5: A critically ill Hispanic client tells

5: A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on the client’s statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? Select all that apply. -Reminds the dietary department that meals served on Fridays during Lent do not contain meat -Administers the sacrament of the sick to the client if death is imminent -Offers to provide a means for praying the rosary if the client wishes -Makes a referral for a Catholic priest to visit the client Removes the crucifix from the wall in the client’s room Ensures that a close relative stays with the client 7 The nurse receives a telephone call from the postanesthesia care unit stating that a client is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the client? Assess the vital signs to compare with preoperative measurements. (my choice) Assess the patency of the airway. Check tubes or drains for patency. Check the dressing to assess for bleeding. 10 The nurse creates a plan of care for a client with deep vein thrombosis. Which client position or activity in the plan should be included? Bed rest with the affected extremity kept flat Bed rest with elevation of the affected extremity Bed rest with the affected extremity in a dependent position Out-of-bed activities as desire (my choice) 13 Before enema administration, the nurse positions the client in a left lateral position. What is the rationale for using this position? It facilitates the passage of stool. It is more comfortable. It prevents a vasovagal response from occurring. (my choice) It facilitates instillation of the enema solution into the colon. 17 The nurse is caring for a client with heart failure (HF). Which signs and symptoms could indicate fluid overload? Select all that apply. Neck vein distention in the upright position Presence of dependent edema Increased urine output Difficulty breathing Bounding pulse 22 A client with pulmonary tuberculosis (TB) is on airborne isolation precautions. Which item(s) is essential for the nurse to wear? High-efficiency particulate air (HEPA) filter mask Gown, mask, and gloves Fluid shield mask Gloves only 26 A client is scheduled for a test to detect kidney tumors or cysts. What test is considered safest for the client? Ultrasonography Nephrotomography(my choice) Computed tomography Excretory urography IncorrectQuestion 28 The nurse is planning care for a client who has just returned to the nursing unit after an oral Chol cystogram. The nurse should expect to delete which prescription on the client’s care plan? Maintain a clear liquid diet for 72 hours. Assess for nausea and vomiting. Monitor for abdominal discomfort. Monitor hydration status. 29 The nurse is scheduling diagnostic tests for a client. Which of the diagnostic tests prescribed should be performed last? Barium enema Gallbladder series Oral cholecystogram Barium swallow 30 A client is scheduled for an oral cholecystogram. The nurse should plan to prescribe which type of diet for the evening meal before the test? Low fat Liquid (my choice) High-carbohydrate Low protein 33 0 / 1 pts The nurse is reviewing the laboratory test results for a client with a diagnosis of thrombocytopenia purpura. The nurse should expect the results for platelet aggregation to be at which level? Insignificant Decreased Increased(my choice) Normal 35 0.67 / 1 pts The nurse is reviewing the medication list for a client seen in the health care clinic. The nurse determines that which medications will increase the sodium level? Select all that apply. Nonsteroidal antiinflammatory drugs(my choice) Laxatives Oral contraceptives Stool softeners Anabolic steroids(my choice) 36 0 / 1 pts The nurse is reviewing the laboratory results of estimated glomerular filtration rate (eGFR). What are some conditions that can cause a decreased eGFR? Select all that apply. Heart failure (HF) Shock Cystitis Fluid overload Dehydration Cirrhosis with ascites 37 0 / 1 pts The nurse is reviewing the laboratory test results for a client seen in the health care clinic. The nurse determines that which level indicates the need for follow-up and immediate notification of the health care provider (HCP)? Calcium 4.0 mg/dL (1.0 mmol/L) Sodium 140 mEq/L (145 mmol/L) Potassium 4.0 mEq/L (4.0 mmol/L) Magnesium 2.0 mEq/L (1 mmol/L)(my choice) 38 0.33 / 1 pts The nurse is reviewing the laboratory results from a lumbar puncture performed in a client with a diagnosis of meningitis. Which laboratory findings are expected to be noted with bacterial meningitis? Select all that apply. Increased white blood cells (WBCs)(my choice) Clear appearance of the cerebrospinal fluid (CSF) Elevated protein level Increased glucose level Elevated cerebrospinal fluid pressure(my choice) 39 A child is receiving edetate calcium disodium (calcium ethylenediaminetetraacetic acid [EDTA]) by intravenous (IV) infusion for the treatment of lead poisoning. The health care provider (HCP) prescribes a blood level lead concentration measurement. Which action should the nurse take to obtain the blood specimen? Irrigate the IV line with normal saline before drawing the blood. Maintain the client on NPO (nothing by mouth) status 12 hours before obtaining the blood specimen. Stop the IV infusion for 1 hour before obtaining the blood. the IV infusion Obtain the blood specimen on the extremity that is not receiving.(my choice) 41 The child who weighs 17 lb is to receive 72 mg/kg/day of a prescribed medication intravenously every 4 hours. How many milligrams should the nurse administer to the child in a single dose? 673.2 92.64 139.1 448.8 46 0 / 1 pts A child is seen in the school nurse’s office with complaints of pain in his right forearm. In reviewing the child’s record the nurse notes that he has a history of being physically abused by the mother. Which should be the initial intervention with this child? Assess the child’s physical status. Report the case as suspected child abuse. Observe the interactions between the child and his friends. Ask the child how the injury occurred. 47 0 / 1 pts A client is being started on tramadol therapy for pain management after a back injury. When educating this client on tramadol therapy, what is the priority? The client cannot smoke cigarettes while taking tramadol. The client should increase the intake of calcium-rich foods. The client should avoid additional over-the-counter cough syrups. The client cannot drink alcohol while taking tramadol. 50 0.67 / 1 pts A client is admitted to a surgical unit postoperatively with a wound drain in place. Which actions should the nurse take in the care of the drain? Select all that apply. Check the drain for patency. Clamp the drain for 15 minutes every hour. Observe for bright red bloody drainage. Curl the drain tightly, and tape it firmly to the body. Maintain aseptic technique when emptying the drain. SCIENCE HEALTH SCIENCE NURSING UTPB 4250

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