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The nurse conducts an evaluation after completing a training session for community members on ways to prevent nephritis.When evaluating the success of this session,what responses should the members provide as evidence that learning has been successful? Select all that apply.


A) Practicing good hygiene
B) Not smoking
C) Maintaining a healthy body weight
D) Limiting alcohol intake
E) Controlling high blood pressure

Correct Answer

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An adolescent client with complications related to ulcerative colitis is scheduled for an ileostomy.The client is concerned about the social effects of this surgery and asks the nurse what to expect related to bowel function and care after surgery.Which responses from the nurse to the client are appropriate? Select all that apply.


A) "The stoma will require that you wear a collection device all the time."
B) "The drainage tends to be liquid but certain foods can cause it to be paste-like."
C) "The drainage will gradually become semi-solid and formed."
D) "After the stoma heals, you can irrigate your bowel so you won't have to wear a pouch."
E) "You will be able to have some control over your bowel movements."

Correct Answer

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The nurse is caring for an older adult client with cholecystitis.The client has been admitted to the hospital for diagnostic testing and pain control.Which nursing diagnosis would be a priority for this client?


A) Anxiety
B) Risk for Infection
C) Impaired Comfort
D) Imbalanced Nutrition: Less than Body Requirements

Correct Answer

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B

The nurse is planning a teaching session for older community members about the risks for peptic ulcer disease (PUD) found with this age group.What should the nurse include when teaching this community group?


A) PUD in an older client causes less bleeding than in a younger client.
B) The elderly client experiences more severe abdominal pain than a younger client with PUD.
C) Older clients should undergo colonoscopy when diagnosed with PUD.
D) Peptic ulcer disease (PUD) is likely to be exacerbated by the bacterium H. pylori.

Correct Answer

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The adult female Iranian client develops signs and symptoms of appendicitis during the night.The client is brought to the emergency department by family.Which nursing intervention is the most culturally sensitive for this client?


A) Ask the healthcare provider which one should see the client.
B) Ask for a female healthcare provider to assess the client.
C) Ask for a male healthcare provider to assess the client.
D) Explain the assessment procedure and ask the family their preference.

Correct Answer

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  A nurse checking for tenderness at McBurney's point for a client with suspected appendicitis will palpate which area? A)  A B)  B C)  C D)  D A nurse checking for tenderness at McBurney's point for a client with suspected appendicitis will palpate which area?


A) A
B) B
C) C
D) D

Correct Answer

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A client being discharged after treatment for nephritis is concerned about having adequate stamina to care for the children after discharge.Which statement made by the nurse would be most appropriate to address the client's concern?


A) "Tell your spouse he has to help you."
B) "You will be able to keep up with your family's needs once you return home."
C) It sounds like you need some help, so I'll contact Social Services for support."
D) "Maybe your children should go and stay with a relative or neighbor for a few weeks."

Correct Answer

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A nurse caring for a pediatric client with inflammatory bowel disease (IBD) understands that there are variances in the presentation of IBD between children and adults.Which variances does the nurse anticipate for this pediatric client? Select all that apply.


A) Children suffer from Crohn disease more frequently than ulcerative colitis
B) Pediatric clients often present with fistulizing or stricturing disease.
C) Pediatric clients usually have colonic involvement.
D) Pediatric clients more often present with left-sided colitis.
E) IBD is more common in females than males in the pediatric population

Correct Answer

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The nurse is teaching the family of a school-age client diagnosed with inflammatory bowel disease on the administration of prednisone at home.At which time should the nurse instruct the parents to provide the medication to the client?


A) 1 hour before meals
B) At bedtime
C) With meals
D) Between meals

Correct Answer

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The nurse is caring for a client who receives H2-receptor antagonists for the treatment of peptic ulcer disease.Based on the nursing diagnosis Risk for Bleeding,which assessment finding should the nurse report immediately to the healthcare provider?


