NUR280 -| UPDATE COMPREHENSIVE MOST
FREQUENTLY TESTED QUESTIONS AND
VERIFIED ANSWERS/ GET IT 100% ACCURATE!!
NUR280
The nurse has attended a staff development conference on
vitamins and minerals. Which of the following statements
if made by the nurse would require follow-up?
(a) "Vitamin B12 (cobalamin) supplement may be needed
if a client has a gastrectomy."
(b) "Vitamin D (calciferol) is necessary for proper
utilization of calcium and
phosphorous."
(c) "Vitamin A can be found in squash, pumpkin, and
carrots."
(d) "Vitamin B6 (pyridoxine) supplements are given to
help prevent macular
degeneration - ✔✔ANSW✔✔..D. Vitamin B6 is not used
in the management of macular degeneration; clients who
have had gastrectomy may require Vitamin B 12
supplement secondary to the absence of intrinsic factor;
Vitamin D is necessary for the proper absorption of
calcium; yellow vegetables such as squash, pumpkin, and
,carrots are good sources of Vitamin A. Physiological
Integrity; Basic Care and Comfort
A nurse is caring for a two-month-old infant being
evaluated for congenital
hypothyroidism. The nurse should recognize which of the
following findings as
being consistent with congenital hypothyroidism?
(a) The infant sleeps for 6 hours at a time
(b) The infant has a high-pitched cry
(c) The infant has been having frequent loose stools
(d) The infant has 3 + reflexes - ✔✔ANSW✔✔..A.
Statements made by the mother of the infant sleeping for
prolonged periods support the diagnosis. Follow up is
needed for diagnostic workup to confirm this disorder.
Signs of congenital hypothyroidism include lethargy, poor
feeding, constipation and bradycardia; high pitched cry is
not suggestive of hypothyroidism; frequent loose stools
and brisk reflexes may be indicators of hyperthyroidism.
Physiological Integrity; Physiological Adaptation
The nurse in the emergency department is assessing a
toddler who has swallowed some bleach. The toddler is
crying. It would be a priority for the nurse to follow up if
the parent says
(a) "I brought the container of bleach with me."
,(b) "I could not get my toddler to vomit."
(c) "I gave my toddler a tablespoonful of ipecac syrup
(d) "I attempted to perform CPR to prevent my toddler
from becoming unresponsive." - ✔✔ANSW✔✔..C. Syrup
of Ipecac is not indicated in this situation as it will induce
vomiting which could lead to further damage of the
gastric mucosa by the bleach. Safe Effective Care
Environment; Safety and Infection Control
The nurse is caring for a client who is ventilator
dependent. The nurse is aware that the high pressure
alarm can be sounded for various reasons. Select all
reasons that could apply.
(a) _____increased bronchial secretions
(b) _____the presence of an air leak
(c) _____the presence of a kink in the tubing
(d) _____the client stops breathing spontaneously
(e) _____acute bronchospasm
(f) _____the client is biting the tube
(g) _____the ventilator tubing is disconnected -
✔✔ANSW✔✔..A, C, E, F. The high pressure alarm on
the ventilator is triggered with increased pressure in the
system (obstruction) as in kink in the tubing, increased
bronchial secretions, during acute bronchospasm and
biting of the tube by the client; the other choices would
, cause the low pressure alarm to sound. Physiological
Integrity; Reduction of Risk Potential
The nurse is caring for a client who has a new colostomy.
The colostomy stoma is red, moist and slightly raised.
The nurse should
(a) determine if the client is allergic to the skin barrier
(b) apply petroleum jelly gauze around the stoma
(c ) document the condition of the stoma
(d) assess the client's temperature - ✔✔ANSW✔✔..C.
During the initial post operative period, the stoma is red
moist and slightly swollen. These are normal findings that
should be documented; petroleum jelly is not applied to
the stoma. Physiological Integrity;Physiological
Adaptation
The nurse is reviewing medical prescriptions for newly
admitted clients. It
would be a priority for the nurse to follow up with the
physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate
(sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on
seizure precautions
FREQUENTLY TESTED QUESTIONS AND
VERIFIED ANSWERS/ GET IT 100% ACCURATE!!
