A male client and his partner have decided not to have more children. The client requests information about permanent, male birth control options. The nurse explains:

Vasectomy is a highly effective and safe surgical procedure.

Abstinence should be considered rather than vasectomy.

Permanent solutions, such as vasectomy, cannot be reversed.

Vasectomy is a surgical procedure covered by insurance.

A client complains of crushing chest pain 3 hours prior to arrival in the emergency department. Initial vital signs show hypotension; a weak, thready pulse; cool, clammy skin; and confusion. Which intervention should the nurse perform first?

Preparing for intra-aortic balloon pump.

A client is diagnosed with left subclavian artery obstruction. What additional findings would the nurse expect?

Radial pulse differences over 10bpm

Numbness in the face, mouth, and tongue

Frontal headache with associated nausea or emesis

The nurse is assessing the deep tendon reflexes of the client with hypomagnesemia. Which method is used to elicit the biceps reflex?

The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

The nurse loosely suspends the client's arm in an open hand while tapping the back of the client's elbow.

The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

A client fell at home and sustained a back injury. The client reports back pain and the inability to play golf or go to the store. The client remains at home most of the time due to the pain. Which nurse's note includes all of the elements of a complete pain assessment?

The client's back pain began 6 months ago and has been constant since the fall. The pain is located in the mid-lower back area, is rated a 6 out of 10 on the numeric pain scale, and is described as a constant, dull ache. The pain is made worse by ambulating or standing for more than 5 minutes. The client uses a hot water bottle over the back for some relief at night. The client denies other symptoms related to the back pain. The client reports being unable to play golf since the fall, go to the store, and remains at the home most of the time due to the pain.

The pain is rated a 6 out of 10, and is a constant, dull ache. The client uses a hot water bottle over the back for some relief at night. The client reports being unable to play golf since the fall, go to the store and remains at the home most of the time due to the pain.

The client's back pain began 6 months ago after a minor fall in the kitchen. The pain has been constant since the fall. The pain is located in the mid-lower back area and is rated a 6 out of 10 on the numeric pain scale.

Client reports pain began after a fall and the pain has limited his physical activity and does not seem to be improving.

Which of the following signs is one of the earliest indications of cardiogenic shock?

Presence of a fourth heart sound (S4)

The nurse should visit which of the following clients first?

The client with chest pain and a history of angina

The client with diabetes who has a blood glucose of 95mg/dL

The client with hypertension being maintained on Lisinopril

The client with Raynaud's disease

A factory worker is brought to the nurse's office after a metal fragment enters his right eye. The nurse should:

Cover both eyes and transport the client to the ER

Cover the right eye with a sterile 4x4

Attempt to remove the metal with a cotton-tipped applicator

Flush the eye for 10 minutes with running water

Which technique is correct for administration of ear drops to a 3-year-old?

Hold the child's head up and extended

Place the head in chin tuck position

Irrigate the ear before medication administration

GCC 1301 - 1325

Authored by Global Nurse Force undefined

Health Sciences

Professional Development

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25 questions

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MULTIPLE CHOICE QUESTION

1 min • 1 pt

When assessing a patient with anemia from acute blood loss, the nurse would expect to find which of the following?

Sudden onset of symptoms, hypotension, and tachycardia

Exertional dyspnea, poor nutrition, and hypotension

Sudden onset of symptoms, glossitis, and tachycardia

Fatigue, neuropathy, and tachycardia

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Which nursing action is most appropriate immediately following the removal of a nasogastric tube?

Providing mouth care

Auscultating bowel sounds

Offering fluids

Checking for abdominal distention

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A post-operative client has called the nurse's station with complaints of pain. The first action by the nurse should be to:

Check to see when the client received pain medication

Administer the prescribed pain medication

Notify the charge nurse of the client's complaints

Assess the location and character of the client's pain

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:

1 hour before meals

30 minutes after meals

With the first bite of a meal

Daily at bedtime

MULTIPLE CHOICE QUESTION

1 min • 1 pt

When planning a class for primigravid clients about the common discomforts of pregnancy, which of the following physiologic changes of pregnancy should the nurse include in the teaching plan?

The temperature decreases slightly early in pregnancy.

Cardiac output increases by 25% to 50% during pregnancy.

The circulating fibrinogen level decreases as much as 50% during pregnancy.

The anterior pituitary gland secretes oxytocin late in pregnancy.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A client provides a list of medications for the nurse. The medications include atorvastatin (Lipitor), clopidogrel (Plavix), and phenelzine sulfate (Nardil). Which statement indicates the client requires further education regarding medications?

I'm looking forward to my birthday celebration tonight. I'm even going to have wine with my meal!

I've finally begun using an electric razor to shave. That was hard to change over.

My doctor took me off my other blood thinner when he started me on that cholesterol medication.

I wish I could have chocolate again. I miss having a candy bar every once in a while.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following?

Anemia.

Hypertension.

Dysmenorrhea.

Acne vulgaris.

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