POSSIBLE QUESTIONS CASE STUDIES WELL
ELABORATED QUESTIONS WITH COMPLETE VERIFIED
1. A 48-year-old female client who is 30 lb (13.6 kg) overweight is
being exam- ined for possible type 2 diabetes. Her random blood
glucose level is 285 mg/dL (15.9 mmol/L) and her most recent meal
was 3 hours ago. Select the personal history and other assessment
findings that indicate to the nurse factors that increase this client's risk
for type 2 diabetes mellitus.: - Mother has type 2 diabetes mellitus.
-First baby weighed 11 lb (5 kg).
- A1c is 11.3%.
-Has a sedentary lifestyle and performs no regular exercise
.- Reports increased thirst.
-Has an open area on her right leg from a scratch injury 5 wk ago that has not healed.
2. A 52-year-old male client is admitted to the emergency
department with report of dizziness and lightheadedness. His wife
states that he vomited dark brown liquid last night before going to
bed and thinks he has a "GI flu." He has no significant medical
history but admits that he drinks 2 to 3 martinis every night to help
him relax and sleep. The nurse performs an admitting history and
physical assessment and documents the data. Select to highlight the
assessment findings that require follow-up by the nurse.: - wife stated
that he vomited dark brown liquid last night
-drink 2 to 3 martinis every night to help him relax and sleep
-apical pulse = 92 bpm
-peripheral pulses weak
-blood pressure 100/54
-feels a little lightheaded and weak
3. A 70-year-old client with BPH and hydronephrosis has undergone a
transurethral resection of the prostate (TURP). After returning from
the PACU, the nurse assesses the client's vital signs as T 99.0° F, BP
116/70, R 16, P 70. Select which nursing action listed is appropriate for
the potential postoperative complication. Note that not all nursing
actions will be used.: Falling 2 Secure catheter tubes.
Hemorrhage 5 Monitor urine output.
1/
16
, POSSIBLE QUESTIONS CASE STUDIES WELL
ELABORATED QUESTIONS WITH COMPLETE VERIFIED
Infection 4 Frequently monitor drainage tubing.
2/
16
, POSSIBLE QUESTIONS CASE STUDIES WELL
ELABORATED QUESTIONS WITH COMPLETE VERIFIED
Obstruction 1 Perform vital signs every 2 hr in the initial postoperative
period Pain 3 Administer antispasmodic drugs as prescribed.
4. A 27-year-old female client who has had type 1 diabetes since the
age of 5 years and who is now 6 months pregnant is admitted to the
emergency depart- ment with diabetic ketoacidosis (DKA). She is alert
and oriented. She is having difficulty talking because her respiratory
rate is 36 very deep breaths/min. She says she is thirsty and tired.
The nurse has started IV fluids with continuous infusion of half-
normal saline and insulin. Choose the most likely options for the
information missing from the statements by selecting from the
lost of options provided. Not that not all options will be used.
Back: Due to the client's DKA and thirst, she is currently most likely at risk for
Dehydration and Hypotension. During her hospital stay, she is most likely at risk for complications
associated of her therapy, especially Hypoglycemia and Fluid overload
5. A 73-year-old client has been diagnosed with esophageal cancer.
Diagnostic assessment has demonstrated that the cancer is advanced
and has metasta- sized to the liver. Palliative care services have been
contacted at the request of the client and spouse.Choose the most
likely options for the information miss- ing from the statements
below by selecting from the list of options provided. Note that not
all options will be used.
Back: Due to the client's diagnosis, he is currently most likely at risk for
Aspiration and Depression. During his hospital stay, the client will benefit from most from
collaboration with the Speech-language pathologist
and
Hospice services
6. The nurse is preparing a 52-year-old male client prior to having a
colonoscopy. The client's wife tells the nurse that she is worried her
husband may have colorectal cancer (CRC). The nurse performs a
brief history and admission assessment, and documents the data.
