2
PNH301 final Exam with verified detailed answers || || || || || ||
In a severely anemic patient, the nurse would expect to find:
|| || || || || || || || || ||
a. dyspnea and tachycardia
|| || ||
b. cyanosis and pulmonary edema
|| || || ||
c. cardiomegaly and pulmonary fibrosis
|| || || ||
d. ventricular dysrhythmias and wheezing
|| || || ||
a. dyspnea + tachycardia
|| || ||
When obtaining assessment data from a client with a microcytic, hypochromic anemia,
|| || || || || || || || || || || ||
what would the nurse question the client about?
|| || || || || || ||
a. folic acid intake
|| || ||
b. dietary intake of iron
|| || || ||
c. Hx of gastric surgery
|| || || ||
d. Hx of sickle cell anemia
|| || || || ||
b. dietary intake of iron
|| || || ||
Nursing interventions for a client w/ severe anemia r/t PUD include which of the
|| || || || || || || || || || || || || ||
following? (SATA): ||
a. giving instructions in high-iron diet
|| || || || ||
b. taking VS q8h
|| || ||
c. monitoring stools for occult blood
|| || || || ||
d. teaching self-injection of erythropoietin
|| || || ||
e. administering cobalamin (V.B12) injections
|| || || ||
,2
a, c ||
- high iron diet
|| || ||
- monitor stools for blood
|| || || ||
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
|| || || || || || || || || || || ||
a. monitoring CBC
|| ||
b. providing optimal pain management and O2 therapy
|| || || || || || ||
c. doing blood transfusions if required and iron chelation
|| || || || || || || ||
d. recommending rest as needed and DVT prophylaxis
|| || || || || || ||
e. administering IV iron and a diet high in iron content
|| || || || || || || || || ||
a, b, c, d
|| || ||
-monitor cbc ||
-pain management + o2 || || ||
-blood transfusions; iron chelation
|| || ||
-rest prn + dvt prophylaxis
|| || || ||
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema.
|| || || || || || || || || || ||
After teaching regarding this drug, the nurse determines that further instruction is needed
|| || || || || || || || || || || || ||
when the client says which of the following?
|| || || || || || ||
a. "I can expect the medication dose may need to be adjusted"
|| || || || || || || || || || ||
b. "I only need to take this drug until my symptoms are improved"
|| || || || || || || || || || || ||
c. "I can expect to return to normal function with the use of this drug"
|| || || || || || || || || || || || || ||
d. "I will report any chest pain or difficulty breathing to the doctor right away"
|| || || || || || || || || || || || || ||
b. levothyroxine is lifelong treatment
|| || || ||
,2
Which of the following are important nursing intervention(s) when caring for a patient w/
|| || || || || || || || || || || || || ||
Cushing's syndrome? (SATA): || ||
a. restrict protein intake
|| || ||
b. monitor blood glucose levels
|| || || ||
c. observing signs of hypotension
|| || || ||
d. administer medication in equal doses
|| || || || ||
e. protect the client from exposure to infection
|| || || || || || ||
b+e || ||
- monitor blood glucose
|| || ||
- protect client from infection
|| || || ||
How does the nurse instruct the client who is taking corticosteroids to control adverse
|| || || || || || || || || || || || || ||
effects of drug therapy? || || ||
a. increase calcium intake to 1500mg/day
|| || || || ||
b. perform glucose monitoring for hypoglycemia
|| || || || ||
c. obtain immunizations due to high risk for infections
|| || || || || || || ||
d. avoid abrupt position changes b/c of orthostatic hypotension
|| || || || || || || ||
a. increase calcium intake
|| || ||
What does the nurse teach the client regarding the best time to take corticosteroids for
|| || || || || || || || || || || || || || ||
replacement purposes? ||
a. once a day @ bedtime
|| || || || ||
b. every other day on awakening
|| || || || ||
, 2
c. on arising and in the late afternoon
|| || || || || || ||
d. @ consistent intervals every 6-8 hrs
|| || || || || ||
c. on arising and in the late afternoon
|| || || || || || ||
When would the nurse suspect an ankle sprain for the client being seen at urgent care
|| || || || || || || || || || || || || || || ||
centre?
a. client was hit by another soccer player on the field
|| || || || || || || || || ||
b. client has ankle pain after sprinting around the track
|| || || || || || || || ||
c. client dropped 4.5kg weight on his lower leg at the gym.
|| || || || || || || || || || ||
d. client had a twisting injury while running bases during a baseball game.
|| || || || || || || || || || || ||
d. twisting injury while running bases
|| || || || ||
The nurse explains to a client with a distal tibial fracture returning for a 3 week checkup
|| || || || || || || || || || || || || || || || ||
that healing is indicated by which of the following?
|| || || || || || || ||
a. callus formation
|| ||
b. complete bony union
|| || ||
c. hematoma at the fracture site
|| || || || ||
d. presence of granulation tissue
|| || || ||
a. callus formation
|| ||
Which of the following indicates a neurovascular problem during the nurses assessment of
|| || || || || || || || || || || || ||
a client with a fracture?
