liquidy, incontinent stools and continues to be confused. In review of the client’s laboratory studies, the nurse identifies an elevated serum ammonia level. Based on this finding, which prescription is the most important for the client to receive? a.         Loperamide b.         IV human albumin c.          Lactulose d.         Furosemide  30.       After a routine physical examination, the HCP admits a woman with a history of Systemic Lupus Erythematous (SLE) to the hospital, because she has 3+ pitting ankle edema and blood in her urine. Which assessment finding warrants immediate intervention by the nurse? a.         Blood pressure 170/98 b.         joint and muscle aches c.          urine output of 300 mL/hr d.         dark, rust colored urine   31.       the nurse is preparing a client with an acoustic neuroma for a magnetic resonance image (MRI). which client complaint is life threatening and should be reported to the health care provider immediately? a.         Intensifying headache b.         facial numbness c.          difficulty with balance d.         right ear hearing loss   32.       **too blurry for me to see this question** 33.       An unresponsive male victim of a motor vehicle accident is brought to the emergency department where it is determined that immediate surgery is required to save his life. The client is accompanied by a close friend, but no family member is available. What action should the nurse take first? a.         Ask the man’s friend to sign the informed consent since the client is unresponsive b.         notify the unit manager that an emergency court order is needed to allow the surgery c.          continue to provide life support until a thorough search for a guardian is completed d.         carry on with the surgical preparation of the client without a signed informed consent   34.       a young adult female with chronic kidney disease (CKD) due to episodes of pyelonephritis is hospitalized with basilar crackles and peripheral edema. She is complaining of severe nausea and the cardiac monitor indicates sinus tachycardia with frequent premature ventricular contractions. Her blood pressure is 200/100 mm Hg, and her temperature is 101 F. Which PRN medication should the nurse administer first? a. Enalapril b.         Furosemide c.          Acetaminophend.         Promethazine   35.       **Picture of a mannequin with NG tube inserted with tape still on the face** The nurse assesses a client who has just returned from a diagnostic study, as seen in the picture. The client has a prescription for a nasogastric tube to low intermittent suction and reports feelings of nausea. What action should the nurse implement first? a.         Remove tape from cheek b.         administer an IV antiemetic c.          auscultates bowel sounds d.         connect the tube to suction   36.       following breakfast, the nurse is preparing to administer 0900 medications to clients on a medical floor. Which medication should be held until a later time? a.         The mucosal barrier, sucrafalta (CARAFATE), for a client diagnosed with peptic ulcer disease b.         the antiplatelet agent Aspirin, for a client who is scheduled to be discharged within an hour c.          the antifungal Nystatin suspension for a client who has just brushed his teeth d.         the loop diuretic Furosemide, for a client with a serum potassium level of 4.2 mEq/L (4.2 mmol)   37.       A client with a history of upper respiratory symptoms is admitted with chest tightness, a productive cough, and difficulty breathing. The clients arterial blood gases indicate respiratory acidosis. An increase in which laboratory test results supports this finding? a.         Arterial pH b.         PaCO2 c.          HCO3 d.         PaO2   38.       One week after an above the knee amputation (AKA) to the left leg, a male client seems upset and reports that his left foot feels “numb.” which action should the nurse implement? a.         Assess the wound for signs of inflammation or drainage b.         assess the right foot for signs of diminished circulation c.          offer assurance that the numb feeling is temporary d.         reinforce learning about the cause of this sensation   39.       when providing client care, the nurse identifies a problem and develops a related clinical question. Next, the nurse intends to gather evidence so that the decision-making process in response to the problem and clinical question is evidence-based. When gathering evidence, which consideration is most important?a.         Frequency that the problem occurs b.         past experience with similar problems c.          relevance to the situation d.         related personal values   40.       when obtaining isolation supplies needed to care for a client, which information is most important for the nurse to obtain? a.         Antimicrobial medication administration schedule b.         client’s most recent white blood cell count c.          mode of transmission of the infectious Organism d.         initial port of entry 

