EXIT EXAM 12.5.23

A primary health care provider (PHCP) is about to remove a chest tube from a client. After the dressing is removed and the sutures have been cut, the nurse assisting the PHCP would ask the client to perform which procedure?

The nurse is providing care for a client who sustained burns over 30% of the body from a fire. On assessment, the nurse notes that the client is edematous in both burned and unburned body areas. The client's wife asks why her husband "looks so swollen." What is the nurse's best response?

The nurse is assessing a client with complaints of vague upper abdominal pain that is worse at night but is relieved by sitting up and leaning forward. Which assessment question should the nurse ask next?

When teaching a community group about measures to prevent colon cancer, which instruction should the nurse include?

What clinical manifestation indicates that an escharotomy is needed on a circumferential extremity burn?

The nurse provides care for a client noting an irregular heart rhythm, tachycardia, and no discernable P waves via the cardiac monitor. Which rhythm is the client experiencing based on this data?

A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but over 100. The nurse determines that the client is experiencing:

Which posture exhibited by abnormal flexion of the upper extremities and extension of the lower extremities?

A client with diabetes mellitus is being discharged following treatment for hyperosmolar hyperglycemic syndrome (HHS) precipitated by acute illness. The client tells the nurse, "I will call my doctor the next time I can't eat for more than a day or so." Which statement reflects the most appropriate analysis of this client's level of knowledge?

The nurse has given instructions to a client with hepatitis about postdischarge management during convalescence. The nurse determines that further teaching is needed if the client makes which statement?

The nurse is performing an assessment on a client admitted to the hospital who was diagnosed with toxic shock syndrome (TSS). Which assessment question would assist in eliciting the most specific data regarding the cause of this syndrome?

The nurse is teaching a female client on bone formation methods to reduce the risk of developing osteoporosis. What interventions should the nurse include in the client's instructions?

The nurse is concerned that a client admitted for subacute endocarditis, secondary to IV drug use is developing withdrawal. Which of the following did the nurse assess?

The nurse is caring for a 23-year-old client with anorexia nervosa. Which exam findings should the nurse attribute to the client's disease process? Select all that apply

Reorder the following: Maslow's Hierarchy of Human Needs (lowest level of the pyramid to the highest level)

A 28-year-old male has been found wandering around in a confusing pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first?

A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?

A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is not correct?

True or False: Hypovolemic shock occurs where there is low fluid volume in the interstitial compartment.

A client with a diagnosed abdominal aortic aneurysm, develops severe lower back pain. Which is most likely the cause?

he nurse is reviewing the laboratory test results for a client admitted to the burn unit 3 hours after an explosion that occurred at a worksite. The client has a severe burn injury that covers 35% of the total body surface area (TBSA). The nurse is most likely to note which finding on the laboratory report?

You receive a patient who has experienced a burn on the right leg. You note the burn contains small blisters and is extremely pinkish red and shiny/moist. The patient reports severe pain. You document this burn as:

Which of the following nursing interventions would be most helpful in making the respiratory effort of a client with metastatic lung cancer more efficient?