Select to highlight the assess- ment findings that would be of concern
to the nurse and health care team. Back: Wife is worried her husband may have
3/
16
ELABORATED QUESTIONS WITH COMPLETE VERIFIED
1. A 48-year-old female client who is 30 lb (13.6 kg) overweight is
being exam- ined for possible type 2 diabetes. Her random blood
glucose level is 285 mg/dL (15.9 mmol/L) and her most recent meal
was 3 hours ago. Select the personal history and other assessment
findings that indicate to the nurse factors that increase this client's risk
for type 2 diabetes mellitus.: - Mother has type 2 diabetes mellitus.
-First baby weighed 11 lb (5 kg).
- A1c is 11.3%.
-Has a sedentary lifestyle and performs no regular exercise
.- Reports increased thirst.
-Has an open area on her right leg from a scratch injury 5 wk ago that has not healed.
2. A 52-year-old male client is admitted to the emergency
department with report of dizziness and lightheadedness. His wife
states that he vomited dark brown liquid last night before going to
bed and thinks he has a "GI flu." He has no significant medical
history but admits that he drinks 2 to 3 martinis every night to help
him relax and sleep. The nurse performs an admitting history and
physical assessment and documents the data. Select to highlight the
assessment findings that require follow-up by the nurse.: - wife stated
that he vomited dark brown liquid last night
-drink 2 to 3 martinis every night to help him relax and sleep
-apical pulse = 92 bpm
-peripheral pulses weak
-blood pressure 100/54
-feels a little lightheaded and weak
3. A 70-year-old client with BPH and hydronephrosis has undergone a
transurethral resection of the prostate (TURP). After returning from
the PACU, the nurse assesses the client's vital signs as T 99.0° F, BP
116/70, R 16, P 70. Select which nursing action listed is appropriate for
the potential postoperative complication. Note that not all nursing
actions will be used.: Falling 2 Secure catheter tubes.
Hemorrhage 5 Monitor urine output.
1/
16
, POSSIBLE QUESTIONS CASE STUDIES WELL
ELABORATED QUESTIONS WITH COMPLETE VERIFIED
Infection 4 Frequently monitor drainage tubing.
2/
16
, POSSIBLE QUESTIONS CASE STUDIES WELL
ELABORATED QUESTIONS WITH COMPLETE VERIFIED
Obstruction 1 Perform vital signs every 2 hr in the initial postoperative
period Pain 3 Administer antispasmodic drugs as prescribed.
4. A 27-year-old female client who has had type 1 diabetes since the
age of 5 years and who is now 6 months pregnant is admitted to the
emergency depart- ment with diabetic ketoacidosis (DKA). She is alert
and oriented. She is having difficulty talking because her respiratory
rate is 36 very deep breaths/min. She says she is thirsty and tired.
The nurse has started IV fluids with continuous infusion of half-
normal saline and insulin. Choose the most likely options for the
information missing from the statements by selecting from the
lost of options provided. Not that not all options will be used.
Back: Due to the client's DKA and thirst, she is currently most likely at risk for
Dehydration and Hypotension. During her hospital stay, she is most likely at risk for complications
associated of her therapy, especially Hypoglycemia and Fluid overload
5. A 73-year-old client has been diagnosed with esophageal cancer.
Diagnostic assessment has demonstrated that the cancer is advanced
and has metasta- sized to the liver. Palliative care services have been
contacted at the request of the client and spouse.Choose the most
likely options for the information miss- ing from the statements
below by selecting from the list of options provided. Note that not
all options will be used.
Back: Due to the client's diagnosis, he is currently most likely at risk for
Aspiration and Depression. During his hospital stay, the client will benefit from most from
collaboration with the Speech-language pathologist
and
Hospice services
6. The nurse is preparing a 52-year-old male client prior to having a
colonoscopy. The client's wife tells the nurse that she is worried her
husband may have colorectal cancer (CRC). The nurse performs a
brief history and admission assessment, and documents the data.
Select to highlight the assess- ment findings that would be of concern
to the nurse and health care team. Back: Wife is worried her husband may have
3/
16
