Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
1. As3nurses3iss3reviewings3thes3causes3ofs3gouts3withs3as3groups3ofs3nurses.s3Whichs3ofs3thes3followings3statem
entss3shoulds3thes3nurses3make?
A. "Urics3acids3levelss3drops3ands3calciums3formss3precipitate."
Rationale:s3Withs 3 gout,s 3 clientss 3 haves 3 hyperuricemia,s 3 rathers 3 thans 3 as 3 reductions 3 ins 3 urics 3 acid.
B. "Tophis3forms3ins3thes3kidneyss3ands3theys3impairs3thes3excretions3ofs3urics3acid."
Rationale:s3Tophi,s 3 ors 3 depositss 3 ins 3 tissuess 3 nears 3 as 3 joint,s 3 develops 3 ins 3 chronic,s 3 late-
stages 3 gout.s 3 Theys 3 ares 3 nots 3 parts 3 ofs3thes3primarys3diseases3process.
C. "Thes3intra-articulars3depositions3ofs3urates3crystalss3causess3inflammation."
Rationale:s3Gout,s3ors3goutys3arthritis,s3developss3whens3urates3crystalss3deposits3ins3jointss3ands3tissuess
3ands3causes3inflammations3ands3pain.
D. "Articulars3cartilages3thins,s3leadings3tos3splittings3ands3fragmentation."
Rationale:s3Gouts3doess3nots3thins3ands3fragments3cartilage.
2. As3nurses3iss3teachings3as3groups3ofs3clientss3abouts3osteoarthritis.s3Whichs3ofs3thes3followings3recommen
dationss3shoulds3thes3nurses3includes3ins3thes3teaching?
A. Uses3Echinaceas3tos3manages3joints3pain.
Rationale:s3Thes 3 nurses 3 mays 3 includes 3 thes 3 uses 3 ofs 3 complementarys 3 ands 3 alternatives 3 therapiess 3 ins 3 t
hes 3 teaching.
However,s3Echinaceas3iss3useds3fors3thes3treatments3ofs3thes3commons3cold,s3nots3osteoarth
ritis.s3Alternatives3therapiess3thats3ares3useds3fors3osteoarthritiss3includes3glucosamine,s3chond
roitin,s3ands3topicals3capsaicin.
B. Applys3ices3tos3thes3joints3befores3exercising.
Rationale:s3Thes 3 nurses 3 shoulds 3 recommends 3 thats 3 thes 3 clientss 3 begins 3 exercisings 3 immediat
elys 3 followings 3 thes3applications3ofs3heat.s3Thiss3reducess3pains3ands3improvess3mobil
ity,s3allowings3fors3increaseds3range-of-
motions3durings3exercises.s3Colds3applications3mays3bes3applieds3followings3exercise
s3tos3decreases3discomforts3ands3inflammation.
C. Maintains3as3recommendeds3bodys3weight.
Rationale:s3Obesitys3iss3as3risks3factors3fors3thes3developments3ofs3osteoarthritis.s3Maintenances3ofs3
ans3ideals3weights3iss3ones3ways3as3clients3cans3prevents3addeds3wears3ands3tears3ons3join
tss3ands3promotes3overalls3joints3health.
D. Reduces3thes3amounts3ofs3purines3ins3thes3diet.
Rationale:s3Thes3nurses3shoulds3recognizes3thats3limitings3purines3ins3thes3diet,s3whichs3iss3oftens3foun
ds3ins3organs3meats,s3iss3recommendeds3fors3clientss3whos3haves3gout.
3. As3nurses3iss3carings3fors3as3clients3whos3hass3hads3as3myocardials3infarction.s3Upons3hiss3firsts3visits3tos3c
ardiacs3rehabilitation,s3hes3tellss3thes3nurses3thats3hes3doesn'ts3understands3whys3hes3needss3tos3bes3theres3
Pages31
,Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
becauses3theres3iss3nothings3mores3tos3do,s3ass3the
Pages32
,Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
damages3iss3done.s3Whichs3ofs3thes3followings3iss3thes3corrects3nursings3response?
