PNH301 final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing - CORRECT ANSWER a. dyspnea + tachycardia
When obtaining assessment data from a client with a microcytic, hypochromic anemia, what would
the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia - CORRECT ANSWER b. dietary intake of iron
Nursing interventions for a client w/ severe anemia r/t PUD include which of the following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections - CORRECT ANSWER a+c
- high iron diet
- monitor stools for blood
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content - CORRECT ANSWER a, b, c, d
, -monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema. After teaching
regarding this drug, the nurse determines that further instruction is needed when the client says which
of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right away" - CORRECT
ANSWER b. levothyroxine is lifelong treatment
Which of the following are important nursing intervention(s) when caring for a patient w/ Cushing's
syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection - CORRECT ANSWER b+e
- monitor blood glucose
- protect client from infection
How does the nurse instruct the client who is taking corticosteroids to control adverse effects of drug
therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension - CORRECT ANSWER a.
increase calcium intake
QUESTIONS AND CORRECT ANSWERS
In a severely anemic patient, the nurse would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing - CORRECT ANSWER a. dyspnea + tachycardia
When obtaining assessment data from a client with a microcytic, hypochromic anemia, what would
the nurse question the client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia - CORRECT ANSWER b. dietary intake of iron
Nursing interventions for a client w/ severe anemia r/t PUD include which of the following? (SATA):
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections - CORRECT ANSWER a+c
- high iron diet
- monitor stools for blood
Which nursing management actions apply for a client in sickle cell crisis? (SATA):
a. monitoring CBC
b. providing optimal pain management and O2 therapy
c. doing blood transfusions if required and iron chelation
d. recommending rest as needed and DVT prophylaxis
e. administering IV iron and a diet high in iron content - CORRECT ANSWER a, b, c, d
, -monitor cbc
-pain management + o2
-blood transfusions; iron chelation
-rest prn + dvt prophylaxis
The healthcare provider prescribes levothyroxine (synthroid) for a client w/ myxedema. After teaching
regarding this drug, the nurse determines that further instruction is needed when the client says which
of the following?
a. "I can expect the medication dose may need to be adjusted"
b. "I only need to take this drug until my symptoms are improved"
c. "I can expect to return to normal function with the use of this drug"
d. "I will report any chest pain or difficulty breathing to the doctor right away" - CORRECT
ANSWER b. levothyroxine is lifelong treatment
Which of the following are important nursing intervention(s) when caring for a patient w/ Cushing's
syndrome? (SATA):
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to infection - CORRECT ANSWER b+e
- monitor blood glucose
- protect client from infection
How does the nurse instruct the client who is taking corticosteroids to control adverse effects of drug
therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for hypoglycemia
c. obtain immunizations due to high risk for infections
d. avoid abrupt position changes b/c of orthostatic hypotension - CORRECT ANSWER a.
increase calcium intake
