Test Bank for Medical-Surgical
Nursing in Canada 4th Edition Lewi
Test Bank mahal kita hahahah
. The nurse assesses a patron within the fitness hospital who has signs and symptoms of a
stooped posture, shuffling gait, and pill rolling-kind tremor. Which of the subsequent subjects
ought to the nurse include within the plan of care? A. Oral corticosteroids b. Antiparkinsonian
tablets c. The cause of electroencephalogram (EEG) trying out d. Preparation for magnetic
resonance imaging (MRI) - ANS-ANS: B The prognosis of Parkinson's is made whilst two of the
three function signs and symptoms of tremor, pressure, and bradykinesia are present. The
confirmation of the prognosis is made on the premise of improvement whilst antiparkinsonian
pills are administered. This patron has signs of tremor and bradykinesia; the next predicted step
may be remedy with medicinal drugs. MRI and EEG aren't useful in diagnosing Parkinson's
disease, and corticosteroid remedy isn't used to deal with it
. The nurse is admitting an acutely ill older-person client to the medical institution. Which of the
subsequent interventions need to the nurse put into effect for the duration of the admission
procedure?
A. Speak slowly and loudly while going through the consumer. B. Obtain a detailed clinical
history from the purchaser. C. Interview the client before the bodily evaluation. D. Determine
whether or not the patron makes use of glasses or hearing aids. - ANS-ANS: D
Assistive gadgets need to be in location earlier than assessing the patron to decrease anxiety
and confusion. When a customer is acutely sick, the physical assessment should be
accomplished first to come across any physiological changes that require immediately motion.
Not all older clients have listening to deficits, and it's far insensitive of the nurse to speak loudly
and slowly to all older customers. To keep away from tiring the patron, plenty of the clinical
records may be received from scientific records.
. The nurse is being concerned for a patient with diabetes who has been admitted for a
laparotomy and possible launch of adhesions. When planning interventions to sell wound
restoration, which of the subsequent actions is precedence?
A. Maintaining the patient's blood glucose within a regular variety b. Ensuring that the affected
person has an good enough nutritional protein consumption c. Giving antipyretics to keep the
temperature less than 38.9°C (102°F) d. Redressing the surgical incision with a dry, sterile
dressing twice every day - ANS-ANS: A
Elevated blood glucose will have an impact on more than one elements worried in wound
recuperation. Ensuring ok nutrients also is vital for the postoperative affected person, but a
higher precedence is blood glucose manipulate. A temperature of 38.9°C (102°F) will now not
impact adversely on wound healing, even though the nurse can also administer antipyretics if
,the affected person is uncomfortable. Application of a dry, sterile dressing every day may be
ordered, however common dressing modifications for a wound healing with the aid of primary
goal is not essential to promote wound restoration.
. The nurse is caring for a young person affected person who is receiving antibiotics for an
infected leg wound and has a temperature of (one hundred and one.Eight°C). Which of the
subsequent movements by way of the nurse is maximum appropriate?
A. Apply a cooling blanket. B. Notify the health care company. C. Give the prescribed PRN
Aspirin 650 mg. D. Check the affected person's oral temperature once more in four hours -
ANS-ANS: D
Mild-to-slight temperature elevations (much less than 39.Five°C [103.1°F]) do not damage the
young adult patient and might advantage host defence mechanisms. The nurse should hold to
display the temperature. Antipyretics are not indicated unless the patient is complaining of
feverrelated signs. There isn't any want to inform the affected person's health care company or
to apply a cooling blanket for a moderate temperature elevation.
. The nurse is offering teaching to a purchaser with myasthenia gravis (MG) about control of the
ailment? Which of the following statistics ought to the nurse consist of in the teaching plan? A.
Perform physically traumatic activities inside the morning. B. Anticipate the need for weekly
plasmapheresis remedies. C. Do frequent weight-bearing workout to prevent muscle atrophy. D.
Protect the extremities from injury due to poor sensory belief. - ANS-ANS: A Muscles are
commonly strongest within the morning, and activities concerning muscle hobby have to be
scheduled then. Plasmapheresis isn't always automatically scheduled however is used for
myasthenia disaster or for conditions in which corticosteroid remedy must be discontinued.
