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Review Test Submission: Exam 2 updated KT Content User Christine Ellen Behm Course (2015 Fall, Term C) NU 216-KEN/W/1: Adult Health I Test Exam 2 updated KT Started 12/9/15 1:31 PM Submitted 12/9/15 1:31 PM Status Completed Attempt Score Grade not available. Time Elapsed 0 minute out of 1 hour and 40 minutes Instructions You will have 75 minutes to complete this exam. The exam contains 55 questions that are worth a little over three points each for a total of 170 points. Please make sure you read the question carefully and in it's entirety. This exam contains questions that are multiple choice, select all that apply, True/False, and math dosage calculations. For multiple choice questions choose the best response to each question. For all that apply questions choose all that apply. Results Displayed All Answers, Submitted Answers, Correct Answers, Feedback, Incorrectly Answered Questions Question 1 0 out of 2.15 points The nurse provides instructions to a white female about preventing skin cancer. Which statement by the nurse best indicates understanding of the risks for developing skin cancer? Selected Answer: [None Given] Answers: a. My father was treated for melanoma but my mother never was. She says i dont have to worry." b. "I used to le in the sun all the time but now I just go to the tanning bed." c. "I really need to use sunscreen even in the winter." d. "I guess becasue I am dark complected i will be more prone ro developing skin cancer." Question 2 0 out of 2.15 points The primary purpose of palliative care it to: Selected Answer: [None Given] Answers: a. coordinate care for dying patients and their families. b. provide comfort and support for dying patients and their families. c. provide better quality of care than the family can. d. allow patients to die at home. Question 3 0 out of 2.15 points The home health nurse visits a 40-year-old patient with metastatic breat cancer who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10 point scale). In prioritizing activities for the visit, the nurse would do which first? Selected Answer: [None Given] Answers: a. check pressure points for skin breakdown. b. auscultate for breath sounds. c. administer PRN pain medication. d. ask family about patient's food and fluid intake. Question 4 0 out of 2.15 points Which patient should the nurse refer for pallative care? Selected Answer: [None Given] Answers: a. 60-year-old with lymphoma whose children are unable to discuss issues related to dying b. 28-year-old with AIDS-related dementia who needs end of life care and pain management c. 56-year-old with advanced liver failure whose family members can no longer provide care in the home d. 72-year-old with chronic severe pain as a result of spinal arthritis and vertebral collapse Question 5 0 out of 2.15 points The nurse admits a terminally ill patient to the hospital. What is the first action that the nurse should complete when planning this patient's care? Selected Answer: [None Given] Answers: a. Determine the patient's wishes regarding end-of-life care. b. Discuss the normal grief process with the patient and family. c. Encourage the patient to talk about any fears or unresolved issues. d. Emphasize the importance of addressing any family issues. Question 6 0 out of 2.15 points Which nursing actions for the care of a dying patient can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN) (select all that apply)? Selected Answers: [None Given] Answers: a. Encourage the family members to talk with and reassure the patient. b. Provide postmortem care to the patient. c. Determine how frequently physical assessments are needed for the patient. d. Teach family members about commonly occurring signs of approaching death. Question 7 0 out of 2.15 points The doctor orders Vancomyacin 1g IV every 12 hours to be infused over 30 minutes. The medication comes as Vancomyacin 1g in 250mL NS per hour. At what rate per hour would you set your pump? Selected Answer: [None Given] Correct Answer: 500 Answer range +/- 0 (500.0 - 500.0) Question 8 0 out of 2.15 points The doctor order amoxicillian 400mg every 12 hours for an acute infection. The medication comes as amoxicillian 200mg/1.2mL. How many mL's are you going to give your patient? Selected Answer: [None Given] Correct Answer: 2.4 Answer range +/- 0.1 (2.3 - 2.5) Question 9 0 out of 2.15 points Jamie is scheduled to take predisone 30mg twice daily prophylactically before her IVIG treatments to prevent inflammation. The medication comes as predisone 10mg/2mL. How many mL's are you going to give Jamie? Selected Answer: [None Given] Correct Answer: 6 Answer range +/- 0 (6.0 - 6.0) Question 10 0 out of 2.15 points Trish recently had a face lift and has been complaining of severe pain. She is ordered to take hydrocodone 5/325mg tablets every 6 hours as needed for pain. The medication comes as 10/650mg. How many tablets are you going to give your patient? Selected Answer: [None Given] Correct Answer: 0.5 Answer range +/- 0 (0.5 - 0.5) Question 11 0 out of 2.15 points Which one of the orders should a nurse question in the plan of care for a patient with a stage III pressure ulcer? Selected Answer: [None Given] Answers: a. Irrigate the wound with sterile normal saline until the irrigation fluid runs clear b. Assess for pain and medicate before dressing change. c. Clean the wound with hydrogen peroxide before