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Find a potential client (friend, family member, current training client, yourself) and initiate an initial assessment.
Have the client complete the appropriate questionnaires. Forms can be found in the “Initial Assessment and Triage Questionnaire” packet included with your course materials.
Design and fully describe your nutrition and coaching plan for the client including:
1. Your findings from collecting preliminary client information
2. Client level and the reason for choosing this level
3. Limiting factors
4. Outcome goals
5. Behavior goals
6. Which assessments you will record and why/how you will incorporate the results
7. Your recommended nutrition and supplement plan
8. What (if anything) your client will need to discuss with his or her physician
9. Referrals to your professional network (if needed)
10. Proposed appointment scheduling including:
a. Frequencyb. What you will discuss at each appointment
11. A plan of action if you observe a plateau
12. A plan of action if your client changes his or her goals
Be as detailed as possible in your plan.

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answer original forum with a minimum of 500 words and respond to both students separately with a minimum of 250 words each
please follow directions or I will dispute 
page one original with references 
page 2 stacy response with references 
page 3 John Response with references 
original forum 
Is it feasible for a loss prevention manager to assume all of the duties of a risk manager, besides those of loss prevention? Why or why not?
student Response 
stacy
Although it is possible for a loss prevention manager to assume all of the duties of a risk manager, it is not feasible due to a variety of reasons. Loss prevention managers are tasked with protecting assets and preventing losses while risk managers are tasked with identifying and measuring losses; however, they share the goal of minimizing losses but through different avenues.
Loss prevention managers are responsible for protecting assets such as property, people, and money through the use of physical security measures and loss prevention staff. Risk management is concerned with financial loss while loss prevention is concerned with physical loss. Risk measures the chance of an occurrence by measuring threat and vulnerability while loss prevention attempts to prevent the occurrence through detection and deterrence. (Russell & Arlow, 2015) Loss prevention managers are concerned with what’s in front of them while risk managers are concerned with the long-term future. Risk managers provide guidelines and make recommendations used by loss prevention managers such as set security goals, identify assets, assess risks, establish priorities, implement protective programs, and measure effectiveness. (Lee, 2008)
An argument has been made that “those who believe that security is in principle risk-averse find it difficult to explain, and certainly hard to understand, how the concept of security can be reconciled with voluntary risk-taking and confined to an accepted standard of losses. The contrary argument is that some minor risks and losses are anyway to be accepted because scarce resources should be directed towards more important ones.” (Manunta, 1999, p. 63) In other words, loss prevention/security managers find it difficult to consider accepting any losses of any scale while risk managers anticipate those losses and attempt to measure them as though they are inevitable versus devoting resources to preventing loss from occurring in the first place. Because of this difference in outlooks, it doesn’t seem that one manager would be effective in overseeing these conflicting ideologies.
In my role as a loss prevention/security manager, I’ve relied on knowledge from multiple disciplines to effectively carry out my job duties such as human resources for employee-related investigations and infractions, engineering for fire life safety including fire alarms, fire pumps, and sprinkler valves; and safety for reduction of workers’ compensation claims resulting from workplace injuries. People often ask me how I know so many different subjects and my answer is that being a security manager requires a little knowledge about a lot of topics to be an effective and successful decision-maker and problem solver. Risk management also coincides with engineering and safety, but an engineering or safety manager wouldn’t assume the role of risk manager just as a loss prevention manager wouldn’t or shouldn’t.
It’s beneficial for both loss prevention and risk managers to have knowledge of the other’s field but if one was to take on both roles, one of the fields would suffer as they both deserve and require a great deal of attention that is nearly impossible for one person to provide, thus leading to the failure of one or both. It is feasible, however, for there to be a single individual who oversees both the loss prevention and risk management departments such as a corporate executive that both loss prevention managers and risk managers report to directly.
References
Lee, E. (2008). Homeland Security and Private Sector Business. Boca Raton: CRC Press, https://doiorg.ezproxy1.apus.edu/10.1201/9781420070798
Manunta, G. (1999). What is security? Security Journal, 12(3), 57–66. Retrieved from http://search.proquest.com/docview/230355077/
Russell, D. L., & Arlow, P. C. (2015). Industrial security: Managing security in the 21st century. Retrieved from https://ebookcentral.proquest.com
john 
Hello Professor and Classmates,
 Is it feasible for a loss prevention manager to assume all of the duties of a risk manager, besides those of loss prevention? Why or why not?
I do not think it is feasible for a loss prevention manager to assume all of the duties of a risk manager. They are two entirely jobs and placing such a load of work on a manager may then bring oversight to the position and the business as a whole.
Both risk management and loss prevention share many of the same duties or concerns, but they should not be compiled together for one manager to handle. One of the main differences that can be seen is that of disaster recovery. Disasters can happen in many different forms and requires a great deal of pre-emptive planning.
It also requires collaboration from an expert with the local community. Thus, much of the work being done needs to be performed with external elements of the business. Risk managers are looking at a variety of risks that threaten the business. In contrast loss prevention managers are more concerned with protecting the assets of the company.
The processes of both (loss prevention and risk management) are also different as well. Take risk analysis for instance. This looks at the risk of an organization in terms of qualitative and quantitative analysis. Thus, there is a vast amount of information that needs to be analyzed in order to figure out the level of risk that may come from different scenarios.
Having a manager that needs to oversee the loss protection team for instance is enough work. Dealing with scheduling, reports, inventory and controlling the assets is a task in its own. Now add in external threats, risk assessments, risk analysis, risk management objectives and there is an array of work to be had.
I think depending on the size of the organization would matter as well. If there is already a team in place for loss prevention, then it is going to be difficult for that manager to take time away from them and focus on risk management.
If an organization were to place all this under one department, there may be issues with manpower and expertise. Loss prevention personnel and risk management personnel share some characteristics, but they do come from different backgrounds.
I fully believe that it is more beneficial two have two managers that work together in collaboration with the risk and losses facing an organization. One of the biggest reasons I feel that this cannot be a role in the same is that loss prevention handles the physical assets of an organization. That being securing the property and people in it. Whereas risk management is focused on the financial gain or loss from any risks that may come about.
Having two expert managers in each position is far more beneficial to the organization. By working together the manager of the loss prevention team can help explain what assets they feel are expensive or worth more for instance. They may have more expertise in the security equipment being placed in it, yet the risk manager may understand better how to insure it properly against possible theft or destruction.
John

