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NUR 681 EXAM 1 QUESTIONS WITH CORRECT ANSWERS

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NUR 681 EXAM 1 QUESTIONS WITH CORRECT ANSWERS

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While recording in a patients medical record, the nurse notices that a patients
Hematest results are positive. This finding means that there is(are):


a. Crystals in his urine.
b. Parasites in his stool.
c. Occult blood in his stool.
d. Bacteria in his sputum.


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c. Occult blood in his stool.




Which patient is more likely to have a cluster headache?


a. A female in her reproductive years
b. A 40-year-old African American male

,c. A 55-year-old female who drinks 10 cups of coffee daily
d. A 45-year-old male awakened at night


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d. A 45-year-old male awakened at night




The nurse is planning care for a client diagnosed with myasthenia gravis. Which of the
following should be included in this clients plan of care? (Select all that apply.)


a.Monitor activities frequently and assist as needed.
b.Encourage progressive increase in activities.
c.Determine the best communication method.
d.Monitor weight.
e.Restrict fluids.
f.Instruct in energy conservation measures.


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a.Monitor activities frequently and assist as needed.
c.Determine the best communication method.
d.Monitor weight.
f.Instruct in energy conservation measures.

Care for the client diagnosed with myasthenia gravis includes frequent
monitoring of activities and assisting as needed, determining the best
communication method, monitoring weight, and instructing in energy
conservation methods. Encouraging a progressive increase in activities and
restricting fluids are not appropriate interventions for a client diagnosed
with myasthenia gravis.




The family of a client diagnosed with a stroke asks the nurse if this health problem is
very common. The nurse should respond that in the United States a person has a
stroke every:

,a. 40 seconds.
b. 1 minutes.
c. 2 minutes.
d. 5 minutes.


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a. 40 seconds.

In the United States, a person has a stroke every 40 seconds, and 700,000
new or recurrent strokes each year. Strokes are the third leading cause of
death in the United States behind heart disease and cancer and are the
leading cause of long-term disability.




Which of the following would be considered the research design for Level V
evidence?


a. Systematic review of randomized clinical trial studies
b. Well-designed controlled trials without randomization
c. Systematic reviews of descriptive or qualitative studies
d. Single descriptive or qualitative study


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c. Systematic reviews of descriptive or qualitative studies




A nurse who provides care in an acute medical unit is aware of the importance of
thorough discharge planning. The discharge planning process should begin


A) once the patient has stabilized and is assured of positive outcomes.
B) as soon as possible after the patient is admitted.
C) once the patient has received a discharge order from his or her primary care

, provider.
D) 48 to 72 hours before the projected date of discharge.


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B) as soon as possible after the patient is admitted.

If possible, discharge planning should begin immediately upon admission.




An adult female in her 30s complains of numbness and tingling in the hands, fatigue,
loss of coordination, incontinence, nystagmus, and ataxia. Which of the following
health problems do these symptoms suggest to the nurse?


a.Brain tumor
b.Myasthenia gravis
c.Multiple sclerosis
d.Diabetes


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c.Multiple sclerosis



Multiple sclerosis is more common in women of this age. These are
symptoms, along with the age and sex of the patient, that are common to
MS. These symptoms are not necessarily associated with a brain tumor.
Weakness is the primary symptom associated with myasthenia gravis.
Symptoms of diabetes include weight loss, blurred vision, excessive
urination, thirst, and hunger.




A client, being tested for a stroke, is not a candidate for tPA. Which of the following
would be contraindicated for the use of tPA? (Select all that apply.)


a. Minor ischemic stroke within 30 days

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