applying a new dressing d. Turn and position the patient every 2 hours. Question 12 0 out of 2.15 points A client presents to the clinic with a diagnosis of basal cell carcinoma. What best desrcibes a skin cancer lesion? Selected Answers: [None Given] Answers: reddness, warmth, swelling, and purulent drainage red and dark blue macules poorly marginated, irregular shaped, flat area well defined borders, raised, dome shaped area Question 13 0 out of 2.15 points While providing a nursing history, a client with suspected malignant melanoma will most often relate which of the following? Selected Answers: [None Given] Answers: A history of exposure to intense sunlight Complaints of frequently occurring flat macules with and overlying hard scales Consistent use of sunscreen products Complaints of fever Question 14 0 out of 2.15 points A young male patient who is a paraplegic has a stage II sacral pressure ulcer and is being cared for at home by his mother. To prevent further tissue damage, what instructions are most important for the nurse to teach the mother? Selected Answer: [None Given] Answers: a. Use a hydrocolloid dressing over the ulcer. b. Change the patient's bedding frequently. c. Record the size and appearance of the ulcer weekly. d. Change the patient's position at least every 2 hours. Question 15 0 out of 2.15 points After receiving a change-of-shift report, which patient should the nurse assess first? Selected Answer: [None Given] Answers: a. The patient who has been receiving chemotherapy and has a temperature of 102° F b. The newly admitted patient with a stage IV pressure ulcer on the coccyx c. The patient who has multiple black wounds on the feet and ankles d. The patient who needs to be medicated with multiple analgesics before a scheduled dressing change Question 16 0 out of 2.15 points The nurse could delegate care of which patient to a licensed practical/vocational nurse (LPN/LVN)? Selected Answer: [None Given] Answers: 1. The patient who requires a transparent(Tegaderm) dressing for a skin tear 2. The patient who needs teaching about home care for a draining abdominal wound. 3. The patient who has increased tenderness and swelling around a leg wound and needs to be assessed. 4. The patient who was just admitted after suturing of a full-thickness arm wound. Question 17 0 out of 2.15 points Depression, hopelessness and anxiety are all examples of which dimension of well-being? Selected Answers: [None Given] Answers: Physical Psychological Spiritual Psychosocial Question 18 0 out of 2.15 points A pallative care nurse is working with a 58 year old client with metastatic breast cancer. The client expresses that she feels guilty she cannot help to plan her daughters wedding. The nurse identifies that this is: Selected Answer: [None Given] Answers: a sign of depression an alteration in the client's psychosocial well being a normal feeling related to changes in her abilities to engage in normal parenting activities a common symptom of hopelessness which will pass Question 19 0 out of 2.15 points A patient in the unit has been suffering from pneumonia for the past 24 hours. They have been recieving antibiotic therapy, but they have continued to suffer from a 103.7F temperature. Which intervention would be most effective in restoring normal body temperature? Selected Answer: [None Given] Answers: a. Provide increased fluids and have the UAP give sponge baths. b. Give prescribed antibiotics and provide warm blankets for comfort. c. Administer antipyretics on an around the clock schedule. d. Use a cooling blanket while the patient is febrile. Question 20 0 out of 2.15 points The nurse teaches a patient about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions? Selected Answer: [None Given] Answers: a. "The drugs are given in combination because they inhibit different ways the kidney can be rejected." b. "If I develop an acute rejection episode, I will need to have other types of drugs given IV." c. "After a couple of years, it is likely that I will be able to stop taking the cyclosporine." d. "I need to be monitored closely because I have a greater chance of developing malignant tumors." Question 21 0 out of 2.15 points A patient who has received allergen testing using the cutaneous scratch method has developed itching and swelling at the skin site. Which action should the nurse takefirst? Selected Answer: [None Given] Answers: a. Apply topical hydrocortisone. b. Monitor the patient for lower extremity edema. c. Administer epinephrine. d. Ask the patient about exposure to any new lotions or soaps. Question 22 0 out of 2.15 points The nursing care for a ptient with hyponatremia includes: Selected Answer: [None Given] Answers: a. increased water intake for patients on nasogastric suction. b. administration of a cation-exchange resin. c. administration of hypotonic IV fluids. d. fluid restriction. Question 23 0 out of 2.15 points It is especially important for the nurse to assess for which clinical manifestation(s) in a patient who has just undergone a total thyroidectomy (select all that apply)? Selected Answers: [None Given] Answers: a. Positive Chvostek's sign b. Confusion c. Elevated temperature d. Depressed reflexes e. Circumoral numbness Question 24 0 out of 2.15 points A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L? Selected Answer: [None Given] Answers: a. Respiratory alkalosis b. Metabolic alkalosis c. Metabolic