module 4 NURS 342 Questions With Complete Solutions
A client asks the nurse why she has urinary incontinence. What
risk factors would the nurse
recall in preparing to respond to the client's question? (Select all
that apply.)
a.
Diuretic therapy
b.
Anorexia nervosa
c.
Stroke
d.
Dementia
e.
Arthritis
f.
Parkinson disease Correct Answers ANS: A,C,D,E,F
A client diagnosed with Parkinson disease will be starting
ropinirole for symptom control.
Which statement by the client indicates a need for further
teaching?
a.
"This drug should help decrease my tremors and help me move
better."
b.
"I need to change positions slowly to prevent dizziness or falls."
c.
"I should take the drug at the same time each day for the best
effect."
,d.
"I know the drug will probably make help me prevent
constipation." Correct Answers ANS: D
Although ropinirole is a dopamine agonist and mimics dopamine
to promote movement, it
does not work to prevent constipation. This class of drugs can
cause orthostatic hypotension
and should be taken at the same time every day.
A client with early-stage Alzheimer disease is admitted to the
hospital with chest pain. Which
nursing action is most appropriate to manage this client's
dementia?
a.
Provide animal-assisted therapy as needed.
b.
Ensure a structured and consistent environment.
c.
Assist the client with activities of daily living (ADLs).
d.
Use validation therapy when communicating with the client.
Correct Answers ANS: B
The client who has early Alzheimer disease (AD) does not
require assistance with ADLs or
validation therapy. While animal-assisted therapy may be
helpful, some health care agencies
do not allow this intervention. Therefore, the most appropriate
action is to provide a structured
and consistent environment while the client is hospitalized to
prevent worsening of the client's
symptoms.
,A client with pneumonia and dementia is admitted with an
indwelling urinary catheter in
place. During interprofessional rounds the following day, which
question would the nurse ask
the primary health care provider?
a.
"Do you want daily weights on this client?"
b.
"Will the client be able to return home?"
c.
"May we discontinue the indwelling catheter?"
d.
"Should we get another chest x-ray today?" Correct Answers
ANS: C
An indwelling urinary catheter dramatically increases the risks
of urinary tract infection and
urosepsis. Nursing staff should ensure that catheters are left in
place only as long as they are
medically needed. The nurse would inquire about removing the
catheter. All other questions
might be appropriate, but because of client safety, this question
takes priority
A nurse assesses a client recovering from a cystoscopy. Which
assessment findings would
alert the nurse to urgently contact the primary health care
provider? (Select all that apply.)
a.
Decrease in urine output
b.
, Tolerating oral fluids
c.
Prescription for metformin
d.
Blood clots present in the urine
e.
Burning sensation when urinating Correct Answers ANS: A, D
A nurse assesses a client who has a family history of polycystic
kidney disease (PKD). Which
assessment findings would the nurse expect? (Select all that
apply.)
a.
Nocturia
b.
Flank pain
c.
Increased abdominal girth
d.
Dysuria
e.
Hematuria
f.
Diarrhea Correct Answers B,C,E
A nurse assesses a client who has had two episodes of bacterial
cystitis in the last 6 months.
Which question(s) would the nurse ask? (Select all that apply.)
a.
"How much water do you drink every day?"
b.
A client asks the nurse why she has urinary incontinence. What
risk factors would the nurse
recall in preparing to respond to the client's question? (Select all
that apply.)
a.
Diuretic therapy
b.
Anorexia nervosa
c.
Stroke
d.
Dementia
e.
Arthritis
f.
Parkinson disease Correct Answers ANS: A,C,D,E,F
A client diagnosed with Parkinson disease will be starting
ropinirole for symptom control.
Which statement by the client indicates a need for further
teaching?
a.
"This drug should help decrease my tremors and help me move
better."
b.
"I need to change positions slowly to prevent dizziness or falls."
c.
"I should take the drug at the same time each day for the best
effect."
,d.
"I know the drug will probably make help me prevent
constipation." Correct Answers ANS: D
Although ropinirole is a dopamine agonist and mimics dopamine
to promote movement, it
does not work to prevent constipation. This class of drugs can
cause orthostatic hypotension
and should be taken at the same time every day.
A client with early-stage Alzheimer disease is admitted to the
hospital with chest pain. Which
nursing action is most appropriate to manage this client's
dementia?
a.
Provide animal-assisted therapy as needed.
b.
Ensure a structured and consistent environment.
c.
Assist the client with activities of daily living (ADLs).
d.
Use validation therapy when communicating with the client.
Correct Answers ANS: B
The client who has early Alzheimer disease (AD) does not
require assistance with ADLs or
validation therapy. While animal-assisted therapy may be
helpful, some health care agencies
do not allow this intervention. Therefore, the most appropriate
action is to provide a structured
and consistent environment while the client is hospitalized to
prevent worsening of the client's
symptoms.
,A client with pneumonia and dementia is admitted with an
indwelling urinary catheter in
place. During interprofessional rounds the following day, which
question would the nurse ask
the primary health care provider?
a.
"Do you want daily weights on this client?"
b.
"Will the client be able to return home?"
c.
"May we discontinue the indwelling catheter?"
d.
"Should we get another chest x-ray today?" Correct Answers
ANS: C
An indwelling urinary catheter dramatically increases the risks
of urinary tract infection and
urosepsis. Nursing staff should ensure that catheters are left in
place only as long as they are
medically needed. The nurse would inquire about removing the
catheter. All other questions
might be appropriate, but because of client safety, this question
takes priority
A nurse assesses a client recovering from a cystoscopy. Which
assessment findings would
alert the nurse to urgently contact the primary health care
provider? (Select all that apply.)
a.
Decrease in urine output
b.
, Tolerating oral fluids
c.
Prescription for metformin
d.
Blood clots present in the urine
e.
Burning sensation when urinating Correct Answers ANS: A, D
A nurse assesses a client who has a family history of polycystic
kidney disease (PKD). Which
assessment findings would the nurse expect? (Select all that
apply.)
a.
Nocturia
b.
Flank pain
c.
Increased abdominal girth
d.
Dysuria
e.
Hematuria
f.
Diarrhea Correct Answers B,C,E
A nurse assesses a client who has had two episodes of bacterial
cystitis in the last 6 months.
Which question(s) would the nurse ask? (Select all that apply.)
a.
"How much water do you drink every day?"
b.
