WGU D446 ADULT HEALTH 2 OA EXAM
CONCLUDING REVIEW SHEET PRACTICE
SOLUTION BUNDLED FULLY VERIFIED
ONE HUNDRED PERCENT PASS
GUARANTEED
⩥ Which finding noted in the client on continuous ambulatory peritoneal
dialysis (CAPD) would be reported to the primary health care provider
(PHCP)?
Answer: Cloudy yellow dialysate output
⩥ A client with a history of myasthenia gravis presents at a clinic with
bilateral ptosis and is drooling, and myasthenic crisis is suspected. The
nurse assesses the client for which precipitating factor?
Answer: Omitting doses of medication
⩥ The nurse is providing teaching to a client with breast cancer who will
undergo chemotherapy for cancer, and alopecia is expected from the
chemotherapeutic agent. Which statement made by the client indicates a
need for further teaching?
Answer: "I can't believe my hair loss is going to be permanent."
,⩥ A client is admitted to the nursing unit after a left below-the-knee
amputation after a crush injury to the foot and lower leg. The client tells
the nurse, "I think I'm going crazy. I can feel my left foot itching." How
would the nurse interpret this client statement?
Answer: A normal response that indicates the presence of phantom limb
sensation
⩥ The nurse is participating in a health screening clinic and is preparing
teaching materials about colorectal cancer. Which risk factor for
colorectal cancer would the nurse include?
Answer: Personal history of ulcerative colitis or gastrointestinal polyps
⩥ The nurse is caring for a client diagnosed with breast cancer receiving
combination chemotherapy. Which nursing intervention is the most
appropriate?
Answer: Avoid giving agents with the same nadirs and toxicities at the
same time.
⩥ The nurse is preparing to ambulate a client on the third day after
cardiac surgery. What would the nurse plan to do to enable the client to
best tolerate the ambulation?
Answer: Premedicate the client with an analgesic.
⩥ A client who suffered a brain attack (stroke) is prepared for discharge
from the hospital. The primary health care provider has prescribed
,range-of-motion (ROM) exercises for the client's right side. What action
would the nurse include in the client's plan of care?
Answer: Consider the use of active, passive, or active-assisted exercises
in the home.
⩥ A client who had cranial surgery 5 days earlier to remove a brain
tumor has a few cognitive deficits and does not seem to be progressing
as quickly as the client or family had hoped. The nurse plans to
implement which approach as most helpful to the client and family at
this time?
Answer: Emphasize progress in a realistic manner.
⩥ A client is being transferred to the nursing unit from the
postanesthesia care unit after spinal fusion with rod insertion to treat
spinal instability from severe arthritis. The nurse would prepare to
transfer the client from the stretcher to the bed by using which best
method?
Answer: A transfer (slider) board and the assistance of three people
⩥ A cervical radiation implant is placed in a client who is undergoing
treatment of cervical cancer. The nurse would initiate which activity
prescription as the most appropriate for this client?
Answer: Bed rest
, ⩥ The nurse is caring for a client diagnosed with Alzheimer's disease.
The nurse would anticipate that the client has changes in which
component of the nervous system?
Answer: Neuronal dendrites
⩥ The nurse is planning measures to increase bed mobility for a client in
skeletal leg traction. Which item would the nurse consider to be most
helpful for this client?
Answer: Overhead trapeze
⩥ A client with chronic kidney disease who is scheduled for
hemodialysis this morning is due to receive a daily dose of enalapril.
When would the nurse plan to administer this medication?
Answer: On return from dialysis
⩥ The nurse has developed a postoperative plan of care for a client who
had a thyroidectomy and documents that the client is at risk for
developing an ineffective breathing pattern. Which nursing intervention
would the nurse include in the plan of care?
Answer: Monitor for neck swelling.
⩥ The nurse is reviewing the record of a client admitted to the hospital
with a diagnosis of pheochromocytoma. The nurse reads the assessment
findings and expects to note documentation of which major symptom
associated with this condition?