A. "Cardiacs3rehabilitations3cannots3undos3thes3damages3tos3yours3hearts3buts3its3cans3helps3yous3gets3ba
cks3tos3yours3previouss3levels3ofs3activitys3safely."
Rationale:s3Withs3thiss3response,s3thes3nurses3usess3thes3therapeutics3communications3techniques3ofs
3presentings3realitys3bys3indicatings3hers3perceptions3ofs3thes3situations3fors3thes3client.
B. "It’ss3nots3unusuals3tos3feels3thats3ways3ats3first,s3buts3onces3yous3learns3thes3routine,s3you’lls3enjoys3it."
Rationale:s3Withs 3 thiss 3 response,s 3 thes 3 nurses 3 illustratess 3 thes 3 nontherapeutics 3 communications 3 techniq
ues 3 ofs 3 givings3reassurance,s3thuss3discouragings3thes3clients3froms3furthers3communication.
C. "Exercises3iss3goods3fors3yous3ands3goods3fors3yours3heart."
Rationale:s3Withs 3 thiss 3 response,s 3 thes 3 nurses 3 illustratess 3 thes 3 nontherapeutics 3 communications 3 techniq
uess 3 ofs3disagreeings3ands3givings3advice.
D. "Yours3doctors3iss3thes3experts3here,s3ands3I’ms3sures3hes3woulds3onlys3recommends3whats3iss3bests3fors3yo
u."
Rationale:s3Withs 3 thiss 3 response,s 3 thes 3 nurses 3 illustratess 3 thes 3 nontherapeutics 3 communications 3 techni
ques 3 ofs3defending.
4. As3nurses3iss3carings3fors3as3clients3whos3hass3hearts3failures3ands3as3potassiums3levels3ofs32.4s3mEq/L.s3Th
es3nurses3shoulds3identifys3whichs3ofs3thes3followings3medicationss3ass3thes3causes3ofs3thes3client’ss3lows3pot
assiums3level?
A. Furosemide
Rationale:s3Furosemides3iss3as3loops3(high-
ceiling)s3diuretics3thats3inhibitss3thes3reabsorptions3ofs3sodiums3ands3chlorides3ands3resultss3ins
3diuresis,s3whichs3decreasess3potassiums3throughs3excretions3ins3thes3distals3nephrons.
Hypokalemias3iss3ans3adverses3effects3ofs3furosemide.
B. Nitroglycerin
Rationale:s3As3potassiums3levels3ofs32.4s3mEq/Ls3iss3nots3ans3adverses3effects3ofs3nitroglycerin.s3Nitroglyc
erins3iss3as3vasodilators3medications3tos3treats3angina.
C. Metoprolol
Rationale:s3As3potassiums3levels3ofs32.4s3mEq/Ls3iss3nots3ans3adverses3effects3ofs3metoprolo
l.s3Metoprolols3iss3as3beta-
blockers3thats3slowss3thes3hearts3rates3ands3improvess3contractilitys3ofs3thes3hearts
3muscle.
D. Spironolactone
Rationale:s3Spironolactones3iss3as3potassium-
sparings3diuretics3medication;s3therefore,s3hyperkalemias3iss3ans3adverses3effects3ofs3thiss3
medication.
5. As3nurses3iss3carings3fors3as3clients3whos3iss3postoperatives3followings3ans3opens3reductions3internals3fixations3(
ORIF)s3ofs3as3femurs3fracture.s3Whichs3ofs3thes3followings3parameterss3shoulds3thes3nurses3includes3ins3thes3ev
Pages33
, Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
aluations3ofs3thes3neurovasculars3statuss3ofs3thes3client'ss3affecteds3extremity?s3(Selects3alls3thats3apply.)
