Adult Health III: Final Exam Questions With New Update Solutions

Adult Health III: Final Exam Questions With New Update Solutions /. The nurse is providing discharge teaching to a client who has had an emergency splenectomy following an automobile accident. Which of the following findings should the nurse inform the client that they are at an increased risk of developing? a. Infection b. Lymphedema c. Chronic anemia d. Prolonged bleeding - Answer-a. Infection /.The nurse is obtaining a health history from a client and notes numerous petechiae. Which of the following assessments should the nurse anticipate? a. Bruising on the skin b. Pinpoint purplish-red lesions c. Small focal red lesions d. Brown spots on mucous membranes - Answer-b. Pinpoint purplish-red lesions /.The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be of most concern? a. White blood cell (WBC) count of 3.5 109 /L b. Hematocrit of 37% c. Platelet count of 400 109 /L d. Hemoglobin of 118 g/L - Answer-a. White blood cell (WBC) count of 3.5 109 /L /.The health care provider performs a bone marrow aspiration from the left posterior iliac crest on a client with pancytopenia. Which of the following actions should the nurse implement following the procedure? a. Elevate the head of the bed to 45 degrees. b. Apply a sterile Band-Aid at the aspiration site. c. Use half-inch sterile gauze to pack the wound. d. Apply a pressure dressing on the aspiration site. - Answer-d. Apply a pressure dressing on the aspiration site. /.The nurse is caring for a client with a chronic iron deficiency anemia. Which of the following assessment findings should the nurse anticipate? a. Yellow-tinged sclerae b. Shiny, smooth tongue c. Numbness of the extremities d. Gum bleeding and tenderness - Answer-b. Shiny, smooth tongue /.A client's complete blood count shows a hemoglobin of 200 g/L and a hematocrit of 54%. Which of the following questions should the nurse ask to determine possible causes of this finding? a. "Has there been any recent weight loss?" b. "Do you have any problems with your vision?" c. "What is your intake of fruits and vegetables?" d. "Have you noticed any dark or bloody stools?" - Answer-b. "Do you have any problems with your vision?" /.The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should the nurse monitor? a. Prothrombin time (PT) b. Fibrin degradation products (FDP) c. International normalized ratio (INR) d. Activated partial thromboplastin time (aPTT) - Answer-d. Activated partial thromboplastin time (aPTT) /.The nurse is evaluating the red blood cell indices result of a client's laboratory report. Which of the following interpretations is correct related to a low mean corpuscular volume (MCV)? a. Hypochromic red blood cells (RBCs) b. Inadequate numbers of RBCs c. Low hemoglobin in the RBCs d. Small size of the RBCs - Answer-d. Small size of the RBCs /.While examining the lymph nodes during physical assessment, the nurse would be most concerned about which of the following findings? a. A 2-cm nontender supraclavicular node b. A 1-cm mobile and nontender axillary node c. An inability to palpate any superficial lymph nodes d. Firm inguinal nodes in a client with an infected foot - Answer-a. A 2-cm nontender supraclavicular node /.The nurse is caring for a client who had an intraoperative hemorrhage 12 hours ago. Which of the following laboratory results should the nurse anticipate? a. Hematocrit of 45% b. Hemoglobin of 132 g/L c. Decreased white blood cell (WBC) count d. Elevated reticulocyte count - Answer-d. Elevated reticulocyte count /.The nurse is caring for a client whose complete blood count (CBC) and differential indicate that the client is neutropenic. Which of the following actions should the nurse include in the plan of care? a. Avoid intramuscular injections. b. Encourage increased oral fluids. c. Check temperature every 4 hours. d. Increase intake of iron-rich foods. - Answer-c. Check temperature every 4 hours. /.The nurse is caring for a newly admitted client whose complete blood count (CBC) shows a "shift to the left." Which of the following assessments should the nurse monitor in the plan of care? a. Cool extremities b. Pallor and weakness c. Elevated temperature d. Low oxygen saturation - Answer-c. Elevated temperature /.The health care provider orders an ultrasound of the spleen for a client who has been in a car accident. Which of the following actions should the nurse take before this procedure? a. Check for any iodine allergy. b. Insert a large-bore IV catheter. c. Place the client on NPO status. d. Assist the client to a flat position. - Answer-d. Assist the client to a flat position. /.The nurse is caring for a client with pancytopenia of unknown origin who is confused and is scheduled for the following diagnostic tests. Which of the following tests should the nurse contact the client's family member to obtain a signed consent form? a. ABO blood typing b. Bone marrow biopsy c. Abdominal ultrasound d. Complete blood count (CBC) - Answer-b. Bone marrow biopsy /.The nurse is reviewing the complete blood count (CBC) for a client admitted with abdominal pain. Which of the following information will be most important for the nurse to communicate to the health care provider? a. Monocytes 4% b. Hemoglobin 116 g/L c. Platelet count 145 109 /L d. White blood cells 13.5 109 /L - Answer-d. White blood cells 13.5 109 /L /.The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following findings should the nurse identify as abnormal? a. Activated clotting time 118 seconds b. Activated partial thromboplastin time 40 seconds c. D-dimer 200 mcg/L d. Fibrinogen 4 g/L - Answer-b. Activated partial thromboplastin time 40 seconds /.The nurse is caring for a client with anemia who is experiencing increased fatigue and occasional palpitations at rest. Which of the following laboratory findings should the nurse expect? a. Normal red blood cell (RBC) indices b. Hematocrit (Hct) of 38% c. Hemoglobin (Hb) of 86 g/L d. RBC count of 4.5 1012/L - Answer-c. Hemoglobin (Hb) of 86 g/L /.Which of the following menu choices indicate that the client understands the nurse's teaching about best dietary choices for iron-deficiency anemia? a. Omelette and whole wheat toast b. Cantaloupe and cottage cheese c. Strawberry and banana fruit plate d. Cornmeal muffin and orange juice - Answer-a. Omelette and whole wheat toast Eggs and whole grain breads are high in iron. /.The nurse is caring for a client who is receiving methotrexate and develops a megaloblastic anemia. Which of the following nutrients should the nurse include in the teaching plan? a. Iron b. Folic acid c. Cobalamin (vitamin B12) d. Ascorbic acid (vitamin C) - Answer-b. Folic acid /.The nurse is teaching a client with a new diagnosis of pernicious anemia about the disorder. Which of the following client statements indicates that the teaching has been effective? a. "I need to start eating more red meat or liver." b. "I will stop having a glass of wine with dinner." c. "I will need to take a proton pump inhibitor like omeprazole." d. "I would rather use the nasal spray than have to get injections of vitamin B12." - Answer-d. "I would rather use the nasal spray than have to get injections of vitamin B12." /.The nurse is caring for a client who is hospitalized for treatment of severe hemolytic anemia. Which of the following actions should the nurse implement? a. Provide a diet high in vitamin K. b. Place the client on protective isolation. c. Alternate periods of rest and activity. d. Teach the client how to avoid injury. - Answer-c. Alternate periods of rest and activity. /.The nurse has finished teaching a client about taking oral ferrous sulphate. Which of the following client statements indicates that additional instruction is needed? a. "I will call the doctor if my stools start to turn black." b. "I will take a stool softener if I feel constipated occasionally." c. "I should take the iron with orange juice about an hour before eating." d. "I should increase my fluid and fibre intake while I am taking the iron tablets." - Answer-a. "I will call the doctor if my stools start to turn black."