Practice Mode: Select All That Apply (SATA) This is a 10-question Quiz in Practice Mode. This will not be scored and will not affect your stats scores, and level. A client who is 41 weeks pregnant is about to undergo a biophysical profile (BPP) to evaluate her fetus’s well-being. The nurse knows that which components are included in a BPP? Select all that apply. Fetal tone Fetal breathing movements Femur length Amniotic fluid volume Biparietal diameter Crown-rump length A client is prescribed lisinopril (Zestril) for treatment of hypertension. He asks a nurse about possible adverse effects. The nurse should teach him about which of the following common adverse effects of angiotensin converting enzyme (ACE) inhibitors? Select all that apply. Constipation Dizziness Headache Hyperglycemia Hypotension Impotence The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should the nurse include in the discussion? Select all that apply. Right to select health care team members Right to refuse treatment Right to a written treatment plan Right to obtain disability Right to confidentiality Right to personal mail A woman who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which characteristics or problems? Select all that apply. Fetal lung maturity Gestational diabetes Chromosomal defects Neural tube defects Polyhydramnios Sex of the fetus The nurse is assisting in the discharge planning for a client with alcoholism. Which of the following should be included in the discharge plan? Select all that apply. Strongly encourage participation in Alcoholics Anonymous (AA). Provide nutritional information and counseling. Establish an exercise program. Discuss relapse prevention. Have the client introduce himself slowly to people from his former lifestyle. The nurse is preparing a female client with tonic-clonic seizure disorder for discharge. Which instructions should the nurse include about phenytoin (Dilantin)? Select all that apply. “Monitor for skin rash.” “Maintain adequate amounts of fluid and fiber in the diet.” “Perform good oral hygiene, including daily brushing and flossing.” “Receive necessary periodic blood work.” “Report to the physician any problems with walking, coordination, slurred speech, or nausea.” “Feel safe about taking this drug, even during pregnancy.” A client is receiving chlordiazepoxide (Librium) to control the symptoms of alcohol withdrawal. The chlordiazepoxide has been ordered as needed. Which symptom may indicate the need for an additional dose of this medication? Select all that apply. Tachycardia Mood swings Elevated blood pressure and temperature Piloerection Tremors Increasing anxiety The nurse is caring for a 45-year-old married woman who has undergone hemicolectomy for colon cancer. The woman has two children. Which concepts about families should the nurse keep in mind when providing care for this client? Select all that apply. Illness in one family member can affect all members. Family roles don’t change because of illness. A family member may have more than one role at a time in a family. Children typically aren’t affected by adult illness. The effects of an illness on a family depend on the stage of the family’s life cycle. Changes in sleeping and eating patterns may be signs of stress in a family. The nurse is performing a Denver Developmental Screening Test II on a 4 1/2-year-old child. What behaviors should the nurse expect the child to demonstrate? Select all that apply. He balances on each foot for at least 6 seconds. He copies a square using straight lines and square corners. He prepares his own cereal without help. He copies a circle that’s closed or very nearly closed. He speaks clearly. He draws a person with at least three body parts. The nurse receives a change-of-shift report for a 76-year-old client who had a total hip replacement. The client is not oriented to time, place, or person and is attempting to get out of bed and pull out an I.V. line that’s supplying hydration and antibiotics. The client has a vest restraint and bilateral soft wrist restraints. Which action by the nurse would be appropriate? Select all that apply. Assess and document the behavior that requires continued use of restraints. Tie the restraints in quick-release knots. Tie the restraints to the side rails of the bed. Ask the client if he needs to go to the bathroom and provide range-of-motion exercises every 2 hours. Position the vest restraints so that the straps are crossed in the back.