NUR 504 ADVANCED HEALTH ASSESSMENT EXAM 4 2024
QUESTIONS AND ANSWERS
Hyperuricemia causes crystals to precipitate in the synovial fluid.
An older adult male patient has begun treatment for gout after an extensive diagnostic workup. The
nurse who is contributing to the patient's care should understand that gout is a result of what
pathophysiological process?
Excess purine intake initiates an autoimmune process that impairs joint function. Hyperuricemia causes
crystals to precipitate in the synovial fluid. Lack of joint mobility causes impaired uric acid metabolism.
Mechanical damage to the joints results in increased release of uric acid.
Pain intensity, respiratory rate, and level of consciousness
A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the
following would be the nurse's priority assessments?
Respiratory rate, seizure activity, and electrolytes Pain intensity, respiratory rate, and level of
consciousness Liver function studies, pain intensity, and blood glucose level Respiratory rate, pain
intensity, and mental status
The client may begin to demonstrate symptoms of withdrawal.
The nurse is caring for a postoperative client with a history of opioid abuse who has been ordered to
receive a dose of an opioid antagonist medication. Which issues should the nurse be prepared to
address?
,During pain assessment, the client may report less pain. The client may begin to demonstrate symptoms
of withdrawal. Double the standard dosage of the medication may be needed. Multiple doses may be
needed to be therapeutic.
The medication is given for a short time to help the client complete the withdrawal process
A family expresses concern when a family member withdrawing from alcohol is given lorazepam
(Ativan). What information should be given to the family about the medication?
The medication promotes a sense of wellbeing during the client's difficult withdrawal period The
medication is given for a short time to help the client complete the withdrawal process The medication
will help the client forget about the physical sensations that accompany alcohol withdrawal The
medication helps in the treatment of coexisting diseases, such as cardiac problems and hypertension
Maintain a patent airway.
The nurse is admitting a patient with acute alcohol intoxication. What is the priority intervention for this
patient?
Administer benzodiazepines to prevent withdrawal. Observe for signs and symptoms of gastrointestinal
(GI). Plan the discharge to a rehabilitation facility. Maintain a patent airway.
Administer a subcutaneous triptan.
A client reports nausea with a severe headache. On assessment, the nurse learns the client has vomited
several times this hour. What is the best way to treat the client's migraine?
Administer a subcutaneous triptan. Administer an antacid. Administer the oral medications, then assess
to make certain the client retains the medication. Give the client dry crackers or pretzels prior to taking
medication.
, Seizures
A patient is admitted to the emergency room suffering from symptoms of alcohol withdrawal. What
symptom of withdrawal is the priority to prevent?
Bradycardia Hypotension Seizures Gastrointestinal bleeding
Therapeutic response is achieved and discomfort is reduced.
An adequate breathing pattern is maintained.
Client maintains adequate nutritional status.
When evaluating the plan of care for a client receiving opioid analgesics for pain management, the nurse
considers the plan successful when what occurs? (Select all that apply.)
Therapeutic response is achieved and discomfort is reduced. An adequate breathing pattern is
maintained. Client reports decreased bowel movements. Client maintains adequate nutritional status.
Client reports decreased urinary output.
celecoxib
A nurse is reviewing a journal article about an NSAID that is associated with an increased risk of
cardiovascular thrombosis, myocardial infarction, and stroke. The nurse is most likely reading about
which drug?
celecoxib sulindac oxaprozin ketorolac
QUESTIONS AND ANSWERS
Hyperuricemia causes crystals to precipitate in the synovial fluid.
An older adult male patient has begun treatment for gout after an extensive diagnostic workup. The
nurse who is contributing to the patient's care should understand that gout is a result of what
pathophysiological process?
Excess purine intake initiates an autoimmune process that impairs joint function. Hyperuricemia causes
crystals to precipitate in the synovial fluid. Lack of joint mobility causes impaired uric acid metabolism.
Mechanical damage to the joints results in increased release of uric acid.
Pain intensity, respiratory rate, and level of consciousness
A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the
following would be the nurse's priority assessments?
Respiratory rate, seizure activity, and electrolytes Pain intensity, respiratory rate, and level of
consciousness Liver function studies, pain intensity, and blood glucose level Respiratory rate, pain
intensity, and mental status
The client may begin to demonstrate symptoms of withdrawal.
The nurse is caring for a postoperative client with a history of opioid abuse who has been ordered to
receive a dose of an opioid antagonist medication. Which issues should the nurse be prepared to
address?
,During pain assessment, the client may report less pain. The client may begin to demonstrate symptoms
of withdrawal. Double the standard dosage of the medication may be needed. Multiple doses may be
needed to be therapeutic.
The medication is given for a short time to help the client complete the withdrawal process
A family expresses concern when a family member withdrawing from alcohol is given lorazepam
(Ativan). What information should be given to the family about the medication?
The medication promotes a sense of wellbeing during the client's difficult withdrawal period The
medication is given for a short time to help the client complete the withdrawal process The medication
will help the client forget about the physical sensations that accompany alcohol withdrawal The
medication helps in the treatment of coexisting diseases, such as cardiac problems and hypertension
Maintain a patent airway.
The nurse is admitting a patient with acute alcohol intoxication. What is the priority intervention for this
patient?
Administer benzodiazepines to prevent withdrawal. Observe for signs and symptoms of gastrointestinal
(GI). Plan the discharge to a rehabilitation facility. Maintain a patent airway.
Administer a subcutaneous triptan.
A client reports nausea with a severe headache. On assessment, the nurse learns the client has vomited
several times this hour. What is the best way to treat the client's migraine?
Administer a subcutaneous triptan. Administer an antacid. Administer the oral medications, then assess
to make certain the client retains the medication. Give the client dry crackers or pretzels prior to taking
medication.
, Seizures
A patient is admitted to the emergency room suffering from symptoms of alcohol withdrawal. What
symptom of withdrawal is the priority to prevent?
Bradycardia Hypotension Seizures Gastrointestinal bleeding
Therapeutic response is achieved and discomfort is reduced.
An adequate breathing pattern is maintained.
Client maintains adequate nutritional status.
When evaluating the plan of care for a client receiving opioid analgesics for pain management, the nurse
considers the plan successful when what occurs? (Select all that apply.)
Therapeutic response is achieved and discomfort is reduced. An adequate breathing pattern is
maintained. Client reports decreased bowel movements. Client maintains adequate nutritional status.
Client reports decreased urinary output.
celecoxib
A nurse is reviewing a journal article about an NSAID that is associated with an increased risk of
cardiovascular thrombosis, myocardial infarction, and stroke. The nurse is most likely reading about
which drug?
celecoxib sulindac oxaprozin ketorolac