CONCLUDING REVIEW SHEET PRACTICE
SOLUTION BUNDLED FULLY VERIFIED
ONE HUNDRED PERCENT PASS
GUARANTEED
⩥ Which finding noted in the client on continuous ambulatory peritoneal
dialysis (CAPD) would be reported to the primary health care provider
(PHCP)?
Answer: Cloudy yellow dialysate output
⩥ A client with a history of myasthenia gravis presents at a clinic with
bilateral ptosis and is drooling, and myasthenic crisis is suspected. The
nurse assesses the client for which precipitating factor?
Answer: Omitting doses of medication
⩥ The nurse is providing teaching to a client with breast cancer who will
undergo chemotherapy for cancer, and alopecia is expected from the
chemotherapeutic agent. Which statement made by the client indicates a
need for further teaching?
Answer: "I can't believe my hair loss is going to be permanent."
,⩥ A client is admitted to the nursing unit after a left below-the-knee
amputation after a crush injury to the foot and lower leg. The client tells
the nurse, "I think I'm going crazy. I can feel my left foot itching." How
would the nurse interpret this client statement?
Answer: A normal response that indicates the presence of phantom limb
sensation
⩥ The nurse is participating in a health screening clinic and is preparing
teaching materials about colorectal cancer. Which risk factor for
colorectal cancer would the nurse include?
Answer: Personal history of ulcerative colitis or gastrointestinal polyps
⩥ The nurse is caring for a client diagnosed with breast cancer receiving
combination chemotherapy. Which nursing intervention is the most
appropriate?
Answer: Avoid giving agents with the same nadirs and toxicities at the
same time.
⩥ The nurse is preparing to ambulate a client on the third day after
cardiac surgery. What would the nurse plan to do to enable the client to
best tolerate the ambulation?
Answer: Premedicate the client with an analgesic.
⩥ A client who suffered a brain attack (stroke) is prepared for discharge
from the hospital. The primary health care provider has prescribed
,range-of-motion (ROM) exercises for the client's right side. What action
would the nurse include in the client's plan of care?
Answer: Consider the use of active, passive, or active-assisted exercises
in the home.
⩥ A client who had cranial surgery 5 days earlier to remove a brain
tumor has a few cognitive deficits and does not seem to be progressing
as quickly as the client or family had hoped. The nurse plans to
implement which approach as most helpful to the client and family at
this time?
Answer: Emphasize progress in a realistic manner.
⩥ A client is being transferred to the nursing unit from the
postanesthesia care unit after spinal fusion with rod insertion to treat
spinal instability from severe arthritis. The nurse would prepare to
transfer the client from the stretcher to the bed by using which best
method?
Answer: A transfer (slider) board and the assistance of three people
⩥ A cervical radiation implant is placed in a client who is undergoing
treatment of cervical cancer. The nurse would initiate which activity
prescription as the most appropriate for this client?
Answer: Bed rest
, ⩥ The nurse is caring for a client diagnosed with Alzheimer's disease.
The nurse would anticipate that the client has changes in which
component of the nervous system?
Answer: Neuronal dendrites
⩥ The nurse is planning measures to increase bed mobility for a client in
skeletal leg traction. Which item would the nurse consider to be most
helpful for this client?
Answer: Overhead trapeze
⩥ A client with chronic kidney disease who is scheduled for
hemodialysis this morning is due to receive a daily dose of enalapril.
When would the nurse plan to administer this medication?
Answer: On return from dialysis
⩥ The nurse has developed a postoperative plan of care for a client who
had a thyroidectomy and documents that the client is at risk for
developing an ineffective breathing pattern. Which nursing intervention
would the nurse include in the plan of care?
Answer: Monitor for neck swelling.
⩥ The nurse is reviewing the record of a client admitted to the hospital
with a diagnosis of pheochromocytoma. The nurse reads the assessment
findings and expects to note documentation of which major symptom
associated with this condition?
