WGU D446 ADULT HEALTH 2 OA UPDATED
QUESTIONS AND VERIFIED SOLUTIONS
◉ The nurse provides instructions to a client diagnosed with
osteoporosis. Education about prevention of which complication is
the most important?
Answer: Fractures
◉ The nurse is collecting data related to a client's risk factors
associated with osteoporosis. Which data would the nurse include?
Select all that apply.
Answer: Thin body build, Smoking history, Postmenopausal age,
Chronic corticosteroid use, Family history of osteoporosis
◉ The nurse is caring for a client diagnosed with bacterial
meningitis. Which clinical manifestation would the nurse monitor
for, indicating increased intracranial pressure?
Answer: Altered mental status
◉ A client with a spinal cord injury becomes angry and belligerent
whenever the nurse tries to administer care. The nurse would
perform which action?
,Answer: Acknowledge the client's anger and continue to encourage
participation in care.
◉ The nurse has provided home care instructions to a client after
dermabrasion. Which statement by the client indicates a need for
further instruction?
Answer: "I need to keep my skin dry to allow it to heal."
◉ To promote optimal cerebral tissue perfusion in the postoperative
phase following cranial surgery, the nurse would place the client
with an incision in the anterior or middle fossa in which position?
Answer: With the head of the bed elevated at least 30 degrees
◉ A client receiving total parenteral nutrition (TPN) has a history of
heart failure. The primary health care provider (PHCP) has
prescribed furosemide 40 mg by mouth daily to prevent fluid
overload. Which laboratory value would the nurse monitor to
identify the presence of an adverse effect of this medication?
Answer: Potassium
◉ The client has an impairment of cranial nerve II. Specific to this
impairment, what would the nurse plan to do to ensure client
safety?
Answer: Provide a clear path for ambulation without obstacles.
,◉ The nurse is teaching a client who is preparing for discharge from
the hospital after having a stroke about the prevention of pressure
injuries while the client has limited mobility. Which statement by the
client indicates the need for further teaching?
Answer: "I can sit in my favorite chair all day."
◉ The nurse measures the cardiac output of a client and finds it to
be 6 L/min. Which amount of kidney perfusion would the nurse
anticipate?
Answer: 1000 to 1200 mL/min
◉ The nurse is caring for a client with a diagnosis of diabetic
ketoacidosis (DKA). Which assessment findings are consistent with
this diagnosis? Select all that apply.
Answer: Polyuria, Polydipsia, Dry mouth, Flushed, dry skin
◉ The nurse is providing instructions regarding the complications of
peritoneal dialysis. The nurse emphasizes that onset of peritonitis, a
serious complication, is most likely to be associated with which
clinical manifestation?
Answer: Fever
◉ A client with liver dysfunction has low serum levels of fibrinogen
and a prolonged prothrombin time (PT). Based on these findings,
, which actions would the nurse plan to promote client safety? Select
all that apply.
Answer: Provide the client with a soft toothbrush., Instruct the client
to use an electric razor., Monitor all secretions for frank or occult
blood.
◉ The nurse notes that a client who has suffered a brain injury has
an adequate heart rate, blood pressure, fluid balance, and body
temperature. Based on these clinical findings, the nurse determines
that which brain area is functioning properly?
Answer: Hypothalamus
◉ The nurse is evaluating a function of the limbic system as a part of
the neurological status of a client. What would the nurse assess?
Answer: Affect or emotions
◉ The nurse is caring for the client who has skeletal traction applied
to the left leg. The client complains of severe left leg pain. The nurse
checks the client's alignment in bed and notes that proper alignment
is maintained. Which is the priority nursing action?
Answer: Medicate the client.
◉ The nurse is caring for a client with metastatic breast cancer. The
client describes a new and sudden sharp pain in the back. Based on
this assessment finding, which is the priority nursing intervention?
QUESTIONS AND VERIFIED SOLUTIONS
◉ The nurse provides instructions to a client diagnosed with
osteoporosis. Education about prevention of which complication is
the most important?
Answer: Fractures
◉ The nurse is collecting data related to a client's risk factors
associated with osteoporosis. Which data would the nurse include?
Select all that apply.
Answer: Thin body build, Smoking history, Postmenopausal age,
Chronic corticosteroid use, Family history of osteoporosis
◉ The nurse is caring for a client diagnosed with bacterial
meningitis. Which clinical manifestation would the nurse monitor
for, indicating increased intracranial pressure?
Answer: Altered mental status
◉ A client with a spinal cord injury becomes angry and belligerent
whenever the nurse tries to administer care. The nurse would
perform which action?
,Answer: Acknowledge the client's anger and continue to encourage
participation in care.
◉ The nurse has provided home care instructions to a client after
dermabrasion. Which statement by the client indicates a need for
further instruction?
Answer: "I need to keep my skin dry to allow it to heal."
◉ To promote optimal cerebral tissue perfusion in the postoperative
phase following cranial surgery, the nurse would place the client
with an incision in the anterior or middle fossa in which position?
Answer: With the head of the bed elevated at least 30 degrees
◉ A client receiving total parenteral nutrition (TPN) has a history of
heart failure. The primary health care provider (PHCP) has
prescribed furosemide 40 mg by mouth daily to prevent fluid
overload. Which laboratory value would the nurse monitor to
identify the presence of an adverse effect of this medication?
Answer: Potassium
◉ The client has an impairment of cranial nerve II. Specific to this
impairment, what would the nurse plan to do to ensure client
safety?
Answer: Provide a clear path for ambulation without obstacles.
,◉ The nurse is teaching a client who is preparing for discharge from
the hospital after having a stroke about the prevention of pressure
injuries while the client has limited mobility. Which statement by the
client indicates the need for further teaching?
Answer: "I can sit in my favorite chair all day."
◉ The nurse measures the cardiac output of a client and finds it to
be 6 L/min. Which amount of kidney perfusion would the nurse
anticipate?
Answer: 1000 to 1200 mL/min
◉ The nurse is caring for a client with a diagnosis of diabetic
ketoacidosis (DKA). Which assessment findings are consistent with
this diagnosis? Select all that apply.
Answer: Polyuria, Polydipsia, Dry mouth, Flushed, dry skin
◉ The nurse is providing instructions regarding the complications of
peritoneal dialysis. The nurse emphasizes that onset of peritonitis, a
serious complication, is most likely to be associated with which
clinical manifestation?
Answer: Fever
◉ A client with liver dysfunction has low serum levels of fibrinogen
and a prolonged prothrombin time (PT). Based on these findings,
, which actions would the nurse plan to promote client safety? Select
all that apply.
Answer: Provide the client with a soft toothbrush., Instruct the client
to use an electric razor., Monitor all secretions for frank or occult
blood.
◉ The nurse notes that a client who has suffered a brain injury has
an adequate heart rate, blood pressure, fluid balance, and body
temperature. Based on these clinical findings, the nurse determines
that which brain area is functioning properly?
Answer: Hypothalamus
◉ The nurse is evaluating a function of the limbic system as a part of
the neurological status of a client. What would the nurse assess?
Answer: Affect or emotions
◉ The nurse is caring for the client who has skeletal traction applied
to the left leg. The client complains of severe left leg pain. The nurse
checks the client's alignment in bed and notes that proper alignment
is maintained. Which is the priority nursing action?
Answer: Medicate the client.
◉ The nurse is caring for a client with metastatic breast cancer. The
client describes a new and sudden sharp pain in the back. Based on
this assessment finding, which is the priority nursing intervention?
