Download NU 372(Adult Health Nursing II)FINAL EXAM PREP 2025|136Qs&As|ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!
NU 372(Adult Health Nursing II)FINAL EXAM PREP
2025|136Qs&As|ALREADY GRADED A+
Which data would the nurse document for a client who returns to the clinic with induration of the skin 48 hours after receiving a purified protein derivative (PPD) test? Select all that apply.. The client has been exposed to tuberculosis. Which action would the nurse take when a client receiving an infusion of penicillin reports having an anaphylactic reaction to penicillin in the past? Select all that apply.
- notifying rapid response
- measuring O2 level
- administering epinephrine
- inserting an indwelling catheter
- assessing the respiratory pattern Which intervention would the nurse recommend to decrease tuberculosis (TB) in the community? Select all that apply.. Improving financial resources Eliminating overcrowded housing Initiating needle-sharing programs Improving access for food pantries
Providing barrier contraceptive devices The nurse understands which vaccine is administered through the intranasal route? influenza live vaccine Which strategies would the nurse use to reduce pain during or after vaccination in a child? Select all that apply.. Applying topical anesthetic Providing tactile stimulation Holding the child upright during vaccination A client has a history of a persistent cough, hemoptysis, unexplained weight loss, fatigue, night sweats, and fever. Which risk would be assessed? HIV The nurse is providing counseling to a client with the diagnosis of systemic lupus erythematosus (SLE). Which recommendations are essential for the nurse to include? Select all that apply.. "Wear a large-brimmed hat." "Take your temperature daily." "Balance periods of rest and activity."
An adolescent has been admitted with a history of symptoms of fatigue, intermittent fever, weight loss, and arthralgia, and the diagnosis is systemic lupus erythematosus. Which is the best intervention at this time? Education about diet, rest, and exercise Which potential clinical manifestations would the nurse associate with a client diagnosed with systemic lupus erythematosus (SLE)? Select all that apply..
- joint pain
- facial rash
- pericarditis Which type of hypersensitivity reaction would the nurse teach a client with rheumatoid arthritis (RA)? immune complex Which assessment findings would the nurse identify in a client with clinical manifestations of rheumatoid arthritis (RA)? Select all that apply.. Development of antinuclear antibodies Inflammatory disease pattern Bilateral involvement of metacarpophalangeal joints
Which instruction would the nurse share with the client receiving etanercept therapy for rheumatoid arthritis? Report site reaction Which factor explains why a client who experiences an acute episode of rheumatoid arthritis has swollen finger joints? Inflammation in the joint's synovial lining Which laboratory test would the nurse review for a client suspected to have rheumatoid arthritis? Antinuclear antibody Which intervention would the nurse teach the client who has rheumatoid arthritis to alternate with periods of rest? Active exercises Which nursing intervention indicates misinformation when providing care for clients with the human immunodeficiency virus (HIV) infection? "I will ask the client to avoid involvement in community activities." When providing care for a client with human immunodeficiency virus (HIV) infection, which clinical manifestation would the nurse report immediately to the primary health care provider? Blood in the urine
A client who shares equipment to snort or smoke drugs Which instruction indicates a lack of understanding of a nurse teaching a human immunodeficiency virus (HIV)-positive client about strategies to prevent opportunistic infections? "Reuse cups after washing them with warm soapy water." Which actions transmit the human immunodeficiency virus (HIV)? Select all that apply.. Sharing syringe needles Breast-feeding a newborn anal intercourse Which action by an uninfected individual would not pose a risk of exposure to human immunodeficiency virus (HIV)? The individual donates a pint of blood to the blood bank. Which organism is a common opportunistic infection in a client infected with human immunodeficiency virus (HIV)? Oropharyngeal candidiasis
In clients with human immunodeficiency virus (HIV), which potential complication is most important for the nurse to teach prevention strategies? infection While providing care for four clients with human immunodeficiency virus (HIV) infections, the nurse notes newly developed clinical manifestations. Which client's condition would the nurse be able to delay reporting to the primary health care provider until unit rounds are made within the next 24 hours? A: burning, itching and discharge from the eyes B: blood in the urine C: yellow discoloration of the skin D: nausea and vomiting accompanied by abdominal pain client A Which medication is used to treat Helicobacter pylori infection? Select all that apply.. Amoxicillin
The registered nurse (RN) is caring for a client who is on isolation precautions. Which tasks can be safely assigned to the nursing assistive personnel? Select all that apply.. Bringing equipment to the client's room Transporting the client to a diagnostic test Which characteristic of urine changes in the presence of a urinary tract infection (UTI)? Clarity Which evidenced-based nursing intervention links to reducing catheter associated urinary tract infections (CAUTIs) in clients requiring long-term indwelling catheters? Perform catheter care twice a day. A client with active tuberculosis is walking down the hall to obtain a glass of juice from the kitchen, even after having received education regarding airborne precautions. Which nursing intervention would the nurse implement at this time? Explore what the airborne precautions mean to the client.