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Assignment Content
1.  
Top of Form
Complete the following textbook problems:
o Ch. 4, p.23, # 1
o Ch. 4, p.23, # 3
o Ch. 4, p.23, # 4
o Ch. 4, p.23, # 6
o Ch. 4, p.24, # 14
o Ch. 4, p.24, # 15
o Ch. 4, p.24, # 16
o Ch. 5, p.30, #3
o Ch. 5, p.31, #11
o Ch. 5, p.31, #14
o Ch. 25-26, p.518, The Effect of Bank Strategies on Bank Ratings (answer all three parts)
Submit your assignment as a Microsoft® Word document.

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Two prominent theoretical perspectives provide explanations for using demonstrations on learning a skill; one of these is the cognitive mediation theory and the other is the dynamic view, provide their chief explanatory characteristic and tell us which one in your opinion is better than the other. Provide arguments in your defense.
STUDENT 
Cognitive mediation theory shares that when a person observes a model they translate it into a symbolic code that forms the basis of a stored representation into memory (Magill & Anderson, 2017). This stored information serves as a guide for performing the skill and as a standard for the error detection and correction. Badura is the pioneer of this theory and states that in order to obtain skill acquisition the modeling of another is accurately found by rule learning than response mimicry (Bandura, 1986). This is important across many aspect of how one can learn motor skill acquisition from observations.
The next view is the dynamic view of modeling that has been an alternate of Bandura theory. The dynamic view a theoretical view explaining the benefit of observing a skilled model demonstrate a skill; it proposes that the visual system is capable of automatically processing the observed movement in a way that constrains the motor control system to act accordingly, so that the person does not need to engage in cognitive mediation.
The question being asked is in my opinion which view is correct on learning a new skill. Until we have research evidence that one view cannot explain, we must consider which view is a possible explanation of why modeling benefits skill acquisition. I vote on the cognitive mediation theory. Albert Bandura had the breakthrough; demonstrating how observational learning takes place when seeing positive and negative behaviors and discredited the method of imitation. In addition, based on neuro programming theory, the more you see and hear movement the deeper it has become part of your nervous system and there is a likelihood that it has become a conditioned reflex (Druckman & Swet, 1988).
One more point to add is the benefit of imagery as I personally am a strong believer in this. Imagery is thought to activate parts of the motor system as well as other cortical regions and strengthen neural pathways involved in movement resulting in improved performance (Wakefield, Smith, Moran & Holmes, 2013). Imagery has improved service return to a greater extent than those classified as poor imagers (Wright et al., 2015). Using both imagery and observation demonstrates a stronger idea for the individual to complete a task. When I watch American Ninja Warrior I see so many contestants fail with obstacles. However when they see their peers complete a difficult obstacle it is within the next contestant observation and imagery that helps them complete the near impossible obstacle. Holmes and Camels (2008) imply that imagery and observation should be seen as complementary.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
Druckman, D., Swets, J.A. (Eds.). (1988). Enhancing human performance: Issues, theories, and techniques. Washington., DC: National Academy Press.
Holmes, P., & Calmels, C. (2008). A neuroscientific review of imagery and observation use in sport. Journal of Motor Behavior, 40, 433–445. doi:10.3200/JMBR.40.5.433-445
Wakefield, C., Smith, D., Moran, A. P., & Holmes, P. (2013). Functional equivalence or behavioural matching? A critical reflection on 15 years of research using the PETTLEP model of motor imagery. International Review of Sport and Exercise Psychology, 6, 105–121. doi:10.1080/1750984X.2012.724437
Wright, D. J., McCormick, S. A., Birks, S., Loporto, M., & Holmes, P. S. (2015). Action observation and imagery training improve the ease with which athletes can generate imagery. Journal of Applied Sport Psychology, 27(2), 156-170.

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Assignment Content
1.  
Top of Form
Resources: Student Website, Financial Transactions Risk Table, and Financial Transactions Risk Table Assignment Grading Guide.
There are two deliverables for this assignment. You will fill out and submit the Financial Transactions Risk Table and you will write and submit a 1,050- to 1,400-word paper.
Address the following in your paper:
o Describe risk exposures by filling out the Financial Transaction Risks Table.
o Describe features you would choose to measure interest risks and identify which transactions are influenced by interest rates or income. Some are influenced by both.
Format your paper consistent with APA guidelines.
Submit your assignment as a Microsoft® Word document.

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 I CHOSE KYLIE JENNER (entrepreneur of Kylie Cosmetics)
This is an opportunity for students to conduct research on an entrepreneur and write a profile of the success story of the person. This can be achieved by interview or archival research. In other words, you may choose to collect data on the entrepreneur’s path to success by personal interview or by secondary resources from library, magazine, Internet, television or movie. 
This is a three- to five-page assignment; format should follow font sized 12, single spaced and one inch margin surround rules. 
Students must include: 
1. Information on industry, competitors and market trend of the entrepreneur’s background and the context of their venture, and concepts from class (e.g. Elevator Pitch, the 10x rule, the Scurve, competitive advantage, suboptimal opportunity spotting, etc.). Conclude the research report with your key learning from this person and the new venture. Did you think strategies implemented by this entrepreneur were effective or not? State your rationale.
2. Students will be graded on how well they integrate course content into the biography. Students must highlight each concept they use in yellow. If a concept is not highlighted, then the students accept the risk that such concept will not be included in their grade. Assignments must be submitted to D2L by the deadline listed. 
ASSIGNMENT CAVEAT (The essay MUST):
1. Be a product of the student’s original work and effort and not previously or concurrently been written or presented as part of any other course taken at Ryerson or elsewhere.
2. If it is not, then a grade of zero will be given (even retroactively) and it will be construed and recorded as academic misconduct in the student’s file. 
NOTE:
All assignments must include footnotes and other relevant citations in the proper academic form. 

