Question

21. A patient with advanced lung cancer is admitted to the emergency department with urinary retention caused by renal calculi. Which laborarotory values will require the most immediate action by the nurse? A. Arterial blood pH is 7.32. B. Serum calcium is 18 mEq/L. C. Serum potassium is 5.1 mEq/L D. Arterial oxygen saturation is 91%

22. A home care nurse is preparing to visit a client with a diagnosis of Meniere’s disease. The nurse review’s the physician’s orders and expects to note that which of the following dietary measures will be prescribed? A. Low fiber diet with decreased fluids B. Low sodium diet and fluid restriction C. Low carbohydrate diet and elimination of red meats D. Low fat with restriction of citrus fruits

23. A nurse is assigned to care for a client who has just undergone eye surgery. The nurse plans to instruct the client that which of the following activities Is permitted in the postoperative period? A. Reading B. Watching television C. Bending over D. Lifting objects

24. A client has undergone surgery for glaucoma. The nurse provides which discharge instructions to the clients? A. Wound healing usually takes 12 weeks B. Expected the vision will be permanently impaired C. A shield or eye patch should be worn to protect the eye D. The structures are removed after 1 week

25. When the nurse prepares the client or the myringotomy , the best explanation as to the purpose for the procedures is that it will: A. Prevent permanent hearing loss B. Provide a pathway for drainage C. Aid in administering medications D. Maintain motion of the ear bones

26. A nurse is reviewing the record of the client with a disorder involving the inner ear. Which of the following would the nurse expect to see documented as an assessment finding in this client? A. Severe hearing loss B. Complaints of severe pain in the affected ear C. Complaints of burning in the ear D. Complaints of tinnitus

27. The nurse cares for a toddler diagnosed with pneumonia caused by Haemophilusinfluenzae. The nurse should follow which of the following transmission based precautions? A. Standard precautions B. Airborne precautions C. Droplet precautions D. Contact precautions

28. The nurse expects the emotional responses of a client with a cerebral vascular accident (CVA. Of the left hemisphere to be MOST influenced by which of the following? A. The client’s ability to understand the illness and treatment B. The client’s perception of the care received during his illness C. The client’s personality and general health prior to the CVA D. The type of lesion that caused the CVA

29. The nurse that which of the following clients are at risk to develop pneumonia? Select all that apply. A. A 16 year old male who has experimented with cigarettes B. A 25 year old female diagnosed with cystic fibrosis C. A 36 year old male diagnosed with Addison’s disease D. A 47 old male diagnosed with hypertension E. A 68 year old with a fracture rib due to an auto accident F. A 79 year old female in Buck’s traction due to a fractured hip.

30. Health teaching for Barbara includes ensuring that she understands that A. Proper prophylactic medication can control the incidences of seizures B. Moderate use of alcohol is permitted C. Forcing fluids helps to reduce the incidence of seizures D. The incidence of seizures is related to hyperglycemia

Answer 1

21.

Normal serum calcium is 8.5 to 10.3 mg/dL. Here the serum calcium is 18mEq/L, which is above the normal level, which might increase the risk for cardiac dysrhythmias.

Answer: B. serum calcium 18mEq/L

22.

Low sodium diet and fluid restriction, because low sodium diet helps to reduce the fluid pressure in the inner ear, and this can help in control the symptoms of Meniere’s disease.

Answer: B. Low sodium diet and fluid restriction.

23.

Watching television is permitted in post-operative period because in watching TV eye does not need to move rapidly and it doesn't increase intra ocular pressure. Rest options increase intra ocular pressure.

Answer: B. watching television.

24.

A shield or eye patch should be worn to protect the eye, as if patient will not wear the eye patch then eye will blink, and this blinking will cause damage to the operated eye.

Answer: C. A shield or eye patch should be worn to protect the eye

25.

Answer: B. Provide a pathway for drainage

26.

Answer: D. Complaints of tinnitus