Ellakiwale

Question 1 Type: MCSA A patient has a split S2 heart sound. Where would the nurse auscultate to best hear this sound? 1. 2nd intercostal space left of the sternum 2. 5th intercostal space midclavicular line 3. 3rd intercostal space right of the sternum 4. 4th intercostal space left midaxillary line Correct Answer: 1 Rationale 1: A split S2 heart sound is heard best in the pulmonic area, which is the 2nd intercostal space left of the sternum. Rationale 2: The 5th intercostal space midcl...

Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient scheduled for diagnostic tests for hypothyroidism. Which symptoms should the nurse expect to observe in a patient with this disorder? a. Tremor and oily skin b. Anxiety and tachycardia c. Dry skin and slowed heart rate d. Increase in appetite and diarrhea 2. A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which statement should the nurse include when teaching...

Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection (UTI) and asks the nurse what caused it. What is the appropriate response by the nurse? a. “There was a change in the pH of your urine.” b. “You probably did not void frequently enough.” c. “Bacteria probably ascended the catheter, causing the infection...

Chapter 37. Nursing Care of Patients With Disorders of the Urinary System Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection (UTI) and asks the nurse what caused it. What is the appropriate response by the nurse? a. “There was a change in the pH of your urine.” b. “You probably did not void frequently enoug...

Question 1 Type: MCSA A patient tells the nurse he has a “cold” every spring that lasts for 8 to 10 weeks. The nurse suspects that the patient is experiencing which condition? 1. Acute viral rhinitis 2. Allergic rhinitis 3. Vasomotor rhinitis 4. Atrophic rhinitis Correct Answer: 2 Rationale 1: Acute viral rhinitis is the common cold and should resolve within 7 to 10 days. Rationale 2: Allergic rhinitis, or hay fever, results from a sensitivity reaction to allergens such as plant po...

1. A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, she informs the group that there are six classes of nutrients, and three supply the body with energy. What are the three sources of energy? A) Carbohydrates, protein, and lipids B) Vitamins, minerals, and water C) Carbohydrates, protein, and water D) Lipids, vitamins, and minerals Ans: A Feedback: Of the six classes of nutrients, three supply energy (carbohydrates, protein, and li...

Question 1 Type: MCSA The patient has respiratory difficulty due to changes in anatomic dead space. The nurse plans interventions based on changes in which physiological process? 1. Beginning of the gas exchange process 2. Neutralizing the air 3. Filtering the air 4. Separating the air Correct Answer: 3 Rationale 1: The anatomical dead space includes the structures from the nose to the terminal bronchioles. Air flows through the anatomical dead space, but these structures do not partic...

MULTIPLE CHOICE 1. A nurse assesses clients on a cardiac unit. Which client should the nurse identify as being at greatest risk for the development of left-sided heart failure? a. A 36-year-old woman with aortic stenosis b. A 42-year-old man with pulmonary hypertension c. A 59-year-old woman who smokes cigarettes daily d. A 70-year-old man who had a cerebral vascular accident ANS: A Although most people with heart failure will have failure that progresses from left to right, it is possib...

Multiple Choice 1. A nurse is caring for a patient with mitral stenosis. Based on the pathophysiology of this disease process, the nurse would expect the patient to exhibit which of the following heart rhythms? A) Normal sinus rhythm B) Supraventricular tachycardia C) Atrial fibrillation D) Electromechanical dissociation Ans: C Chapter: 29 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 1 Patient Needs: A-1 Feedback: A patient with ...

Multiple Choice 1. During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? A) Take prescribed antibiotics. B) Use warm salt-water gargles. C) Dress warmly. D) Wash the hands frequently. Ans: D Chapter: 22 Cognitive Level: Application Difficulty: Easy Integrated Process: Teaching/Learning Objective: 2 Patient Needs: A-2 Feedback: Handwashing remains the most effective preventive measure to reduce the transmission of or...