Pages34
eys3Medicals3Surgical,
s3A+
1. As3nurses3iss3reviewings3thes3causes3ofs3gouts3withs3as3groups3ofs3nurses.s3Whichs3ofs3thes3followings3statem
entss3shoulds3thes3nurses3make?
A. "Urics3acids3levelss3drops3ands3calciums3formss3precipitate."
Rationale:s3Withs 3 gout,s 3 clientss 3 haves 3 hyperuricemia,s 3 rathers 3 thans 3 as 3 reductions 3 ins 3 urics 3 acid.
B. "Tophis3forms3ins3thes3kidneyss3ands3theys3impairs3thes3excretions3ofs3urics3acid."
Rationale:s3Tophi,s 3 ors 3 depositss 3 ins 3 tissuess 3 nears 3 as 3 joint,s 3 develops 3 ins 3 chronic,s 3 late-
stages 3 gout.s 3 Theys 3 ares 3 nots 3 parts 3 ofs3thes3primarys3diseases3process.
C. "Thes3intra-articulars3depositions3ofs3urates3crystalss3causess3inflammation."
Rationale:s3Gout,s3ors3goutys3arthritis,s3developss3whens3urates3crystalss3deposits3ins3jointss3ands3tissuess
3ands3causes3inflammations3ands3pain.
D. "Articulars3cartilages3thins,s3leadings3tos3splittings3ands3fragmentation."
Rationale:s3Gouts3doess3nots3thins3ands3fragments3cartilage.
2. As3nurses3iss3teachings3as3groups3ofs3clientss3abouts3osteoarthritis.s3Whichs3ofs3thes3followings3recommen
dationss3shoulds3thes3nurses3includes3ins3thes3teaching?
A. Uses3Echinaceas3tos3manages3joints3pain.
Rationale:s3Thes 3 nurses 3 mays 3 includes 3 thes 3 uses 3 ofs 3 complementarys 3 ands 3 alternatives 3 therapiess 3 ins 3 t
hes 3 teaching.
However,s3Echinaceas3iss3useds3fors3thes3treatments3ofs3thes3commons3cold,s3nots3osteoarth
ritis.s3Alternatives3therapiess3thats3ares3useds3fors3osteoarthritiss3includes3glucosamine,s3chond
roitin,s3ands3topicals3capsaicin.
B. Applys3ices3tos3thes3joints3befores3exercising.
Rationale:s3Thes 3 nurses 3 shoulds 3 recommends 3 thats 3 thes 3 clientss 3 begins 3 exercisings 3 immediat
elys 3 followings 3 thes3applications3ofs3heat.s3Thiss3reducess3pains3ands3improvess3mobil
ity,s3allowings3fors3increaseds3range-of-
motions3durings3exercises.s3Colds3applications3mays3bes3applieds3followings3exercise
s3tos3decreases3discomforts3ands3inflammation.
C. Maintains3as3recommendeds3bodys3weight.
Rationale:s3Obesitys3iss3as3risks3factors3fors3thes3developments3ofs3osteoarthritis.s3Maintenances3ofs3
ans3ideals3weights3iss3ones3ways3as3clients3cans3prevents3addeds3wears3ands3tears3ons3join
tss3ands3promotes3overalls3joints3health.
D. Reduces3thes3amounts3ofs3purines3ins3thes3diet.
Rationale:s3Thes3nurses3shoulds3recognizes3thats3limitings3purines3ins3thes3diet,s3whichs3iss3oftens3foun
ds3ins3organs3meats,s3iss3recommendeds3fors3clientss3whos3haves3gout.
3. As3nurses3iss3carings3fors3as3clients3whos3hass3hads3as3myocardials3infarction.s3Upons3hiss3firsts3visits3tos3c
ardiacs3rehabilitation,s3hes3tellss3thes3nurses3thats3hes3doesn'ts3understands3whys3hes3needss3tos3bes3theres3
Pages31
,Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
becauses3theres3iss3nothings3mores3tos3do,s3ass3the
Pages32
,Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
damages3iss3done.s3Whichs3ofs3thes3followings3iss3thes3corrects3nursings3response?
