//Immersion Clinical Experience 1 - The nurse is assessing a postpartum patient and notes the peri-pad has whitish-yello

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//Immersion Clinical Experience
1 - The nurse is assessing a postpartum patient and notes the
peri-pad has whitish-yellow discharge. The nurse would correctly
document this vaginal discharge as which of the following?
A. Lochia alba.
B. Lochia rubra.
C. Lochia serosa.
D. Postpartal bleeding.
2 - A client begins to have a seizure during your
assessment. Which of the following interventions should be
initiated first?
A. Place protective pads on the bed.
B. Protect the client from injuring himself.
C. Turn the client onto his side.
D. Monitor seizure and give appropriate medication.
3 - A client with congestive heart failure is receiving
spironolactone (Aldactone) 25 mg orally each day. Which of the
following is essential for the nurse to assess in order to monitor
the client for symptoms of potassium imbalance?
A. Hypotension and hyperglycemia.
B. Nausea, vomiting, and diarrhea.
C. Increased respirations and decreasing level of
consciousness.
D. Increased urine output.
4 - The nurse is caring for a client who has been experiencing
nausea and vomiting for several days. The client is at risk for
developing which of these imbalances?
A. Respiratory alkalosis.
B. Metabolic acidosis.
C. Metabolic alkalosis.
D. Respiratory acidosis.
5 - The nurse is assisting the obstetrician during a
vaginal examination. The obstetrician notes the cervix has a
bluish-purple color. The nurse would recognize this condition as
_____
A. Chadwick's sign.
B. leukorrhea.
C. Goodell's sign.
D. mucus plug.
6 - The patient is experiencing the effects of a recent
cerebrovascular accident and is unable to hear out of the left ear.
Which of the following cranial nerves was most likely
affected?
A. Cranial nerve VIII.
B. Cranial nerve XII.
C. Cranial nerve VII.
D. Cranial nerve I.
7 - Blood work done to identify risk factors for coronary heart
disease reveals a client has elevated cholesterol and low density
lipid (LDL) levels. The nurse should make the following suggestions
for changes in dietary habits _____
A. Eliminate all red meat from the diet.
B. Eliminate all simple sugars from the diet.
C. Avoid eating eggs or any foods prepared with eggs.
D. Switch from whole milk to skim milk.
8 - The nurse is preparing to administer influenza
immunizations to a group of clients. The nurse should not
administer the immunization to clients who are _____
A. immunosuppressed.
B. not exposed to the influenza virus.
C. naturally immune.
D. elderly.
9. The nurse is developing a plan of care for a client with an
Avoidant Personality Disorder. The nurse decides an appropriate
goal would be for the client to _____
A. make a decision about their care.
B. refrain from harming others.
C. improve social skills.
D. be free from self-harm.
10 - A postoperative laryngectomy and radical neck
dissection client has a nursing diagnosis of Impaired Verbal
Communication. Which of the following interventions should be
included in the care plan?
A. Provide the client with a pen and paper for writing.
B. Instruct the client to speak softly when talking.
C. Teach the client to read lips.
D. Provide uninterrupted time for the client to attempt
communication with the nurse
and health care team.