|| || || ||
a. exaggeration of extremity movement
|| || || ||
b. increased redness and heat below the injury
|| || || || || || ||
PNH301 final Exam with verified detailed answers || || || || || ||
In a severely anemic patient, the nurse would expect to find:
|| || || || || || || || || ||
a. dyspnea and tachycardia
|| || ||
b. cyanosis and pulmonary edema
|| || || ||
c. cardiomegaly and pulmonary fibrosis
|| || || ||
d. ventricular dysrhythmias and wheezing
|| || || ||
a. dyspnea + tachycardia
|| || ||
When obtaining assessment data from a client with a microcytic, hypochromic anemia,
|| || || || || || || || || || || ||
what would the nurse question the client about?
|| || || || || || ||
a. folic acid intake
|| || ||
b. dietary intake of iron
|| || || ||
c. Hx of gastric surgery
|| || || ||
d. Hx of sickle cell anemia
|| || || || ||
b. dietary intake of iron
|| || || ||
Nursing interventions for a client w/ severe anemia r/t PUD include which of the
|| || || || || || || || || || || || || ||
following? (SATA): ||
a. giving instructions in high-iron diet
|| || || || ||
b. taking VS q8h
|| || ||
c. monitoring stools for occult blood
|| || || || ||
d. teaching self-injection of erythropoietin
|| || || ||
e. administering cobalamin (V.B12) injections
|| || || ||
,2
a, c ||
- high iron diet
|| || ||
- monitor stools for blood
|| || || ||
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
|| || || || || || || || || || || ||
a. monitoring CBC
|| ||
b. providing optimal pain management and O2 therapy
|| || || || || || ||
c. doing blood transfusions if required and iron chelation
|| || || || || || || ||
d. recommending rest as needed and DVT prophylaxis
|| || || || || || ||
e. administering IV iron and a diet high in iron content
|| || || || || || || || || ||
a, b, c, d
|| || ||
-monitor cbc ||
-pain management + o2 || || ||
-blood transfusions; iron chelation
|| || ||
-rest prn + dvt prophylaxis
|| || || ||
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema.
|| || || || || || || || || || ||
After teaching regarding this drug, the nurse determines that further instruction is needed
|| || || || || || || || || || || || ||
when the client says which of the following?
|| || || || || || ||
a. "I can expect the medication dose may need to be adjusted"
|| || || || || || || || || || ||
b. "I only need to take this drug until my symptoms are improved"
|| || || || || || || || || || || ||
c. "I can expect to return to normal function with the use of this drug"
|| || || || || || || || || || || || || ||
d. "I will report any chest pain or difficulty breathing to the doctor right away"
|| || || || || || || || || || || || || ||
b. levothyroxine is lifelong treatment
|| || || ||
,2
Which of the following are important nursing intervention(s) when caring for a patient w/
|| || || || || || || || || || || || || ||
Cushing's syndrome? (SATA): || ||
a. restrict protein intake
|| || ||
b. monitor blood glucose levels
|| || || ||
c. observing signs of hypotension
|| || || ||
d. administer medication in equal doses
|| || || || ||
e. protect the client from exposure to infection
|| || || || || || ||
b+e || ||
- monitor blood glucose
|| || ||
- protect client from infection
|| || || ||
How does the nurse instruct the client who is taking corticosteroids to control adverse
|| || || || || || || || || || || || || ||
effects of drug therapy? || || ||
a. increase calcium intake to 1500mg/day
|| || || || ||
b. perform glucose monitoring for hypoglycemia
|| || || || ||
c. obtain immunizations due to high risk for infections
|| || || || || || || ||
d. avoid abrupt position changes b/c of orthostatic hypotension
|| || || || || || || ||
a. increase calcium intake
|| || ||
What does the nurse teach the client regarding the best time to take corticosteroids for
|| || || || || || || || || || || || || || ||
replacement purposes? ||
a. once a day @ bedtime
|| || || || ||
b. every other day on awakening
|| || || || ||
, 2
c. on arising and in the late afternoon
|| || || || || || ||
d. @ consistent intervals every 6-8 hrs
|| || || || || ||
c. on arising and in the late afternoon
|| || || || || || ||
When would the nurse suspect an ankle sprain for the client being seen at urgent care
|| || || || || || || || || || || || || || || ||
centre?
a. client was hit by another soccer player on the field
|| || || || || || || || || ||
b. client has ankle pain after sprinting around the track
|| || || || || || || || ||
c. client dropped 4.5kg weight on his lower leg at the gym.
|| || || || || || || || || || ||
d. client had a twisting injury while running bases during a baseball game.
|| || || || || || || || || || || ||
d. twisting injury while running bases
|| || || || ||
The nurse explains to a client with a distal tibial fracture returning for a 3 week checkup
|| || || || || || || || || || || || || || || || ||
that healing is indicated by which of the following?
|| || || || || || || ||
a. callus formation
|| ||
b. complete bony union
|| || ||
c. hematoma at the fracture site
|| || || || ||
d. presence of granulation tissue
|| || || ||
a. callus formation
|| ||
Which of the following indicates a neurovascular problem during the nurses assessment of
|| || || || || || || || || || || || ||
a client with a fracture?
|| || || ||
a. exaggeration of extremity movement
|| || || ||
b. increased redness and heat below the injury
|| || || || || || ||