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5 Pages for research paper.
  
Associated Course Learning Outcomes:
Students will write and communicate at a college level in various modes, media, and/or rhetorical contexts.
Students will demonstrate an ability to comprehend, analyze, & interpret texts in various modes, genres, media, and/or contexts.
Students will evaluate and synthesize information to support ideas and perspectives.
Students will analyze creative works from multiple international cultures in relation to the historical, sociocultural, aesthetic, or personal contexts in which those works emerge.
Assignment Overview:
You will demonstrate your ability to come up with an idea related to our subject (labyrinths and labyrinth narratives) and then support that idea by either writing a paper or creating an artefact that involves demonstrating your “ability to comprehend, analyze, and interpret texts in various modes, genres, media, and/or contexts.”
Your writting can be creative or more traditional (such as a paper), but in either case you will need to demonstrate your knowledge and your ability to apply that knowledge. For instance:
If you are a musician, you could compose or record a piece of music related to our readings/subject. The relationship could be tied to one or more of the narratives and/or sub themes, but it could also be structural. There are examples out there if you do a little research.
If you like to write creatively, you could retell a story, create a new story with various themes. You could write a poem. Again, your connection could be narrative and can play with symbols and themes, but you could also play with structure and algorithms in the manner of the OULIPO (workshop for potential literature).
If you are artistic you could create visual/sculptural artwork.
If you are a game developer or CS major, you can create a level in a game or something similar.
Engineering students can build or design something, keeping in mind what you’ve learned from our readings: think about paths, dead ends, entrances, exits, challenges, puzzles, etc. Make sure you connect your choices with our readings.
I won’t be grading you on artistic talent (although it will be appreciated). You will be evaluated on knowledge, ideas, application. If you are asking yourself: Is my writing/idea “rigorous” enough, ask yourself how it fits with the course objectives. And, of course, please feel free to run it by me and get my input.
I attach the reading.

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I have  nutrition homework that is due at 9pm tonight. My assignment is case 2 listed below.
 
Assignment Instructions
For your first assignment, you analyzed the diet of an athlete.  For this assignment, you are going to take the other athlete’s diet and modify it based on what you have learned is essential for that type of sport.  Then answer the questions.
First letter last name
Case
Sport
A-J
Case 2
Track
K-Z
Case 1
Football
To analyze the athlete’s diet, again, you can use any diet analysis program.  Your analysis must include the following nutrients: total calories, protein (g), carbohydrate (g), dietary fiber, total sugars, total fat, calcium, potassium, sodium, iron, vitamin A, vitamin B6, vitamin B12, vitamin C, vitamin D, vitamin E, folate, thiamin, riboflavin, and niacin. If you need help finding a diet analysis program, contact your instructor.
Questions to answer: Answer the following questions for the case you picked.  Your response must be at least 500 words.

What are your diet goals? Complete the following table:

Nutrient
Goal
Carbohydrate
Fat
Protein

When should the athlete eat each meal and snack relative to their workout or competition?
What foods did you add to the diet and explain why?
What foods did you take away from the diet and explain why?
How many different food groups are included in the diet?

In the assignment area, submit the following:

Diet analysis showing the foods the athlete ate and the nutrient analysis
Your response to the questions in a Word document

Case 1:
Jamar is a 19-year-old high school junior who has a chance of starting as a linebacker on the football team his senior year. He is 6′ tall and weighs 175 pounds. His coach has recommended that he gain 15 to 25 pounds over the next eight months, but not at the sacrifice of his speed and quickness.
Breakfast
Greek yogurt with strawberries and oats,Mega-protein supplements (56 g protein)
Snack
Protein bar (20-24 g protein per bar)
Lunch
Tuna sandwich, potato chips, milk
2-hour workout
Snack
Protein bar (20-24 g protein per bar)
Dinner
Broiled salmon, served with brown rice and vegetables
Snack just before bed
Mega-protein supplements (50-56 g protein)
Case 2:
Kay is an aspiring Division 1 college 800 m track athlete who is 5’5” and weighs 120 lbs. She has read various nutrition books with the hope of finding the ideal diet for her sport. From her reading, she has learned that fats yield more calories per gram than carbohydrates. In addition, she knows that dietary proteins are needed to help her muscles recover from training and additionally can be used for energy. She is now convinced that one of the popular high-fat, high protein, low carbohydrate diets is her best choice. Here is what she is eating.
Breakfast
BaconEggs fried in bacon with canola oil addedTomatoes
2-hour workout
Snack
Olives
Lunch
Chicken salad with olive oil and feta cheese
Snack
Gouda cheese chunks
Dinner
Salmon cooked in olive oilAsparagus cooked in butter
Overview of Grading Rubric:
Points (100 total)
Content
15
Diet goals appropriate for the sport
15
Timing foods should be eaten provided
10
Foods added to the diet
10
Foods taken away from the diet
10
Free of grammar and spelling errors
10
Greater than 500 words
10
Submitted by the due date
20
Included diet analysis

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For your final assignment, let’s consider the key topics learned in our class, including:

