EVALUATED MEDICAL SURGICAL EXAM TEST BANK QUESTIONS AND ANSWERS The nurse is caring for an older client who has kyphosis and a widened gait. For which health problems is the client at risk? a. Osteoporosis b. Contracture c. Osteopenia d. Falls - COR

ADULT HEALTH FINAL EXAM TEST BANK QUESTIONS AND ANSWERS denial - CORRECT ANSWER -A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." The nurse should identify that this client is demonstrating which of the following Kübler-Ross stages of grieving? Breathing ranging from very deep to very shallow with periods of apnea - CORRECT ANSWER -A nurse is assessing the respiratory pattern of an older adult client who is receiving end-of-life care. Which of the following assessment findings should the nurse identify as Cheyne-Stokes respirations? i am hoping this will limit my discomfort - CORRECT ANSWER -A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements by the client indicates they understand this type of treatment? shoulders drop, facial muscles relax, pulse is within expected range - CORRECT ANSWER -A nurse provides a back massage as a palliative care measure to a client who is unconscious, grimacing, and restless. Which of the following findings should the nurse identify as indicating a therapeutic response? (Select all that apply.) I just can't believe that this dialysis is going to ruin my whole life. - CORRECT ANSWER -A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse identify as an indication of anticipatory grieving? Discuss imitating hospice care with the client in a nursing home - CORRECT ANSWER -A nurse is caring for a client who has metastatic bone cancer. The client states, "I want to go home to die." The family is concerned about meeting the client's care needs at home. Which of the following actions should the nurse take? "The doctor says I only have a few moments to live, but I know he is exaggerating to get me to take my medication." - CORRECT ANSWER -A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process? Provide skin care with a moisture barrier cream. Administer artificial tears PRN. Perform mouth care every hour. Administer oxygen 2 L/min via nasal cannula. - CORRECT ANSWER -A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the following prescriptions should the nurse expect? (Select all that apply.) low self esteem - CORRECT ANSWER -A nurse manager is discussing the differences between normal and maladaptive grief with nursing staff. Which of the following findings should the nurse manager identify as being a unique component of the maladaptive grieving process? 1) Make sure the provider has pronounced the client dead2) Verify the client's organ and tissue donation status3) Remove medical equipment from the client4) Cleanse the body while adhering to the body-fluid precautions5) Attach identification tags to the body - CORRECT ANSWER -A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion) - CORRECT ANSWER -A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8º C (98.2º F). Which of the following actions should the nurse perform? Determine if the client uses hearing aids. - CORRECT ANSWER -A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?