Extract:

Question 1 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with respiratory distress. The nurse should place the client in which of the following positions?

Correct Answer: A

Rationale: Fowler's position optimizes lung expansion and eases breathing in COPD.

Question 2 of 5

A client with a history of atrial fibrillation is prescribed warfarin (Coumadin). The nurse should teach the client to avoid which of the following foods?

A. Green leafy vegetables. B. Citrus fruits. C. Whole grains. D. Lean meats.

Correct Answer: A

Rationale: Green leafy vegetables are high in vitamin K, which can reduce warfarin's anticoagulant effect.

Question 3 of 5

The nurse has done preoperative teaching with a client scheduled for percutaneous insertion of an inferior vena cava (IVC) filter. Which client statement indicates the need for further teaching about the procedure?

A. This is done under general anesthesia. B. This procedure is rarely associated with complications. C. It may cause congestion when clots get trapped at the filter. D. This could possibly eliminate the need for anticoagulant therapy.

Correct Answer: A

Rationale: The percutaneous approach uses local anesthesia. Complications after insertion of an IVC filter are rare. When they do occur, they include air embolism, improper placement, and filter migration. Venous congestion can occur from accumulation of thrombi on the filter, but the process usually occurs gradually. There is usually no need for anticoagulant therapy after surgery.

Question 4 of 5

You have been conducting a weekly outpatient stress management educational series for clients in the community who are hypertensive. The best way to evaluate the effectiveness of this educational series is to:

A. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data during the series and after the series is completed. B. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data after the series is completed. C. Ask the clients how often they use the stress management techniques that they have learned during this educational series. D. Use a questionnaire at the end of the series that asks the participants how they liked the class and what they learned during this educational series.

Correct Answer: A

Rationale: Collecting and comparing blood pressure data before, during, and after the series provides objective evidence of the program's effectiveness in managing hypertension.

Question 5 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would support this diagnosis? Select all that apply.

A. Sunken fontanelles in an infant. B. Tachycardia. C. Increased urine specific gravity. D. Dry skin. E. Hypotension.

Correct Answer: A, B, C, D, E

Rationale: Dehydration presents with sunken fontanelles, tachycardia, increased urine specific gravity, dry skin, and hypotension due to fluid loss.