Financial Statements, Cash Flow, and Taxes
Time Value of Money and Interest Rates
Corporate Valuation and Stock Valuation
Capital Budgeting and Capital Structure Decisions
Financial Planning
Working Capital Management

Please select one of the key topics listed, and address the following items:
(a) Provide a detailed description of the topic.
(b) Provide two examples of how the selected concept selected is applied.
(c) Discuss the challenges faced with the concept selected. As part of this discussion, how will the selected item be implemented in an organization and its significance?
(d) Discuss how the selected concept will change 5 years from now. What can the organizational leaders, financial analyst do today to ensure they are prepared for these advancements?
(e) Provide a graph chart or data with sample numbers indicating the topic you selected?
Parameters:
(a) Please include a title page, introduction, and conclusion.
(b) Please ensure that at least 5 credible references are used, and make sure to cite them.
(c) Word count is between 1,250-and-1,500-words.
Rubric attached

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1. A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching?
1) Take temperature once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes while wearing gloves.
4) Wash dishes in warm water.
2. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client’s secretions?
1) Provide humidified oxygen.
2) Perform chest physiotherapy prior to suctioning.
3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
4) Hyperventilate the client with 100% oxygen before suctioning the airway..
3. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client’s comfort?
1) Rub the client’s feet briskly for several minutes.
2) Obtain a pair of slipper socks for the client.
3) Increase the client’s oral fluid intake.
4) Place a moist heating pad under the client’s feet.
4. A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider?
1) Emesis of 100 mL
2) Oral temperature of 37.5° C (99.5° F)
3) Thick, red-colored urine
4) Pain level of 4 on a 0 to 10 rating scale
5. A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket?
1) Shivering
2) Infection
3) Burns
4) Hypervolemia
6. A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
1) “I will carry a complex carbohydrate snack with me when I exercise.”
2) “I should exercise first thing in the morning before eating breakfast.”
3) “I should avoid injecting insulin into my thigh if I am going to go running.”
4) “I will not exercise if my urine is positive for ketones.”
7. A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first?
1) Cover the client’s wound with a moist, sterile dressing.
2) Have the client lie supine with knees flexed.
3) Check the client’s vital signs.
   
                                                                                                                                                                                                                                        
4) Inform the client about the need to return to surgery.
8. A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation
3) Increased blood pressure
4) Bradycardia
9. A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching?
1) Avoid bending at the waist.
2) Remove the eye shield at bedtime.
3) Limit the use of laxatives if constipated.
4) Seeing flashes of light is an expected finding following extraction.
10. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?
1) Suggest that the client rests before eating the meal.
2) Request a dietary consult.
3) Check the client’s vital signs.
4) Request an order for an antiemetic.
11. A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client’s wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?
1) Sanguineous
2) Serous
3) Serosanguineous
4) Purulent
12. A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
2) Place the client’s affected leg into the CPM machine with the machine in the flexed position.
3) Place the client into a high Fowler’s position when initiating the CPM exercises.
4) Align the joints of the CPM machine with the knee gatch in the client’s bed.
13. A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
5) Bradycardia
14. A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client’s right nostril. Which of the following actions should the nurse take first?
   
                                                                                                                                                                                                          
1) Take the client’s temperature.
2) Place a dressing under the client’s nose.
3) Notify the charge nurse.
4) Test the drainage for glucose.
15. A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
1) Monitor for elevated blood pressure.
2) Provide analgesia for headaches.
3) Prevent bladder distention.
4) Elevate the client’s head.
16. A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?
1) Hot flashes
2) Recurrent urinary tract infections
3) Blood in the stool
4) Abnormal vaginal bleeding
17. A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of the following findings is the nurse’s priority?
1) Altered level of consciousness
2) Oral temperature of 37.7° C (100° C)
3) Muscle spasms
4) Headache
18. A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to suction. Which of the following is the priority finding the nurse should report to the provider?
1) Abdomen is distended
2) Chest tube drainage of 70 mL in the last hour
3) Subcutaneous emphysema is noted to the left chest wall
4) Pain level of 6 on a 0 to 10 scale
19. A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?
1) Change the ostomy pouch daily.
2) Empty the ostomy pouch when it is 2/3 full.
3) Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.
4) Apply lotion to the peristomal skin when changing the ostomy pouch.
20. A nurse is assisting in the plan of care for a client who had a removal of the pituitary gland. Which of the following actions should the nurse include in the plan?
1) Position the client supine while in bed.
2) Change the nasal drip pad as needed.
3) Encourage frequent brushing of teeth.
4) Encourage the client to cough every 2 hr following surgery.
21. A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
1) To provide analgesia
   
                                                                                                                                                                                                          
2) To reduce inflammation
3) To prevent blood clotting
4) To prevent fever
22. A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes
23. A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?
1) Weight loss of 3% of total body weight.
2) Blood glucose 150 mg/dL.
3) Potassium 2.5 mEq/L
4) Urine specific gravity 1.035
24. A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?
1) “I should increase my intake of protein and vitamin C.”
2) “I will no longer have menstrual periods.”
3) “Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort.”
4) “I will take a tub bath instead of a shower.”
25. A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take?
1) Loosen the knots on the ropes if the client is experiencing pain.
2) Ensure the client’s weights are hanging freely from the bed.
3) Check the client’s bony prominences every 12 hr.
4) Cleanse the client’s pin sites with povidone-iodine.
26. A nurse in a provider’s office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
27. A nurse in a provider’s office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
   
