nursing management

Chapter 45--Dermatological Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client’s wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called: 1 autolytic debridement. 2 enzymatic debridement. 3 mechanical debridement. 4 sharp debridement. PTS: 1 DIF: Analyze REF: Debridement 2. A client is experiencing a circular lesion with an advancing, red, scaly border on the abdomen. The nurse recognizes this lesion as be...

Chapter 44--Assessment of Integumentary Function MULTIPLE CHOICE 1. A client has sustained an injury to the skin that extends into the innermost layer, which is called the: 1. stratum germinativum. 2. stratum granulosum. 3. stratum lucidum. 4. stratum spinosum. PTS: 1 REF: Epidermis 2. A client has a yellow tone to the skin. The nurse realizes that which of the following cells are responsible for the yellow tone of the skin? 1. Carotenoids 2. Langerhans’ cells 3. Melanocytes 4. Merkel...

Chapter 43--Allergic Dysfunction: Nursing Management MULTIPLE CHOICE 1. The nurse is determining if a client is experiencing an immune response. Which of the following is not one of the four R’s of the immune response? 1. Recognize 2. Remember 3. Remove 4. Respond PTS: 1 DIF: Analyze REF: Allergic Dysfunction 2. A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is which type of hypersensitive reaction? 1. Type 1 2. Type 2 3. Type 3 4. Type ...

Chapter 42--Immunodeficiency and HIV Infection/AIDS: Nursing Management MULTIPLE CHOICE 1. A pregnant client diagnosed with human immunodeficiency virus (HIV) is asking about her baby’s risk of infection. Which of the following does put the newborn at risk? 1. Bottle-feeding 2. Changing diapers 3. Kissing the baby 4. Vaginal birth PTS: 1 DIF: Apply REF: Human Immunodeficiency Virus Infection: Etiology 2. A health care provider has accidentally been stuck with a used needle. The health...

Chapter 41--Assessment of Immunological Function MULTIPLE CHOICE 1. The mother of a newborn baby is concerned that the baby will develop illnesses from being around so many people. The nurse should explain that the baby has immunity that is present at birth or: 1. acquired immunity. 2. adaptive immunity. 3. innate immunity. 4. specific immunity. PTS: 1 DIF: Apply REF: Overview of Immunity 2. The nurse instructs a client to use good handwashing and cover her nose and mouth when sneezing. ...

Chapter 48--Nutrition, Malnutrition, and Obesity: Nursing Management MULTIPLE CHOICE 1. The nurse is instructing a client on the types of carbohydrates to include in the diet. The nurse should include that the main groups of carbohydrates are: 1. glucose and fructose. 2. monosaccharides and disaccharides. 3. fats and proteins. 4. sucrose and cellulose. PTS: 1 DIF: Apply REF: Carbohydrates 2. The nurse is instructing a client on the purpose of eating indigestible carbohydrates such as fi...

Chapter 40--Auditory Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client is not able to successfully pass the whisper test. Which of the following would be indicated for this client? 1. Head CT scan 2. Audiometry 3. MRI of the brain 4. Electroencephalogram PTS: 1 DIF: Analyze REF: Auditory Dysfunction: Assessment with Clinical Manifestations 2. A client is prescribed a medication that is ototoxic. The nurse realizes that this medication may cause: 1. permanent or temporary visi...

Chapter 39--Visual Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client is diagnosed with strabismus. Which of the following will the client most likely experience with this disorder? 1. Nystagmus 2. Diplopia 3. Aphakic vision 4. Ptosis PTS: 1 DIF: Analyze REF: Ocular Movement Disorders: Strabismus 2. A client is experiencing a gradual blurring of vision in both eyes not associated with any pain. The nurse suspects the client is experiencing: 1. glaucoma. 2. cataracts. 3. macular ...

Chapter 37--Degenerative Neurological Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client is diagnosed with a headache from a secondary cause. The nurse realizes this type of headache can be caused by: 1. a tumor. 2. tension. 3. a migraine. 4. cluster PTS: 1 DIF: Analyze REF: Headache 2. The nurse should instruct a client diagnosed with migraine headaches to be careful not to overdose on acetaminophen (Tylenol). Which drug should the nurse tell the patient to avoid? 1. Aleve 2. ...

Chapter 36--Dysfunction of the Spinal Cord and Peripheral Nervous System: Nursing Management MULTIPLE CHOICE 1. The nurse is preparing a community education program on the prevention of spinal cord injuries. Which of the following individuals would most likely benefit from this education? 1. Adolescent female who plays golf 2. Adolescent male who rides horses 3. Thirty-year-old female housewife 4. Fifty-year-old male who is a computer technician . PTS: 1 DIF: Apply REF: Spinal Cord Injury...