ADULT HEALTH 1 QUESTIONS AND
CORRECT ANSWERS TESTBANK
VERIFIED AND GRADED A+
The nurse is caring for a client with heart failure. On assessment the nurse
notes that the client is dyspneic and crackles are audible on auscultation.
What additional signs would the nurse expect to note in this client if excess
fluid volume is present?
A. Weight loss
B.Flat neck and head veins
C. An increase in BP
D. Decreased central venous pressure
C. An increase in BP
The patient with systemic lupus erythematosus had been diagnosed with
syndrome of inappropriate antidiuretic hormone (SIADH). What should the
nurse expect to include in this patient's plan of care (select all that apply)?
Obtain weekly weights.
Limit fluids to 1000 mL per day.*
Monitor for signs of hypernatremia.
Minimize turning and range of motion.
Keep the head of the bed at 10 degrees or less elevation.
Limit fluids to 1000 mL per day.*
,Keep the head of the bed at 10 degrees or less elevation
A 50-year-old female patient smokes, is getting a divorce, and is reporting
eye problems. On assessment of this patient, the nurse notes exophthalmos.
What other abnormal assessments should the nurse expect to find in this
patient?
Systolic hypertension and increased heart rate
A patient with a severe pounding headache has been diagnosed with
hypertension. However, the hypertension is not responding to traditional
treatment. What should the nurse expect as the next step in management of
this patient?
A 24-hour urine collection for fractionated metanephrines
The patient with an adrenal hyperplasia is returning from surgery for an
adrenalectomy. For what immediate postoperative risk should the nurse plan
to monitor the patient?
Rapid BP changes
The patient is brought to the ED following a car accident and is wearing
medical identification that says she has Addison's disease. What should the
nurse expect to be included in the collaborative care of this patient?
,Increased glucocorticoid replacement
During the postoperative care of a 76-year old patient, the nurse monitors
the patient's intake and output carefully, knowing that the patient is at risk
for fluid and electrolyte imbalances primarily because
small losses of fluid are more significant because body fluids account for only
about 50% of body weight in older adults
During administration of hypertonic IV solution, the mechanism involved in
equalizing the fluid concentration between ECF and the cell is
osmosis
An older woman was admitted to the medical unit with dehydration. Clinical
indications of this problem are
weight loss
dry oral mucosa
decreased central venous pressure
The nursing care for a patient with hyponatremia includes
fluid restriction
, The nurse should be alert for which manifestations in a patient receiving a
loop diuretic?
weak, irregular pulse and poor muscle tone
Which patient would be at greatest risk for potential development of
hypermagnesemia?
42-year-old woman with systemic lupus erythematosus and renal failure
It is especially important for the nurse to assess for which clinical
manifestation(s) in a patient who has just undergone a total thyroidectomy?
confusion
circumoral numbness
positive chvostek's sign
The nurse anticipates that treatment of the patient with hyperphosphatemia
secondary to renal failure will include
calcium supplements
CORRECT ANSWERS TESTBANK
VERIFIED AND GRADED A+
The nurse is caring for a client with heart failure. On assessment the nurse
notes that the client is dyspneic and crackles are audible on auscultation.
What additional signs would the nurse expect to note in this client if excess
fluid volume is present?
A. Weight loss
B.Flat neck and head veins
C. An increase in BP
D. Decreased central venous pressure
C. An increase in BP
The patient with systemic lupus erythematosus had been diagnosed with
syndrome of inappropriate antidiuretic hormone (SIADH). What should the
nurse expect to include in this patient's plan of care (select all that apply)?
Obtain weekly weights.
Limit fluids to 1000 mL per day.*
Monitor for signs of hypernatremia.
Minimize turning and range of motion.
Keep the head of the bed at 10 degrees or less elevation.
Limit fluids to 1000 mL per day.*
,Keep the head of the bed at 10 degrees or less elevation
A 50-year-old female patient smokes, is getting a divorce, and is reporting
eye problems. On assessment of this patient, the nurse notes exophthalmos.
What other abnormal assessments should the nurse expect to find in this
patient?
Systolic hypertension and increased heart rate
A patient with a severe pounding headache has been diagnosed with
hypertension. However, the hypertension is not responding to traditional
treatment. What should the nurse expect as the next step in management of
this patient?
A 24-hour urine collection for fractionated metanephrines
The patient with an adrenal hyperplasia is returning from surgery for an
adrenalectomy. For what immediate postoperative risk should the nurse plan
to monitor the patient?
Rapid BP changes
The patient is brought to the ED following a car accident and is wearing
medical identification that says she has Addison's disease. What should the
nurse expect to be included in the collaborative care of this patient?
,Increased glucocorticoid replacement
During the postoperative care of a 76-year old patient, the nurse monitors
the patient's intake and output carefully, knowing that the patient is at risk
for fluid and electrolyte imbalances primarily because
small losses of fluid are more significant because body fluids account for only
about 50% of body weight in older adults
During administration of hypertonic IV solution, the mechanism involved in
equalizing the fluid concentration between ECF and the cell is
osmosis
An older woman was admitted to the medical unit with dehydration. Clinical
indications of this problem are
weight loss
dry oral mucosa
decreased central venous pressure
The nursing care for a patient with hyponatremia includes
fluid restriction
, The nurse should be alert for which manifestations in a patient receiving a
loop diuretic?
weak, irregular pulse and poor muscle tone
Which patient would be at greatest risk for potential development of
hypermagnesemia?
42-year-old woman with systemic lupus erythematosus and renal failure
It is especially important for the nurse to assess for which clinical
manifestation(s) in a patient who has just undergone a total thyroidectomy?
confusion
circumoral numbness
positive chvostek's sign
The nurse anticipates that treatment of the patient with hyperphosphatemia
secondary to renal failure will include
calcium supplements
