NUR 211 FINAL QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) A GRADE
***A client has a bone density score of 2.8. What action
by the nurse is best?
a. Asking the client to complete a food diary
b. Planning to teach about bisphosphonates
c. Scheduling another scan in 2 years
d. Scheduling another scan in 6 months - correct
answer- b. Planning to teach about
bisphosphonates
A T-score from a bone density scan at or lower than 2.5
indicates osteoporosis. The nurse should plan to teach
about medications used to treat this disease. One class of
such medications is bisphosphonates. A food diary is
helpful to determine if the client gets adequate calcium
and vitamin D, but at this point, dietary changes will not
prevent the disease. Simply scheduling another scan will
not help treat the disease either.
,***A client is undergoing radiation therapy as a treatment
for lung cancer and has developed esophagitis. Which is
the best diet selection for this client?
a.
Spaghetti with meat sauce, ice cream
b.
Scrambled eggs, bacon, toast
c.
Omelet, whole wheat bread
d.
Pasta salad, custard, orange juice - correct
answer- c.
Omelet, whole wheat bread
Side effects of radiation therapy may include
inflammation of the esophagus. Clients should be taught
that bland, soft, high-calorie foods are best, along with
liquid nutritional supplements. Tomato sauce may prove
too spicy for a client with esophagitis. Toast is too difficult
,to swallow with this condition, and orange juice and other
foods with citric acid are too caustic.
***A client recently diagnosed with systemic lupus
erythematosus (SLE) is in the clinic for a follow-up visit.
The nurse evaluates that the client practices good self-
care when the client makes which statement?
a. I always wear long sleeves, pants, and a hat when
outdoors.
b. I try not to use cosmetics that contain any type of
sunblock.
c. Since I tend to sweat a lot, I use a lot of baby powder.
d. Since I can't be exposed to the sun, I have been using a
tanning bed. - correct answer- a. I always wear
long sleeves, pants, and a hat when outdoors
Good self-management of the skin in SLE includes
protecting the skin from sun exposure, using sunblock,
avoiding drying agents such as powder, and avoiding
tanning beds.
, ***A nurse performs a skin screening for a client who has
numerous skin lesions. Which lesion does the nurse
evaluate first?
a.
Beige freckles on the backs of both hands
b.
Irregular blue mole with white specks on the lower leg
c.
Large cluster of pustules in the right axilla
d.
Thick, reddened papules covered by white scales -
correct answer- b.
Irregular blue mole with white specks on the lower leg
This mole fits two of the criteria for being cancerous or
precancerous: variation of color within one lesion, and an
indistinct or irregular border. Melanoma is an invasive
malignant disease with the potential for a fatal outcome.
Freckles are a benign condition. Pustules could mean an
infection, but it is more important to take care of the
potentially cancerous lesion first. Psoriasis vulgaris
CORRECT ANSWERS (VERIFIED
ANSWERS) A GRADE
***A client has a bone density score of 2.8. What action
by the nurse is best?
a. Asking the client to complete a food diary
b. Planning to teach about bisphosphonates
c. Scheduling another scan in 2 years
d. Scheduling another scan in 6 months - correct
answer- b. Planning to teach about
bisphosphonates
A T-score from a bone density scan at or lower than 2.5
indicates osteoporosis. The nurse should plan to teach
about medications used to treat this disease. One class of
such medications is bisphosphonates. A food diary is
helpful to determine if the client gets adequate calcium
and vitamin D, but at this point, dietary changes will not
prevent the disease. Simply scheduling another scan will
not help treat the disease either.
,***A client is undergoing radiation therapy as a treatment
for lung cancer and has developed esophagitis. Which is
the best diet selection for this client?
a.
Spaghetti with meat sauce, ice cream
b.
Scrambled eggs, bacon, toast
c.
Omelet, whole wheat bread
d.
Pasta salad, custard, orange juice - correct
answer- c.
Omelet, whole wheat bread
Side effects of radiation therapy may include
inflammation of the esophagus. Clients should be taught
that bland, soft, high-calorie foods are best, along with
liquid nutritional supplements. Tomato sauce may prove
too spicy for a client with esophagitis. Toast is too difficult
,to swallow with this condition, and orange juice and other
foods with citric acid are too caustic.
***A client recently diagnosed with systemic lupus
erythematosus (SLE) is in the clinic for a follow-up visit.
The nurse evaluates that the client practices good self-
care when the client makes which statement?
a. I always wear long sleeves, pants, and a hat when
outdoors.
b. I try not to use cosmetics that contain any type of
sunblock.
c. Since I tend to sweat a lot, I use a lot of baby powder.
d. Since I can't be exposed to the sun, I have been using a
tanning bed. - correct answer- a. I always wear
long sleeves, pants, and a hat when outdoors
Good self-management of the skin in SLE includes
protecting the skin from sun exposure, using sunblock,
avoiding drying agents such as powder, and avoiding
tanning beds.
, ***A nurse performs a skin screening for a client who has
numerous skin lesions. Which lesion does the nurse
evaluate first?
a.
Beige freckles on the backs of both hands
b.
Irregular blue mole with white specks on the lower leg
c.
Large cluster of pustules in the right axilla
d.
Thick, reddened papules covered by white scales -
correct answer- b.
Irregular blue mole with white specks on the lower leg
This mole fits two of the criteria for being cancerous or
precancerous: variation of color within one lesion, and an
indistinct or irregular border. Melanoma is an invasive
malignant disease with the potential for a fatal outcome.
Freckles are a benign condition. Pustules could mean an
infection, but it is more important to take care of the
potentially cancerous lesion first. Psoriasis vulgaris
