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Test: Final Quizzes Fundamentals Final (50 questions) 1. A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? Observe the rate, depth, and character of the client's respirations. 2. A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure. Which of the following actions should the nurse take? Lower the client to the floor an...

Exam 4 Adaptive Quiz Questions Endocrine Adaptive Quiz Questions 1. Which type of immunity is responsible for the destruction of beta cells in a client with type 1 diabetes mellitus A: Autoimmunity 2. Two clients, one with type 1 diabetes mellitus and one with type 2, both have polydipsia, polyphagia, and polyuria. How should the nurse interpret these findings? A: Both have hyperglycemia 3. What pathophysiologic process should the nurse consider when planning care for children with gia...

Concept 1 Adaptive Quizzing Physiological Integrity 1. A client has been diagnosed with hyperthyroidism. The nurse expects the client to exhibit which clinical manifestations? Select all that apply. 1Dry skin 2Slow pulse 3Weight gain Correct4Nervousness Correct5Increased appetite Nervousness is associated with hyperthyroidism because of central nervous system irritation. The appetite increases with hyperthyroidism because of the increased metabolic rate. Moist skin occurs with hyperthyroidi...

PN Fundamentals Adaptive quizzes The nurse caring for a patient in a home care setting needs detailed documentation. What are the purposes of the documentation? Select all that apply. Correct1 The documentation justifies reimbursement. Correct2 The documentation provides information regarding quality of work. Incorrect3 The documentation provides data for acuity records. Correct4 The documentation serves as a reference document for other professionals involved in the care. Correct5 ...

MED-SURG Chapter 31: Assessment and Management of Patients With Hypertension Question A client is placed on a low-sodium (500 mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective? • "I chose broiled chicken with a baked potato for dinner." Question A client hospitalized for treatment of hypertension is being prepared for discharge. Which teaching topic should the nurse should be sure to cover? • Maintaining a low-sodium...

MED-SURG Chapter 31: Assessment and Management of Patients With Hypertension Question A client is placed on a low-sodium (500 mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective? • "I chose broiled chicken with a baked potato for dinner." Question A client hospitalized for treatment of hypertension is being prepared for discharge. Which teaching topic should the nurse should be sure to cover? • Maintaining a low-sodium...

Med – Surg Chapter 52: Assessment and Management of Patients With Endocrine Disorders Question A client has a decreased level of thyroid hormone being excreted. What will the feedback loop do to maintain the level of thyroid hormone required to maintain homeostatic stability? • Stimulate more hormones using the negative feedback system Question A client has been diagnosed with myxedema from long-standing hypothyroidism. What clinical manifestations of this disorder does the nurs...

Med-Surg Chapter 51: Assessment and Management of Patients With Diabetes Question A 16-year-old client newly diagnosed with type 1 diabetes has a very low body weight despite eating regular meals. The client is upset because friends frequently state, “You look anorexic.” Which statement by the nurse would be the best response to help this client understand the cause of weight loss due to this condition? • "Your body is using protein and fat for energy instead of glucose." Que...

Med-Surg Ch 24: Management of Patients with Chronic Pulmonary Disease Question A client is being treated in the ED for respiratory distress coupled with pneumonia. The client has no medical history. However, the client works in a coal mine and smokes 10 cigarettes a day. The nurse anticipates which order based on the client's immediate needs? • Administration of antibiotics Question A child is having an asthma attack and the parent can’t remember which inhaler to use for quick ...

MED-SURG Chapter 26: Management of Patients With Dysrhythmias and Conduction Problems Question Which medication is the drug of choice for sinus bradycardia? • Atropine Question A nursing student is giving to a client with heart failure a medication with a positive inotropic effect on the heart. The student asks what a "positive inotropic" effect is. The correct response would be which of the following? • It increases the force of the myocardial contraction. Question ...

MED-SURG Chapter 27: Management of Patients With Coronary Vascular Disorders Question A nurse is caring for a client who is exhibiting signs and symptoms characteristic of a myocardial infarction (MI). Which statement describes priorities the nurse should establish while performing the physical assessment? • Assess the client's level of pain and administer prescribed analgesics. Question A client comes to the emergency department complaining of chest pain. An electrocardiogram (E...

Chapter 45: Management of Patients With Oral and Esophageal Disorder Question A client has a new order for metoclorpramide (Reglan). The nurse knows that this medication should not be used long term and only in cases where all other options have been exhausted. This is because this medication has the potential for extrapyramidal side effects. Extrapyramidal side effects include which of the following? • Uncontrolled rhythmic movements of the face or limbs Question The nurse notes th...

Med-Surg Chapter 13: Fluid and Electrolytes Balance and Disturbance Question 4 A 64-year-old client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and is lethargic. Serum sodium level is above 145 mEq/l (145 mmol/L). Should the nurse start salt tablets when caring for this client? • No, sodium intake should be restricted. Question A client admitted with acute anxiety has the following arterial blood gas...

MED-SURG Chapter 49: Assessment and Management of Patients With Hepatic Disorders Question A client who has just been diagnosed with hepatitis A asks, "How did I get this disease?" What is the nurse's best response? • "You may have eaten contaminated restaurant food." Question A physician orders spironolactone (Aldactone), 50 mg by mouth four times daily, for a client with fluid retention caused by cirrhosis. Which finding indicates that the drug is producing a therapeutic effe...

Med-Surg Chapter 12: Pain Management Question A client arrives in the orthopedic clinic with complaints of twisting the right ankle while playing softball. The nurse collects data including complaints of pain and swelling in the right ankle. What intervention will the nurse provide that will decrease vasodilation and reduce localized swelling? • Ice bag Question A client being treated for rheumatoid arthritis has been prescribed a glucocorticosteroid. How should the nurse best ensur...

Med-Surg Ch 23: Management of Patients with Chest and Lower Respiratory Tract Disorders Question A 73-year-old client is admitted to the pulmonology unit of the hospital. She was admitted with a pleural effusion and was "tapped" to drain the fluid to reduce her mediastinal pressure. How much fluid is typically present between the pleurae, which surround the lungs, to prevent friction rub? • 5 – 15 ml Question A client admitted with multiple traumatic injuries receives massive fl...

Med-Surg Chapter 22: Management of Patients With Upper respiratory Tract Disorders Question A 76-year-old client presents to the ED reporting “laryngitis.” The triage nurse should ask whether the client has a medical history that includes • Gastroesophageal reflux disease (GERD) Question A client comes into the clinic complaining of hoarseness that has lasted for about a month. What would you suspect? • Laryngeal cancer Question A client comes into the emergency depa...

MED-SURG Chapter 46: Management of Patients With Gastric and Duodenal Disorders Question A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: • alcohol abuse and smoking. Question Which of the following is the most successful treatment for gastric cancer? • Removal of the tumor Question A nurse is teaching a client who has experienced an episode of acute gastritis and knows further ed...

NUR 265 ADVANCED EXAM 1 REVIEW Anatomy of the Kidney: - The nephron is the functional unit of the kidney. - Normal GFR is 120-125. - If 75% of nephrons quit = renal insufficiency. - Kidneys are sensitive to changes in cardiac output. VOLUME DEPENDENT. A decrease in urine output indicates a decrease in cardiac output. - If the SBP is below 70 for over 40 minutes, the kidney will become hypo then ischemic. - If the SBP drops, the arterioles dilate. If the SBP elevate, arterioles constrict. ...

MEDSERGE 2 FLASHCARDS A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) A. Increased heart rate B. Increased blood pressure C. Increased respiratory rate D. Increase hematocrit E. Increased temperature Increased heart rate B. Increased blood pressure C. Increased respiratory rate A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following labo...