NUR310 Final Exam Questions And Accurate
Answers A+ Graded
A client is admitted to the hospital with a diagnosis of Crohn disease. The most
significant concept the nurse should incorporate into the teaching plan for this client is
the:
A. Controlling constipation
B. Meeting nutritional needs
C. Preventing increased weakness
D. Anticipating a sexual alteration - ANSWER ANS: B
These clients often refuse to eat in an effort to avoid the GI pain and diarrhea associated
with eating, leading to malnutrition. A high-calorie, high-protein diet is indicated.
Diarrhea, rather than constipation, is a risk with Crohn disease. A secondary risk is the
prevention of an increase in weakness that results from the malnutrition; treatment of
the malnutrition will reverse the weakness as well.
A client is diagnosed with ulcerative colitis. Two months later, the client is readmitted
with an exacerbation of the disease. The client is debilitated and underweight and is
described by others as cranky. The client states, "I am now ready for surgery to create
an ileostomy." Which nursing intervention will best meet the client's priority need?
A. Replacing the client's fluids and electrolytes
B. Helping the client gain weight
C. Teach the client about the use of the ileostomy appliance
D. Encourage the client to interact with other clients who have an ileostomy - ANSWER
ANS: A
In the case of an exacerbation of ulcerative colitis, the client can have upwards of more
than 10 stools in a single day and the nature of the stools is bloody and heavy with
mucus. The patient can eventually dehydrate and lose critical electrolytes. The
replacement of fluids and electrolytes is a lifesaving measure; it must be carried out
before any surgical intervention takes place.
, A week ago, a female fractured her left tibia and fibula and has been placed in a cast.
She is taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive.
She started having left calf pain 3 days ago and shortness of breath and chest pain 15
minutes ago. As the shortness of breath and chest pain worsen, she calls the
emergency department and relays this information to the triage nurse. What is the best
response of the triage nurse?
A. "Give me your name and address. I am sending an ambulance to your home. You
need emergency care."
B. "It sounds as if your cast may be constricting the blood flow in your leg. You probably
need a new cast."
C. "It sounds like you are having an allergic response to the medication. is there
someone there who can drive you to the hospital?
D. "You are having an interaction between your pain and oral contraceptive
medications. You need to come to t - ANSWER ANS: A
The client's clinical manifestations, coupled with a history of a recent fracture,
immobilization, and oral contraceptive use, make pulmonary embolism the most
probable diagnosis. An ambulance would eliminate the use of the woman's leg, perhaps
preventing further emboli. Compression syndrome is not indicated by the client's
findings.
To prepare a client for surgery, which explanation by a nurse would be correct related
to pneumatic compression devices?
A. They facilitate the return of venous blood to the heart.
B. They will not hurt, but will gently massage the legs.
C. They replace anticoagulant therapy.
D. They need to be worn until the first time the client gets out of bed. - ANSWER ANS: A
DVT is a possible complication of any surgery that is longer than 30 minutes. The
purpose of the pneumatic compression devices is to augment venous return. In addition
to the pneumatic compression devices, a mechanical form of DVT prophylaxis, a
pharmaceutical prophylaxis is often required. Pneumatic compression devices are
continued until the client is up ambulating frequently throughout the day.
A mother is brought to the emergency department with her infant who has become
severely dehydrated. After aggressive treatment, this infant is now rehydrated and will
be discharged. What is the priority concern that should be included in the discharge
Answers A+ Graded
A client is admitted to the hospital with a diagnosis of Crohn disease. The most
significant concept the nurse should incorporate into the teaching plan for this client is
the:
A. Controlling constipation
B. Meeting nutritional needs
C. Preventing increased weakness
D. Anticipating a sexual alteration - ANSWER ANS: B
These clients often refuse to eat in an effort to avoid the GI pain and diarrhea associated
with eating, leading to malnutrition. A high-calorie, high-protein diet is indicated.
Diarrhea, rather than constipation, is a risk with Crohn disease. A secondary risk is the
prevention of an increase in weakness that results from the malnutrition; treatment of
the malnutrition will reverse the weakness as well.
A client is diagnosed with ulcerative colitis. Two months later, the client is readmitted
with an exacerbation of the disease. The client is debilitated and underweight and is
described by others as cranky. The client states, "I am now ready for surgery to create
an ileostomy." Which nursing intervention will best meet the client's priority need?
A. Replacing the client's fluids and electrolytes
B. Helping the client gain weight
C. Teach the client about the use of the ileostomy appliance
D. Encourage the client to interact with other clients who have an ileostomy - ANSWER
ANS: A
In the case of an exacerbation of ulcerative colitis, the client can have upwards of more
than 10 stools in a single day and the nature of the stools is bloody and heavy with
mucus. The patient can eventually dehydrate and lose critical electrolytes. The
replacement of fluids and electrolytes is a lifesaving measure; it must be carried out
before any surgical intervention takes place.
, A week ago, a female fractured her left tibia and fibula and has been placed in a cast.
She is taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive.
She started having left calf pain 3 days ago and shortness of breath and chest pain 15
minutes ago. As the shortness of breath and chest pain worsen, she calls the
emergency department and relays this information to the triage nurse. What is the best
response of the triage nurse?
A. "Give me your name and address. I am sending an ambulance to your home. You
need emergency care."
B. "It sounds as if your cast may be constricting the blood flow in your leg. You probably
need a new cast."
C. "It sounds like you are having an allergic response to the medication. is there
someone there who can drive you to the hospital?
D. "You are having an interaction between your pain and oral contraceptive
medications. You need to come to t - ANSWER ANS: A
The client's clinical manifestations, coupled with a history of a recent fracture,
immobilization, and oral contraceptive use, make pulmonary embolism the most
probable diagnosis. An ambulance would eliminate the use of the woman's leg, perhaps
preventing further emboli. Compression syndrome is not indicated by the client's
findings.
To prepare a client for surgery, which explanation by a nurse would be correct related
to pneumatic compression devices?
A. They facilitate the return of venous blood to the heart.
B. They will not hurt, but will gently massage the legs.
C. They replace anticoagulant therapy.
D. They need to be worn until the first time the client gets out of bed. - ANSWER ANS: A
DVT is a possible complication of any surgery that is longer than 30 minutes. The
purpose of the pneumatic compression devices is to augment venous return. In addition
to the pneumatic compression devices, a mechanical form of DVT prophylaxis, a
pharmaceutical prophylaxis is often required. Pneumatic compression devices are
continued until the client is up ambulating frequently throughout the day.
A mother is brought to the emergency department with her infant who has become
severely dehydrated. After aggressive treatment, this infant is now rehydrated and will
be discharged. What is the priority concern that should be included in the discharge