There isn't any decrease in sensation with MG, and muscle atrophy does not arise because
muscles are used at some stage in part of the day
. Which of the subsequent actions need to the nurse in the outpatient medical institution include
in the plan of take care of a consumer with slight cognitive impairment (MCI)? A. Suggest a flow
into an assisted-dwelling facility. B. Schedule the purchaser for annual appointments. C. Ask
family individuals to oversee the customer's every day activities. D. Discuss the preventive use
of acetylcholinesterase medicines - ANS-ANS: B Ongoing tracking is suggested for customers
with MCI. If moderate cognitive impairment (MCI) is recognized, annual tracking of symptoms
and functioning is suggested. MCI does now not interfere with activities of day by day living,
acetylcholinesterase drugs aren't used for MCI, and an assisted-living facility isn't always
indicated for MCI.
. Which of the following customers will the nurse working in an HIV testing and remedy
sanatorium count on teaching about antiretroviral therapy (ART)? A. A customer who's currently
HIV negative but has unprotected intercourse with more than one partners b. A purchaser who
changed into inflamed with HIV 15 years in the past and now has a CD4+ be counted of 840/µL
c. An HIV-fantastic purchaser with a CD4+ count of a hundred and twenty/µL who drinks a fifth
of whiskey each day d. A client who examined high quality for HIV 2 years in the past and has
cytomegalovirus (CMV) disease - ANS-ANS: D
,CMV ailment is an AIDS-defining infection and suggests that the client is suitable for ART even
though the HIV infection duration is enormously short. An HIV-bad client would no longer be
supplied ART. A consumer with a CD4+ count inside the ordinary range could not generally be
started out on ART. A customer who beverages alcohol heavily could be unlikely which will
manage the complicated drug regimen and could no longer be appropriate for ART regardless
of the low CD4+ rely.
. Which of the following nursing movements is most probably to discover early signs and
symptoms of infection in a affected person who's taking immunosuppressive medicines?
A. Monitor white blood mobile count. B. Check the skin for areas of redness. C. Check the
temperature every 2 hours. D. Ask approximately fatigue or emotions of malaise. - ANS-ANS: D
Common scientific manifestations of irritation and infection are regularly now not gift whilst
sufferers acquire immunosuppressive medicinal drugs. The earliest manifestation of an
contamination may be "simply now not feeling properly."
0. The nurse is coaching the youngsters of a consumer who is being evaluated for Alzheimer's
sickness (AD) approximately the sickness. Which of the following facts ought to the nurse
consist of? A. The most crucial risk aspect for AD is a circle of relatives history of the disease. B.
New tablets had been proven to reverse AD dramatically in some customers. C. A prognosis of
AD may be made simplest whilst other reasons of dementia had been dominated out. D. The
presence of mind atrophy detected by way of MRI confirms the analysis of AD in customers with
dementia. - ANS-ANS: C The diagnosis of AD is one in all exclusion. Age is the most vital risk
component for development of AD. Drugs can gradual the deterioration however do now not
dramatically opposite the outcomes of AD. Brain atrophy is a common finding in AD, however it
can arise in other illnesses as well and does no longer verify an AD prognosis.
1. A consumer who has indistinct signs of fatigue and complications is located to have a nice
enzyme immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing
the check results with the client, which of the subsequent information need to the nurse include?
A. The EIA take a look at will want to be repeated to confirm the results.
B. A viral subculture could be done to determine the development of the ailment.
C. It will probably be 10 or greater years before the customer develops received
immunodeficiency syndrome (AIDS).
D. The Western blot check can be executed to determine whether or not AIDS has advanced. -
ANS-ANS: A After an preliminary fantastic EIA test, the EIA is repeated before greater particular
testing which include the Western blot is performed. Viral cultures aren't a part of HIV trying out.
Because the nurse does no longer recognise how currently the purchaser turned into infected, it
isn't always suitable to expect the time frame for AIDS development. The Western blot
assessments for HIV antibodies, not for AIDS.
1. The nurse is worrying for a consumer who has simply recognized with early chronic HIV
contamination. Which of the following prophylactic measures ought to the nurse anticipate being
blanketed in the plan of care? (Select all that observe.)
, a. Hepatitis B vaccine b. Pneumococcal vaccine c. Influenza virus vaccine d.
Trimethoprim-sulfamethoxazole e. Varicella-zoster immune globulin - ANS-ANS: A, B, C
Prevention of other infections is an critical intervention in clients who're HIV fine, and these
vaccines are advocated as soon because the HIV contamination is recognized. Antibiotics and
immune globulin are used to prevent and deal with infections that arise later in the route of the
disorder, whilst the CD4 remember has dropped or whilst contamination has took place.
