Artificial Intelligence Adaptive Test #4

A 48-year-old male client hospitalized with myocardial infarction is experiencing 45 seconds of ventricular tachycardia, followed by sinus rhythm with a heart rate of 98/minute. Which next step should the nurse take?

The nurse conducted an educational activity for a 54-year-old female client diagnosed with heart failure who was admitted to the progressive care unit. Which of the following client statements indicates that client teaching has been successful?

A 66-year-old male client with chronic heart failure informs the nurse, “I felt good when I went to bed, but when I woke up in the middle of the night, I felt as if I was suffocating!” Which of the following conditions caused this client’s symptom?

Which subject will the nurse plan to address in the discharge education for a client with heart failure with decreased ejection fraction?

The client had a non-ST-elevation myocardial infarction (NSTEMI) three days ago. Which nursing intervention in the care plan may be delegated to an experienced licensed practical/vocational nurse (LPN/LVN) by the registered nurse (RN)?

Which of the following assessment findings in a client who has been undergoing thrombolytic therapy to treat an acute myocardial infarction is the most crucial for the nurse to report to the healthcare provider?

A 58-year-old male client who has just had treatment for acute myocardial infarction (AMI) inquires to the nurse about the timeline for when they might resume their sexual activity. What is the most appropriate action taken by the nurse?

The nurse is administering the thrombolytic agent to a client who is suffering from an acute myocardial infarction. Which of the following conditions urgently requires the nurse to stop the medication infusion?

A 52-year-old male client who has symptoms consistent with acute pericarditis is admitted to the hospital. Which of the following diagnostic procedures should the nurse include in the client’s education about their significance in evaluating his condition?

Which finding from the examination of a client being treated with intravenous furosemide (Lasix) for stage 2 hypertension should be communicated urgently to the healthcare provider?

A client admitted to the intensive care unit (ICU) with a hypertensive emergency is being assessed by the nurse. Which finding should be reported to the healthcare provider first?

The nurse in the progressive care unit received a report on four clients with hypertension during the shift change. Whom should the nurse evaluate first?

During the change-of-shift report, the nurse learns about a hypertensive client who had their first dosage of nadolol during the previous shift. What information suggests that the client needs prompt intervention?

A 33-year-old male client is admitted to the progressive care unit due to intermittent chest pain. A treadmill stress test was ordered by the healthcare provider for this client. Which assessment finding necessitates the quickest response from the nurse while observing a client undergoing exercise (stress) testing on a treadmill?

A 12-lead electrocardiogram (ECG) tracing is being reviewed by the nurse for a client who is 70 years old and seems to be in good health. This client is undergoing an annual medical checkup. What aspect of this diagnosis causes the nurse the most significant concern?

During cardiac catheterization, blood samples taken from the right atrium, right ventricle, and pulmonary artery are examined to determine the amount of oxygen present in each site. Which of the following data is accurate?

A diet consisting of 2 grams of salt per day has been recommended for a client with severe hypertension. The client expresses dissatisfaction with the diet to a friend, and the nurse overhears the client requesting that the friend bring in some “excellent home-cooked meals.” Which of the following should the nurse implement based on the situation?

Which of the following cardiac conditions is associated with an S4 heart sound in a 45-year-old client?

Before a client is allowed to go home after having mitral valve replacement surgery, the nurse should determine whether the client is aware of the activity limits associated with heart surgery. For example, which of the following should the client avoid doing until after they meet with the surgeon one month after they have been discharged from the hospital?

A 50-year-old female client has been admitted in the progressive care unit with a diagnosis of mitral stenosis. Which of the following symptoms the nurse identifies to support this diagnosis?

The client who has been diagnosed with heart failure and is taking digoxin should be educated by the registered nurse on the signs and symptoms of digitalis toxicity. Which of the following manifestations should be included in the teaching plan for the client to report to the healthcare provider?

A 70-year-old elderly woman has a history of cardiac failure. She is taken to the emergency room with pulmonary edema and exacerbation of heart failure. The physician prescribed furosemide, and the nurse administered it intravenously. How soon should the nurse begin to observe the drug’s desired effect after administration?

