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 agebetween 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, urinary incontinence, and constipated

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 degrees F. (39.5 degrees C._ C. Diffuse macular rash D. Muscle tenderness

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

219. The nurse is assessing the client’s sensory system. Which result would indicate an abnormal stereogenosis test? A. The client is unable to identify which way the toe is being moved B. The client cannot discriminate between sharp and dull objects C. The toes contract and draw together when the sole of the foot is stroked D. The client is unable to identify a key in the hand with both eyes closed

Answer 1

480. "Fibroids that cause no problems still need to be taken out" indicates more education is needed. Option D is the correct answer.

482. Fever of 103 degrees F. (39.5 degrees C) indicates that antibiotic therapy is not effective and the nurse must report immediately to the provider for the antibiotic to change. Option B is the correct answer.

486. Supervising ambulation is the most important nursing action if the client has ataxia. Option A is the correct answer.

487. Apraxia is the inability or difficulty of performing motor movements. It has the greatest impact on an elderly client's ability to complete activities of daily living. Option D is the correct answer.

219. Stereognosis is the ability to identify an object using the tactile function when eyes are closed. The client is unable to identify a key in the hand with both eyes closed indicated abnormality in stereognosis test. Option D is the correct answer.