Questions Part 6

1. The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority interven- tion for this client is:

❍ A. Measure the urinary output.
❍ B. Check the vital signs.
❍ C. Encourage increased fluid intake.
❍ D. Weigh the client.

2. A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

❍ A. Place the client in a sitting position.
❍ B. Administer acetaminophen (Tylenol).
❍ C. Pinch the soft lower part of the nose.
❍ D. Apply ice packs to the forehead.

3. A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

❍ A. The blood pressure
❍ B. The temperature
❍ C. The urinary output
❍ D. The specific gravity of the urine

4. A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

❍ A. Glucometer readings as ordered
❍ B. Intake/output measurements
❍ C. Evaluating the sodium and potassium levels
❍ D. Daily weights

5. A client had a total thyroidectomy yesterday. The client is com- plaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

❍ A. Obtain a crash cart.
❍ B. Check the calcium level.
❍ C. Assess the dressing for drainage.
❍ D. Assess the blood pressure for hypertension.

6. A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

❍ A. Impaired physical mobility related to decreased endurance
❍ B. Hypothermia r/t decreased metabolic rate
❍ C. Disturbed thought processes r/t interstitial edema
❍ D. Decreased cardiac output r/t bradycardia

7. The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruc- tion should be given to the client taking rosuvastatin (Crestor)?

❍ A. Report muscle weakness to the physician.
❍ B. Allow six months for the drug to take effect.
❍ C. Take the medication with fruit juice.
❍ D. Report difficulty sleeping.

8. The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

❍ A. Utilize an infusion pump.
❍ B. Check the blood glucose level.
❍ C. Place the client in Trendelenburg position.
❍ D. Cover the solution with foil.

9. The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

❍ A. Blood pressure of 126/80
❍ B. Blood glucose of 110mg/dL
❍ C. Heart rate of 60bpm
❍ D. Respiratory rate of 30 per minute

10. The client admitted with angina is given a prescription for nitro- glycerine. The client should be instructed to:

❍ A. Replenish his supply every three months.
❍ B. Take one every 15 minutes if pain occurs.
❍ C. Leave the medication in the brown bottle.
❍ D. Crush the medication and take with water.