DUNPHY CARE ACTUAL FINALS ANSWERS AND
QUESTIONS SET A+
✔✔Postmenopausal women tend to have more recurrent urinary tract infections
because of:
1.
Frequent urination.
2.
Estrogen depletion-related changes.
3.
An increase in lactobacilli.
4.
A decrease in Escherichia coli. - ✔✔Estrogen depletion-related changes.
✔✔Which of the following diagnostic studies for the evaluation of renal function
assesses for the lack of erythropoietin?
1.
Urine creatinine clearance.
2.
Serum urea nitrogen.
3.
Serum albumin.
4.
Serum hemoglobin and hematocrit. - ✔✔Serum hemoglobin and hematocrit.
✔✔What is the first step in the treatment of uric acid kidney stones?
1.
Encouraging hydration.
2.
Alkalinizing the urine.
3.
Prescribing allopurinol (Zyloprim).
4.
Reducing protein intake. - ✔✔Encouraging hydration.
,✔✔Joyce, age 48, is being treated conservatively for her low back pain with a
nonsteroidal anti-inflammatory drug (NSAID), a muscle relaxant, and physical therapy.
She has recently been diagnosed with chronic kidney disease. Which of the following
statements is true?
1.
She should switch to a different NSAID.
2.
She should not be taking anything for pain other than narcotics.
3.
You should just increase her physical therapy and hope for the best.
4.
She could try acetaminophen 650 mg 3 times daily. - ✔✔She could try acetaminophen
650 mg 3 times daily.
✔✔Which finding in urinary sediment is indicative of pyelonephritis and interstitial
nephritis?
1.
Hyaline casts.
2.
Granular casts.
3.
Red blood cell casts.
4.
White blood cell casts. - ✔✔White blood cell casts.
✔✔Which of the following is considered a nephrotoxic agent and should be avoided in
clients with chronic renal failure (CRF)?
1.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
2.
Kayexalate.
3.
Calcium carbonate.
4.
Erythropoietin. - ✔✔Nonsteroidal anti-inflammatory drugs (NSAIDs).
✔✔When you teach clients about using steroid inhalers for asthma or chronic
obstructive pulmonary disease (COPD), what information is essential?
1.
Keep the inhaler in the refrigerator.
2.
Do not use another inhaler for 10 minutes after the steroid inhaler.
3.
Rinse your mouth after using the inhaler.
4.
, Be careful not to shake the container before using. - ✔✔Rinse your mouth after using
the inhaler.
✔✔Martin, age 76, has just been given a diagnosis of pneumonia. Which of the
following is an indication that he should be hospitalized?
1.
Inability to take oral medications and multilobar involvement on chest x-ray.
2.
Alert and oriented status, slightly high but stable vital signs, and no one to take care of
him at home.
3.
Sputum with gram-positive organisms.
4.
A complete blood count (CBC) showing leukocytosis. - ✔✔Inability to take oral
medications and multilobar involvement on chest x-ray.
✔✔You have been counseling your client about her asthma. You realize she does not
understand your suggestions when she tells you she will do which of the following?
1.
Cover the mattress and pillows in airtight, dustproof covers.
2.
Wash the bedding weekly and dry it on a hot setting for 20 minutes.
3.
Avoid sleeping on natural fibers such as wool or down.
4.
Open the windows and air out the room daily. - ✔✔Open the windows and air out the
room daily.
✔✔Jill, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations affect her activities, and they occur at least twice
weekly and may last for days. She is affected more than once weekly during the night
with an exacerbation. Which category of asthma severity is Jill in?
1.
Intermittent.
2.
Mild persistent.
3.
Moderate persistent.
4.
Severe persistent. - ✔✔Moderate persistent.
✔✔When teaching a mother who has a child with cystic fibrosis (CF), you emphasize
that the most important therapeutic approach for promoting the child's pulmonary
function is:
1.
QUESTIONS SET A+
✔✔Postmenopausal women tend to have more recurrent urinary tract infections
because of:
1.
Frequent urination.
2.
Estrogen depletion-related changes.
3.
An increase in lactobacilli.
4.
A decrease in Escherichia coli. - ✔✔Estrogen depletion-related changes.
✔✔Which of the following diagnostic studies for the evaluation of renal function
assesses for the lack of erythropoietin?
1.
Urine creatinine clearance.
2.
Serum urea nitrogen.
3.
Serum albumin.
4.
Serum hemoglobin and hematocrit. - ✔✔Serum hemoglobin and hematocrit.
✔✔What is the first step in the treatment of uric acid kidney stones?
1.
Encouraging hydration.
2.
Alkalinizing the urine.
3.
Prescribing allopurinol (Zyloprim).
4.
Reducing protein intake. - ✔✔Encouraging hydration.
,✔✔Joyce, age 48, is being treated conservatively for her low back pain with a
nonsteroidal anti-inflammatory drug (NSAID), a muscle relaxant, and physical therapy.
She has recently been diagnosed with chronic kidney disease. Which of the following
statements is true?
1.
She should switch to a different NSAID.
2.
She should not be taking anything for pain other than narcotics.
3.
You should just increase her physical therapy and hope for the best.
4.
She could try acetaminophen 650 mg 3 times daily. - ✔✔She could try acetaminophen
650 mg 3 times daily.
✔✔Which finding in urinary sediment is indicative of pyelonephritis and interstitial
nephritis?
1.
Hyaline casts.
2.
Granular casts.
3.
Red blood cell casts.
4.
White blood cell casts. - ✔✔White blood cell casts.
✔✔Which of the following is considered a nephrotoxic agent and should be avoided in
clients with chronic renal failure (CRF)?
1.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
2.
Kayexalate.
3.
Calcium carbonate.
4.
Erythropoietin. - ✔✔Nonsteroidal anti-inflammatory drugs (NSAIDs).
✔✔When you teach clients about using steroid inhalers for asthma or chronic
obstructive pulmonary disease (COPD), what information is essential?
1.
Keep the inhaler in the refrigerator.
2.
Do not use another inhaler for 10 minutes after the steroid inhaler.
3.
Rinse your mouth after using the inhaler.
4.
, Be careful not to shake the container before using. - ✔✔Rinse your mouth after using
the inhaler.
✔✔Martin, age 76, has just been given a diagnosis of pneumonia. Which of the
following is an indication that he should be hospitalized?
1.
Inability to take oral medications and multilobar involvement on chest x-ray.
2.
Alert and oriented status, slightly high but stable vital signs, and no one to take care of
him at home.
3.
Sputum with gram-positive organisms.
4.
A complete blood count (CBC) showing leukocytosis. - ✔✔Inability to take oral
medications and multilobar involvement on chest x-ray.
✔✔You have been counseling your client about her asthma. You realize she does not
understand your suggestions when she tells you she will do which of the following?
1.
Cover the mattress and pillows in airtight, dustproof covers.
2.
Wash the bedding weekly and dry it on a hot setting for 20 minutes.
3.
Avoid sleeping on natural fibers such as wool or down.
4.
Open the windows and air out the room daily. - ✔✔Open the windows and air out the
room daily.
✔✔Jill, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations affect her activities, and they occur at least twice
weekly and may last for days. She is affected more than once weekly during the night
with an exacerbation. Which category of asthma severity is Jill in?
1.
Intermittent.
2.
Mild persistent.
3.
Moderate persistent.
4.
Severe persistent. - ✔✔Moderate persistent.
✔✔When teaching a mother who has a child with cystic fibrosis (CF), you emphasize
that the most important therapeutic approach for promoting the child's pulmonary
function is:
1.