1. The nurse is teaching a purchaser about management of migraine headaches. Which of the
subsequent purchaser statements suggests that the teaching has been powerful? A. "I will take
the topiramate as soon as any complications begin." b. "I should avoid taking Aspirin and
sumatriptan at the identical time." c. "I will try to lie down somewhere dark and quiet while the
headaches start." d. "A glass of wine may assist me loosen up and prevent headaches from
growing. - ANS-ANS: C It is suggested that the customer with a migraine rest in a dark, quiet
location. Topiramate is used to save you migraines and have to be taken for numerous months
to determine effectiveness. Aspirin or different nonsteroidal anti-inflammatory medicines may be
concerned with the triptans. Alcohol might also precipitate migraine complications
1. Which nursing actions will the nurse take to evaluate for viable malnutrition in an
older-grownup patron? (Select all that observe.)
a. Observe for depression. B. Review laboratory outcomes. C. Assess teeth and oral mucosa.
D. Ask approximately transportation wishes. E. Determine food likes and dislikes. - ANS-ANS:
A, B, C, D
The laboratory results, particularly albumin stages, may imply persistent terrible protein intake.
Transportation influences clients' potential to buy groceries. Depression may additionally lead to
decreased appetite. Oral sores or enamel in terrible situation may additionally decrease the
capability to bite and swallow. Food likes and dislikes aren't always related to malnutrition.
1. Which of the following tiers are part of the consumer response to fitness care suggestions
based totally on a continuum of self-care? (Select all that observe.) a. Compliance
b. Adherence
c. Self-care
d. Denial
e. Acceptance - ANS-ANS: A, B, C Compliance, adherence, and self-care make-up the 3 stages
of client reaction to fitness care guidelines on a continuum of self-care. Compliance displays
coercion of the patron to interact mainly hints, while adherence implies conformity of the
consumer with the recommendations. Self-care connotes a therapeutic alliance among the
patron and the provider. Adherence is now the time period most extensively ordinary as it
incorporates the notion of the customer agreeing with the remedy plan provided with the aid of
the health care company.
10. What is the maximum influential supply of self-efficacy?
A. Mastery
b. Affective states
c. Verbal persuasion
Nursing in Canada 4th Edition Lewi
Test Bank mahal kita hahahah
. The nurse assesses a patron within the fitness hospital who has signs and symptoms of a
stooped posture, shuffling gait, and pill rolling-kind tremor. Which of the subsequent subjects
ought to the nurse include within the plan of care? A. Oral corticosteroids b. Antiparkinsonian
tablets c. The cause of electroencephalogram (EEG) trying out d. Preparation for magnetic
resonance imaging (MRI) - ANS-ANS: B The prognosis of Parkinson's is made whilst two of the
three function signs and symptoms of tremor, pressure, and bradykinesia are present. The
confirmation of the prognosis is made on the premise of improvement whilst antiparkinsonian
pills are administered. This patron has signs of tremor and bradykinesia; the next predicted step
may be remedy with medicinal drugs. MRI and EEG aren't useful in diagnosing Parkinson's
disease, and corticosteroid remedy isn't used to deal with it
. The nurse is admitting an acutely ill older-person client to the medical institution. Which of the
subsequent interventions need to the nurse put into effect for the duration of the admission
procedure?
A. Speak slowly and loudly while going through the consumer. B. Obtain a detailed clinical
history from the purchaser. C. Interview the client before the bodily evaluation. D. Determine
whether or not the patron makes use of glasses or hearing aids. - ANS-ANS: D
Assistive gadgets need to be in location earlier than assessing the patron to decrease anxiety
and confusion. When a customer is acutely sick, the physical assessment should be
accomplished first to come across any physiological changes that require immediately motion.
Not all older clients have listening to deficits, and it's far insensitive of the nurse to speak loudly
and slowly to all older customers. To keep away from tiring the patron, plenty of the clinical
records may be received from scientific records.
. The nurse is being concerned for a patient with diabetes who has been admitted for a
laparotomy and possible launch of adhesions. When planning interventions to sell wound
restoration, which of the subsequent actions is precedence?