A. "Cardiacs3rehabilitations3cannots3undos3thes3damages3tos3yours3hearts3buts3its3cans3helps3yous3gets3ba
cks3tos3yours3previouss3levels3ofs3activitys3safely."
Rationale:s3Withs3thiss3response,s3thes3nurses3usess3thes3therapeutics3communications3techniques3ofs
3presentings3realitys3bys3indicatings3hers3perceptions3ofs3thes3situations3fors3thes3client.
B. "It’ss3nots3unusuals3tos3feels3thats3ways3ats3first,s3buts3onces3yous3learns3thes3routine,s3you’lls3enjoys3it."
Rationale:s3Withs 3 thiss 3 response,s 3 thes 3 nurses 3 illustratess 3 thes 3 nontherapeutics 3 communications 3 techniq
ues 3 ofs 3 givings3reassurance,s3thuss3discouragings3thes3clients3froms3furthers3communication.
C. "Exercises3iss3goods3fors3yous3ands3goods3fors3yours3heart."
Rationale:s3Withs 3 thiss 3 response,s 3 thes 3 nurses 3 illustratess 3 thes 3 nontherapeutics 3 communications 3 techniq
uess 3 ofs3disagreeings3ands3givings3advice.
D. "Yours3doctors3iss3thes3experts3here,s3ands3I’ms3sures3hes3woulds3onlys3recommends3whats3iss3bests3fors3yo
u."
Rationale:s3Withs 3 thiss 3 response,s 3 thes 3 nurses 3 illustratess 3 thes 3 nontherapeutics 3 communications 3 techni
ques 3 ofs3defending.
4. As3nurses3iss3carings3fors3as3clients3whos3hass3hearts3failures3ands3as3potassiums3levels3ofs32.4s3mEq/L.s3Th
es3nurses3shoulds3identifys3whichs3ofs3thes3followings3medicationss3ass3thes3causes3ofs3thes3client’ss3lows3pot
assiums3level?
A. Furosemide
Rationale:s3Furosemides3iss3as3loops3(high-
ceiling)s3diuretics3thats3inhibitss3thes3reabsorptions3ofs3sodiums3ands3chlorides3ands3resultss3ins
3diuresis,s3whichs3decreasess3potassiums3throughs3excretions3ins3thes3distals3nephrons.
Hypokalemias3iss3ans3adverses3effects3ofs3furosemide.
B. Nitroglycerin
Rationale:s3As3potassiums3levels3ofs32.4s3mEq/Ls3iss3nots3ans3adverses3effects3ofs3nitroglycerin.s3Nitroglyc
erins3iss3as3vasodilators3medications3tos3treats3angina.
C. Metoprolol
Rationale:s3As3potassiums3levels3ofs32.4s3mEq/Ls3iss3nots3ans3adverses3effects3ofs3metoprolo
l.s3Metoprolols3iss3as3beta-
blockers3thats3slowss3thes3hearts3rates3ands3improvess3contractilitys3ofs3thes3hearts
3muscle.
D. Spironolactone
Rationale:s3Spironolactones3iss3as3potassium-
sparings3diuretics3medication;s3therefore,s3hyperkalemias3iss3ans3adverses3effects3ofs3thiss3
medication.
5. As3nurses3iss3carings3fors3as3clients3whos3iss3postoperatives3followings3ans3opens3reductions3internals3fixations3(
ORIF)s3ofs3as3femurs3fracture.s3Whichs3ofs3thes3followings3parameterss3shoulds3thes3nurses3includes3ins3thes3ev
Pages33
, Detaileds3Answers3K
eys3Medicals3Surgical,
s3A+
aluations3ofs3thes3neurovasculars3statuss3ofs3thes3client'ss3affecteds3extremity?s3(Selects3alls3thats3apply.)
Pages34
