NCLEX

A client, newly diagnosed with asthma is preparing for discharge. Which point should a nurse emphasize during the client's teaching?

1. Contact care provider only if nighttime wheezing becomes a concern.

2. Limit exposure to sources that trigger an attack

3. Use peak flow meter only if symptoms are worsening

4. Use inhaled steroid medication as a rescue inhaler

A client with asthma has pronounced wheezing upon auscultation. Suspecting an impending asthma attack, a nurse should:

1. have the client cough and deep breath

2. prepare to intubate the client

3. prepare to administer a nebulized beta-2 adrenergic agonist

4. have the client lay on his/her right side

Which finding should a nurse expect when completing an assessment on a client with chronic bronchitis?

1.Minimal sputum with cough

2.Pink, frothy suptum

3.Barrel chest

4.Stridor on expiration

A client learning about COPD self-care at a community heath class, asks a nurse why the participants are being taught the "lip-breathing." The nurse should respond by explaining the pursed-lip breathing can help to:

1.reduce upper airway inflammation

2.reduce anxiety through humor

3.strengthen respiratory muscles

4.increase effectiveness of inhaled medications

A home nurse is visiting a client whose chronic bronchitis has recently worsened. Which instruction should the nurse reinforce with this client?

1. Increase amount of bedrest

2. Increase fluid intake

3. Decrease caloric intake

4. Reduce home oxygen use

Which nursing action should a nurse perform first for a client experiencing a suspected hospital-acquired bladder infection?

1. Obtain a clean-catch urine specimen for culture and sensitivity

2. Start antibiotic medications

3. Teach the client to wipe the perineum front to back after toileting

4. Prepare the client for bladder catheterization

After completing a health history for a female client experiencing recurrent UTI, a nurse determines that the client should be taught to reduce her risk for a UTI by:

1. eliminating caffeine and tea from her diet

2. taking tub baths rather than showers

3. wearing good quality synthetic underwear

4. abstaining from sexual intercourse

Which nursing assessment is most accurate in determining the patency of a client's newly placed left forearm internal AV fistula for hemodialysis?

1. Feeling for a bruit on the left forearm

2. Palpating for a thrill over the fistula

3. Aspirating blood from the fistula every 8 hours

4. Checking the client's distal pulses and circulation

Which notation should a nurse document as an appropriate outcome in the plan of care for a client with chronic renal failure?

1. Consumption of three large meals daily without nausea

2. Daily weight gain of no more than 3 lbs

3. Reduced serum albumin levels with 1 week

4. Absence of bleeding

A college student walking with a stiff left leg visits a campus health service reporting knee pain and a click when walking. He is concerned because sometimes his knee either "locks" or "gives way." He thinks he twisted his knee wrong during a tennis match, but is not sure. A nurse suspects the client has:

1.an injury of the meniscus cartilage

2.a fracture of the lateral tibial condyle

3. a fractured patella.

4. a lateral collateral ligament injury