The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding ...

The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
 
  a. Vaginal dryness
  b. Need for a Papanicolaou test if none for 3 years
  c. Bleeding from the vagina
  d. Leakage of urine

Question 2

The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou test. What instruction by the nurse is the most accurate?
 
  a. The timing of the Pap smear does not matter.
  b. Sexual intercourse will not interfere with the results.
  c. Results can be interpreted immediately in the office.
  d. Results are best if you do not douche 24 hours before the test.

Question 3

A client in the intensive care unit with acute kidney injury (AKI) must maintain a mean arterial pressure (MAP) of 65 mm Hg to promote kidney perfusion. What is the client's MAP if the blood pressure is 98/50 mm Hg?
 
  (Record your answer using a whole number.) _____ mm Hg

Question 4

A client is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statements by the nurse are accurate regarding PD? (Select all that apply.)
 
  a. You will not need vascular access to perform PD.
  b. There is less restriction of protein and fluids.
  c. You will have no risk for infection with PD.
  d. You have flexible scheduling for the exchanges.
  e. It takes less time than hemodialysis treatments.

Question 5

A client is undergoing hemodialysis. The client's blood pressure at the beginning of the procedure was 136/88 mm Hg, and now it is 110/54 mm Hg. What actions should the nurse perform to maintain blood pressure? (Select all that apply.)
 
  a. Adjust the rate of extracorporeal blood flow.
  b. Place the client in the Trendelenburg position.
  c. Stop the hemodialysis treatment.
  d. Administer a 250-mL bolus of normal saline.
  e. Contact the health care provider for orders.

Question 6

A nurse is giving discharge instructions to a client recently diagnosed with chronic kidney disease (CKD). Which statements made by the client indicate a correct understanding of the teaching? (Select all that apply.)
 
  a. I can continue to take antacids to relieve heartburn.
  b. I need to ask for an antibiotic when scheduling a dental appointment.
  c. I'll need to check my blood sugar often to prevent hypoglycemia.
  d. The dose of my pain medication may have to be adjusted.
  e. I should watch for bleeding when taking my anticoagulants.

Question 7

The nurse is teaching a client with diabetes mellitus how to prevent or delay chronic kidney disease (CKD). Which client statements indicate a lack of understanding of the teaching? (Select all that apply.)
 
  a. I need to decrease sodium, cholesterol, and protein in my diet.
  b. My weight should be maintained at a body mass index of 30.
  c. Smoking should be stopped as soon as I possibly can.
  d. I can continue to take an aspirin every 4 to 8 hours for my pain.
  e. I really only need to drink a couple of glasses of water each day.