1. A nurse is caring for a client who has myasthenia gravis (MG). Which of
the following is a complication of MG for which the nurse should monitor?
1) Respiratory difficulty
2) Confusion
3) Increased intracranial pressure
4) Joint pain
2. A nurse is caring for a client who is experiencing an acute exacerbation
ofulcerative colitis. The nurse should recognize that which of the following
actions is the priority?
1) Review stress factors that can cause disease exacerbation.
2) Evaluate fluid and electrolyte levels.
3) Provide emotional support.
4) Promote physical mobility.
3. A nurse is reinforcing teaching about rifampin with a female client who
has active tuberculosis. Which of the following statements should the
nurseinclude in the teaching?
1) "You should wear glasses instead of contacts while
taking thismedication."
2) "The medication causes amenorrhea if taken along
with an oralcontraceptive."
3) "A yellow tint to the skin is an expected reaction to the
medication."
4) "Lifelong treatment with this medication is necessary."
4. A nurse is reinforcing teaching about cyclosporine for a client who is
postoperative following a renal transplant. Which of the following
statementsby the client indicates an understanding of the teaching?
1) "I will take this medication until my BUN returns to normal."
2) "This medication will help my new kidney make adequate urine."
3) "I will need to take this medication for the rest of my life."
4) "This medication will boost my immune system."
5. A nurse is caring for a client who has Parkinson's disease and is
takingselegiline 5 mg by mouth twice daily. Which of the following
therapeutic outcomes should the nurse monitor for with a client who
is taking this medication?
1) Improved speech patterns
2) Increased bladder function.
3) Decreased tremors
4) Diminished drooling
6. A nurse is assisting in the care of a client who is receiving a transfusion
ofpacked red blood cells. The client develops itching and hives. Which of
the following actions should the nurse take first?
1) Obtain vital signs.
2) Stop the transfusion.
3) Notify the registered nurse.
4) Administer diphenhydramine.
7. A nurse is reinforcing teaching with a client about how to prevent the
onset of manifestations of Raynaud’s phenomenon. Which of the following
statements should the nurse identify as an indication that the client needs
further teaching?
1) "I will keep my house at a cool temperature."
2) "I will try to anticipate and avoid stressful situations."
3) "I will complete the smoking cessation program I started."
4) "I will wear gloves when removing food from the freezer."
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