Chapter Questions
List four common symptoms of pneumonia the nurse might note on physical examination.
Differentiate between acute renal failure and chronic renal failure.
How do clients experiencing angina describe that pain?
List four nursing interventions for the client with a hiatal hernia.
What diagnostic test is used to determine thyroid activity?
Differentiate between rheumatoid arthritis and OA in terms of joint involvement.
What are the classifications of the commonly prescribed eye drops for glaucoma?
List three potential causes of anemia.
What are the indications for a hysterectomy in a client who has fibromas?
List four categories of burns.
State four nursing interventions for assisting the client to cough productively.
During the oliguric phase of renal failure, protein should be severely restricted. What is the rationale for this restriction?
Develop a teaching plan for a client taking nitroglycerin.
List three categories of medications used in the treatment of PUD.
What condition results from all treatments for hyperthyroidism?
Identify the categories of drugs commonly used to treat arthritis.
Identify two types of hearing loss.
Write two nursing diagnoses for the client suffering from anemia.
List the symptoms and conditions associated with a cystocele.
Burn depth is a measure of severity. Describe the characteristics of superficial partial-thickness, deep partial-thickness, and full-thickness burns.
What symptoms of pneumonia might the nurse expect to see in an older client?
Identify two nursing interventions for the client on hemodialysis.
List the parameters of BP for diagnosing HTN.
List the symptoms of upper and lower GI bleeding.
State three symptoms of hyperthyroidism and three symptoms of hypothyroidism.
Identify pain relief interventions for clients with arthritis.
Write four nursing interventions for the care of the blind person and four nursing interventions for the care of the deaf person.
What is the only IV fluid compatible with blood products?
What are the most important nursing interventions for the postoperative client who has had a hysterectomy with an A\&P repair?
Describe fluid management in the emergent phase, acute phase, and rehabilitation phase of the burned client.
. How does the nurse prevent hypoxia during suctioning?
What is the highest priority nursing diagnosis for clients in any type of renal failure?
Differentiate between essential and secondary HTN.
What bowel sound disruptions occur with an intestinal obstruction?
List five important teaching aspects for clients who are beginning corticosteroid therapy.
What measures should the nurse encourage female clients to take to prevent osteoporosis?
In your own words, describe the Glasgow Coma Scale.
What actions should the nurse take if a hemolytic transfusion reaction occurs?
Describe the priority nursing care for a client who has had radiation implants.
Describe pain management of the burned client.
During mechanical ventilation, what are three major nursing interventions?
A client in renal failure asks why antacids are being given. How should the nurse reply?
Develop a teaching plan for a client taking antihypertensive medications.
List four nursing interventions for postoperative care of a client with a colostomy.
Describe the physical appearance of clients who have Cushing syndrome.
What are the common side effects of salicylates?
List four nursing diagnoses for the comatose client in order of priority. (Remember Maslow's hierarchy of needs to help determine priorities.)
List three interventions for clients with a tendency to bleed.
What screening tool is used to detect cervical cancer? What are the American Cancer Society's recommendations for the Pap smear screening for females under age 21?
Outline admission care of the burned client.
When examining a client with emphysema, what physical findings is the nurse likely to see?
List four essential elements of a teaching plan for clients with frequent urinary tract infections.
Describe intermittent claudication.
List the common clinical manifestations of jaundice.
Which type of diabetes always requires insulin replacement?
What is the priority nursing intervention used with clients taking NSAIDs?
State four independent nursing interventions to maintain adequate respiration, airway, and oxygenation in the unconscious client.
Identify two sites that should be assessed for infection in immunosuppressed clients.
Cite two nursing diagnoses for a client undergoing a hysterectomy for cervical cancer.
Nutritional status is a major concern when caring for a burned client. List three specific dietary interventions used with burned clients.
What is the most common risk factor associated with lung cancer?
What are the most important nursing interventions for clients with possible renal calculi?
Describe the nurse's discharge instructions to a client with venous PVD.
What are the common food intolerances for clients with cholelithiasis?
Which type of diabetes sometimes requires no medication?
List three of the most common joints that are replaced.
Who is at risk for stroke?
Name three food sources of vitamin $B_{12}$.
What are the three most important tools for early detection of breast cancer? How often should these tools be used?
Describe the method of extinguishing each of the following burns: thermal, chemical, and electrical.
Describe the preoperative nursing care for a client undergoing a laryngectomy.
What discharge instructions should be given to a client who has had urinary calculi?
What is often the underlying cause of an abdominal aortic aneurysm?
List five symptoms indicative of colon cancer.
List five symptoms of hyperglycemia.
Describe postoperative residual limb (stump) care (after amputation) for the first 48 hours.
Complications of immobility include the potential for thrombus development. State three nursing interventions to prevent thrombi.
Describe care of invasive catheters and lines.
Describe three nursing interventions to help decrease edema postmastectomy.
List four signs of an inhalation burn.
List five nursing interventions after chest tube insertion.
