Exam 2

The nurse recieves a phone call from a clinic client who experienced fever and slight dyspnea several hours after receiving the pneumococcus vaccine one day earlier. What is the nurse’s most appropiate action?

The community health nurse is designing programs to reduce kidney problems among the general public. In order to do so, the nurse targets health promotion and compliance with therapy for people with which conidition?

A client’s exposure to which microorganism is most likely to trigger a cellular response?

A nurse is caring for a client who has had an anaphylactic reaction after a bee sting. The nurse is providing client teaching prior to the client’s discharge. In the event of an anaphylactic reaction, the nurse explains that the client should self-administer epinephrine at which site?

Cholelithiasis is the formation of calculi in the gallbladder. What is the most common form of stones found in this condition?

A client with a family history of allergies has experienced an allergic response based on a genetic predisposition. The atopic response is usually mediated by which immunoglobin?

The nurse is assessing a client who has a 35 pack-year history of cigarette smoking. Considering this known risk factor for lung cancer, which statement by the client should prompt the nurse to refer the client for further assessment?

A client is scheduled or tests to verify the medical diagnosis of chloecystitis. For which diagonistic test does the nurse provide client teaching?

A nurse is caring or a client who has a diagnosis of acute myelocytic leukemia. Assessment of which factor most directly addresses the most common cause of death among clients with leukemia?

An 87-years-old client has been hospitalizied with pneumonia. Which nursing action would be a priority in this client’s plan of care?

The nurse explains to the client diagnosed with acute pancreatitis that it is associated with?

The client is diagnosed with acute appendicitis. Based on this diagnosis, which intervention does the nurse perform?

What is the most serious electrolyte disorder associated with kidney disease?

A client has been transported to the emergency department after a severe allergic reaction. How should the nurse evalute the client’s respiratory status?

A client possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a client with this diagnosis?

A client on a medical unit has a potassium level of 6.9 mEq/L. What is the priority action that the nurse should take?

The nurse is caring for the client with acute appendicitis. Which intervention will the nurse perform?

_______ defines a complex nonspecific response to tissue injury intended to minimize the effects of injury or infection, remove the damaged tissue, generate new tissue and facilitate healing.

A common cause of prerenal kidney injury is?

A 16-years-old presents at the ER reporting right lower quadrant pain and is subsequently diagnosed with appendicitis. When planning this client’s nursing care, the nurse should prioritize what nursing diagnosis?

You are caring for a 45-years-old client who is admitted with suspected acute pancreatitis. The client reports having extreme mid-epigastric pain that radiated to the back. The client states the pain started last night after eating fast food. As the nurse, you know that which of the following are the most common causes of acute pancreatitis.

A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?

A client has a medical diagnosis of cholecystitis. or which procedure does the nurse prepare the client for gallstone removal?

What is the best rationale for health care providers receiving the influenza vaccination on a yearly basis?

The client states, “I hit my leg on the car door 4 or 5 days ago, and it has been sore ever since.” The client has a history of chronic venous insufficiency. Which intervention should the nurse anticipate for this client?

The nurse completed a focused assessment addressing a client’s immune function. What should the nurse prioritize in the physical assessment?

The nurse’s assemesnt reveals that the client has an increased work of breathing due to copious trachebronchial secretions. What should the nurse encourage tje client to do?

A client has come to the clinic for follow-up of acute pyelonephritis. Which action does the nurse reinforce to the client?

The nurse recognizes that _____ is the cardinal symptom of GERD.

Which inormation would be the most essential to give this client about preventing possible drug interactions?

What should the nurse explain about commonalities between all the different subtypes of leukemia?

Which nutrient does the nurse expect to be limited in a client with acute renal failure?

A nurse is preparing a client for allergy skin testing. What precautionasry step is most important for the nurse to follow?

An oncology nurse recognizes a client’s risk for fluid imbLnce while the client is undergoing treatment for leukemia. What related assessments should the nurse include in the client’s plan of care?

What action has the greatest potential to prevent UTIs in long-term care facility?

The nurse should perform what other action when an assessment reveals the presence of ecchymoses?

The nurse examing a client for acute bronchitis notes the following clincal manifestation

What response related to risk for lung cancer is the most accurate?

The nurse understands that the AKIN acute renal failure staging system uses ____ to determine severity.

How should the nurse teach the client with GERD to control symptoms?

The following is true of acute bronchitis

In which phase of acute renal failure will the nurse expect to observe <400mL urine output per day, metabolic acidosis, neuro and cardiac changes

The client comes to the ER with right lower quadrant pain. What does the ED nurse suspect?

A client is diagnosed with interstital nephritis. Which nursing action is relevant and specific for this client’s medical condition?

Which lab value does the nurse expect may occur with a dx of appendicitis?

What conidition does the nurse suspect or a patient who comes into the ER with sudden continous pain that radiates to his back.

Antihistamines would be contraindicated in the care of which client?

What should the nurse teach the client about severe dermatitis?

Which aspects of the client’s lifestyle may have a negative effect on immune response?