A nurse is caring for a client who is postoperative following a transurethral resection

Asked by catherineduyile

1-     A nurse is assessing a client who is 2 days postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?

a-      Urinary output 25ml/hr

b-     Small clots with tissue in the urine

c-      Dark red urine

d-     Pain of 8 on a scale of 0-10

2-     A nurse is teaching a client who has a new prescription for levothyroxine about thyrotoxicosis. The nurse should instruct the client to monitor and report which of the following findings?

a-      Drowsiness

b-     Weight gain

c-      Bradycardia

d-     Fever

3-     A nurse is caring for a client who has three chamber chest tube system. Which of the following action should the nurse take?

a-      Empty the collection chamber every 8 hr.

b-     Ensure 2 cm ... of water is in the water seal chamber

c-      Check the patency of the tubing every 2 hr.

d-     Keep the drainage system above the level of the client chest

4-     A nurse is implementing crisis intervention for a client following an incident of partner violence. Which of the following is the priority action for the nurse to take?

a-      Help the client to identify effective past coping skills

b-     Encourage the client to express feeling about the incident

c-      Assist the client to identify available support systems

d-     Initiate precaution to safeguard the client from physical harm

5-     A nurse is caring for a client who is 2 days post-partum. Which of the following findings should the nurse reports to the provider?

a-      Urine output 2,500 ml/day

b-     Scant lochia rubra with a few small clots

c-      Bilateral ankle edema

d-     4+ deep tendon reflex

6-     A nurse is caring for a client who has terminal illness. The client tells the nurse "I have decided to discontinue my treatment. I want to pursue alternative therapies instead". Which of the following responses should the nurse make?

a-      I will come back to talk to you about your decision when you feel better

b-     You should consult with your family before seeking other treatments

c-      Why do you think that alternative therapies are a better choice?

d-     What has your doctor told you about your treatment options?

7-     A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?

a-      Use medical terminology when discussing procedures with the child

b-     Perform the morning assessments when the parent is not in the room

c-      Establish a new routine for the child to follow while in the facility

d-     Encourage the child to play with toys such as a pounding board

8-     A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning signs of child maltreatment?

a-      The guardian states the child fell off the swing in the backyard

b-     The child was brought to the ED 2 days after the injury occurred

c-      The child cries loudly when their arm is moved or manipulated

d-     The guardian wants to accompany the child from the ED to the radiology department

9-     A nurse is reviewing the results of laboratory tests a client had as a part of a comprehensive nutritional assessment. Which of the following results should the nurse reports to the provider?

a-      Total thyroxine 9 mcg/dL

b-     Total cholesterol 179 mg/dL

c-      Calcium 9.9 mg/dL

d-     Albumin2.2 g/dL

10-  A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia . Which of the following instructions should the nurse include?

a-      Make sure the client's room is cleaned every 2 days

b-     Allow healthy children to visit

c-      Monitor the client temperature every 4 hr.

d-     Udse clean technique for invasive procedures

11-  A nurse is assessing a client who has a sliding hiatal hernia. Which of the following findings should the nurse expect?

a-      Abdominal cramping

b-     Breathlessness

c-      Constipation

d-     Heartburn

12-  A nurse is evaluating the progress of a school aged child who takes methylphenidate. Which of the following findings indicates the effectiveness of the medication?

a-      Increased urinary output

b-     Increased appetite

c-      Decrease impulsiveness

D-Decreased abdominal pain