A. Maintaining the patient's blood glucose within a regular variety b. Ensuring that the affected
person has an good enough nutritional protein consumption c. Giving antipyretics to keep the
temperature less than 38.9°C (102°F) d. Redressing the surgical incision with a dry, sterile
dressing twice every day - ANS-ANS: A
Elevated blood glucose will have an impact on more than one elements worried in wound
recuperation. Ensuring ok nutrients also is vital for the postoperative affected person, but a
higher precedence is blood glucose manipulate. A temperature of 38.9°C (102°F) will now not
impact adversely on wound healing, even though the nurse can also administer antipyretics if
,the affected person is uncomfortable. Application of a dry, sterile dressing every day may be
ordered, however common dressing modifications for a wound healing with the aid of primary
goal is not essential to promote wound restoration.
. The nurse is caring for a young person affected person who is receiving antibiotics for an
infected leg wound and has a temperature of (one hundred and one.Eight°C). Which of the
subsequent movements by way of the nurse is maximum appropriate?
A. Apply a cooling blanket. B. Notify the health care company. C. Give the prescribed PRN
Aspirin 650 mg. D. Check the affected person's oral temperature once more in four hours -
ANS-ANS: D
Mild-to-slight temperature elevations (much less than 39.Five°C [103.1°F]) do not damage the
young adult patient and might advantage host defence mechanisms. The nurse should hold to
display the temperature. Antipyretics are not indicated unless the patient is complaining of
feverrelated signs. There isn't any want to inform the affected person's health care company or
to apply a cooling blanket for a moderate temperature elevation.
. The nurse is offering teaching to a purchaser with myasthenia gravis (MG) about control of the
ailment? Which of the following statistics ought to the nurse consist of in the teaching plan? A.
Perform physically traumatic activities inside the morning. B. Anticipate the need for weekly
plasmapheresis remedies. C. Do frequent weight-bearing workout to prevent muscle atrophy. D.
Protect the extremities from injury due to poor sensory belief. - ANS-ANS: A Muscles are
commonly strongest within the morning, and activities concerning muscle hobby have to be
scheduled then. Plasmapheresis isn't always automatically scheduled however is used for
myasthenia disaster or for conditions in which corticosteroid remedy must be discontinued.
There isn't any decrease in sensation with MG, and muscle atrophy does not arise because
muscles are used at some stage in part of the day
. Which of the subsequent actions need to the nurse in the outpatient medical institution include
in the plan of take care of a consumer with slight cognitive impairment (MCI)? A. Suggest a flow
into an assisted-dwelling facility. B. Schedule the purchaser for annual appointments. C. Ask
family individuals to oversee the customer's every day activities. D. Discuss the preventive use
of acetylcholinesterase medicines - ANS-ANS: B Ongoing tracking is suggested for customers
with MCI. If moderate cognitive impairment (MCI) is recognized, annual tracking of symptoms
and functioning is suggested. MCI does now not interfere with activities of day by day living,
acetylcholinesterase drugs aren't used for MCI, and an assisted-living facility isn't always
indicated for MCI.
. Which of the following customers will the nurse working in an HIV testing and remedy
sanatorium count on teaching about antiretroviral therapy (ART)? A. A customer who's currently
HIV negative but has unprotected intercourse with more than one partners b. A purchaser who
changed into inflamed with HIV 15 years in the past and now has a CD4+ be counted of 840/µL
c. An HIV-fantastic purchaser with a CD4+ count of a hundred and twenty/µL who drinks a fifth
of whiskey each day d. A client who examined high quality for HIV 2 years in the past and has
cytomegalovirus (CMV) disease - ANS-ANS: D
,CMV ailment is an AIDS-defining infection and suggests that the client is suitable for ART even
though the HIV infection duration is enormously short. An HIV-bad client would no longer be
supplied ART. A consumer with a CD4+ count inside the ordinary range could not generally be
started out on ART. A customer who beverages alcohol heavily could be unlikely which will
manage the complicated drug regimen and could no longer be appropriate for ART regardless
of the low CD4+ rely.
. Which of the following nursing movements is most probably to discover early signs and
symptoms of infection in a affected person who's taking immunosuppressive medicines?
A. Monitor white blood mobile count. B. Check the skin for areas of redness. C. Check the
temperature every 2 hours. D. Ask approximately fatigue or emotions of malaise. - ANS-ANS: D
Common scientific manifestations of irritation and infection are regularly now not gift whilst
sufferers acquire immunosuppressive medicinal drugs. The earliest manifestation of an
contamination may be "simply now not feeling properly."
