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NUR450 - Final Exam - Blackboard posted questions and case studies Complete UPDATED!!!.pdf

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NUR450 - Final Exam - Blackboard posted questions and case studies Complete UPDATED!!!.pdf

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NUR450 FINAL EXAM Blackboard POSTED Questions and CASE STUDIES Complete UPDATED!!!



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1 of 304

Term


398. A client has a body mass index (BMI) of 35 and verbalize the need
to lose weight. The nurse encourages the client to lose weight safely
by:
1. Decreasing portion size and fat intake
2. Increasing protein and vegetable intake
3. Decreasing carbohydrate and fat intake
4. Increasing fruits and limiting fluid intake



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Ans: 3
3. Complementary mixtures of essential amino acids in plan proteins provide
complete dietary protein equivalents.

, Ans: 1
1. The most effective and safest method for achieving weight loss is to
decrease caloric intake. This is best accomplished by maintaining a balance of
nutrients while decreasing portion size and fat intake. A gram of fat is 9
calories, whereas a gram of protein and a gram of carbohydrate are each 4
calories.




Ans: 3
3. Self-splinting results in shallow breathing, which does not aerate the lungs
adequately, particularly the lower right lobe.




Ans: 1
1. The antioxidants vitamin E and beta-carotene, which help inhibit oxidation and
therefore tissue breakdown, are found in these foods.


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2 of 304

Definition



Ans: 2
2. Lying in the horizontal position stretches the flexor muscles and
prevents a flexion contraction of the hip.



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866. A client has an above-the-knee amputation because of a gangrenous leg
ulcer. To prevent deformities after the second postoperative day the nurse
should:
1. Place an abduction pillow between the legs

, 2. Encourage lying in the supine or prone position
3. Keep the client's residual limb elevated on a pillow
4. Teach the client to press the residual limb against a hard surface several
times a day


870. A client has a below-the-knee amputation. The nurse concludes that a major
advantage of a postoperative prosthesis applied immediately is that it:
1. Decreases phantom limb sensations
2. Encourages a normal walking pattern
3. Reduces the incidence of wound infection
4. Allows for the fitting of the prosthesis before discharge




437. A client develops a gallstone that becomes lodged in the common bile duct.
The practitioner schedules an endoscopic sphincterotomy. Preoperative teaching
includes information that for the procedure the client will:
1. Have a spinal anesthetic
2. Receive an epidural block
3. Have a general anesthetic
4. Receive an intravenous sedative




829. A client with chronic osteomyelitis in a leg is to have a debridement of the
infected bone. When planning for postoperative care the nurse expects that:
1. Frequent range-of-motion exercises are needed
2. Septicemia is a common postoperative complication
3. The client will be allowed out of bed after the first day
4. The client's leg may be immobilized in a cast or splint


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3 of 304

Definition

, 2


Rationale:


Infection and pancytopenia are side effects of etanercept (Enbrel).
Laboratory studies are performed prior to and during medication
treatment. The appearance of abnormal white blood cell counts and
abnormal platelet counts can alert the nurse to a potentially life-
threatening infection. Injection site itching is a common occurrence
following administration. A metallic taste with loss of appetite are not
common signs of side effects of this medication.
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637. The client has just had surgery to create an ileostomy. The nurse assesses the
client in the immediate postoperative period for which most frequent complication
of this type of surgery?
1. Folate deficiency
2. Malabsorption of fat
3. Intestinal obstruction
4. Fluid and electrolyte imbalance




621. The client has undergone esophagogastroduodenoscopy. The nurse places
highest priority on which item as part of the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex




846. The client has been on treatment for rheumatoid arthritis for 3 weeks.
During the administration of etanercept (Enbrel), it is most important for the
nurse to assess:
1. The injection site for itching and edema

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