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NSG 3250 Adult Health I Exam||VERIFIED QUESTIONS
AND ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines | Graded
A+||Newest Exam!!!
The home health nurse cares for an alert and oriented
older adult patient with a history of
dehydration. Which instructions should the nurse give this
patient related to fluid intake?
a. "Drink more fluids in the late evening."
b. "More fluids are needed if you feel thirsty."
c. "Increase the fluids if your mouth feels dry."
d. "If you feel confused, you need more fluids." - Answer-
ANS: C
An alert older patient will be able to self-assess for signs
of oral dryness such as thick oral
secretions or dry-appearing mucosa. The thirst
mechanism decreases with age and is not an
accurate indicator of volume depletion. Many older
patients prefer to restrict fluids slightly in
the evening to improve sleep quality. The patient will not
be likely to notice and act
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appropriately when changes in level of consciousness
occur.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX:
Health Promotion and Maintenance
A patient who is taking a potassium-wasting diuretic for
treatment of hypertension reports
generalized weakness. Which action is appropriate for the
nurse to take?
a. Assess for facial muscle spasms.
b. Ask the patient about loose stools.
c. Recommend the patient avoid drinking orange juice with
meals.
d. Suggest that the health care provider order a basic
metabolic panel. - Answer-ANS: D
Generalized weakness is a manifestation of hypokalemia.
After the health care provider orders
the metabolic panel, the nurse should check the
potassium level. Facial muscle spasms might
occur with hypocalcemia. Orange juice is high in
potassium and would be advisable to drink
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if the patient is hypokalemic. Loose stools are associated
with hyperkalemia.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX:
Physiological Integrity
Spironolactone (Aldactone), an aldosterone antagonist, is
prescribed for a patient. Which
statement by the patient indicates that the teaching about
this medication has been effective?
a. "I will try to drink at least 8 glasses of water every day."
b. "I will use a salt substitute to decrease my sodium
intake."
c. "I will increase my intake of potassium-containing
foods."
d. "I will drink apple juice instead of orange juice for
breakfast." - Answer-ANS: D
Because spironolactone is a potassium-sparing diuretic,
teach patients to choose
low-potassium foods (e.g., apple juice) rather than foods
that have higher levels of potassium
(e.g., citrus fruits). Because the patient is using
spironolactone as a diuretic, the nurse would
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not encourage the patient to increase fluid intake. Teach
patients to avoid salt substitutes,
which are high in potassium.
DIF: Cognitive Level: Apply (application) TOP: Nursing
Process: Evaluation
MSC: NCLEX: Physiological Integrity
A patient with new-onset confusion and hyponatremia is
being admitted. Which action should
the charge nurse take when making room assignments?
a. Assign the patient to a semiprivate room.
b. Assign the patient to a room near the nurse's station.
c. Place the patient in a room nearest to the water
fountain.
d. Place the patient on telemetry to monitor for peaked T
waves. - Answer-ANS: B
The patient should be placed near the nurse's station if
confused for the staff to closely
monitor the patient. To help improve serum sodium levels,
water intake is restricted.
Therefore, a confused patient should not be placed near a
water fountain. Peaked T waves are
NSG 3250 Adult Health I Exam||VERIFIED QUESTIONS
AND ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines | Graded
A+||Newest Exam!!!
The home health nurse cares for an alert and oriented
older adult patient with a history of
dehydration. Which instructions should the nurse give this
patient related to fluid intake?
a. "Drink more fluids in the late evening."
b. "More fluids are needed if you feel thirsty."
c. "Increase the fluids if your mouth feels dry."
d. "If you feel confused, you need more fluids." - Answer-
ANS: C
An alert older patient will be able to self-assess for signs
of oral dryness such as thick oral
secretions or dry-appearing mucosa. The thirst
mechanism decreases with age and is not an
accurate indicator of volume depletion. Many older
patients prefer to restrict fluids slightly in
the evening to improve sleep quality. The patient will not
be likely to notice and act
,2|Page
appropriately when changes in level of consciousness
occur.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX:
Health Promotion and Maintenance
A patient who is taking a potassium-wasting diuretic for
treatment of hypertension reports
generalized weakness. Which action is appropriate for the
nurse to take?
a. Assess for facial muscle spasms.
b. Ask the patient about loose stools.
c. Recommend the patient avoid drinking orange juice with
meals.
d. Suggest that the health care provider order a basic
metabolic panel. - Answer-ANS: D
Generalized weakness is a manifestation of hypokalemia.
After the health care provider orders
the metabolic panel, the nurse should check the
potassium level. Facial muscle spasms might
occur with hypocalcemia. Orange juice is high in
potassium and would be advisable to drink
,3|Page
if the patient is hypokalemic. Loose stools are associated
with hyperkalemia.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX:
Physiological Integrity
Spironolactone (Aldactone), an aldosterone antagonist, is
prescribed for a patient. Which
statement by the patient indicates that the teaching about
this medication has been effective?
a. "I will try to drink at least 8 glasses of water every day."
b. "I will use a salt substitute to decrease my sodium
intake."
c. "I will increase my intake of potassium-containing
foods."
d. "I will drink apple juice instead of orange juice for
breakfast." - Answer-ANS: D
Because spironolactone is a potassium-sparing diuretic,
teach patients to choose
low-potassium foods (e.g., apple juice) rather than foods
that have higher levels of potassium
(e.g., citrus fruits). Because the patient is using
spironolactone as a diuretic, the nurse would
, 4|Page
not encourage the patient to increase fluid intake. Teach
patients to avoid salt substitutes,
which are high in potassium.
DIF: Cognitive Level: Apply (application) TOP: Nursing
Process: Evaluation
MSC: NCLEX: Physiological Integrity
A patient with new-onset confusion and hyponatremia is
being admitted. Which action should
the charge nurse take when making room assignments?
a. Assign the patient to a semiprivate room.
b. Assign the patient to a room near the nurse's station.
c. Place the patient in a room nearest to the water
fountain.
d. Place the patient on telemetry to monitor for peaked T
waves. - Answer-ANS: B
The patient should be placed near the nurse's station if
confused for the staff to closely
monitor the patient. To help improve serum sodium levels,
water intake is restricted.
Therefore, a confused patient should not be placed near a
water fountain. Peaked T waves are