A) The client who reports pain after 24 hours of treatment
B) The client who reports episodes of melena
C) The client who reports he is constipated
D) The client who reports he took TUMS antacids with his H2-receptor antagonist

Correct Answer

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The nurse is caring for an older adult client with gallbladder disease recovering from a cholecystectomy.Which risk factors increase this client's susceptibility to infection? Select all that apply.


A) Dry skin
B) Advanced age
C) Intact mucous membranes
D) Non-intact skin
E) Active bowel sounds

Correct Answer

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The nurse is caring for a client newly admitted to the medical-surgical unit with glomerulonephritis.Which classic manifestations of this disorder should the nurse expect to assess in this client? Select all that apply.


A) Edema
B) Weight loss
C) Hematuria
D) Acute flank pain
E) Proteinuria

Correct Answer

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List the pathophysiology processes involved in appendicitis in sequential order. A) The appendix becomes distended with fluid secreted by its mucosa. B) Obstruction of the proximal lumen of the appendix is apparent. C) Purulent exudate formed causes further distention of the appendix. D) Pressure within the lumen of the appendix increases. E) Tissue necrosis and gangrene result.

Correct Answer

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B,A,D,C,E
Explanation: A) Obstruction of...

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A nurse is caring for a client with severe acute abdominal pain secondary to cholelithiasis.Which nursing actions promote effective pain management? Select all that apply.


A) Withhold oral food and fluids.
B) Insert nasogastric tube and connect to high wall suction.
C) Educate the client about decreasing protein in the diet, as protein increases gallbladder contractions.
D) Administer morphine, meperidine, or another opioid analgesic as ordered.
E) Place the patient in supine position to relieve abdominal pain.

Correct Answer

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The nurse in a rheumatology clinic is managing care for clients who receive nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of their disease processes.Which are the primary laboratory tests the nurse will assess prior to initiation of this type of therapy? Select all that apply.


A) Serum amylase
B) Electrolytes
C) Creatine clearance
D) Complete blood count (CBC)
E) Liver function tests

Correct Answer

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The nurse is caring for a pediatric client recovering from surgery for a perforated appendix.Which nursing diagnosis should the nurse use to guide this client's care during the immediate postoperative period?


A) Risk for Chronic Pain
B) Risk for Impaired Perfusion
C) Risk for Deficient Fluid Volume
D) Risk for Infection

Correct Answer

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A client with H.pylori asks the nurse why bismuth (Pepto-Bismol) has been prescribed along with oral antibiotics for treatment.What should the nurse explain about the use of bismuth (Pepto-Bismol) for treatment of this health problem? Select all that apply.


A) "It helps prevent the side effects of antibiotics."
B) "It increases stomach acid to help kill bacteria."
C) "It helps relieve ulcer-related constipation."
D) "It is effective with inhibiting bacterial growth."
E) "It keeps bacteria from sticking in your stomach."

Correct Answer

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A client is experiencing weight gain and foamy dark urine 4 weeks after being treated with antibiotics for a sore throat.Which client statement,made during the health history assessment,should the nurse provide further instruction?


A) "I have been trying to get plenty of rest since I have been sick."
B) "I have changed to a more nutritious diet."
C) "I felt better after 1 week of the antibiotics, so I stopped taking them."
D) "I have gained weight in the last 2 weeks."

Correct Answer

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C

The nurse is caring for a client who was admitted to the hospital 1 day prior with cholelithiasis.Which new assessment finding indicates the stone has probably obstructed the common bile duct?


A) Nausea and vomiting
B) Jaundice
C) Right upper quadrant (RUQ) pain
D) Elevated cholesterol level

Correct Answer

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A client is admitted with airway edema,bronchoconstriction,and increased mucus production after being exposed to an allergen.Which nursing interventions are appropriate to address this inflammation to the respiratory system? Select all that apply.


A) Turn and reposition every 2 hours.
B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
D) Restrict fluids.
E) Monitor lung sounds.

Correct Answer

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B,C,E

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