A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?
A. "I will call your physician to see if we can start some ginger."
B. "We don't use home remedies in this clinic."
C. "Herbs are not as effective as regular medicines."
D. "Just eat some dry crackers instead."
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
A. upper right
B. upper left
C. lower right
D. lower left
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, "I need this surgery because nothing else I have done has helped me to lose weight."
Which response by the nurse is most appropriate?
A. "If you eat less, you can save some money."
B. "Exercise is a healthier way to lose weight."
C. "You should try the Atkins diet first."
D. "I respect your decision to choose surgery."
Which of the following organs of the digestive system has a primary function of absorption?
A. stomach
B. pancreas
C. small intestine
D. gallbladder
Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
A. Transfuse netrophils (granulocytes) to prevent infection.
B. Exclude raw vegetables from the diet.
C. Avoid administering rectal suppositories.
D. Prohibit vases of fresh flowers and plants in the client's room.
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP ?nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine.
In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
A. cushingoid appearance
B. alopecia
C. temporary or permanent sterility
D. pathologic fractures
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated.
Which of the following assessment findings indicates a positive response to Heparin therapy?
A. increased platelet count
B. increased fibrinogen
C. decreased fibrin split products
D. decreased bleeding
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
A. metastatic liver cancer
B. gram-negative septicemia
C. pernicious anemia
D. iron-deficiency anemia
What do the following ABG values indicate:
pH 7.38, PO2 78 mmHg, PCO2 36mmHg, HCO3 24 mEq/L?
A. metabolic alkalosis
B. homeostasis
C. respiratory acidosis
D. respiratory alkalosis
The major electrolytes in the extracellular fluid are __________.
A. potassium and chloride
B. potassium and phosphate
C. sodium and chloride
D. sodium and phosphate
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