A client's sputum smears for acid-fast bacilli (AFB) are positive and requires transmission-based airborne precautions. Which instruction would the nurse teach when orienting the client's visitors? Wear a particulate respirator mask when in the room. How would the nurse explain the purpose of standard precautions to the nursing assistant on a surgical unit? Decrease the risk of transmitting unidentified pathogens The client is on neutropenic precautions. From which direction does the protective environment isolation help prevent the spread of infection? To the client from outside sources A client with a methicillin-resistant Staphylococcus aureus (MRSA) infected wound is scheduled for a computed tomography (CT) scan. To ensure client and visitor safety during transport, the nurse would implement which precaution? Cover the infected site with a dressing.
While performing a respiratory assessment of a client with pneumonia, the nurse hears these sounds. Which assessment finding would the nurse document in the client's medical record? (sounds like a door creaking) Pleural friction rubs A client is admitted to the hospital with a diagnosis of pneumonia. In which order should the following nursing actions be accomplished?
- obtain assessment info
- collect a sputum sample for culture and sensitivity
- administer prescribed antibiotic intravenous piggyback 4.check peak and trough levels of the antibiotic
- review chest x-ray on an ongoing basis A client with tuberculosis receives instructions regarding isoniazid (INH) therapy from the assigned nurse. Which client statement indicates a misunderstanding of the content? "I should apply sunscreen and wear sun-protective clothing while going outside." Place the pathophysiologic process of a tuberculosis (TB) infection in the correct order.
TB bacillus in the lungs creates a granulomatous inflammation. 2.Collagen, fibroblasts, and lymphocytes surround the granulomatous inflammation 3.Caseation necrosis occurs in the center of the lesion. 4.Areas of caseation undergo resorption, degeneration, and fibrosis. 5.Necrotic areas calcify or liquefy. A client who sustained a significant reaction to the tuberculin skin test has negative findings on bacteriologic studies. X-ray findings and clinical evidence for tuberculosis (TB) were negative. Which class of TB would the nurse suspect? class II The nurse initiates rifampin for a client with tuberculosis. Which instructions would the nurse teach about this medication? Select all that apply.. "Avoid drinking alcohol as long as you are on this medication." "Notify your provider immediately if you develop a yellow appearance to your skin." "Your soft contact lenses will become permanently stained because of this medication."
N95 Mask Which clinical manifestation is associated with cellulitis? Lymphadenopathy A primary health care provider diagnoses the client's condition as otitis media. Which assessment finding supports that diagnosis? redness of the eardrum The nurse would include which instruction to the parents of a child being treated with oral ampicillin for otitis media? complete entire course of antibiotic therapy If the public health department issues a statement predicting a particularly difficult influenza season, how might this affect client care? Staff may decide to stay at home instead of go to work.
Which intervention would the nurse perform to prevent disease transmission when caring for a hospitalized client with influenza? Don a mask in the room. Which nursing action will be most helpful in preventing transmission of influenza in crowded communities? Educating about the importance of having annual vaccinations Which information will the employee health nurse include when teaching about ways to prevent transmission of influenza in the workplace? Select all that apply..
- Sneeze or cough into the upper sleeve.
- Use alcohol-based hand sanitizers after blowing the nose.
- Turn the head away from others when coughing or sneezing. A client is admitted to the hospital with a long history of uncontrolled hypertension. Which laboratory result will be most important for the nurse to review? Blood urea nitrogen
A client with hypertension tells the nurse, "I took the blood pressure pills for a few weeks, but I didn't feel any different, so I decided I'd only take them when I feel sick." Which is the best action for the nurse to take? Ask the client questions to determine the current understanding of high blood pressure. A 30-year-old client who is diagnosed with hyperlipidemia and hypertension asks the nurse to explain why treatment is important, stating "I feel fine, so I don't really see the need to make any changes." Which response would the nurse make? "Both high blood pressure and high cholesterol contribute to development of heart disease." After the nurse has completed teaching a client with hypertension about a heart- healthy diet, which meal choice by the client indicates that the teaching has been effective? Grilled steak and green salad Which medication would be prescribed to reduce hypertension in a pregnant client? magnesium sulfate
A pregnant woman at risk of preterm labor is diagnosed with hypertension. For which medication would the nurse anticipate developing a teaching plan? magnesium sulfate A client was prescribed a medication for pregnancy-induced hypertension and later developed muscle weakness, edema, and nausea. Which medication was administered to the client to treat pregnancy-induced hypertension? magnesium sulfate After a short hospitalization for an episode of a transient ischemic attack (TIA) related to hypertension, a client is discharged on a regimen that includes chlorothiazide. Which instruction will the nurse give the client regarding nutrition? "Eat more dark green, leafy vegetables such as spinach." A client is admitted to the hospital, and benazepril is prescribed for hypertension. Which is an appropriate nursing action for clients taking this medication? Assess for dizziness.