                                                                                                                                                                                                                                     
28. A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of the following interventions should the nurse recommend?
1) Apply topical antifungal agents.
2) Apply fresh ice packs every 4 hr.
3) Wash daily with an antibacterial soap.
4) Keep draining lesions uncovered to air dry.
29. A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching?
1) Empty the pouch immediately after meals.
2) Change the entire appliance once a day.
3) Limit fluid intake.
4) Avoid medications in capsule or enteric form.
30. A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?
1) “An escharotomy surgically removes dead tissue.”
2) “A cannula will be inserted into the bone to infuse fluids and antibiotics.”
3) “A piece of skin will be removed and grafted over the burned area.”
4) “Large incisions will be made in the burned tissue to improve circulation.”
31. A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report?
1) Decreased color perception
2) Loss of peripheral vision
3) Bright flashes of light
4) Eyestrain
32. A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?
1) Measure abdominal girth daily.
2) Use sterile water to irrigate the nasogastric tube..
3) Maintain the client in Fowler’s position.
4) Moisten the client’s lips with lemon-glycerin swabs.
33. A nurse is caring for a client who has Cushing’s syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
4) Tremors
5) Obese extremities
34. A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?
1) Provide a diet high in protein.
2) Provide ibuprofen for retroperitoneal discomfort.
3) Monitor intake and output hourly
   
                                                                                                                                                                                                    
4) Encourage the client to consume at least 2 L of fluid daily.
35. A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching?
1) “A flexible tube is introduced through the nose during the procedure.”
2) “During the procedure you are in a sitting position.”
3) “You will remain NPO for 8 hours before the procedure.”
4) “You will be awake while the procedure is performed.”
36. A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
1) Aura phase
2) Presence of automatisms
3) Postictal phase
4) Presence of absence seizures
37. A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?
1) “The pain results from lying in one position too long during surgery.”
2) “The pain occurs as a residual pain from cholecystitis.”
3) “The pain will dissipate if you ambulate frequently.”
4) “The pain is caused from the nitrous dioxide injected into the abdomen.”
38. A nurse is checking the suction control chamber of a client’s chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
1) Notify the provider.
Answer Rationale:
The nurse should check for kinks and take other measures before notifying the provider.
2) Verify that the suction regulator is on.
3) Continue to monitor the client because this is an expected finding.
4) Milk the chest tube to dislodge any clots in the tubing that may be occluding it.
39. A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
3) Insert a urinary catheter.
4) Elevate the client’s head of bed.
5) Apply a cervical collar to the client.
40. A nurse is assisting with the care of a client who is postoperative following surgical repair of a fractured mandible. The client’s jaw is wired shut to repair and stabilize the fracture. The nurse should recognize which of the following is the priority action?
1) Relieve the client’s pain.
2) Check the client’s pressure points for redness.
3) Provide oral hygiene.
4) Prevent aspiration.
41. A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect?
   
                                                                                                                                                                                           
1) A dry raised rash
2) Excessive salivation
3) Periorbital edema
4) Hardened skin
42. A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke. Which of the following actions should the nurse take?
1) Instruct the client to tilt her head back when she swallows.
2) Place food on the left side of the client’s mouth.
3) Add thickener to fluids.
4) Serve food at room temperature.
43. A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and chest. The nurse should recognize which of the following is the priority risk to the client?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures
44. A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine. Which of the following instructions should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medication dose is missed, wait until the next scheduled dose to take the medication.
4) Treat nasal rhinitis with an over-the-counter antihistamine.
45. A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing.
46. A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make?
1) “You must be very worried about what the biopsy will show.”
2) “You’ll be asleep for the whole biopsy procedure and won’t be aware of what’s happening.”
3) “Your provider scheduled this, so she will want to know you still have questions about the procedure.”
4) “The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible.”
47. A nurse is assisting with planning care for a client who is recovering from a left-hemispheric stroke. Which of the following interventions should the nurse include in the plan?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
4) Improve left-side motor function.
   
                                    
   
48. A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia
49. A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include:
                   
         
   
pH 7.22
PaCO2 68       mm Hg Base excess -2 PaO2 78 mm       Hg
      
Oxygen saturation 80%
Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the nurse make
 
   
  
1) Metabolic acidosis
 
2)
Respirator
y acidosis
 
3) Metabolic alkalosis
4) Respiratory alkalosis
 
50. A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
 
1) “I will avoid crossing my legs at the knees.”
2) “I will use a thermometer to check the temperature of my bath water.”
3) “I will not go barefoot.”
 
4)
“I will wear
stockings with elastic tops.”
 
 
51. A nurse is preparing to provide morning hygiene care for a client who has Alzheimer’s disease. The client becomes agitated and combative when the nurse approaches him. Which of the following actions should the nurse plan to take?
 
1) Turn the water on and ask the client to test the temperature.
2) Obtain assistance to place mitten restraints on the client.
3) Firmly tell the client that good hygiene is important.
 
4)
Calmly ask
the client if he would like to listen to some music.
 
 
52. A nurse is collecting data on a client’s wound. The nurse observes that the wound surface is covered with soft, red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following?
 
1) Decreased perfusion
2) Infection
 
3
)
Granulation
tissue
 
4) An inflammatory response
 
53. A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm3. Which of the following food items brought by the family should the nurse prohibit from being given to the client?
 
1) Baked chicken
2) Bagels
3) A factory-sealed box of chocolates
 
4)
Fresh fruit
basket
 
 
54. A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan?
 
1) Perform the client’s personal care activities for her.
2) Limit the client’s fluid intake.
3) Monitor the Homan’s sign.
 
4
)
Maintain abduction
of the right hip.
 
 
55. A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first?
 
1) Establish IV access.
 
2
)
Feel for
a carotid pulse.
 
3) Establish an open airway.
4) Auscultate for breath sounds.
 
