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WGU D446 Pre Assessment / D446 Adult Health II PA Review | Latest 2026 / 2027 Update | Questions & Answers | Grade A | 100% Correct Verified Solutions

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WGU D446 Pre Assessment / D446 Adult Health II PA Review | Latest 2026 / 2027 Update | Questions & Answers | Grade A | 100% Correct Verified Solutions

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WGU D446 Pre - Assessment / D446 Adult Health
II PA Review | Latest Update |
Questions & Answers | Grade A | 100% Correct
Verified Solutions

A male with Hodgkin's disease is scheduled to undergo radiation therapy. The client
expresses concern about the effect of radiation on his ability to have children. What
information should the nurse provide?
A permanent sterility occurs in male clients who receive radiation




What symptoms should the nurse expect a client to exhibit who is diagnosed with
phenochromocytoma
headache, diaphoresis, palpitations




A client has undergone insertion of a permanent pacemaker. When developing a
discharge teaching plan, the nurse writes a goal of "the client will verbalize symptoms of
a pacemaker failure". What symptoms are most important to teach the client?
Feelings of dizziness




A female client receiving IV vasopressin for esophageal varice rupture reports to the
nurse that she feels substernal tightness and pressure across her chest. What PRN
protocol should the nurse initiate?
Start an IV nitroglycerin infusion

,The nurse is caring for a client who has been diagnosed with primary
hyperaldosteronism. What laboratory test result should the nurse expect an increase in
the serum level?
Sodium




A client with a completed ischemic stroke has a blood pressure of 180/90 mmHg. What
action should the nurse implement?
administer antihypertensive medications




The nurse is assessing a client with chronic kidney disease. What finding is most
important for the nurse to respond to first?
Potassium 6.0 mEq




A 46 year old female client is admitted for acute renal failure secondary to diabetes and
hyper tension. What test is the best indicator of adequate glomerular filtration?
Serum Creatinine




A client with sickle cell anemia is admitted with severe abdominal pain and diagnosed
with sickle cell crisis. What is the most important nursing action to implement?
Evaluate the effectiveness of narcotic analgesics




what nail color alteration should the nurse expect to observe in a client with chronic
kidney disease
horizontal white banding

, a client has been taking oral corticosteroids for the past five days because of seasonal
allergies. What assessment finding is of most concern to the nurse
purulent sputum




A middle-aged male client with diabetes continues to eat an abundance of foods that are
high in sugar and fat. According to the health belief model, what event is most likely to
increase the client's willingness to become compliant with the prescribed diet?
visiting his diabetic brother who just had surgery to amputate an infected foot




The healthcare provider prescribes aluminum and magnesium hydroxide one tablet PO
PRN for a client with chronic kidney disease who is complaining of indigestion. What
intervention should the nurse implement?
Question the healthcare provider's prescription. aluminum and magnesium-containing
antacids are generally avoided in clients with CKD




A client with acute osteomyelitis has undergone surgical debridement of the diseased
bone and asks the nurse how long will antibiotics have to be administered?
parental antibiotics for 4-8 weeks followed by oral antibiotics for an additional 4-8
weeks.




The nurse is planning care for a client with a newly diagnosed diabetes mellitus that
requires insulin. What assessment should the nurse identify before beginning the
teaching session?
The willingness of the client to learn the injection sites.

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