The nursing care measures for a client with a myocardial infarction include assisting the client in avoiding activities that cause Valsalva’s maneuver. Which of the following would be most effective in preventing Valsalva’s maneuver?

A client recuperating from a myocardial infarction (MI) reported that on day 3, they had chest discomfort that worsened when they took deep breaths and improved when they leaned forward. Which of the following should be the priority that the nurse gives to doing a targeted follow-up on this symptom?

The registered nurse administers sodium nitroprusside to a client experiencing a hypertensive crisis. Which nursing function may be delegated to an experienced licensed practical/vocational nurse (LPN/LVN) by the registered nurse?

Which client would the nurse most likely be preparing a medication education plan for about antiretroviral treatment (ART)?

In the teaching plan for a client who has been diagnosed with systemic lupus erythematosus (SLE), the nurse should include instructions on plasmapheresis. What kind of instructions should they be?

Which of the following statements made by a client diagnosed with systemic lupus erythematosus (SLE) demonstrates that the client has understood the teaching provided by the nurse about the condition?

A client is brought to the hospital with Pneumocystis jiroveci pneumonia (PCP) and a CD4+ T-cell count of fewer than 200 cells/L. In addition, the client has a positive test for human immunodeficiency virus (HIV) antibodies. Which of the following statements made by the nurse is accurate, considering the diagnostic criteria given by the Centers for Disease Control and Prevention (CDC)?

Which action would the nurse include in the care plan for a client who suffers from significant thalassemia?

A client who may be experiencing disseminated intravascular coagulation presents to the emergency room with significant back pain, a fever of 102°Fahrenheit (38.9 °Celsius), and blood pressure readings of 80/40 mm Hg. Which of the recommended interventions will the nurse carry out first?

A male client with hemophilia asks the nurse whether his children will have hemophilia. Which nurse’s reaction is correct?

A client at the emergency room complains of back discomfort and breathing difficulties minutes after a packed red blood cell transfusion began. What should be the nurse’s initial action?

.

Which assessment finding should the nurse caring for a thrombocytopenia client immediately report to the health care provider?

Which instruction will the nurse include in the discharge teaching for a sickle cell crisis client?

Which of the following statements by a client demonstrates a good knowledge of the nurse’s training regarding sickle cell crisis prevention?

A 32-year-old client is admitted to the progressive care unit with hemolytic anemia. Which of the following interventions should the nurse implement for this client?

A client who harvests honey for extra money has acquired an allergy to bee stings. Which of the following statements, if reported by the client, would suggest the need for additional instruction?

A 25-year-old female client with systemic lupus erythematosus (SLE) has a face rash and tells the nurse, “I never leave my home because I despise the way I look.” Which nursing diagnosis is appropriate for the nurse to collaborate with the client to formulate actions regarding her situation?

A new client who presents with joint swelling and discomfort is now undergoing testing to determine whether they have systemic lupus erythematosus. Which test will offer the nurse the most particular results to examine?

A client who has been told that their quick antibody test result for human immunodeficiency virus (HIV) is positive is visibly distressed and does not seem to listen to what the nurse is saying. Which step taken by the nurse is now the most vital to this situation?

For the nurse to determine whether the therapy that was administered to the client experiencing anaphylactic shock was successful, which evaluation information is the most crucial to obtain?

Treatment with a high dosage of prednisone has been recommended for two weeks for a 29-year-old female client who has systemic lupus erythematosus. Which aspects of prednisone should the nurse emphasize the most while communicating with the client?

In the case of a client diagnosed with systemic lupus erythematosus (SLE), what findings should the nurse emphasize when discussing with the health care provider?

A postoperative client having a packed red blood cell transfusion suffers chills, fever, headache, and anxiety 35 minutes after the transfusion begins. What should the nurse do when the transfusion is stopped?

Which client should the nurse assign as a roommate for a client diagnosed with aplastic anemia?

While obtaining the client’s medical history, the nurse discovers that the client suffers from allergic rhinitis and several food allergies. In addition, the client had previously worked in an industry that manufactures rubber tires. Which of the nurse’s actions is the appropriate one?

