Question

480. A female client talks to the nurse in the provider’s office about uterine fibroid,

also called leiomyomas or myomas. What statement by the woman indicates more education is needed?

A.

“I am the one out of every 4 women that get fibroids, and of women my age between the 30s and 40s, fibroids occur more frequently.”

B.

“My fibroids occur are noncancerous tumors that grow slowly.”

C.

“My associated problems I have had are pelvic pressure and pain, urinaryincontinence, and constipated

D.

“Fibroids that cause no problems still need to be taken out.”

481. While caring for a client who was admitted with myocardial infarction (MI) 2

days ago, the nurse notes today’s temperature is 10 1.1 degrees Fahrenhelt (38.5 degrees Celsius

) The appropriate nursing intervention is to

A.

Call the health care provider immediately

B.

Administer acetaminophen as ordered as this is normal at this time

C.

Send blood, urine and sputum for culture

482.The client with infective endocarditis must be assessed frequently by the

home health nurse. Which findings suggest that antibiotic therapy is not effective,

and must be reported by the nurse immediately to the provider?

A.

Nausea and vomiting

B.

Fever of 103 degreesF. (39.5 degrees C._

C.

Diffuse macular rash

D.

Muscle tenderness

483. A client has viral pneumonia affecting 2/3 of the right lung. What would be

the best position to teach the client to lie in every other hour during first hours after

admission?

A.

Side lying on the left with the head elevated 10 degrees

B.

Side lying on the left with head elevated 35 degrees

C.

Side lying on the right with the head elevated 10 degrees

D.

Side lying on the right with the head elevated 35 degrees

484. A client who is to have antineoplastic chemotherapy tells the nurses of a fear

of being sick all the time and indicates a wish to try acupuncture. Which of these

beliefs stated by the client would be incorrect about acupuncture?

A.

“some needles go as deep as 3 inches, depending on where they’re placed in

the body and what the treatment is for. The needles usually are left in for 15

to 30 minutes.”

B.

“In traditional Chinese medicine,imbalances in the basic energetic flow of life known as qi or chi are thought to to cause illness.”

C.

“The flow of life is believed to flow through major pathways called nerve

cluster in your body.”

D.

“By inserting extremely fine needles into some of the over 400 acupuncture

points in various combinations it is believed that energy flow will rebalance

to allow the body’s natural healing mechanisms to take over.”

485. A nurse is observing a client during an excretory urogram. Which of these

observations indicate a complication is occurring?

A.

“The client complains of asalty taste in the mouth when the dye is injected.”

B.

“The client’s entire body turns a bright red color.”

C.

“The client states “I have a feeling of getting warm.”

D.

“The client gags and complains “I am getting sick.”

486. If a client has ataxia, the MOST important nursing action would be to

A.

Supervise ambulation

B.

Measure the intake and output accurately

C.

Consult the speech therapist

D.

Elevate the foot of the bed

487. The nurse knows which of the following would have the greatest impact on an

elderly client’s ability to complete activities of daily loving (ADLs)

A.

Preservation

B.

Aphasia

C.

Mnemonic disturbances

D.

Apraxia

488. In planning diet teaching for a child in the early stages of nephritic syndrome,

the nurse should discuss with the parents which of the following

dietary changes?

A.

Adequate protein intake, low sodium

B.

Low protein, low potassium intake

C.Low protein potassium, low calorie intake

D.

Limited protein, high carbohydrate intake

489. Several days after the delivery of a stillborn, the parents say, “We wish we

could talk with other couples who have go through this trauma. “Which of the

following nursing responses would be BEST?

A.

“SIDS will provide you with this opportunity.”

B.

“SHARE will provide you with opportunity.”

C.

“RESOLVE will provide you with this opportunity.”

D.

CANDLELIGHTERS will provide you with this opportunity.”

Answer 1

480, b, My fibroids occur are noncancerous tumor that grows slowly
Rarely fibroids are associated with cancer. large fibroid cause swelling of the abdomen. It will vary in size remain small at starting and grow rapidly.
481, c, Send blood, urine, and sputum for culture
After or post-myocardial infarction fever may be due to infection. lab tests can find the pathogens associated with hyperthermia to rule out infectious endocarditis and pericarditis.
482, b, fever of 103-degree f
conservative treatment with an antibiotic with the uncontrolled infection will persist with fever more than 38-degree c need immediate attention.
483, b, Sidelying on the left with the head elevated 35 degrees
Gravity assisted drainage position help to clear the more bronchial secretion from the lung, place the patient in the position that relates best against the location of the affected lungs to drain the secretion.