Question Answered step-by-step 29.       a client with cirrhosis of the liver is having numerous,liquidy, incontinent stools and continues to be confused. In review of the client’s laboratory studies, the nurse identifies an elevated serum ammonia level. Based on this finding, which prescription is the most important for the client to receive? a.         Loperamide b.         IV human albumin c.          Lactulose d.         Furosemide  30.       After a routine physical examination, the HCP admits a woman with a history of Systemic Lupus Erythematous (SLE) to the hospital, because she has 3+ pitting ankle edema and blood in her urine. Which assessment finding warrants immediate intervention by the nurse? a.         Blood pressure 170/98 b.         joint and muscle aches c.          urine output of 300 mL/hr d.         dark, rust colored urine   31.       the nurse is preparing a client with an acoustic neuroma for a magnetic resonance image (MRI). which client complaint is life threatening and should be reported to the health care provider immediately? a.         Intensifying headache b.         facial numbness c.          difficulty with balance d.         right ear hearing loss   32.       **too blurry for me to see this question** 33.       An unresponsive male victim of a motor vehicle accident is brought to the emergency department where it is determined that immediate surgery is required to save his life. The client is accompanied by a close friend, but no family member is available. What action should the nurse take first? a.         Ask the man’s friend to sign the informed consent since the client is unresponsive b.         notify the unit manager that an emergency court order is needed to allow the surgery c.          continue to provide life support until a thorough search for a guardian is completed d.         carry on with the surgical preparation of the client without a signed informed consent   34.       a young adult female with chronic kidney disease (CKD) due to episodes of pyelonephritis is hospitalized with basilar crackles and peripheral edema. She is complaining of severe nausea and the cardiac monitor indicates sinus tachycardia with frequent premature ventricular contractions. Her blood pressure is 200/100 mm Hg, and her temperature is 101 F. Which PRN medication should the nurse administer first? a. Enalapril b.         Furosemide c.          Acetaminophend.         Promethazine   35.       **Picture of a mannequin with NG tube inserted with tape still on the face** The nurse assesses a client who has just returned from a diagnostic study, as seen in the picture. The client has a prescription for a nasogastric tube to low intermittent suction and reports feelings of nausea. What action should the nurse implement first? a.         Remove tape from cheek b.         administer an IV antiemetic c.          auscultates bowel sounds d.         connect the tube to suction   36.       following breakfast, the nurse is preparing to administer 0900 medications to clients on a medical floor. Which medication should be held until a later time? a.         The mucosal barrier, sucrafalta (CARAFATE), for a client diagnosed with peptic ulcer disease b.         the antiplatelet agent Aspirin, for a client who is scheduled to be discharged within an hour c.          the antifungal Nystatin suspension for a client who has just brushed his teeth d.         the loop diuretic Furosemide, for a client with a serum potassium level of 4.2 mEq/L (4.2 mmol)   37.       A client with a history of upper respiratory symptoms is admitted with chest tightness, a productive cough, and difficulty breathing. The clients arterial blood gases indicate respiratory acidosis. An increase in which laboratory test results supports this finding? a.         Arterial pH b.         PaCO2 c.          HCO3 d.         PaO2   38.       One week after an above the knee amputation (AKA) to the left leg, a male client seems upset and reports that his left foot feels “numb.” which action should the nurse implement? a.         Assess the wound for signs of inflammation or drainage b.         assess the right foot for signs of diminished circulation c.          offer assurance that the numb feeling is temporary d.         reinforce learning about the cause of this sensation   39.       when providing client care, the nurse identifies a problem and develops a related clinical question. Next, the nurse intends to gather evidence so that the decision-making process in response to the problem and clinical question is evidence-based. When gathering evidence, which consideration is most important?a.         Frequency that the problem occurs b.         past experience with similar problems c.          relevance to the situation d.         related personal values   40.       when obtaining isolation supplies needed to care for a client, which information is most important for the nurse to obtain? a.         Antimicrobial medication administration schedule b.         client’s most recent white blood cell count c.          mode of transmission of the infectious Organism d.         initial port of entry  Health Science Science Nursing INTERNATIO 500 Share QuestionEmailCopy link Comments (0)