56. A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?
               
                                                                                                                                                                                                                                           
1) “Why have you changed your mind about the surgery?”
2) “Bypass surgery must be very frightening for you.”
3) “Your provider would not have scheduled the surgery unless you needed it.”
4) “I will call your doctor and have him discuss your surgery with you.”
57. A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?
1) Walk the client back to bed immediately and get the client a bedpan.
2) Tell the client to remain in the bathroom after toileting and obtain a wheelchair.
3) Warn the client she might have to be restrained if she gets up without assistance.
4) Keep the bathroom door open to ensure the client is okay.
58. A nurse is assisting with the care of a client who is postoperative and has a closed-wound drainage system in place. Which of the following actions should the nurse take?
1) Fully recollapse the reservoir after emptying it.
2) Empty the reservoir once per day.
3) Replace the drainage plug after releasing hand pressure on the device.
4) Irrigate the tubing with sterile normal saline solution at least once every 8 hr.
59. A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching?
1) “I will not eat fried foods.”
2) “I will abstain from sexual intercourse.”
3) “I will refrain from international travel.”
4) “I will not order a salad in a restaurant.”
60. A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?
1) Rest in a supine position.
2) Consume a low-protein diet.
3) Breathe in through her nose and out through pursed lips.
4) Limit fluid intake throughout the day.
61. A nurse is caring for a client who is postoperative and has a history Addison’s disease. For which of the following manifestations should the nurse monitor?
1) Hypernatremia
2) Hypotension
3) Bradycardia
4) Hypokalemia
62. A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take hydroxyzine preoperatively. Which of the following effects of the medication should the nurse include in the teaching? (Select all that apply.)
1) Decreasing anxiety
2) Controlling emesis
3) Relaxing skeletal muscles
4) Preventing surgical site infections
5) Reducing the amount of narcotics needed for pain relief
   
                                                                                                                                                                                           
63. A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication?
1) Vitamin D
2) Vitamin A
3) Iron
4) Niacin
64. A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period?
1) Malnourishment related to NPO status and dysphagia
2) Impaired verbal communication related to the tracheostomy
3) High risk for infection related to surgical incisions
4) Ineffective airway clearance related to thick, copious secretions
65. A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long-term goals is appropriate with regard to the client’s mobility?
1) Walk with leg braces and crutches.
2) Drive an electric wheelchair with a hand-control device.
3) Drive an electric wheelchair equipped with a chin-control device.
4) Propel a wheelchair equipped with knobs on the wheels.
66. A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-melanoma skin cancer?
1) Exposure to environmental pollutants
2) Sun exposure.
3) History of viral illness
4) Scars from a severe burn
:
67. Based on a client’s recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?
1) “Do you sleep well at night?”
2) “Have you been experiencing chills?”
3) “Have you experienced increased hair growth?”
4) “When did you begin your menses?”
68. A nurse is reinforcing teaching with a client about cancer prevention and plans to address the importance of foods high in antioxidants. Which of the following foods should the nurse include in the teaching?
1) Cottage cheese
2) Fresh berries
3) Bran cereal
4) Skim milk
69. A nurse is assisting with caring for a client who has a new concussion following a motor-vehicle crash. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?
1) Polyuria
2) Battle’s sign
   
                                                                                                                                                                                                                
3) Nuchal rigidity
4) Lethargy
70. A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching?
1) “Tonometry is performed to evaluate peripheral vision.”
2) “This test will diagnose the type of your glaucoma.”
3) “Tonometry will allow inspection of the optic disc for signs of degeneration.”
4) “This test will measure the intraocular pressure of the eye.”
71. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider?
1) Increase in serum glucose
2) Increase in serum creatinine
3) Decrease in white blood cell count
4) Decrease in platelets
72. A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
1) Apical pulse rate different than the radial pulse rate
2) Increase in heart rate by 20% when standing
3) Drop in systolic BP by 20 mm Hg when moving from a lying to a sitting position
4) Drop in systolic BP more than 10 mm Hg on inspiration
73. A nurse is caring for a client who has Alzheimer’s disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take?
1) Attempt to determine what the client was looking for.
2) Explain the client’s Alzheimer’s diagnosis to the frightened client.
3) Reprimand the client for invading the other client’s privacy.
4) Ask the client to apologize for his behavior.
74. A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery approach. Which of the following actions should the nurse take?
1) Check pedal pulses every 15 min.
2) Perform passive range-of-motion for the affected extremity.
3) Remind the client not to turn from side to side.
4) Keep the client in high-Fowler’s position for 6 hr.
75. A nurse is assisting with planning an immunization clinic for older adult clients. Which of the following information should the nurse plan to include about influenza?
1) Individuals at high risk should receive the live influenza vaccine.
2) Immunization for influenza should be repeated every 10 years.
3) The composition of the influenza vaccine changes yearly.
4) The influenza vaccine is necessary only for clients who have never had influenza.
76. A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several questions about his treatment plan. Which of the following actions should the nurse take?
1) Tell the client to have a family member call the provider to ask what options he plans to recommend.
2) Assure the client that the provider will tell him what is planned.
3) Help the client write down questions to ask his provider.
4) Provide the client with a pamphlet of information about cancer.
   