0. The nurse is coaching the youngsters of a consumer who is being evaluated for Alzheimer's
sickness (AD) approximately the sickness. Which of the following facts ought to the nurse
consist of? A. The most crucial risk aspect for AD is a circle of relatives history of the disease. B.
New tablets had been proven to reverse AD dramatically in some customers. C. A prognosis of
AD may be made simplest whilst other reasons of dementia had been dominated out. D. The
presence of mind atrophy detected by way of MRI confirms the analysis of AD in customers with
dementia. - ANS-ANS: C The diagnosis of AD is one in all exclusion. Age is the most vital risk
component for development of AD. Drugs can gradual the deterioration however do now not
dramatically opposite the outcomes of AD. Brain atrophy is a common finding in AD, however it
can arise in other illnesses as well and does no longer verify an AD prognosis.
1. A consumer who has indistinct signs of fatigue and complications is located to have a nice
enzyme immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing
the check results with the client, which of the subsequent information need to the nurse include?
A. The EIA take a look at will want to be repeated to confirm the results.
B. A viral subculture could be done to determine the development of the ailment.
C. It will probably be 10 or greater years before the customer develops received
immunodeficiency syndrome (AIDS).
D. The Western blot check can be executed to determine whether or not AIDS has advanced. -
ANS-ANS: A After an preliminary fantastic EIA test, the EIA is repeated before greater particular
testing which include the Western blot is performed. Viral cultures aren't a part of HIV trying out.
Because the nurse does no longer recognise how currently the purchaser turned into infected, it
isn't always suitable to expect the time frame for AIDS development. The Western blot
assessments for HIV antibodies, not for AIDS.
1. The nurse is worrying for a consumer who has simply recognized with early chronic HIV
contamination. Which of the following prophylactic measures ought to the nurse anticipate being
blanketed in the plan of care? (Select all that observe.)
, a. Hepatitis B vaccine b. Pneumococcal vaccine c. Influenza virus vaccine d.
Trimethoprim-sulfamethoxazole e. Varicella-zoster immune globulin - ANS-ANS: A, B, C
Prevention of other infections is an critical intervention in clients who're HIV fine, and these
vaccines are advocated as soon because the HIV contamination is recognized. Antibiotics and
immune globulin are used to prevent and deal with infections that arise later in the route of the
disorder, whilst the CD4 remember has dropped or whilst contamination has took place.
1. The nurse is teaching a purchaser about management of migraine headaches. Which of the
subsequent purchaser statements suggests that the teaching has been powerful? A. "I will take
the topiramate as soon as any complications begin." b. "I should avoid taking Aspirin and
sumatriptan at the identical time." c. "I will try to lie down somewhere dark and quiet while the
headaches start." d. "A glass of wine may assist me loosen up and prevent headaches from
growing. - ANS-ANS: C It is suggested that the customer with a migraine rest in a dark, quiet
location. Topiramate is used to save you migraines and have to be taken for numerous months
to determine effectiveness. Aspirin or different nonsteroidal anti-inflammatory medicines may be
concerned with the triptans. Alcohol might also precipitate migraine complications
1. Which nursing actions will the nurse take to evaluate for viable malnutrition in an
older-grownup patron? (Select all that observe.)
a. Observe for depression. B. Review laboratory outcomes. C. Assess teeth and oral mucosa.
D. Ask approximately transportation wishes. E. Determine food likes and dislikes. - ANS-ANS:
A, B, C, D
The laboratory results, particularly albumin stages, may imply persistent terrible protein intake.
Transportation influences clients' potential to buy groceries. Depression may additionally lead to
decreased appetite. Oral sores or enamel in terrible situation may additionally decrease the
capability to bite and swallow. Food likes and dislikes aren't always related to malnutrition.
1. Which of the following tiers are part of the consumer response to fitness care suggestions
based totally on a continuum of self-care? (Select all that observe.) a. Compliance
b. Adherence
c. Self-care
d. Denial
e. Acceptance - ANS-ANS: A, B, C Compliance, adherence, and self-care make-up the 3 stages
of client reaction to fitness care guidelines on a continuum of self-care. Compliance displays
coercion of the patron to interact mainly hints, while adherence implies conformity of the
consumer with the recommendations. Self-care connotes a therapeutic alliance among the
patron and the provider. Adherence is now the time period most extensively ordinary as it
incorporates the notion of the customer agreeing with the remedy plan provided with the aid of
the health care company.
10. What is the maximum influential supply of self-efficacy?
A. Mastery
b. Affective states
c. Verbal persuasion