After transurethral resection of the prostate gland (TURP), hematuria should subside by what postoperative day?
What laboratory values should be monitored daily in a client with thrombophlebitis who is undergoing anticoagulant therapy?
In a client with cirrhosis, it is imperative to prevent further bleeding and observe for bleeding tendencies. List six relevant nursing interventions.
List five symptoms of hypoglycemia.
Describe nursing care for the client who is experiencing phantom pain after amputation.
List four rationales for the appearance of restlessness in the unconscious client.
List three safety precautions for the administration of antineoplastic chemotherapy.
Name three priorities to include in a discharge plan for a client who has had a mastectomy.
Why is the burned client allowed no "free" water?
What immediate action should the nurse take when a chest tube becomes disconnected from a bottle or suction apparatus? What should the nurse do if a chest tube is accidentally removed from the client?
After the urinary catheter is removed in the TURP client, what are three priority nursing actions?
When do PVCs present a grave danger?
What is the main side effect of lactulose, which is used to reduce ammonia levels in clients with cirrhosis?
Name the necessary elements to include in teaching a client newly diagnosed with diabetes.
A nurse discovers that a client who is in traction for a long bone fracture has a slight fever, is short of breath, and is restless. What does the client most likely have?
What nursing interventions prevent corneal drying in a comatose client?
Describe the use of leucovorin.
What is the most common cause of nongonococcal urethritis?
Describe an autograft.
What instructions should be given to a client after radiation therapy?
After kidney surgery, what are the primary assessments the nurse should make?
Differentiate between the symptoms of left-sided cardiac failure and rightsided cardiac failure.
List four groups who have a high risk for contracting hepatitis.
The nurse is in a situation where there is no premixed insulin. In fewer than 10 steps, describe the method of drawing up a mixed dose of insulin (regular with NPH).
What are the immediate nursing actions if fat embolization is suspected in a client with a fracture or other orthopedic condition?
When can a comatose client on IV hyperalimentation begin to receive tube feedings instead?
Describe the method of collecting the trough and peak blood levels of antibiotics.
What is the causative organism of syphilis?
What precautions are required for clients with TB when placed on respiratory isolation?
List three symptoms of digitalis toxicity.
How should the nurse administer pancreatic enzymes?
Identify the peak action time of the following types of insulin: rapid-acting regular insulin, intermediate-acting insulin, and long-acting insulin.
List three problems associated with immobility.
What is the most important principle in a bowel management program for a client with neurologic deficits?
List four nursing interventions for care of the client with Hodgkin disease.
Malodorous, frothy, greenish-yellow vaginal discharge is characteristic of which STD?
List four components of teaching for the client with tuberculosis.
What condition increases the likelihood that digitalis toxicity will occur?
When preparing a client with diabetes for discharge, the nurse teaches the client the relationship between stress, exercise, bedtime snacking, and glucose balance. State the relationships among each of these.
List three nursing interventions for the prevention of thromboembolism in immobilized clients with musculoskeletal problems.
. Define stroke.
List four topics you would cover when teaching an immunosuppressed client about infection control.
Which STD is characterized by remissions and exacerbations in both males and females?
What lifestyle changes can the client who is at risk for HTN initiate to reduce the likelihood of becoming hypertensive?
When making rounds at night, the nurse notes that a client prescribed insulin is complaining of a headache, slight nausea, and minimal trembling. The client's hand is cool and moist. What is the client most likely experiencing? 15. Identify five foot-care interventions that should be taught to a client with diabetes.
A client with a diagnosis of stroke presents with symptoms of aphasia and right hemiparesis but no memory or hearing deficit. In what hemisphere has the client suffered a lesion?
Outline a teaching plan for a client with an STD.
What immediate actions should the nurse implement when a client is having a myocardial infarction?
What are the symptoms of spinal shock?
What symptoms should the nurse expect to find in a client with hypokalemia?
What are the symptoms of autonomic dysreflexia?
Bradycardia is defined as a heart rate below $\qquad$ bpm. Tachycardia is defined as a heart rate above $\qquad$ bpm.
What is the most important indicator of increased ICP?
What precautions should clients with valve disease take before invasive procedures or dental work?
What vital sign changes are indicative of increased ICP?
A neighbor calls the neighborhood nurse stating that he was knocked hard to the floor by his very hyperactive dog. He is wondering what symptoms would indicate the need to visit an emergency department. What should the nurse tell him to do?
What activities and situations that increase ICP should be avoided?
What is the action of hyperosmotic agents (osmotic diuretics) used to treat ICP?
Why should narcotics be avoided in clients with neurologic impairment?
Headache and vomiting are symptoms of many disorders. What characteristics of these symptoms would alert the nurse to refer a client to a neurologist?
How should the head of the bed be positioned for postcraniotomy clients with infratentorial lesions?
Is multiple sclerosis thought to occur because of an autoimmune process?
Is paralysis always a consequence of spinal cord injury?
What types of drugs are used in the treatment of myasthenia gravis?