                                                                                                                                                                                                                                  
77. A nurse is caring for a client who has hemiplegia following a stroke. The client’s adult son is distressed over his mother’s crying and condition. Which of the following responses should the nurse make?
1) “If you just sit quietly with your mother, I’m sure she will calm down.”
2) “I’ll talk with your mother and see if I can comfort her.”
3) “It must be hard to see your mother so ill and upset.”
4) “Your mother’s crying seems to bother you more than it does her.”
78. A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?
1) Temporary, reversible loss of brain function
2) Forgetfulness gradually progressing to disorientation
3) Sleeping more during the day than nighttime
4) Hyper vigilant behaviors
79. A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan?
1) Limit fluid intake..
2) Monitor client’s cardinal fields of vision.
3) Encourage ambulation.
4) Ensure the room is brightly lit.
80. A nurse is contributing to the plan of care for a client who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
1) Apply ice to the extremity
2) Monitor platelet levels
3) Restrict oral fluids
4) Administer vasodilating medications
81. A nurse is caring for a client who comes to the clinic to be tested for tuberculosis (TB) after a close family contact tests positive. Which of the following measures should the nurse anticipate preparing for this client?
1) Tuberculin skin test
2) Sputum culture for acid fast bacillus (AFB)
3) Bacille Calmette-Guérin (bCG) vaccine
4) Chest x-ray
82. A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?
1) Serum sodium 145 mEq/L
2) Urine specific gravity 1.028
3) Urine output 650 mL/hr
4) Blood glucose 198 mg/dL
83. A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
   
                                                                                                                                                                                                          
1) “I took a laxative yesterday.”
2) “I took my metformin before breakfast.”
3) “I haven’t had anything to eat or drink since last night.”
4) “The last time I voided it was painful.”
84. A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client’s chest, the nurse should expect to hear which of the following sounds?
1) Expiratory wheeze
2) Pleural friction rub
3) Fine rales
4) Rhonchi
85. A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Which of the following actions should the nurse plan to take?
1) Remove the entire dressing at once.
2) Loosen the dressing by pulling the tape away from the wound.
3) Don clean gloves to remove the dressing.
4) Open sterile supplies before removing the dressing.
86. A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the procedure?
1) Prone with arms raised over the head.
2) Sitting, leaning forward over the bedside table.
3) High Fowler’s position
4) Side-lying with knees drawn up to the chest.
87. A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the following reactions from the client should the nurse initially expect?
1) Denial
2) Bargaining
3) Acceptance
4) Anger
88. A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed- suction drains in place. Which of the following interventions should the nurse include in the plan?
1) Irrigate the nasogastric tube with tap water.
2) Mark abdominal girth once daily.
3) Ambulate the client twice daily.
4) Place the client in a high Fowler’s position.
89. A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?
1) Neck vein distention
2) Blood pressure
3) Body weight
4) Abdominal girth
90. A nurse is caring for a client who is receiving a unit of packed RBCs. About 15 min following the start of the transfusion, the nurse notes that the client is flushed and febrile, and reports chills.
   
                                                                                                                                                                                                       
To help confirm that the client is having an acute hemolytic transfusion reaction, the nurse should observe for which of the following manifestations?
1) Urticaria
2) Muscle pain
3) Hypotension
4) Distended neck veins
91. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following conditions?
1) A continuous seizure state in which seizures occur in rapid succession
2) A sensory warning that a seizure is imminent
3) A period of sleepiness following the seizure during which arousal is difficult
4) A brief loss of consciousness accompanied by staring
92. A nurse is caring for a client who just had cataract surgery. Which of the following comments from the client should the nurse report to the provider?
1) “The bright light in this room is really bothering me.”
2) “My eye really itches, but I’m trying not to rub it.”
3) “It’s really hard to see with a patch on one eye.”
4) “I need something for the horrible pain in my eye.”
93. A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following responses should the nurse make?
1) “You shouldn’t feel any pain since the local area is anesthetized.”
2) “Most clients report more discomfort from the preparation than from the procedure itself.”
3) “You may feel some cramping during the procedure.”
4) “Don’t worry; you won’t remember anything about the procedure due to the effects of the medication.”
94. A nurse caring for a client at risk for increased intracranial pressure is monitoring the client for manifestations that indicate that the pressure is increasing. To do this, the nurse should check the function of the third cranial nerve by performing which of the following data-collection activities?
1) Observing for facial asymmetry
2) Checking pupillary responses to light
3) Eliciting the gag reflex
4) Testing visual acuity
95. A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?
1) Reducing anxiety
2) Increasing blood pressure
3) Increasing coughing
4) Increasing the client’s respiratory rate
96. A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?
1) Frequent mood changes
   
                                                                                                                                                                                                                                                          
2) Constipation
3) Sensitivity to cold
4) Weight gain
97. A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?
1) Serosanguineous drainage
2) Mild erythema
3) Warmth
4) Fever
98. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)
1) Polyuria
2) Blurry vision
3) Tachycardia
4) Polydipsia
5) Sweating
99. A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect? (Select all that apply.)
1) Edema
2) Erythema
3) Tophi
4) Tight skin
5) Symmetrical joint pain
100. 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
101.A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative 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.
102. A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
1) “You should wear glasses instead of contacts while taking this medication.”
2) “The medication causes amenorrhea if taken along with an oral contraceptive.”
3) “A yellow tint to the skin is an expected reaction to the medication.”
4) “Lifelong treatment with this medication is necessary.”
103.A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. Which of the following statements by 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.”
104.A nurse is caring for a client who has Parkinson’s disease and is taking selegiline 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
105.A nurse is assisting in the care of a client who is receiving a transfusion of packed 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.
106.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.”
107.A nurse is reinforcing teaching with a client who has iron deficiency anemia and is to start taking ferrous sulfate twice a day. Which of the following statements by the client indicate an understanding of the teaching?
1) “I will take the medication with orange juice.”
2) “I should expect to have loose stools while taking this medication.”
3) “I will have clay colored stools while taking this medication.”
4) “I should take the medication with milk.”
108.A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?
1) Vitamin B12
2) Vitamin C
3) Iron
4) Folate
109.A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a prescription for lorazepam preoperatively. Which of the following statements by the client should indicate to the nurse that the medication has been effective?
1) “My mouth is very dry.”
2) “I feel very sleepy.”
3) “I am not hungry any longer.”
   