NUR280
The nurse has attended a staff development conference on
vitamins and minerals. Which of the following statements
if made by the nurse would require follow-up?
(a) "Vitamin B12 (cobalamin) supplement may be needed
if a client has a gastrectomy."
(b) "Vitamin D (calciferol) is necessary for proper
utilization of calcium and
phosphorous."
(c) "Vitamin A can be found in squash, pumpkin, and
carrots."
(d) "Vitamin B6 (pyridoxine) supplements are given to
help prevent macular
degeneration - ✔✔ANSW✔✔..D. Vitamin B6 is not used
in the management of macular degeneration; clients who
have had gastrectomy may require Vitamin B 12
supplement secondary to the absence of intrinsic factor;
Vitamin D is necessary for the proper absorption of
calcium; yellow vegetables such as squash, pumpkin, and
,carrots are good sources of Vitamin A. Physiological
Integrity; Basic Care and Comfort
A nurse is caring for a two-month-old infant being
evaluated for congenital
hypothyroidism. The nurse should recognize which of the
following findings as
being consistent with congenital hypothyroidism?
(a) The infant sleeps for 6 hours at a time
(b) The infant has a high-pitched cry
(c) The infant has been having frequent loose stools
(d) The infant has 3 + reflexes - ✔✔ANSW✔✔..A.
Statements made by the mother of the infant sleeping for
prolonged periods support the diagnosis. Follow up is
needed for diagnostic workup to confirm this disorder.
Signs of congenital hypothyroidism include lethargy, poor
feeding, constipation and bradycardia; high pitched cry is
not suggestive of hypothyroidism; frequent loose stools
and brisk reflexes may be indicators of hyperthyroidism.
Physiological Integrity; Physiological Adaptation
The nurse in the emergency department is assessing a
toddler who has swallowed some bleach. The toddler is
crying. It would be a priority for the nurse to follow up if
the parent says
(a) "I brought the container of bleach with me."
,(b) "I could not get my toddler to vomit."
(c) "I gave my toddler a tablespoonful of ipecac syrup
(d) "I attempted to perform CPR to prevent my toddler
from becoming unresponsive." - ✔✔ANSW✔✔..C. Syrup
of Ipecac is not indicated in this situation as it will induce
vomiting which could lead to further damage of the
gastric mucosa by the bleach. Safe Effective Care
Environment; Safety and Infection Control
The nurse is caring for a client who is ventilator
dependent. The nurse is aware that the high pressure
alarm can be sounded for various reasons. Select all
reasons that could apply.
(a) _____increased bronchial secretions
(b) _____the presence of an air leak
(c) _____the presence of a kink in the tubing
(d) _____the client stops breathing spontaneously
(e) _____acute bronchospasm
(f) _____the client is biting the tube
(g) _____the ventilator tubing is disconnected -
✔✔ANSW✔✔..A, C, E, F. The high pressure alarm on
the ventilator is triggered with increased pressure in the
system (obstruction) as in kink in the tubing, increased
bronchial secretions, during acute bronchospasm and
biting of the tube by the client; the other choices would
, cause the low pressure alarm to sound. Physiological
Integrity; Reduction of Risk Potential
The nurse is caring for a client who has a new colostomy.
The colostomy stoma is red, moist and slightly raised.
The nurse should
(a) determine if the client is allergic to the skin barrier
(b) apply petroleum jelly gauze around the stoma
(c ) document the condition of the stoma
(d) assess the client's temperature - ✔✔ANSW✔✔..C.
During the initial post operative period, the stoma is red
moist and slightly swollen. These are normal findings that
should be documented; petroleum jelly is not applied to
the stoma. Physiological Integrity;Physiological
Adaptation
The nurse is reviewing medical prescriptions for newly
admitted clients. It
would be a priority for the nurse to follow up with the
physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate
(sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on
seizure precautions
