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Nursing Care of Adult I
Concordia, St. Paul
Actual Questions and Answers
This Exam contains:
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Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario~Based Questions
,Table of Contents
NUR 390 ~ Exam I ................................................................................ 2
NUR 390 ~ Exam 2 ............................................................................. I0I
NUR 390 ~ Exam 3 ........................................................................... 222
NUR 390 ~ Exam I
A patient who has a small cell cancer of the lung develops syndrome
of inappropriate antidiuretic hormone (SIADH). The nurse would
notify the health care provider about which assessment finding?
a. serum hematocrit of 42%
b. serum sodium of I20 mg/dL
c. urinary output of 280 mL in 8 hours
d. reported weight gain of 2.2 pounds
Answer
b. serum sodium of I20 mg/dL
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A patient with multiple draining wounds is admitted for
hypovolemia. Which information would provide the most accurate
way for the nurse to evaluate fluid balance?
a. skin turgor
b. daily weight
c. urine output
d. edema presence
Answer
b. daily weight
The home health nurse cares for an alert and oriented older adult
patient who has a history of dehydration. Which instruction would
the nurse give this patient?
a. "drink more fluids in the late evening."
b. "more fluids are needed if you feel thirsty."
c. "increase the fluids if your mouth feels dry."
d. "if you feel confused, you need more fluids."
Answer
c. "increase the fluids if your mouth feels dry."
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A patient who is taking a potassium~depleting diuretic for treatment
of hypertension reports generalized weakness. Which action would
the nurse to take?
a. Assess for facial muscle spasms.
b. Ask the patient about loose stools.
c Recommend the patient avoid drinking orange juice with meals.
d. Suggest that the health care provider order a basic metabolic panel.
Answer
d. Suggest that the health care provider order a basic metabolic panel.
Spironolactone (Aldactone), an aldosterone antagonist, is prescribed
for a patient. Which statement by the patient indicates that the
teaching about this medication has been effective?
a. "I will try to drink at least 8 glasses of water every day."
b "I will use a salt substitute to decrease my sodium intake."
c "I wil increase my intake of potassium~containing foods."
d. "I will drink apple juice instead of orange juice for breakfast."