NUR 2214:NUR 2214 module 4:NUR 2214 module 5:NUR 2214 module
6:NUR 2214 module 7:NUR 2214 module 8:NUR 2214 module 9:
Nursing Care of Older Adult
A client receiving chemotherapy asks the nurse why an antibiotic was prescribed. Which tissue affected
by chemotherapy should the nurse consider when formulating a response? - ANSWER:bone marrow
The nurse educates a client on decreasing the risk of developing antibiotic-resistant infections. Which
statement made by the nurse will be most significant? - ANSWER:"Do not skip any dose of your
antibiotics."
A child is administered a RotaTeq vaccine. What adverse drug effect should the nurse monitor for? -
ANSWER:intussusception
A nurse is assessing clients who are to be given the smallpox vaccination. Which client should the nurse
remove from the immunization line for medical counseling? - ANSWER:45-year-old woman with breast
cancer
A registered nurse is teaching a student nurse regarding the interventions for a client with human
immunodeficiency virus (HIV) infection. Which statement by the student nurse indicates the nurse needs
to follow up? - ANSWER:"I will ask the client to avoid involvement in community activities."
A 1-year-old exhibits a runny nose and cough after being administered a vaccine via the intranasal route.
Which vaccine may have been administered to the child? - ANSWER:Live attenuated influenza
Which medications act by binding with integrase enzyme and prevent human immunodeficiency virus
(HIV) from incorporating its genetic material into the client's cell? Select all that apply. -
ANSWER:Raltegravir
Elvitegravir
A client presents with a localized bacterial infection of mucous membranes. Which organism is most
likely responsible for this condition in the client? - ANSWER:Corynebacterium diphtheria
A client presents to the emergency department with shortness of breath, bloody sputum, weight gain,
generalized edema, and a blood pressure of 150/110. The nurse reviews the client's laboratory results
and determines that the client has impaired renal function. Which diagnosis will the nurse most likely
observe written in the client's electronic medical record? - ANSWER:Goodpasture syndrome
The 8-year-old son of migrant farm workers is brought to the county health clinic. He has no history of
immunizations. After measles is diagnosed, the public health nurse goes to the migrant camp to search
for people with a greater-than-average chance of contracting the disease. What is the name of this
variable? - ANSWER:risk factor
A newborn is Rh positive, and the mother is Rh negative. The infant is to receive an exchange
transfusion. When the parents ask why their baby will receive Rh-negative blood, what explanation does
the nurse provide? - ANSWER:The red blood cells will not be destroyed by maternal anti-Rh antibodies.
, The nurse suspects the Jarisch-Herxheimer reaction in a client with syphilis who is on antibiotic therapy.
Which symptoms in the client support the nurse's suspicion? Select all that apply. - ANSWER:fever
generalized ache
pain at the injection site
An adolescent is brought to the hospital by the parent. The adolescent has a slump and cannot sit
upright. On examination, the nurse finds a painless curvature of spine side to side. What should the
nurse advise the parent? - ANSWER:"Your child has scoliosis and needs to see the primary health care
provider."
The school nurse is teaching a class on injury prevention. What should be included when discussing
firearms? - ANSWER:Adolescence is the peak age for being a victim and/or offender in the case of injury
involving a firearm.
The nurse is assessing an adolescent who has suicidal ideation and is habituated to alcohol and drugs.
During counseling, which statement given by the adolescent indicates that he feels guilty? - ANSWER:"I
wish I had never used alcohol in the first place."
A 12-year-old child being seen in the clinic has not received the hepatitis B (HBV) vaccine. What should
the nurse recommend? - ANSWER:The three-dose series of HBV should be started.
Girls experience an increase in weight and fat deposition during puberty. What do nursing considerations
related to these changes include? - ANSWER:Giving reassurance that these changes are normal
What do nursing responsibilities include when caring for the suicidal adolescent? - ANSWER:Recognizing
the warning signs that indicate a young person might attempt suicide
An adolescent female has a moderate flow of menstrual blood, and there are no clots in it. She has
frequent menses. On examination, her skin is pale. What should the nurse advise this girl? -
ANSWER:"Take iron-rich foods such as green leafy vegetables."
An adolescent is brought to the emergency department after sustaining a small clean cut to his right
thumb. The nurse learns that the adolescent sustained injury with a clean, unused knife. On
examination, the nurse finds that the cut measured 1 x 1 cm and is not contaminated. The adolescent
has been immunized against tetanus in childhood but has never taken a booster dose. The most
appropriate step of the nurse would be to inform the parent of what? - ANSWER:The adolescent requires
a tetanus booster dose.
The nurse is assessing a 16-year-old obese adolescent. The clinical reports indicate high serum
triglyceride levels. The nurse advises the adolescent to undergo an electrocardiogram (ECG). The reason
behind this is because the adolescent is at risk for what? - ANSWER:Cardiac disorders
An adolescent female is unusually preoccupied by her appearance. When the nurse asks the adolescent,
"Do you make yourself sick because you feel uncomfortably full?" the adolescent replies no. The nurse
asks her if she has lost control over how much she eats; the adolescent says no. The child says that she
has lost more than 8 kg of weight in the last 3 months and she believes that she is fat, whereas her
parents tell her that she is too thin. She does not think that food dominates her life. What can the nurse
interpret about this girl? - ANSWER:The child most likely has anorexia nervosa or bulimia nervosa.
