Adult Health 2 Exam 1 Questions and Correct Answers

Adult Health 2 Exam 1 Questions and Correct Answers A hospitalized client's strength of the upper extremities is rated at a 4. What does the nurse understand about this client's ability to perform activities of daily living (ADLs)? a. The client is able to perform ADLs but not lift some items. b. The client is unable to perform ADLs alone. c. No difficulties are expected with ADLs. d. The client would need almost total assistance with ADLs. - ANSWER -C An older client is distressed at body changes related to kyphosis. What response by the nurse is appropriate? a. Ask the client to explain more about these feelings. b. Explain that these changes are irreversible. c. Offer to help select clothes to hide the deformity. d. Tell the client that safety is more important than looks. - ANSWER -A The nurse is taking a history from an older client who reports having frequent falls. Which dietary habit could be contributing to the client's problem? a. Consumes high-protein foods. b. Eats few concentrated sweets. c. Limits fatty or greasy foods. d. Avoids dairy products. - ANSWER -D The client's electronic health record indicates genu varum. What does the nurse understand this term to mean? a. Bow-legged b. Fluid accumulation c. Knock-kneed d. Spinal curvature - ANSWER -A A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform first? a. Assess the neurovascular status of the right leg. b. Document the findings in the patient's chart. c. Elevate the left leg on at least two pillows. d. Notify the primary health care provider immediately. - ANSWER -A The nurse is teaching a client who had a left humeral biopsy about home care. Which statement by the client indicatesunderstanding of the nurse's teaching? a. "I will take my opioids only when I have severe pain." b. "I will keep my left arm elevated for 24 hours." c. "I will watch for tenderness and warmth around the biopsy site." d. "I will report any discomfort to my primary health care provider immediately." - ANSWER -C The nurse is teaching assistive personnel (AP) about the risk for osteoporosis associated with race or ethnicity. Which population typically has a decreased incidence of osteoporosis when compared to Euro-Americans? a. Irish Americans b. African Americans c. American Indians d. Asian Americans - ANSWER -B A female client is preparing to have open magnetic resonance imaging (MRI) of the spine. What action(s) by the nurse is (are) most important to assess before the test? (Select all that apply.) a. Ask if the client has a history of kidney disease. b. Ask the client if she could possibly be pregnant. c. Ensure that the patient has no metal or electronic implants. d. Assess the client for the ability to communicate. e. Assess the client for a history of claustrophobia. - ANSWER -A, B, C, D The nurse is reviewing the laboratory profile for a client who has muscular dystrophy. Which laboratory value(s) would the nurse expect to be elevated? (Select all that apply.) a. Calcium (Ca) b. Phosphate (PO4) c. Creatine kinase (CK) d. Lactic dehydrogenase (LDH) e. Aspartate aminotransferase (AST) f. Aldolase (ALD) - ANSWER -C, D, E, F An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible etiology(ies) does the nurse consider for this result? (Select all that apply.) a. Good dietary intake of calcium and vitamin D b. Normal age-related decrease in serum calcium c. Possible occurrence of osteoporosis or osteopenia