Questions and Answers
Which intervention should be implemented to help prevent osteoporosis in a client who had bariatric surgery?
What should be the nurse's first intervention for an older client with a change in mental status?
What is the most important factor influencing the frequency of vital sign assessment in the immediate postoperative period?
In the case of an older client who fell and presents with symptoms of an altered extremity, what action is paramount?
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When assessing a newly admitted client with Parkinson’s disease who has a mask-like facial appearance, which assessment should be prioritized?
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What recent history should the nurse anticipate in a child suspected of having bacterial meningitis?
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Which instruction should the nurse provide to a menopausal client to lower her risk of developing osteoporosis?
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What is the best initial nursing action when observing an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation after TURP?
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Which information should be included in the teaching plan for a client recently diagnosed with gout?
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During the first hemodialysis treatment, if a client's blood pressure drops significantly, what should the nurse do?
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Which laboratory test should the nurse review to monitor the recovery of a client with acute pancreatitis?
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After administering hydromorphone to a post-operative client, which assessment should be completed next given the client’s low blood pressure?
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What should the charge nurse do first for a postpartum client reporting a severe headache?
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What should the nurse initiate first after clamping a nasogastric tube and the client begins to vomit?
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How should the nurse respond to a family's concern about an older client with difficulty in visual perception eating only half of the meal provided?
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What is the most appropriate action for a nurse caring for a client with schizophrenia who is using tangential speech?
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What intervention should the nurse prioritize for a client experiencing a significant blood pressure drop during dialysis?
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Which action is most appropriate for a nurse when a post-operative client shows signs of respiratory depression after receiving pain medication?
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What is a critical nursing intervention when a client receiving continuous bladder irrigation reports abdominal pain?
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In managing a client with suspected meningitis, which complication would be most concerning to the nurse if an earache is reported?
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What should a nurse monitor closely for a patient diagnosed with gout who is prescribed a high-protein diet?
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When caring for a client with a nasogastric tube who is experiencing nausea, what should the nurse assess before taking further action?
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In which scenario is it most appropriate for the nurse to educate a client about increasing fluid intake?
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What is the first intervention the nurse should implement for a client with Guillain-Barre syndrome who is experiencing anxiety and weakness?
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What action is the nurse's priority after obtaining a negative COVID-19 test result and a client presents with new symptoms eight days later?
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For an older client with a change in mental status after nausea and vomiting, what should the nurse implement first?
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What information during the preoperative checklist would require the nurse to take immediate action?
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How should the nurse prioritize care for a client with COVID-19 symptoms after a previous negative test?
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When caring for a client with Guillain-Barre syndrome, which action should be avoided until further evaluation?
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What should the nurse do after completing a surgical checklist and finding that a client's surgical consent form is unsigned?
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If a client with a history of hypertension vomits for two days, what is the most relevant intervention?
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In response to a client with COVID-19 symptoms showing up after a negative test, which precaution should the nurse prioritize?
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What is the priority assessment for a client who has just developed a severe headache along with a change in mental status?
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What type of diet should be instructed for a client experiencing acute renal failure?
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What is the best initial intervention for a 12-year-old boy with hemophilia experiencing hemarthrosis?
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Which factor in the pushed employee's history is most related to his aggressive reaction?
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What is the most appropriate action to evaluate the effectiveness of pilocarpine ophthalmic solution in a client with open-angle glaucoma?
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What assessment technique should a nurse perform if unable to palpate the testicles in a newborn scrotum?
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What is the priority nursing intervention for a child with hemophilia during an episode of hemarthrosis?
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In the management of open-angle glaucoma, what should be considered when evaluating the effectiveness of treatment?
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Which intervention is inappropriate for a client with acute renal failure?
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What is a recommended strategy to reduce aggression in an employee following a stressful incident?
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What clinical finding would indicate successful administration of pilocarpine for glaucoma?
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Study Notes
Pediatric Considerations
- Suspected bacterial meningitis typically presents with a recent history of earache.
- A 12-year-old boy with hemophilia may experience severe knee pain due to hemarthrosis; intervention includes elevating and immobilizing the knee.
Menopause and Osteoporosis
- Menopausal clients who are lactose intolerant should increase calcium intake to lower the risk of osteoporosis.
Dialysis Management
- In hemodialysis, if a client's blood pressure drops significantly, the nurse should lower the head of the chair and elevate the feet to stabilize BP.
Acute Pancreatitis Recovery
- In patients with acute pancreatitis, lipase levels should be monitored to assess clinical recovery following reduced abdominal pain.
Post-Delivery Monitoring
- A new mother reporting severe headache post-delivery requires immediate assessment to determine if she received anesthesia during delivery.
Dietary Management in Mental Health
- Clients with schizophrenia on acute renal failure may benefit from a low protein, high carbohydrate, and low sodium diet.
Visual and Nutritional Issues
- In older clients with visual perception issues post-CVA, engaging with familiar food options may help improve eating habits.
Gout Management
- Important advice for gout management includes increasing fluid intake to at least 3 liters daily and avoiding certain foods high in purines.
Postoperative Care
- In post-operative clients, especially those receiving opioids, first assess the level of consciousness if hypotension and decreased respiratory rate are noted.
COVID-19 Protocols
- For clients with negative COVID-19 test results but symptomatic later, it is essential to maintain distance, wear a mask, and follow exposure reporting guidelines.
Medication and Mental Status
- In older clients with changes in mental status after nausea and vomiting, first obtain a capillary blood glucose level to rule out hypoglycemia.
Preoperative Assessments
- Immediate interventions prior to surgery include ensuring all consent forms are signed and addressing abnormal laboratory values, such as low potassium levels.
Fall Risk and Assessment
- In older clients with signs of a possible hip fracture, prioritizing assessment of blood flow and pedal pulses in the affected limb is crucial for timely intervention.
Parkinson’s Disease Management
- For clients with Parkinson’s disease exhibiting a mask-like facial appearance, assessing swallowing ability is important to prevent aspiration risks.
Infection in Diabetic Patients
- Diabetic patients admitted with respiratory infections require careful monitoring of their symptoms and management of underlying conditions.
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Description
This quiz assesses nursing knowledge regarding common conditions such as bacterial meningitis and menopause-related osteoporosis risk. Participants will answer questions related to clinical symptoms and lifestyle recommendations for clients. Prepare to test your understanding of essential nursing practices.