6:NUR 2214 module 7:NUR 2214 module 8:NUR 2214 module 9:
Nursing Care of Older Adult
A client receiving chemotherapy asks the nurse why an antibiotic was prescribed. Which tissue affected
by chemotherapy should the nurse consider when formulating a response? - ANSWER:bone marrow
The nurse educates a client on decreasing the risk of developing antibiotic-resistant infections. Which
statement made by the nurse will be most significant? - ANSWER:"Do not skip any dose of your
antibiotics."
A child is administered a RotaTeq vaccine. What adverse drug effect should the nurse monitor for? -
ANSWER:intussusception
A nurse is assessing clients who are to be given the smallpox vaccination. Which client should the nurse
remove from the immunization line for medical counseling? - ANSWER:45-year-old woman with breast
cancer
A registered nurse is teaching a student nurse regarding the interventions for a client with human
immunodeficiency virus (HIV) infection. Which statement by the student nurse indicates the nurse needs
to follow up? - ANSWER:"I will ask the client to avoid involvement in community activities."
A 1-year-old exhibits a runny nose and cough after being administered a vaccine via the intranasal route.
Which vaccine may have been administered to the child? - ANSWER:Live attenuated influenza
Which medications act by binding with integrase enzyme and prevent human immunodeficiency virus
(HIV) from incorporating its genetic material into the client's cell? Select all that apply. -
ANSWER:Raltegravir
Elvitegravir
A client presents with a localized bacterial infection of mucous membranes. Which organism is most
likely responsible for this condition in the client? - ANSWER:Corynebacterium diphtheria
A client presents to the emergency department with shortness of breath, bloody sputum, weight gain,
generalized edema, and a blood pressure of 150/110. The nurse reviews the client's laboratory results
and determines that the client has impaired renal function. Which diagnosis will the nurse most likely
observe written in the client's electronic medical record? - ANSWER:Goodpasture syndrome
The 8-year-old son of migrant farm workers is brought to the county health clinic. He has no history of
immunizations. After measles is diagnosed, the public health nurse goes to the migrant camp to search
for people with a greater-than-average chance of contracting the disease. What is the name of this
variable? - ANSWER:risk factor
A newborn is Rh positive, and the mother is Rh negative. The infant is to receive an exchange
transfusion. When the parents ask why their baby will receive Rh-negative blood, what explanation does
the nurse provide? - ANSWER:The red blood cells will not be destroyed by maternal anti-Rh antibodies.
, The nurse suspects the Jarisch-Herxheimer reaction in a client with syphilis who is on antibiotic therapy.
Which symptoms in the client support the nurse's suspicion? Select all that apply. - ANSWER:fever
generalized ache
pain at the injection site
An adolescent is brought to the hospital by the parent. The adolescent has a slump and cannot sit
upright. On examination, the nurse finds a painless curvature of spine side to side. What should the
nurse advise the parent? - ANSWER:"Your child has scoliosis and needs to see the primary health care
provider."
The school nurse is teaching a class on injury prevention. What should be included when discussing
firearms? - ANSWER:Adolescence is the peak age for being a victim and/or offender in the case of injury
involving a firearm.
The nurse is assessing an adolescent who has suicidal ideation and is habituated to alcohol and drugs.
During counseling, which statement given by the adolescent indicates that he feels guilty? - ANSWER:"I
wish I had never used alcohol in the first place."
A 12-year-old child being seen in the clinic has not received the hepatitis B (HBV) vaccine. What should
the nurse recommend? - ANSWER:The three-dose series of HBV should be started.
Girls experience an increase in weight and fat deposition during puberty. What do nursing considerations
related to these changes include? - ANSWER:Giving reassurance that these changes are normal
What do nursing responsibilities include when caring for the suicidal adolescent? - ANSWER:Recognizing
the warning signs that indicate a young person might attempt suicide
An adolescent female has a moderate flow of menstrual blood, and there are no clots in it. She has
frequent menses. On examination, her skin is pale. What should the nurse advise this girl? -
ANSWER:"Take iron-rich foods such as green leafy vegetables."
An adolescent is brought to the emergency department after sustaining a small clean cut to his right
thumb. The nurse learns that the adolescent sustained injury with a clean, unused knife. On
examination, the nurse finds that the cut measured 1 x 1 cm and is not contaminated. The adolescent
has been immunized against tetanus in childhood but has never taken a booster dose. The most
appropriate step of the nurse would be to inform the parent of what? - ANSWER:The adolescent requires
a tetanus booster dose.
The nurse is assessing a 16-year-old obese adolescent. The clinical reports indicate high serum
triglyceride levels. The nurse advises the adolescent to undergo an electrocardiogram (ECG). The reason
behind this is because the adolescent is at risk for what? - ANSWER:Cardiac disorders
An adolescent female is unusually preoccupied by her appearance. When the nurse asks the adolescent,
"Do you make yourself sick because you feel uncomfortably full?" the adolescent replies no. The nurse
asks her if she has lost control over how much she eats; the adolescent says no. The child says that she
has lost more than 8 kg of weight in the last 3 months and she believes that she is fat, whereas her
parents tell her that she is too thin. She does not think that food dominates her life. What can the nurse
interpret about this girl? - ANSWER:The child most likely has anorexia nervosa or bulimia nervosa.
