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問題一覧
1
Which laboratory result for an adolescent client prescribed atomoxetine would prompt the nurse to phone the health care provider to discontinue the medication?
ALT
2
Which action would be included in nursing care immediately after a sexual assault?
Obtaining the assault history from the client
3
Which technique would a nurse use when cleaning a tracheostomy tube?
Apply a precut dressing around the insertion site with the flaps pointing upward.
4
Which instruction would the nurse provide the client in preparation for a sigmoidoscopy.
Have an enema the morning of the test.
5
Which information recommended by the American Cancer Society (ACS) would the nurse include when planning a community health program about screening for cancer?
Fecal occult blood testing should be performed yearly beginning at 50 years of age.
6
Which time is the most appropriate for the nurse to collect daily sputum specimens from a client?
On awakening
7
Which nursing action would the nurse take first when caring for a client reporting a cough with copious yellow sputum, fever, and chills for the past 2 days?
Take the temperature.
8
A client admitted to the emergency department has ketones in the blood and urine. Which factor would the nurse focus on when collecting additional information?
Starvation
9
Which test would the nurse identify as beneficial in identifying prostate cancer?
Ultrasonography
10
Which nurse's instruction would help to facilitate micturition for a male client?
Assume the standing position for voiding
11
Which test will the nurse expect to be included in an annual examination for a 48-year-old female client? Select all that apply. One, some, or all responses may be correct.
Mammogram
12
Which nursing intervention is most effective when a client on airborne precautions is seen walking down the hallway?
Explore what the precautions mean to the client.
13
For the client within a long-term care facility, which action would a nurse plan to take before initiating prescribed antibiotic therapy for urethritis?
Obtain a urine specimen for culture and sensitivity.
14
Which hematological problem would the nurse screen for when providing care to an African American client? Select all that apply. One, some, or all responses may be correct.
Thalassemia, Sickle cell disease, Pernicious anemia
15
Which action taken during taking a client's sexual history needs correction?
Collecting data from rape victims rapidly
16
The health care provider prescribes daily fasting blood glucose levels for a client with diabetes mellitus. The goal of treatment is that the client will have glucose levels within which range?
70 to 100 mg/dL of blood
17
The nurse evaluates that the teaching before a scheduled bone scan for a client with cancer is effective when the client makes which statement?
"A substance of low radioactivity will be injected into my vein, and my body will be inspected with an instrument to detect where it is deposited."
18
Which common expected response would the nurse teach the client who is scheduled for a computed tomography (CT) scan with contrast to anticipate? Select all that apply. One, some, responses may or all be correct.
Flushing of the face, Sensation of warmth
19
Which element of nursing care would the nurse perform for a client who is scheduled for a computed tomography (CT) scan for a suspected brain tumor?
Describe the equipment involved.
20
The nurse is assessing the hospital room for items that the client can use to inflict self- harm and commit suicide. Which finding indicates a need to modify the client's environment for safety?
Fresh flowers in glass vase
21
Which documentation regarding the client's condition and care provided is correct? Select all that apply. One, some, or all responses may be correct.
"NPO before surgery.", "Late entry-l administered saline to the client at 6:00 pm."
22
Which nursing intervention would be appropriate for a client on a new insulin pump who is scheduled for a magnetic resonance imaging (MRI)?
Ensure that the client is only off the pump for no more than an hour.
23
Which information would the nurse include while teaching a surgical client about postoperative breathing exercises? Select all that apply. One, some, or all responses may be correct.
Place a hand on the abdomen while feeling it rise., Hold the breath for several seconds at the height of inspiration.
24
Which intervention would the nurse implement to prevent injury when administering an allergy shot to a client with asthma?
Stay with client for 15 minutes after injection.
25
Which action would the nurse take when collecting a 24-hour urine specimen?
Check to verify if a preservative is needed.
26
Which information would the nurse give the client that is scheduled for a cardiac catheterization?
"Experience a feeling of warmth during the procedure."
27
Which information documented by the nurse provides objective data on a client with substance abuse disorder?
Presence of tremors and the client's skin condition on the forearms
28
As part of an infertility workup involving both partners, a male client is to have a semen analysis. Which instruction would the nurse include as part of his teaching?
Deliver the specimen to the laboratory within 2 hours of obtaining it.
29
Which step of the licensed practical nurse (LPN) nursing process is the nurse using when conducting a client's preoperative nursing interview?
Data collection
30
Which action would the nurse take to obtain a specimen for culture from a client who is exhibiting penile discharge and who is suspected of having gonorrhea?
Swab the drainage directly from the urethra to obtain a specimen
31
Which time would the nurse collect a sputum sample that has been prescribed by the health care provider?
8:00 am
32
Which hematologic system clinical sign would the nurse monitor for in the client diagnosed with lead toxicity?
Anemia
33
If unable to send a specimen for a routine urinalysis to the laboratory immediately, which action would the nurse take?
Refrigerate the specimen.
34
Which nursing response is most appropriate when a 50-year-old client asks why occult blood testing is being done when there is no history of health problems?
"It is performed routinely starting at your age as part of an assessment for colon cancer."
35
Which contributing factor would the nurse consider when collecting a health history from a client admitted for removal of basal cell carcinoma?
Ultraviolet radiation exposure
36
Which blood level would the nurse expect will increase first in a myocardial infarction?
Troponin T (cTnT)
37
Which effect of povidone-iodine would the nurse consider when using it on a client's skin before obtaining a specimen for a blood culture?
Eliminates surface bacteria that may contaminate the culture
38
Which finding would the nurse expect when a client with chronic pancreatitis submits a stool specimen?
Steatorrheal
39
For a client with an indwelling urinary catheter for urinary retention, which action would the nurse take to help prevent development of a urinary tract infection?
Maintain the prescribed hydration
40
A primary health care provider prescribes airborne precautions for a client with tuberculosis. The client is seen walking down the hall to get food after being taught about airborne precautions. Which intervention by the nurse would be appropriate?
Explore what the precautions mean to the client
41
Which action would the nurse take first when receiving abnormal diagnostic testing results?
Notify the client's health care provider of the results.
42
Which action will the nurse take when a client who has blunt trauma to the nose is noted to have nasal swelling, ecchymosis around the eyes, and watery pink-tinged nasal drainage?
Send a specimen of the fluid to the laboratory for analysis.
43
For a client admitted with urinary retention and prescribed an indwelling urinary catheter, which action would the nurse take to help prevent development of a urinary tract infection?
Maintain the prescribed hydration
44
Which intervention is a priority for the nurse caring for a woman who was sexually assaulted and brought by her husband to the emergency department?
Obtain information about her perception of the incident.
45
The nurse identifies areas of white plaque on the tongue and palate of a newly admitted client with acquired immunodeficiency syndrome (AIDS). Which action by the nurse is an appropriate initial response?
Document the presence of the lesions describing their size, location, and color.
46
Which diagnostic test confirms Hodgkin disease?
Lymph node biopsy
47
When preparing a client with a suspected brain tumor for a computed tomography (CT) scan, which intervention would the nurse expect to implement?
Telling the client about what to expect during the examination
48
A client with an abdominal wound infected with methicillin-resistant Staphylococcus aureus (MRSA) is scheduled for a computed tomography (CT) scan of the abdomen. To ensure client and visitor safety during transport, which precaution would the nurse implement?
Cover the infected site with a dressing
49
Which food would remain contaminated even after being cooked if contaminated with the hepatitis A virus?
Steamed lobster
50
The nurse is assessing a client for possible malabsorption syndrome. Which stool assessment finding would support this diagnosis?
Steatorrhea