1. What activity is unrealistic for the

1. What activity is unrealistic for the client with an ileostomy? – Swimming – Controlling defecation – Jogging – Having sexual intercourse 2. A client has been diagnosed with left-sided heart failure. Which symptoms should the nurse expect to see? Select all that apply. – Jugular vein distention (JVD) – Peripheral edema – Nocturia – Fatigue – Orthopnea 3. A nurse administers warfarin (Coumadin) to a client with deep vein thrombophlebitis Which of the following laboratory values indicates that the client has a therapeutic level of warfarin? – INR of 2-3 – Hematocrit of 32% – PTT 1 1/2 to 2 times the control – PT 2 to 3 times the control 4. Which of the following stateménts about pain in children is true? – Recovery from a painful experience occurs at a faster rate in children than it does in adults. – Immaturity of the nervous system in young children provides them with increased thresholds for pain. – A child’s behavioural response to pain is affected by his or her age and developmental stage. – Narcotic use in children is dangerous because of the increased risk of addiction and respiratory depression. 5. Which of the following actions by the nurse would certainly be considered negligence? – Initially administering blood at 45 mL in 15 minutes. – Turning and repositioning a client once every 8 hours post-abdominal surgery. – Administering meperidine(Demerol) IM to the client prior to using the incentive spirometer. – Inserting a 16 Fr nasogastric tube and aspirating 15 mL of gastric contents. 6. The client with advanced dementia is not able to communicate verballv. The client sustained a hip fracture, which required surgery. What Is the best method of managing the client’s postoperative level of pain! – Provide the client with a pediatric pain-rating scale – Provide the client with a PCA device and show her how to use it. – Provide analgesics and comfort measures when requested. – Provide analgesics at regular intervals and observe the client’s behaviour 7. Which of the following statements indicates that the nurse understands the pain experience in older adults? – Older adults perceive pain to a lesser degree than do younger individuals.” – Pain indicates pathology or injury and is not a normal process of aging.” – Pain. is a normal process of aging and is to be expected.” – Older persons must learn to tolerate pain.” 8. The client is hospitalized for pain control and physiotherapy. During morning care, he tells the nurse that he would like to attend physiotherapy in the afternoon instead of the morning because this is when he feels strongest. What should the nurse do? – Consult physiotherapy to determine whether therapy could be rescheduled everv second day – Discuss with the client why they feel better in the afternoon and see what other routines could be changed – Suggest that physiotherapy is more effective in the morning because most clients feel stronger at that time. – Contact physiotherapy and try to arrange the client’s therapy in the afternoon. 9. Which nursing recommendation has the greatest potential for helping the client with rheumatoid arthritis maintain the ability to perform self-care? – Move to a warm climate. – Enroll in an gerobics exercise class. – Buy clothes that are easy to pull up or slip on. – Sleep, on a heating pad. SCIENCE HEALTH SCIENCE NURSING NURSING 20009

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