Nursing 350 (NURSING 350)

Chapter 51: Care of Patients with Ear and Hearing Problems Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client with external otitis. Which assessment finding indicates to the nurse that the client’s infection has worsened? a. The client now reports tinnitus and vertigo at night. b. The client now has a positive Rinne test, with AC > BC. c. The tympanic membrane is pearly gray with white patches. d. The auricular lymph nodes have increased in size over the last 24 hours...

Chapter 50: Assessment of the Ear and Hearing Test Bank MULTIPLE CHOICE 1. The nurse notes that a client’s tympanic membrane moves in response to air injected into the external canal. What is the nurse’s best action? a. Notify the health care provider. b. Document the finding. c. Prepare to wash the external ear canal. d. Immediately remove the otoscope. ANS: B The healthy ear should have a tympanic membrane that is mobile when air is injected into the external canal. This norm...

Chapter 59: Care of Patients with Noninflammatory Intestinal Disorders Test Bank MULTIPLE CHOICE 1. A client has irritable bowel syndrome. Which menu selections by this client indicate good understanding of dietary teaching? a. Tuna salad on white bread, cup of applesauce, glass of diet cola b. Broiled chicken with brown rice, steamed green beans, glass of apple juice c. Grilled cheese sandwich, small ripe banana, cup of hot tea with lemon d. Grilled steak, green beans, dinner roll w...

Chapter 55: Assessment of the Gastrointestinal System Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client who is receiving radiation treatment for oral cancer. Which problem does the nurse anticipate for this client? a. Failure to absorb nutrients from the stomach b. Inability to digest protein c. Impaired ability to soften and break down food d. Difficulty swallowing food ANS: C Saliva is responsible for the softening of food in the mouth and contains an enzyme, salivary...

Chapter 60: Care of Patients with Inflammatory Intestinal Disorders Test Bank MULTIPLE CHOICE 1. The nurse conducts a physical assessment for a client with abdominal pain. Which finding leads the nurse to suspect appendicitis? a. Severe, steady right lower quadrant (RLQ) pain b. Abdominal pain that started a day after vomiting began c. Abdominal pain that increases with knee flexion d. Marked peristalsis and hyperactive bowel sounds ANS: A Right lower quadrant pain, specifically at...

Chapter 58: Care of Patients with Stomach Disorders Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client who is at risk for developing gastritis. Which finding from the client’s history leads the nurse to this conclusion? a. Client is lactose intolerant and cannot drink milk. b. Client recently traveled to Mexico and South America. c. Client works at least 60 hours per week in a stressful job. d. Client takes naproxen sodium (Naprosyn) 500 mg daily for arthritis pain. ANS...

Chapter 67: Care of Patients with Diabetes Mellitus Test Bank MULTIPLE CHOICE 1. In preparing a staff in-service presentation about diabetes mellitus, the nurse includes which information? a. Diabetes increases the risk for development of epilepsy. b. The cure for diabetes is the administration of insulin. c. Diabetes increases the risk for development of cardiovascular disease. d. Carbohydrate metabolism is altered in diabetes, but protein metabolism is normal. ANS: C Diabetes me...

Chapter 65: Care of Patients with Pituitary and Adrenal Gland Problems Test Bank MULTIPLE CHOICE 1. A client has a hormone deficiency. Which deficiency is the highest priority? a. Growth hormone b. Luteinizing hormone c. Thyroid-stimulating hormone d. Follicle-stimulating hormone ANS: C A deficiency of thyroid-stimulating hormone (TSH) is the most life-threatening deficiency of the hormones listed in this question. TSH is needed to ensure proper synthesis and secretion of the thyro...

Chapter 70: Care of Patients with Renal Disorders Test Bank MULTIPLE CHOICE 1. On assessment of a client with polycystic kidney disease (PKD), which finding is of greatest concern to the nurse? a. Flank pain b. Periorbital edema c. Bloody and cloudy urine d. Enlarged abdomen ANS: B Flank pain and a distended or enlarged abdomen occur in PKD because the kidneys enlarge and displace other organs. Urine can be bloody or cloudy owing to cyst rupture or infection. Periorbital edema wou...

Chapter 46: Care of Patients with Problems of the Peripheral Nervous System Test Bank MULTIPLE CHOICE 1. The nurse recognizes which pathophysiologic feature as a hallmark of Guillain-Barré syndrome? a. Nerve impulses are not transmitted to skeletal muscle. b. The immune system destroys the myelin sheath. c. The distal nerves degenerate and retract. d. Antibodies to acetylcholine receptor sites develop. ANS: B In Guillain-Barré syndrome, the immune system destroys the myelin sheat...