Tiêu đề RECALLS 13 - NP4 - SC ✅

45. The client receiving blood transfusion begins to wheeze on respiration, itch and observes that his skin becomes flushed with hives. The nurse recognizes these signs as characteristic of what type of reaction? A. Bacterial B. Hemolytic C. Allergic D. Systemic 46-50. Situation. Nurse Olan works the day shift in the female medical unit. Nurse Olan is aware that when caring for clients, the nursing process can be an effective tool for communication. 46. Nurse Olan understands that the MOST important aspect of communication is to_____ A. Observe the facial expressions of your patients. B. Clarify the statements made. C. Listen to what is being said. D. Restate the words you hear from the client. 47. Which of the following activities will Olan consider to validate effectiveness of a nurse-client communication? A. Assessment of the physician. B. Feedback from the client. C. Adaptation of the client to physiologic changes. D. Conference with the members of the health team. 48. Nurse Olan formulates nursing diagnoses for her clients. She knows that a nursing diagnosis represents the: A. Prepared plan of care. B. Actual nursing interventions carried out. C. Nursing judgments about the health of her patients. D. Actual or potential health problems of her patients. 49. Nurse Olan collects data and begins to develop a trust relationship with her clients. This activity is what aspect of the nursing process? A. Evaluation B. Implementation C. Planning D. Assessment 50. Nurse Olan understands that the nursing process is a scientific method and a proven form for: A. Problem solving B. Health education C. Oral communication D. Cost containment 51-55. Situation. The nurse assists in the care of female clients. Jaira is a 35 year old woman with hyponatremia. According to the client she is taking diuretic medications. 51. Which of the following statements is TRUE about hyponatremia? A. Hyponatremia from diuretic use may produce small quantities of urine. B. Hyponatremia occurs because of excess fluid volume diluting the potassium. C. A serum sodium level determined above 135 mEq/L indicates hyponatremia. D. Hyponatremia from diuretic use may produce large quantities of urine. 52. In assessing the client, the nurse should focus on which part of the following? The ______: A. Spiritual state of the client B. Physical signs and symptoms C. Diagnostic to be done on the client D. Mental status of the client Ratio: Hyponatremia could cause seizures. 53. The nurse writes a nursing diagnosis. Which of the following is appropriate? A. Disturbed thought processes B. Decreased cardiac output C. Activity intolerance D. Ineffective breathing pattern 54. The client has a serum sodium level of 115 mEq/L. a priority nursing intervention is for the nurse to: A. Give frequent oral care B. Take precautions for occurrence of seizures C. Monitor cardiac rhythm D. Take the vital signs every two hours 55. The nurse is much aware that a client receiving D5W at 100 ml/hr. is MOST at risk for developing which of the following conditions? A. Hyponatremia B. Fluid volume excess C. Hypernatremia D. Fluid volume deficit 56-60. Situation. Nurse Frances assists in the care of female patients with coronary artery disease (CAD). She schedules time to educate these groups of women about CAD. 56. A correct statement about CAD in women is that _____: A. Hormone Replacement Therapy is recommended for prevention of coronary artery disease. B. Women develop CAD earlier than men. C. The genetic component for CAD is weak. D. The rate of women having CAD is steadily rising while it is declining in men. 57. Research indicates that a woman with CAD needs to exercise to decrease the risk of having CAD. Which of the following exercises is recommended? A. Light to moderate exercise for 30 minutes 5x a week. B. Light exercises (walking) 20 minutes 3x a week. C. Aggressive exercise for 30 minutes 3x a week D. Moderate exercise for 20 minutes 5x a week. 58. Nurse Frances gives information about blood pressure in women. Which of the following statements is correct? A. Hypertension doesn’t affect CAD risk as women age. B. Low blood pressure is twice as common as oral contraceptive users. C. Twenty percent of women have hypertension before menopause. D. Weight, age, and oral contraceptive use affect blood pressure. 59. Nurse Frances explains that stress can be managed by which of the following: A. An individual has low and constant stress B. An individual has high stress level and low control C. An individual has high control and low stress level D. Stress is controlled over short periods. 60. Nurse Frances explains that stress can be managed by which of the following: A. Socializing with other patients with similar disease B. Taking in prescribed medications to relieve you of stress. C. Finding spiritual meaning in what you are experiencing D. Reflecting on your condition and accepting it. 61-65. Situation. The nurse assists in the care of a female client, 45 years old admitted for severe pain related to cancer. 61. In relieving pain related to cancer, which of the following nursing actions is MOST appropriate? A. Keep the room well-lighted so that the nurse can assess the client thoroughly. B. Allow the client to stay in one position to prevent the occurrence of pain. C. Apply heat or cold in the areas that are painful as prescribed by the physician. D. Place a hand bedroll behind the client’s back. 62. The client has a tunneled epidural catheter to control pain. The catheter site should be assessed every shift by the nurse on duty. Which of the following signs indicate catheter migration or tissue trauma? A. Bright red bleeding under the dressing. B. Catheter insertion site is red, swollen with purulent discharges. C. Bright red bleeding and fluid collecting under the dressing with loss of pain control. D. Bright red bleeding and fluid collecting under the dressing. 63. If catheter becomes disconnected from the tubing, the nurse should use which of the following solutions to clean the tubing or connectors: 4 | Page