REX-PN FINAL EXAM STUDY GUIDE TEST.
1. the nurse is caring for a client a. place an ice pack on
with Caron's disease who the stoma to reduce
develops a fever and symptoms swelling
of a urinary tract in- fection b. notify the surgeon
(UTI) with tan, feral-smelling about the stoma
urine. which of the following appearance
infor- mation should the nurse c. document the stoma
teach the client? assessment
a. about the effects of
corticosteroid use on immune
function
b. to empty the bladder
before and after sexual
intercourse
c. about fistula formation
between the bowel and
bladder
d. to clean the perineal area
carefully after any stools
2. during the initial
postoperative as- sessment of
a clients stoma formed from a
transverse colostomy. the
nurse finds it to be deep pink
with moderate oedema and a
small amount of bleeding. which
of the fol- lowing actions should
the nurse take based upon these
findings?
, REX-PN FINAL EXAM STUDY GUIDE TEST.
c. about fistula formation between the bowel and
bladder
rationale: fistulas between the bowel and bladder occur in
chrons disease and can lead to UTI. there is no
information indicating that the client's risk for UTI is
caused by poor cleaning or not voiding before and
after intercourse. steroid use may in- crease the risk for
infection, but the characteristics of the client's urine
indicate that a fistula has oc- curred.
c. document the stoma assessment
rationale: the stoma appearance indicates good
circulation to the stoma. there is no indication that
surgical intervention is needed or that fre- quent
stoma monitoring is required. swelling of the stoma is
normal for 2-3 weeks after surgery and an ice pack is
not needed.
, REX-PN FINAL EXAM STUDY GUIDE TEST.
d. monitor the stoma every 30
min- utes
3. the home health nurse is d. the client disposes the open vials of
providing teaching a clients glargine and regular insulin after 4 weeks
and family about how to use
glargine and regular in- sulin rationale: insulin can be stored at room temper
safely. Which of the following
nursing actions by the client indicated ture for 4 weeks. glargine should not be
mixed with
that the teaching has been a. high blood pressure
success- ful? b. changes in secondar
sex charac-
a. the client administers
glargine 30-45 minutes
before eating each meal
b. the client's family fills the
syringes weekly and stores
them in the refrig- erator
c. the client draws up the
regular in- sulin and then
glargine in the same syringe
d. the client disposes of the
open vial of glargine and
regular insulin after 4 weeks
4. a client is suspected of having a
pi- tuitary tumour causing
panhypopi- tuitarism. during
assessment of the client, which
of the following findings should
the nurse anticipate?
, REX-PN FINAL EXAM STUDY GUIDE TEST.
other insulins or pre-filled and stored. short acting
regular insulin is administered before meals, while
glargine is given once daily.
b. changes in secondary sex characteristics
1. the nurse is caring for a client a. place an ice pack on
with Caron's disease who the stoma to reduce
develops a fever and symptoms swelling
of a urinary tract in- fection b. notify the surgeon
(UTI) with tan, feral-smelling about the stoma
urine. which of the following appearance
infor- mation should the nurse c. document the stoma
teach the client? assessment
a. about the effects of
corticosteroid use on immune
function
b. to empty the bladder
before and after sexual
intercourse
c. about fistula formation
between the bowel and
bladder
d. to clean the perineal area
carefully after any stools
2. during the initial
postoperative as- sessment of
a clients stoma formed from a
transverse colostomy. the
nurse finds it to be deep pink
with moderate oedema and a
small amount of bleeding. which
of the fol- lowing actions should
the nurse take based upon these
findings?
, REX-PN FINAL EXAM STUDY GUIDE TEST.
c. about fistula formation between the bowel and
bladder
rationale: fistulas between the bowel and bladder occur in
chrons disease and can lead to UTI. there is no
information indicating that the client's risk for UTI is
caused by poor cleaning or not voiding before and
after intercourse. steroid use may in- crease the risk for
infection, but the characteristics of the client's urine
indicate that a fistula has oc- curred.
c. document the stoma assessment
rationale: the stoma appearance indicates good
circulation to the stoma. there is no indication that
surgical intervention is needed or that fre- quent
stoma monitoring is required. swelling of the stoma is
normal for 2-3 weeks after surgery and an ice pack is
not needed.
, REX-PN FINAL EXAM STUDY GUIDE TEST.
d. monitor the stoma every 30
min- utes
3. the home health nurse is d. the client disposes the open vials of
providing teaching a clients glargine and regular insulin after 4 weeks
and family about how to use
glargine and regular in- sulin rationale: insulin can be stored at room temper
safely. Which of the following
nursing actions by the client indicated ture for 4 weeks. glargine should not be
mixed with
that the teaching has been a. high blood pressure
success- ful? b. changes in secondar
sex charac-
a. the client administers
glargine 30-45 minutes
before eating each meal
b. the client's family fills the
syringes weekly and stores
them in the refrig- erator
c. the client draws up the
regular in- sulin and then
glargine in the same syringe
d. the client disposes of the
open vial of glargine and
regular insulin after 4 weeks
4. a client is suspected of having a
pi- tuitary tumour causing
panhypopi- tuitarism. during
assessment of the client, which
of the following findings should
the nurse anticipate?
, REX-PN FINAL EXAM STUDY GUIDE TEST.
other insulins or pre-filled and stored. short acting
regular insulin is administered before meals, while
glargine is given once daily.
b. changes in secondary sex characteristics