Which clinical symptom should the nurse monitor while evaluating the client who is receiving plasmapheresis?

When the human immunodeficiency virus (HIV) status of the client is unknown, which client exposure by the nurse is most likely to necessitate postexposure prophylaxis?

When a client’s platelet count decreases to 110,000/L after getting IV heparin infusion and oral warfarin (Coumadin) for a deep vein thrombosis (DVT), he is diagnosed with heparin-induced thrombocytopenia (HIT). Which of the following actions will the nurse include in the plan of care?

A 42-year-old client visited the primary care clinic, where he complained of feeling full even after emptying his bladder and a fragmented urine stream. Which of the following medical histories should the nurse ask the client?

The nurse is providing health teaching to a client admitted with uric acid calculi. Which of the following food items should the nurse teach the client to avoid?

A 42-year-old female client diagnosed with nephrotic syndrome has flank discomfort. Which of the following therapeutic drug classification should the nurse include in the health teaching to manage the client’s condition?

Anticoagulant

Which of the following findings about a client hospitalized with glomerulonephritis provides the nurse with evidence that the therapy has been successful?

The nurse educated a 22-year-old female client who had been diagnosed with cystitis. Which of the following assertions stated by the client about cystitis self-care is accurate?

Yesterday, a client underwent a cystectomy and an ileal conduit procedure. Which of the newly acquired evaluation findings should the nurse convey as their top priority to the health care provider?

An anxious and confused 76-year-old client with benign prostatic hyperplasia (BPH) has a noticeably distended bladder. Which of the interventions ordered that the nurse carry out first?

What information will be provided when a nurse teaches self-management to a peritoneal dialysis client? Select all that apply.

Who among the clients should the nurse check first after obtaining the report from the previous shift?

A 78-year-old client is developing stage 5 chronic renal disease and asks the nurse, “Should I begin the dialysis treatment?” What would be the nurse’s best reaction?

A 55-year-old client with chronic kidney disease started on hemodialysis treatment and is now complaining of nausea and vertigo. Which action should the nurse take initially?

A client with chronic kidney disease (CKD) is undergoing peritoneal dialysis with 2-L inputs. Which data should the nurse promptly report to the health care provider?

Oliguria, anemia, and hyperkalemia are assessed in a 40-year-old client with acute renal injury owing to dehydration. Which prescribed action must the nurse take initially?

A 62-year-old client has been hospitalized for four days due to acute kidney injury (AKI) precipitated by dehydration. What is the most critical information for the nurse to report to the healthcare provider?

Tacrolimus (Prograf), cyclosporine (Sandimmune), and prednisone are the immunosuppressants being administered to a client who is 40 years old and had a kidney transplant eight years ago. Which data from the assessment will the nurse be most concerned about?

A client diagnosed with chronic kidney disease (CKD) for several years and has been progressively losing kidney function has just started going through regular hemodialysis. What specific knowledge about food will the nurse impart to the client throughout their instruction?

For a client scheduled for hemodialysis, which of the following nursing interventions should be included in the care plan to maintain the client’s patency of the fistula in their left arm?

The nurse needs to review the laboratory findings for a client with chronic kidney disease (CKD) before giving them calcium carbonate. Which laboratory result should be reviewed?

Which selection from the menu made by the client undergoing hemodialysis is evidence that the nurse’s education was effective?

A client has arrived for a planned session of hemodialysis. Which nursing activity is most suitable for delegation to a dialysis technician by a registered nurse (RN)?

An adult client is instructed by the nurse on how to maintain good kidney health and avoid future episodes of renal calculi. Which of these actions are known to prevent the development of kidney stones?

A client who has been hospitalized with acute glomerulonephritis will be interviewed by the nurse about their medical history to establish probable reasons. Which of the following risk factors causes acute glomerulonephritis?

When teaching a client with a urinary tract infection (UTI) how to use phenazopyridine, the nurse will tell the client which of the following?

A 65-year-old client with benign prostatic hyperplasia is most likely to have an upper urinary tract infection (UTI) if the nurse finds which of the following?

A nurse is providing care for a 24-year-old client with burns on their ears, head, neck, right arm, and right hand. The nurse should place the client in which position?