The nurse is preparing to draw blood on a client who is suspected of having systemic lupus erythematosus (SLE). Before obtaining the specimen, the nurse should ask the client which question?
1. How long have you had symptoms?
2. Are you taking oral contraceptives?
3. Does SLE run in your family?
4. Are you experiencing pain?
Question 2The nurse is preparing to give MMR (measles-mumps-rubella) immunizations at a health clinic. A 25-year-old female tells the nurse that she is pregnant. The nurse should tell the client that she cannot receive the immunization at this time because:
1. the client is too young for the immunization.
2. the immunization is not effective if the client is pregnant.
3. the immunization contains the live virus, which could harm the fetus.
4. the immunization should be given immediately prior to pregnancy.
Question 3The nurse is preparing to instruct a client scheduled for surgery on how to perform leg exercises. What reasons should the nurse include when explaining the purpose of these exercises to the client? (Select all that apply.)
1. Maintains muscle tone
2. Promotes cardiac output
3. Ensures range of motion
4. Prevents the development of pneumonia
5. Reduces the risk for deep venous thrombosis
Question 4A client is transported to the surgical suite and is greeted by the circulating nurse. What responsibilities will this nurse have when caring for the client? (Select all that apply.)
1. Positions the client
2. Prepares the surgical suite
3. Counts all instruments and sponges
4. Advocates for the client's safety and well-being
5. Handles sutures and instruments adjacent to the sterile field
Question 5A nurse is preparing to discharge a client who has had outpatient surgery. What should the nurse assess before discharging the client?
1. Family support at home
2. Understanding of the surgical procedure
3. Food preferences
4. Knowledge of sterile technique
Question 6After abdominal surgery, a client feels bloated and is unable to pass gas. What should the nurse do to help this client?
1. Press gently on the abdomen to promote expulsion of gas.
2. Restrict foods to reduce gas production.
3. Assist with ambulation.
4. Encourage fluid intake of 3000 mL/day.
Question 7A postoperative client complains of dizziness when getting out of bed to ambulate. What should the nurse do?
1. Return the client to bed.
2. Walk alongside the client.
3. Administer medication for dizziness.
4. Have the client use a walker.
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