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Exam (elaborations)

Exam 4: NUR 265/ NUR265- Advanced Med-Surg | Actual Questions with Questions and Verified Answers| Latest 2025/2026 | 100% Correct- Galen

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The nurse is teaching a 32-year old female client who has Systemic erythematosus (SLE) about self-care practices. Which of the following statements by the client indicates the need for additional teaching by the nurse? -"I should inspect my skin daily for rashes." -"I should carefully consider whether I should get pregnant again." -"I should limit my exposure to direct sunlight to 30 continuous minutes each day." -"I should check my temp. on a regular basis." "I should limit my exposure to direct sunlight to 30 continuous minutes each day." The nurse working in the emergency department (ED) is caring for a group of assigned clients. Which of the following clients should the nurse see first? - A 35-year-old client who has systemic lupus erythematosus (SLE) and reports a temp. of 100.8 F and increasing fatigue. - A 54-year-old client who has acquired immunodeficiency syndrome (AIDS) and reports new onset of purplish-brown skin lesions. - A 48-year-old client who was diagnosed with Lyme disease 3 weeks ago and reports palpitations and neck stiffness. A 48-year-old client who was diagnosed with Lyme disease 3 weeks ago and reports palpitations and neck stiffness. The nurse is obtaining a health history on a 40-year-old client who has presented to the primary health care provider's (PHCP) office for a routine physical examination. The client tells the nurse that there is a family history of colon cancer. Which of the following actions should the nurse take next? -Obtain information about which family members have the history. -Teach the client about home testing for fecal occult blood. -Inform the PHCP of the client's family history. - Provide the client with instructions regarding dietary changes. Obtain information about which family members have the history. The nurse is assessing clients for the risk of developing breast cancer. The nurse recognizes that the client is at the greatest risk for breast cancer is the client who is a - A 44-year-old African American female who had a bilateral oophorectomy at age 30 and recently quit smoking cigarettes. - A 54-year-old Caucasian female who entered menopause at the age of 43 and uses hormone replacement therapy (HRT). - a 66 yr old Jewish female who had her first child at age 38 and has a body mass index of 33. - A 34-year-old Hispanic female who has 2 alcoholic drinks per week and whose maternal grandmother had breast cancer. A 66 yr old Jewish female who had her first child at age 38 and has a body mass index of 33.

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NUR 265/ NUR265
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NUR 265/ NUR265










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Written for

Institution
NUR 265/ NUR265
Course
NUR 265/ NUR265

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Uploaded on
January 8, 2025
Number of pages
26
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • exam 4 nur 265 nur265

Content preview

Exam 4: NUR 265/ NUR265- Advanced Med-Surg
i,- i,- i,- i,- i,- i,- i,-




| Actual Questions with Questions and Verified
i,- i,- i,- i,- i,- i,- i,-




Answers| Latest 2025/2026 | 100% Correct- Galen i,- i,- i,- i,- i,- i,-




The nurse is teaching a 32-year old female client who has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Systemic erythematosus (SLE) about self-care practices. Which of
i,- i,- i,- i,- i,- i,- i,- i,-



the following statements by the client indicates the need for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



additional teaching by the nurse? i,- i,- i,- i,-




-"I should inspect my skin daily for rashes."
i,- i,- i,- i,- i,- i,- i,-




-"I should carefully consider whether I should get pregnant again."
i,- i,- i,- i,- i,- i,- i,- i,- i,-




-"I should limit my exposure to direct sunlight to 30 continuous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



minutes each day." i,- i,-




-"I should check my temp. on a regular basis."
i,- "I should limit
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-



my exposure to direct sunlight to 30 continuous minutes each
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



day."


The nurse working in the emergency department (ED) is caring
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



for a group of assigned clients. Which of the following clients
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



should the nurse see first? i,- i,- i,- i,-




- A 35-year-old client who has systemic lupus erythematosus
i,- i,- i,- i,- i,- i,- i,- i,- i,-



(SLE) and reports a temp. of 100.8 F and increasing fatigue.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




- A 54-year-old client who has acquired immunodeficiency
i,- i,- i,- i,- i,- i,- i,- i,-



syndrome (AIDS) and reports new onset of purplish-brown skin
i,- i,- i,- i,- i,- i,- i,- i,- i,-



lesions.

,- A 48-year-old client who was diagnosed with Lyme disease 3
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



weeks ago and reports palpitations and neck stiffness.
i,- A 48-
i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-



year-old client who was diagnosed with Lyme disease 3 weeks
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



ago and reports palpitations and neck stiffness.
i,- i,- i,- i,- i,- i,-




The nurse is obtaining a health history on a 40-year-old client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



who has presented to the primary health care provider's (PHCP)
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



office for a routine physical examination. The client tells the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



that there is a family history of colon cancer. Which of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



following actions should the nurse take next? i,- i,- i,- i,- i,- i,-




-Obtain information about which family members have the
i,- i,- i,- i,- i,- i,- i,- i,-



history.
-Teach the client about home testing for fecal occult blood.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




-Inform the PHCP of the client's family history.
i,- i,- i,- i,- i,- i,- i,-




- Provide the client with instructions regarding dietary changes.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-



Obtain information about which family members have the
i,- i,- i,- i,- i,- i,- i,- i,- i,-



history.


The nurse is assessing clients for the risk of developing breast
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



cancer. The nurse recognizes that the client is at the greatest risk
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



for breast cancer is the client who is a
i,- i,- i,- i,- i,- i,- i,- i,-




- A 44-year-old African American female who had a bilateral
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



oophorectomy at age 30 and recently quit smoking cigarettes. i,- i,- i,- i,- i,- i,- i,- i,-

, - A 54-year-old Caucasian female who entered menopause at the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



age of 43 and uses hormone replacement therapy (HRT).
i,- i,- i,- i,- i,- i,- i,- i,-




- a 66 yr old Jewish female who had her first child at age 38 and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



has a body mass index of 33.
i,- i,- i,- i,- i,- i,- i,-




- A 34-year-old Hispanic female who has 2 alcoholic drinks per
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



week and whose maternal grandmother had breast cancer.
i,- A i,- i,- i,- i,- i,- i,- i,-i,- i,- i,-



66 yr old Jewish female who had her first child at age 38 and has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



a body mass index of 33.
i,- i,- i,- i,- i,-




The nurse working in the ED has triaged a client who presented
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



with chest pain, sob, a productive cough and reports or night
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



sweats. The client has a health hx of AIDS and recents labs show a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



low CD4+ count. Which of the following actions should the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



take next? i,- i,-




- Initiate airborne precautions
i,- i,- i,- i,-




- Check the clients temp
i,- i,- i,- i,-




- Assess the client for shingles
i,- i,- i,- i,- i,- i,-




- Obtain a throat culture
i,- i,- i,- i,- i,-i,- i,- Initiate airborne precautions i,- i,-




The newly hired nurse is developing a plan of care for a client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



who has acquired AIDS and was just diagnosed with PJP. Which of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the following interventions should the nurse preceptor question?
i,- i,- i,- i,- i,- i,- i,- i,-




- Offering the client foods high in calories and protein
i,- i,- i,- i,- i,- i,- i,- i,- i,-

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