Adult Health III Final Exam Questions with answers

Adult Health III Final Exam Questions with |\ |\ |\ |\ |\ |\




answers
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The nurse is providing discharge teaching to a client who has had
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an emergency splenectomy following an automobile accident.
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Which of the following findings should the nurse inform the client
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that they are at an increased risk of developing?
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a. Infection
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b. Lymphedema
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c. Chronic anemia
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d. Prolonged bleeding - CORRECT ANSWERS ✔✔a. Infection
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The nurse is obtaining a health history from a client and notes
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numerous petechiae. Which of the following assessments should
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the nurse anticipate?
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a. Bruising on the skin
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b. Pinpoint purplish-red lesions
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c. Small focal red lesions
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d. Brown spots on mucous membranes - CORRECT ANSWERS
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✔✔b. Pinpoint purplish-red lesions
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The nurse is reviewing laboratory data for an older-adult client.
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Which of the following results should be of most concern?
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,a. White blood cell (WBC) count of 3.5 109 /L
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b. Hematocrit of 37%
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c. Platelet count of 400 109 /L
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d. Hemoglobin of 118 g/L - CORRECT ANSWERS ✔✔a. White
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blood cell (WBC) count of 3.5 109 /L
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The health care provider performs a bone marrow aspiration from
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the left posterior iliac crest on a client with pancytopenia. Which
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of the following actions should the nurse implement following the
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procedure? |\




a. Elevate the head of the bed to 45 degrees.
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b. Apply a sterile Band-Aid at the aspiration site.
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c. Use half-inch sterile gauze to pack the wound.
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d. Apply a pressure dressing on the aspiration site. - CORRECT
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ANSWERS ✔✔d. Apply a pressure dressing on the aspiration site.
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The nurse is caring for a client with a chronic iron deficiency
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anemia. Which of the following assessment findings should the
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nurse anticipate?
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a. Yellow-tinged sclerae
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b. Shiny, smooth tongue
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c. Numbness of the extremities
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d. Gum bleeding and tenderness - CORRECT ANSWERS ✔✔b.
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Shiny, smooth tongue
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,A client's complete blood count shows a hemoglobin of 200 g/L
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and a hematocrit of 54%. Which of the following questions should
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the nurse ask to determine possible causes of this finding?
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a. "Has there been any recent weight loss?"
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b. "Do you have any problems with your vision?"
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c. "What is your intake of fruits and vegetables?"
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d. "Have you noticed any dark or bloody stools?" - CORRECT
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ANSWERS ✔✔b. "Do you have any problems with your vision?"
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The nurse is caring for a client who is receiving heparin. Which of
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the following laboratory tests should the nurse monitor?
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a. Prothrombin time (PT)
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b. Fibrin degradation products (FDP)
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c. International normalized ratio (INR)
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d. Activated partial thromboplastin time (aPTT) - CORRECT
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ANSWERS ✔✔d. Activated partial thromboplastin time (aPTT)
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The nurse is evaluating the red blood cell indices result of a
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client's laboratory report. Which of the following interpretations is
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correct related to a low mean corpuscular volume (MCV)?
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a. Hypochromic red blood cells (RBCs)
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b. Inadequate numbers of RBCs
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c. Low hemoglobin in the RBCs
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, d. Small size of the RBCs - CORRECT ANSWERS ✔✔d. Small size
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of the RBCs
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While examining the lymph nodes during physical assessment, the
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nurse would be most concerned about which of the following
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findings? |\




a. A 2-cm nontender supraclavicular node
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b. A 1-cm mobile and nontender axillary node
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c. An inability to palpate any superficial lymph nodes
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d. Firm inguinal nodes in a client with an infected foot - CORRECT
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ANSWERS ✔✔a. A 2-cm nontender supraclavicular node
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The nurse is caring for a client who had an intraoperative
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hemorrhage 12 hours ago. Which of the following laboratory |\ |\ |\ |\ |\ |\ |\ |\ |\



results should the nurse anticipate?
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a. Hematocrit of 45%
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b. Hemoglobin of 132 g/L
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c. Decreased white blood cell (WBC) count
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d. Elevated reticulocyte count - CORRECT ANSWERS ✔✔d.
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Elevated reticulocyte count |\ |\




The nurse is caring for a client whose complete blood count (CBC)
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and differential indicate that the client is neutropenic. Which of
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the following actions should the nurse include in the plan of care?
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