                                                                                                                                                                                           
4) “My leg feels numb.”
110.A nurse is collecting data from a client who has AIDS. When checking the client’s mouth, the nurse notes a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions?
1) Xerostomia
2) Gingivitis
3) Candidiasis
4) Halitosis
111.A nurse is caring for a client who is postoperative open reduction and internal fixation with placement of a wound drain to repair a hip fracture. Which of the following actions should the nurse take?
1) Empty the suction device every 4 hr.
2) Monitor circulation on the affected extremity every 2 hr for the first 12 hr.
3) Position the client’s hip so that it is internally rotated.
4) Encourage foot exercises every 4 hr.
112.A nurse is assisting with teaching a client who has a history of smoking about recognizing early manifestations of laryngeal cancer. The nurse should instruct the client to monitor and report which of the following manifestations of laryngeal cancer?
1) Aphagia
2) Hoarseness
3) Tinnitus
4) Epistaxis
113.A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client’s renal function?
1) Antinuclear antibody
2) C-reactive protein
3) Erythrocyte sedimentation rate
4) Serum creatinine
115. A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following manifestations should the nurse expect?
1) Bruising
2) Weight loss
3) Hyperpigmentation
4) Double vision
116. A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client’s postoperative prescriptions, which include, “Clear liquids, advance diet as tolerated.” Which of the following actions should the nurse take first?
1) Offer the client apple juice.
2) Elevate the client’s head of bed.
3) Auscultate the client’s abdomen.
4) Order a lunch tray for the client.
117. A nurse is collecting data on a client who has a surgical wound healing by secondary intention. Which of the following findings should the nurse report to the charge nurse?
1) The wound is tender to touch.
   
                                                                                                                                                                                                                         
2) The wound has pink, shiny tissue with a granular appearance.
3) The wound has serosanguineous drainage.
4) The wound has a halo of erythema on the surrounding skin.
118. A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
1) Inspiratory stridor
2) Expiratory wheeze
3) Absence of breath sounds
4) Coarse crackles
119. A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?
1) Frothy sputum
2) Dyspnea
3) Orthopnea
4) Peripheral edema
120. A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take?
1) Advise the client to lie down after meals.
2) Instruct the client to restrict food intake prior to treatment.
3) Provide the client with an antiemetic 2 hr prior to the chemotherapy.
4) Encourage the client to drink a carbonated beverage 1 hr before meals.
121. A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take?
1) Weigh the client weekly.
2) Irrigate the catheter as prescribed.
3) Instruct the client to report an urge to urinate.
4) Instruct the client to bear down as if to have a bowel movement every hour.
122. A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective?
1) “I will take a stool softener until my eye is healed.”
2) “I will expect to have moderately severe pain for 1-2 days.”
3) “I will refrain from cooking for 1 week.”
4) “I will bend at the waist to tie my shoes.”
123. A nurse is collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?
1) Decreased pedal pulses
2) Hypertension
3) Peripheral edema
4) Diarrhea
124. A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?
   
                                                                                                                                                                                                             
1) Encourage the client to drink 8 glasses of water a day.
2) Instruct the client to cough every 4 hr.
3) Provide the client with a low protein diet.
4) Advise the client to lie down after eating.
125. A nurse is caring for a client who was admitted with major burns to the head, neck, and chest. Which of the following complications should the nurse identify as the greatest risk to the client?
1) Hypothermia
2) Hyponatremia
3) Fluid imbalance
4) Airway obstruction
126. A nurse is collecting data from a client who was bitten by a tick one week ago. Which of the following client manifestations should the nurse identify as an indication of the development of Lyme disease?
1) An expanding circular rash
2) Swollen, painful joints
3) Decreased level of consciousness
4) Necrosis at the site of the bite
127. A nurse is contribution to the plan of care for a client who is 12 hr postoperative following a right radical mastectomy with closed suction drains present. The nurse should expect that the client will be unable to perform which of the following activities with her right arm?
1) Combing her hair
2) Eating her breakfast
3) Buttoning her blouse
4) Tying her shoes
128. A nurse in a provider’s office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?
1) Report of urinary retention
2) Elevated blood pressure above 140/90
3) Report of dryness with vaginal intercourse
4) Elevated body temperature above 37.8° C (100° F)
129. A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?
1) On the same day every month
2) Prior to the beginning of menses
3) Three to seven days after menses stops
4) On the second day of menstruation
130. A nurse is caring for a client who has second- and third-degree burns and a prescription for a high-calorie, high-protein diet. Which of the following menu choices should the nurse recommend?
1) ½ cup whole-grain pasta with tomato sauce and pears
2) Turkey and cheese sandwich with scalloped potatoes
3) ½ cup black beans with a brownie
4) Roast beef with romaine lettuce salad
131. A nurse is reinforcing teaching to a client who is scheduled for an intravenous pyelogram. Which of the following should the nurse include in the teaching?
1) Omit your daily dose of aspirin.
  
                                                                                                          
2) Take a laxative the evening before the procedure.
3) Expect to be drowsy for 24 hr following the procedure.
4) You will feel cold chills after the dye has been injected.
132. A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?
1) “The pain is worse after I eat a meal high in fat.”
2) “My pain is relieved by having a bowel movement.”
3) “I feel so much better after eating.”
4) “The pain radiates down to my lower back.”
133. A nurse is contributing to the plan of care for a client who has a terminal illness. Which of the following interventions should the nurse identify as the priority?
1) Promote the client’s expression of feelings about loss of self-care ability.
2) Encourage the client to recall positive life events.
3) Schedule pain medication on a routine basis.
4) Suggest ways the client can continue interacting with social contacts.
134. A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?
1) “When my vision improves, I will be able to stop taking the eye drops.”
2) “If I forget to take my eye drops, I should wait until the next time they are due.”
3) “I should call the clinic before taking any over-the-counter medications.”
4) “Every two years I will need to have my vision checked by an eye doctor.” ( To Be Continued……

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