poor, but the overall control is good The nurse is instructing a client diagnosed with type 2 diabetes mellitus on activities to reduce the onset of long-term complications. Which of the following should the nurse include in these instructions? (SATA) Stop smoking Keep blood pressure under control Attain a normal body weight Increase activity
The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem? Inadequate fluid volume A client prescribed insulin to be given through a peripheral intravenous line. The nurse realizes that which of the following insulins can be administered intravenously? Regular Metformin is prescribed for a client with type 2 diabetes mellitus. What is the most common side effect that the nurse should include in the client's teaching plan? Gastrointestinal disturbances A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? *a. CD4-T-cell count of less than 180 cells/mm A client with diabetes mellitus has a numbness and reduced sensation secondary to sever peripheral neuropathy. The nurse should teach the client which interventions to prevent injury? Use a bath thermometer to test the water temperature A client is diagnosed with a type of diabetes that is associated with insulin resistance. Which type of diabetes is the client experiencing? Type 2 Diabetes
A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows that which of the following best explains the purpose of the medication? *d. This medication lowers intraocular pressure. The nurse is caring for a client receiving a blood transfusion the client becomes flushed and is wheezing what should the nurse do first? Stop the blood transfusion and switch to normal saline A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values would the nurse identify as potential diabetic ketoacidosis (DKA) in this client? pH 7.38, HCO3 22 mEq/L, PaCO2 33 mm Hg, PaO2 98 mm Hg The nurse caring for a client with diabetes realizes that the client has a higher risk of developing cataracts. The nurse should also assess the client for indications of which other visual complications? Diabetic retinopathy During the health history, the client says, "I have many allergies." Of the following medications, which one would be for the treatment of allergies? Diphenhydramine hydrochloride (Benadryl) A client with Meniere's disease is experiencing sever vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo? Decrease sodium in the diet
A health care provider has accidentally been stuck with a used needle. The health care provider is going to be tested for human immunodeficiency virus (HIV). Which of the following would be the testing schedule for the health care provider? a. Tested immediately and again at 6 months The nurse is caring for a client who is administering insulin for diabetes mellitus for the first time. The nurse is instructing the client on mixing Humulin N insulin and Humulin R insulin in one syringe. Arrange the instructions in the correct order. This is the correct order -Gently roll both insulins between your hands -Wipe with alcohol and inject air (equal to units ordered) into the Humulin N insulin -Wipe with alcohol and inject air (equal to units ordered) into the Humulin R insulin -Withdraw the Humulin R -Withdraw Humulin N insulin -Double check the total number of units in the syringe The nurse realizes that which of the following test can be used to initially identify the presence of human immunodeficiency virus (HIV) antibodies in a chest? Enzyme linked immunosorbent assay (ELISA An adult client that lives alone and has type 2 diabetes has been prescribed insulin treatment. The client calls the clinic about having tremors and being weak and anxious. Which of the following actions should the nurse instruct the client to take? Have the client drink a glass of milk or orange juice
A client receiving treatment for human immunodeficiency virus infection is demonstrating signs of resistance to the medication. Which of the following does this suggest to the nurse? *d. The client is not adhering to the prescribed medication schedule. What would be the best way for a nurse to communicate with a hearing-impaired client? Speak slowly and clearly while facing the client A client has been diagnosed with cataracts. The patient fears permanent loss of vision. The nurse responds to the patient verbalizing which of the following treatments for cataracts? d. Surgical removal of the lens A client is experiencing bilateral cloudy vision and difficulty seeing at night. Suspecting cataracts, the nurse would also expect which of the following findings as well? (Select all that apply.) a. color distortion c. painless a. Decreased visual acuity E. Decreased night vision A client is experiencing a loss of central vision but not a loss of peripheral vision. Upon further assessment of the suspected cause, the nurse would also expect which of the following findings as well? (Select all that apply.) a. mid-visual field blind spots b. blurred vision e. gradual painless loss of vision
A 70-year-old client is taking timolol (Timoptic) for glaucoma. Which of the following statements made by the client indicates an understanding of how to safely use this medication? *d. "I will put pressure on the corner of my eye near my nose right after I put in my eye drops." A client complains of a shadow or curtain moving down into the visual field and complains of floaters. The nurse suspects the patient is experiencing a detached retina, the nurse would further assess for which of the following correlated findings? (Select all that apply.) a. mid-visual field blind spots b. blurred vision c. loss of side vision d. bursts of spots A client is diagnosed with a sensorineural hearing loss. The nurse realizes this type of hearing loss is associated with which of the following? b. Brain damage A client is complaining of dizziness, unilateral ringing in the ear, feeling of pressure or fullness in the ear, and unilateral hearing loss. Suspecting that the condition is Meniere's disease, which medication would the nurse expect the provider to order? Furosemide or Hydrochlorothiazide
You are a nurse caring for a patient who has frequent complaints of dizziness, unilateral ringing in the ears, and unilateral hearing loss with a feeling of pressure/fullness that cause her to have to remain in bed for days at a time. You recognize these symptoms as being correlated to which of the following conditions? Meniere's disease A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T- cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions? a. Candidiasis A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the teaching was effective when the client identifies which of the following as a factor that can exacerbate SLE? Sunlight The nurse is planning care for a client diagnosed with rheumatoid arthritis. Which of the following should be included in this plan of care? (Select all that apply.) *b. Range of motion exercises *c. Hot or cold compress *d. Pain relief with NSAIDS or ASA A client who arrived to the emergency department is experiencing an allergic reaction after being stung by a bee. The nurse realizes that this type of reaction is which type of hypersensitive reaction a. Type 1
A client is experiencing intense pruritus from contact dermatitis. Which of the following would be helpful for this client? a. Administer hydroxyzine HCL as prescribed. The nurse is caring for a client who was exposed to poison ivy and has begun to experience red, itchy skin all over their body. What type of hypersensitivity reaction is she experiencing? d. Type 4 A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations specific to hypoglycemia? (Select all that apply.) b. Blurred or double vision d. Tachycardia e. Moist, clammy skin A client is diagnosed with cellulitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) a. Heat c. Swelling d. Pain The nurse has just taken change-of-shift report on a group of clients on the medical- surgical unit. Which client does the nurse assess first?
instruct the client on which of the following diagnostic tests that will provide the best information? Glycosylated hemoglobin (HGB A1C) Metformin has been prescribed for a client newly diagnosed with type 2 diabetes mellitus. Which client statement about this medication validates to the nurse that the client has understood the teaching? Decreases production of glucose by the liver A client is admitted with a diagnosis of Diabetic Ketoacidosis (DKA). Which arterial blood gas (ABG) lab value would the nurse expect to see with this client? a. pH 7.32; PaCO2 34; HCO3 18 A client presented to ER with decrease LOC, polydipsia, hyperthermia, dry mucous, positive Babinski sign. Blood glucose result was critical high of 600 mg/dl and serum Na= 155, K= 6, and no serum ketones. The nurse determines the physician will diagnosis this client with which of the following conditions? c. Hyperglycemic Hyperosmolar Nonketotic Syndrome The nurse would expect which of the following medications to appear on the medication list for a client who has type 2 diabetes mellitus? c. Glimepiride (Amaryl)
