A patient, age 41, undergoes a right upper lobectomy. Postoperatively, he has a chest tube connected to an underwater seal with suction. One day after surgery, the nurse detects no bubbling in the suction compartment. What would be the best nursing action at this time?

Check the practitioner's order for amount of suction, and increase pressure until gentle bubbling occurs.

Milk the chest tube, using slow, even strokes.

Add more sterile water to the suction compartment.

Check the practitioner's order for amount of suction, and increase the water seal by 3.9"(10 cm).

The nurse is caring for the client with a mastectomy. Which action would be contraindicated?

Taking the blood pressure in the side of the mastectomy

Elevating the arm on the side of the mastectomy

Positioning the client on the unaffected side

Performing a dextrostix on the unaffected side

A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:

Liquefy secretions and relieve laryngeal spasm

Provide a moist environment with oxygen at 30%

Prevent dehydration and reduce fever

The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness?

You were in an accident that hurt your head. You are in the hospital.

I am your nurse and I will be taking care of you today.

Can you tell me your name and where you are?

I know you are confused right now, but everything will be alright.

The client is diagnosed with multiple myoloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?

Drink at least eight large glasses of water a day.

Walk about a mile a day to prevent calcium loss.

Increase the fiber in your diet.

Report nausea to the doctor immediately.

What is the best definition of palliative care?

Symptom management for a client when a disease no longer responds to cure-focused treatment.

Care for terminally ill clients.

Aggressive cure-focused disease treatment and management.

The physician has ordered a CAT (computerized axial tomography) scan for a client with a possible cerebral aneurysm. Which information is most important to the nurse who is preparing the client for the CAT scan? The client:

Has a history of claustrophobia

A client with a T6 injury 6 months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?

Assess the client for a distended bladder

Administer Procardia sublingually

A multigravid client at 34 weeks' gestation with premature rupture of the membranes tests positive for group B streptococcus. The client is having contractions every 4 to 6 minutes. Her vital signs are as follows: blood pressure, 120/80 mm Hg; temperature, 100° F (37.8° C); pulse, 100 bpm; respirations, 18 breaths/minute. Which of the following would the nurse expect the physician to order?

Intravenous gentamicin sulfate (Garamycin).

Intramuscular betamethasone (Celestone).

Intramuscular cefaclor (Ceclor).

Assessment reveals that the fetus of a multigravid client is at +1 station and 8 cm dilated. Based on these data, the nurse should first:

Encourage the client to breathe through the urge to push.

Ask anesthesia to increase epidural rate.

Assist the client to push if she feels the need to do so.

Support family members in providing comfort measures.

Which statement best describes the difference between the pain of angina and the pain of myocardial infarction?

Pain associated with angina is relieved by rest.

Pain associated with myocardial infarction is always more severe.

Pain associated with angina is confined to the chest area.

Pain associated with myocardial infarction is referred to the left arm.

GCC 1151 - 1175

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MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is caring for a gravida 1 admitted in labor. Which finding would suggest the need for an internal fetal monitor?

The cervix is dilated 5cm.

The fetal heart tones are difficult to assess using the external toco monitor.

The fetus is at station 0.

Contractions are every 3 minutes.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Which of the following diet instructions should be given to the client with recurring urinary tract infections?

Increase intake of meats

Avoid citrus fruits

Perform pericare with hydrogen peroxide

Drink a glass of cranberry juice every day

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating:

Peanuts, dates, raisins

Figs, chocolate, eggplant

Pickles, salad with vinaigrette dressing, beef

Milk, cottage cheese, ice cream

MULTIPLE CHOICE QUESTION

1 min • 1 pt

An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which of the following?

I can meet two goals when I drink milk, lots of iron and meeting my calcium needs at the same time.

Drinking coffee, tea, and sodas decrease the absorption of iron.

I can increase the absorption of iron by drinking orange juice when I eat.

Cream of wheat and molasses are excellent sources of iron.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Which condition places a patient at risk for an embolic stroke?

Atrial fibrillation

Bradycardia

Deep vein thrombosis

A history of MI

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A middle-aged client has a strong positive family history of type 2 diabetes mellitus. The best method to prevent or delay the development of this disease in this client is to:

Test serum glucose values monthly.

Avoid starches and sugars in the diet.

Obtain a normal body weight and exercise regularly.

Maintain a normal serum lipid panel.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A 40-year-old client is curious about visible appearance changes related to menopause. In general, menopausal clients experience:

Bone loss and fractures.

Loss of muscle mass and increased fat tissue.

Improved skin turgor and elasticity.

A reduction in waist size.

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GCC 1151 - 1175

The nurse is caring for a gravida 1 admitted in labor. Which finding would suggest the need for an internal fetal monitor?

Which of the following diet instructions should be given to the client with recurring urinary tract infections?

The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating:

An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which of the following?

Which condition places a patient at risk for an embolic stroke?

A middle-aged client has a strong positive family history of type 2 diabetes mellitus. The best method to prevent or delay the development of this disease in this client is to:

A 40-year-old client is curious about visible appearance changes related to menopause. In general, menopausal clients experience:

Which of the following skin lesions is associated with Lyme's disease?

A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?

A patient, age 41, undergoes a right upper lobectomy. Postoperatively, he has a chest tube connected to an underwater seal with suction. One day after surgery, the nurse detects no bubbling in the suction compartment. What would be the best nursing action at this time?

Access all questions and much more by creating a free account

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