WGU adult health 2 D446 Exam
Questions With Correct Answers
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse
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performs a neurological assessment every four hours. Which assessment finding
| | | | | | | | | |
warrants immediate intervention by the nurse?Rationale:finding in a client with
| | | | | | | | | |
ALS, as it can lead to ineffective airway clearance and increase the risk of
| | | | | | | | | | | | | |
aspiration pneumonia. Immediate intervention, such as suctioning or respiratory
| | | | | | | | |
support, may be necessary to maintain airway patency and prevent
| | | | | | | | | |
complications.
Weakened cough |
A client with stage 4 bone cancer is admitted to the hospital verbalizes
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continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the
| | | | | | | | | | | | | | |
nurse implement?Rationales: Both opioids and nonopioids are appropriate
| | | | | | | |
intervention managing severe pain as it addresses pain from multiple pathways
| | | | | | | | | | |
and provide more effective pain relief.
| | | | |
Administer opioid and non-opioid medication simultaneously.
| | | | |
A 59-year-old male client presents to the clinic reporting pain in the right great
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toe. The client says that the pain feels like it is another attack of gout, which he
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has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
,the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
not.Each row must have at least one, but may have more than one, response
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option selected. temperature 100.5° F (38.1° C).
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Heart rate 97 beats/minute
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Respirations 18 breaths/minute | |
Blood pressure 151/87 mm Hg
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Oxygen saturation 95% on room air
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Height is 5 ft 11 in (180.34 cm)
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Weight is 228 lb (103.4 kg)| | | | |
Body mass index (BMI) is 31.8 kg/m2
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Pain rating of 8 on 0 to 10 scale, in the right foot
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Day 1, 0830
| |
,Renal dysfunction- Chronic gout
| | |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
not.Each row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. |
Day 1, 0830 | |
Visible tophi |
- Chronic gout
| |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
, no.tEach row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. |
Day 1, 0830 | |
Low grade fever
| |
- Acute gout attack
| | |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
not.Each row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. |
Day 1, 0830 | |
Pain at the affected joint
| | | |
- Acute gout attack
| | |
Questions With Correct Answers
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse
| | | | | | | | | | | |
performs a neurological assessment every four hours. Which assessment finding
| | | | | | | | | |
warrants immediate intervention by the nurse?Rationale:finding in a client with
| | | | | | | | | |
ALS, as it can lead to ineffective airway clearance and increase the risk of
| | | | | | | | | | | | | |
aspiration pneumonia. Immediate intervention, such as suctioning or respiratory
| | | | | | | | |
support, may be necessary to maintain airway patency and prevent
| | | | | | | | | |
complications.
Weakened cough |
A client with stage 4 bone cancer is admitted to the hospital verbalizes
| | | | | | | | | | | | |
continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the
| | | | | | | | | | | | | | |
nurse implement?Rationales: Both opioids and nonopioids are appropriate
| | | | | | | |
intervention managing severe pain as it addresses pain from multiple pathways
| | | | | | | | | | |
and provide more effective pain relief.
| | | | |
Administer opioid and non-opioid medication simultaneously.
| | | | |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
,the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
not.Each row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. temperature 100.5° F (38.1° C).
| | | | | |
Heart rate 97 beats/minute
| | |
Respirations 18 breaths/minute | |
Blood pressure 151/87 mm Hg
| | | |
Oxygen saturation 95% on room air
| | | | |
Height is 5 ft 11 in (180.34 cm)
| | | | | | |
Weight is 228 lb (103.4 kg)| | | | |
Body mass index (BMI) is 31.8 kg/m2
| | | | | |
Pain rating of 8 on 0 to 10 scale, in the right foot
| | | | | | | | | | | |
Day 1, 0830
| |
,Renal dysfunction- Chronic gout
| | |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
not.Each row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. |
Day 1, 0830 | |
Visible tophi |
- Chronic gout
| |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
, no.tEach row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. |
Day 1, 0830 | |
Low grade fever
| |
- Acute gout attack
| | |
A 59-year-old male client presents to the clinic reporting pain in the right great
| | | | | | | | | | | | | |
toe. The client says that the pain feels like it is another attack of gout, which he
| | | | | | | | | | | | | | | | |
has had on 2 other occasions in the last 4 months. The client tells the nurses that
| | | | | | | | | | | | | | | | |
the pain started about 9 days ago in the evening and that it got very painful and
| | | | | | | | | | | | | | | | |
swollen shortly thereafter. In the past, the gout attacks have resolved without
| | | | | | | | | | | |
treatment after about 5 days, but the client reports that his condition has
| | | | | | | | | | | | |
not.Each row must have at least one, but may have more than one, response
| | | | | | | | | | | | | |
option selected. |
Day 1, 0830 | |
Pain at the affected joint
| | | |
- Acute gout attack
| | |
