ADULT HEALTH 1 ADULT HEALTH D444 STUDY GUIDE WITH COMPLETE
SOLUTIONS!!!! ALREADY GRADED A+
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask.The orders would the nurse question? (Select all that apply.) -
(answer)Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5°F,Supplemental
oxygen 10 L/min via nasal cannula
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask.SATA - (answer)Perform hand hygiene, Identify the client using Z client
identifiers, Check the skin around the face, Don gloves, Assess respiratory function
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. According to the client's vital signs, he is experiencing
______ & ______ - (answer)Tachycardia & Tachypnea
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask. What actions can the nurse do to assist the client in improving their
ventilation and oxygenation? Select all that apply. - (answer)Encourage the client to take breaks from the
oxygen mask every few hours. Assist the client in ambulating safely. Positioning the client with the head
of the bed elevated
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask. Mark whether the assessment findings indicate that the treatment was
effective or ineffective assessment findings. - (answer)Rhonchi in the right lung - ineffective, Symmetric
chest expansion-effective, Oxygen saturation greater than 94%- effective: PaCO2 55 mm Hg on a blood
gas ineffective, Client ambulates without shortness of breath- effective, Diminished breath sounds in the
right lung- ineffective.
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
, ADULT HEALTH 1 ADULT HEALTH D444 STUDY GUIDE WITH COMPLETE
SOLUTIONS!!!! ALREADY GRADED A+
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask. Which technique should the nurse use when assessing the client for early
signs of rheumatoid arthritis? - (answer)Observe the client's fingers
The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions should be
planned to meet which goal? - (answer)Prevent esophageal reflux
The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to infuse over
30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to deliver how many
gtt/minute? * (Always round to the nearest whole number gtt/min.) - (answer)38gtt/min
A client who has had a laryngectomy and tracheostomy frequently expects copious amounts of purulent
secretions. When changing the lines of the tracheostomy tube, which action is most important for the
nurse to take? - (answer)Leave the old ties in place until the new ones are secure
A client has been administered lactulose for several days. Which therapeutic response should the nurse
expect for a client with hepatic encephalopathy? - (answer)Lactulose- works by reducing serum
ammonia levels through the promotion of ammonia excretion in the feces, leading to improved cognitive
function and mental status in individuals with hepatic encephalopathy
The client with Clostridium diff in the stool receives a prescription for vancomycin PO. Which action
should the nurse take before administering the first dose? - (answer)Check serum creatinine
An older adult client is hospitalized with a fractured femur. During a routine nursing assessment, the
client repeatedly asks the nurse to "speak up" so that the client can hear the questions. Which action is
best for the nurse to take? - (answer)Decrease speaking speed.
An adult client is admitted with AIDS and oral Candide albicans manifested by several painful mouth
ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to
assist the client. Which instruction should the nurse provide to the UAP? - (answer)Provide a soft-bristled
toothbrush for the client to use during oral care. In the case of oral candidiasis, using a toothbrush with
soft bristles is essential to prevent further irritation and damage to the already compromised oral
mucosa.
SOLUTIONS!!!! ALREADY GRADED A+
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask.The orders would the nurse question? (Select all that apply.) -
(answer)Ibuprofen 400 mg every 4 to 6 hours PRN for temperature greater than 100.5°F,Supplemental
oxygen 10 L/min via nasal cannula
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask.SATA - (answer)Perform hand hygiene, Identify the client using Z client
identifiers, Check the skin around the face, Don gloves, Assess respiratory function
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. According to the client's vital signs, he is experiencing
______ & ______ - (answer)Tachycardia & Tachypnea
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask. What actions can the nurse do to assist the client in improving their
ventilation and oxygenation? Select all that apply. - (answer)Encourage the client to take breaks from the
oxygen mask every few hours. Assist the client in ambulating safely. Positioning the client with the head
of the bed elevated
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask. Mark whether the assessment findings indicate that the treatment was
effective or ineffective assessment findings. - (answer)Rhonchi in the right lung - ineffective, Symmetric
chest expansion-effective, Oxygen saturation greater than 94%- effective: PaCO2 55 mm Hg on a blood
gas ineffective, Client ambulates without shortness of breath- effective, Diminished breath sounds in the
right lung- ineffective.
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes
enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a
, ADULT HEALTH 1 ADULT HEALTH D444 STUDY GUIDE WITH COMPLETE
SOLUTIONS!!!! ALREADY GRADED A+
surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration
and apply a simple face mask. Which technique should the nurse use when assessing the client for early
signs of rheumatoid arthritis? - (answer)Observe the client's fingers
The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions should be
planned to meet which goal? - (answer)Prevent esophageal reflux
The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to infuse over
30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to deliver how many
gtt/minute? * (Always round to the nearest whole number gtt/min.) - (answer)38gtt/min
A client who has had a laryngectomy and tracheostomy frequently expects copious amounts of purulent
secretions. When changing the lines of the tracheostomy tube, which action is most important for the
nurse to take? - (answer)Leave the old ties in place until the new ones are secure
A client has been administered lactulose for several days. Which therapeutic response should the nurse
expect for a client with hepatic encephalopathy? - (answer)Lactulose- works by reducing serum
ammonia levels through the promotion of ammonia excretion in the feces, leading to improved cognitive
function and mental status in individuals with hepatic encephalopathy
The client with Clostridium diff in the stool receives a prescription for vancomycin PO. Which action
should the nurse take before administering the first dose? - (answer)Check serum creatinine
An older adult client is hospitalized with a fractured femur. During a routine nursing assessment, the
client repeatedly asks the nurse to "speak up" so that the client can hear the questions. Which action is
best for the nurse to take? - (answer)Decrease speaking speed.
An adult client is admitted with AIDS and oral Candide albicans manifested by several painful mouth
ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to
assist the client. Which instruction should the nurse provide to the UAP? - (answer)Provide a soft-bristled
toothbrush for the client to use during oral care. In the case of oral candidiasis, using a toothbrush with
soft bristles is essential to prevent further irritation and damage to the already compromised oral
mucosa.
