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A 51-year-old woman has been brought to the emergency department by her husband, and her symptomatology is indicative of renal calculi, a diagnosis that has been confirmed by ultrasound. What nursing diagnosis should the nurse in the ED prioritize?

a. Deficient knowledge regarding prevention of recurrence of renal stones 

 b. Acute pain related to inflammation, obstruction, and abrasion of the urinary tract 

C. Risk for infection related to obstruction of the urinary tract 

 d. Fluid and electrolyte imbalances related to impairment of renal function

 A client, who had a transurethral resection of the prostate TURP), has a three-way indwelling urinary catheter with continuous bladder irrigation. In which circumstance should the nurse increase the flow rate of the continuous bladder irrigation?

a. When drainage appears cloudy and dark yellow 

 b. When there is no drainage of urine and irrigating solution 

 c. When drainage is continuous but slow 

 d. When drainage becomes bright red

 A nurse is developing a care plan for a client with hepatic encephalopathy, which are goals for the care for this client? Select all that apply.

a. Provide food and fluids high in carbohydrate. 

b. Prevent constipation. 

c. Administer lactulose to reduce blood ammonia levels. 

d. Check the pupil reaction.

e. Monitor coordination while walking.

 The nurse is caring for a patient in metabolic alkalosis. The patient has a nasogastric tube to low intermittent suction for a diagnosis of bowel obstruction, what drug would the nurse expect to find on the medication orders?

а, кст

O b. Furosemide 

C. Psyllium 

 d. Maalox

A client visiting the clinic is scheduled for an outpatient thyroid scan in 2 weeks. Which instructions should the nurse include to ensure that this client is prepared for the test? Select all that apply.

a. Stop eating seafood 1 week before the scan.

b. Maintain bed rest for 24 hours after the scan.

C. Do not take prescribed thyroid medication until the results of the scan are known.

d. Stop using iodized salt or iodized salt substitutes 1 week before the scan. 

e. Do not take any prescribed thyroid medication on the day of the scan.

f. Do not consume any food or fluids after midnight on the night before the scan. 

A client with chronic renal failure who receives hemodialysis three times a week is experiencing severe nausea. What should the nurse advise the client to do to manage the nausea?

O a. Keep all dialysis appointments; have limited amounts of fluids only when thirsty, eat smaller, more frequent meals. 

 b. Drink fluids before eating solid foods.

C. Have limited amounts of fluids only when thirsty. 

d. Eat smaller, more frequent meals; drink fluids before eating solid foods; limit activity 

e. Limit activity; keep all dialysis appointments; eat smaller, more frequent meals.

A nurse is caring for an older adult client who is admitted with an electrolyte imbalance. Which sets of laboratory values should be a priority concern for the nurse?

a. pH 7.32; Potassium 5.8 mEq/L (5.8 mmol/L) 

 b. Sodium 132 mEq/L (132 mmol/L); Potassium 5.8 mEq/L (5.8 mmol/L)

c. Potassium 5.8 mEq/L (5.8 mmol/L); PaO2 90 mmHg 

 d. PaCO2 45 mmHg; Sodium 140 mEq/L (140 mmol/L) 

 e. PaO2 90 mmHg; PaCo2 45 mmHg

A nurse is caring for an older adult client who is admitted with an electrolyte imbalance. Which sets of laboratory values should be a priority concern for the nurse?

a. pH 7.32; Potassium 5.8 mEq/L (5.8 mmol/L) 

 b. Sodium 132 mEq/L (132 mmol/L); Potassium 5.8 mEq/L (5.8 mmol/L)

c. Potassium 5.8 mEq/L (5.8 mmol/L); PaO2 90 mmHg 

 d. PaCO2 45 mmHg; Sodium 140 mEq/L (140 mmol/L) 

 e. PaO2 90 mmHg; PaCo2 45 mmHg

The nursing students are learning how to assess function of cranial nerve VIII. To assess the function of cranial nerve VIII, the students would be correct in completing which of the following assessment techniques?

a. Test for air and bone conduction (Rinne) 

 b. Assess papillary reflex

c. Utilize the Snellen chart

d. Have the patient identify familiar odours with the eyes closed

 A client with Parkinson’s disease is receiving carbidopa levodopa therapy. Which of the following clinical manifestations are common side effects associated with this medication? Select all that apply.

a. Head bobbing 

b. Blurred vision

 c. Aphasia 

d. Pill rolling

e. Facial tics

When a nurse is teaching a client with myasthenia gravis how to prevent a myasthenic crisis, which of the following topics is most important to include

a. Insure adequate periods of rest. 

b. Wear gloves when handling frozen food items.

c. Avoid warm climates. 

 d. Receive an annual influenza vaccination

 A client is diagnosed with a herniated lumbar disk at the L-5 interspace. When obtaining a health history, the nurse should ask the client specifically about:

a.     Back pain that is relieved with resting. 

b.     b Loss of bladder control. 

c.     c. Back pain that radiates to the shoulders. 

d.     d. Loss of voluntary muscle control. 

SCIENCE
HEALTH SCIENCE
NURSING

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