acidosis d. Respiratory acidosis Question 25 0 out of 2.15 points The patient has the following arterial blood gas results: pH 7.2; PaCO2 25 mm Hg; HcO3 16 mEq/L. The nurse determines that these results indicate: Selected Answer: [None Given] Answers: a. Metabolic acidosis with partial compensation. b. Respiratory alkalosis with partial compensation. c. Respiratory acidosis with full compensation. d. Respiratory acidosis with full compensation. Question 26 0 out of 2.15 points The typical fluid replacement for the patient with a fluid volume deficit is: Selected Answer: [None Given] Answers: a. dextran. b. 0.45% saline. c. 5% dextrose in 0.45% saline. d. lactated Ringer's. Question 27 0 out of 2.15 points The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action should the nurse take? Selected Answer: [None Given] Answers: a. Give the prescribed PRN lorazepam (Ativan). b. Start the prescribed PRN oxygen at 2 to 4 L/min. c. Administer the prescribed normal saline bolus and insulin. d. Encourage the patient to take deep, slow breaths with guided imagery. Question 28 0 out of 2.15 points A patient with acne vulgaris tells the nurse that she has quit her job as a receptionist because she believes her facial appearance is unattractive to customers. The nursing diagnosis that best describes this patient response is: Selected Answer: [None Given] Answers: a. social isolation related to decreased activities secondary to fear of rejection. b. anxiety related to lack of knowledge of the disease process. c. ineffective coping related to lack of social support. d. impaired skin integrity related to presence of lesions. Question 29 0 out of 2.15 points A patient receives 3% NaCl solution for correction of hyponatremia. Which assessment is most important for the nurse to monitor for while the patient is receiving this infusion? Selected Answer: [None Given] Answers: a. Peripheral edema b. Peripheral pulses c. Lung sounds d. Urinary output Question 30 0 out of 2.15 points An older patient receiving iso-osmolar continuous tube feedings develops restlessness, agitation, and weakness. Which laboratory result should the nurse report to the health care provider immediately? Selected Answer: [None Given] Answers: a. Na+ 154 mEq/L (154 mmol/L) b. K+ 3.4 mEq/L (3.4 mmol/L) c. Ca+2 7.8 mg/dL (1.95 mmol/L) d. PO4-3 4.8 mg/dL (1.55 mmol/L) Question 31 0 out of 2.15 points A patient is admitted to the emergency department with severe fatigue and confusion. Laboratory studies are done. Which laboratory value will require the mostimmediate action by the nurse? Selected Answer: [None Given] Answers: a. Serum potassium is 5.1 mEq/L. b. Arterial blood pH is 7.32. c. Serum calcium is 18 mg/dL. d. Arterial oxygen saturation is 91%. Question 32 0 out of 2.15 points Which safe sun practices would the nurse include in the teaching care plan for a patient who has photosensitivity (select all that apply)? Selected Answers: [None Given] Answers: a. Wear sunscreen as long as it is purchased at a drugstore. b. Wear protective clothing. c. Apply sunscreen liberally and often. d. Avoid exposure to the sun, especially during midday. e. Emphasize the short-term use of a tanning booth. Question 33 0 out of 2.15 points The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed? Selected Answer: [None Given] Answers: a. The patient applies a thick layer of the cream to the affected skin. b. The patient takes a tepid bath before applying the cream. c. The patient covers the area with a dressing after applying the cream. d. The patient spreads the cream using a downward motion. Question 34 0 out of 2.15 points What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus? Selected Answer: [None Given] Answers: a. Wash hands and properly dispose of soiled dressings. b. Clean the wound with a Hydrogen Peroxide solution. c. Pack the wound very tight with dressing. d. Change the dressing every 4 hours. Question 35 0 out of 2.15 points A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan? Selected Answer: [None Given] Answers: a. Treatment plans include watchful waiting. b. Low dose systemic chemotherapy is used to treat BCC. c. Minimizing sun exposure will reduce risk for future BCC. d. Screening for metastasis will be important. Question 36 0 out of 2.15 points Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary? Selected Answer: [None Given] Answers: a. "I notice my breasts are tender lately." b. "I get up several times at night to urinate." c. "I feel a lump in my throat when I swallow." d. "I am so thirsty that I drink all day long." Question 37 0 out of 2.15 points An abnormal finding by the nurse during an endocrine assessment would be (select all that apply.): Selected Answers: [None Given] Answers: a. excessive facial hair on a woman. b. 6lb weight gain over the last 12 months. c. hyperpigmented coloration of the skin. d. blood pressure of 110/76 mm Hg. e. soft, formed stool every other day. Question 38 0 out of 2.15 points A 44-year-old patient is admitted with tetany. Which laboratory value should the nurse monitor? Selected Answer: [None Given] Answers: a. Serum phosphate b. Total protein c. Ionized calcium d. Blood glucose Question 39 0 out of 2.15 points A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which goal is most important for this patient? Selected Answer: [None Given] Answers: a. The patient will state the reasons for eliminating simple sugars in the diet. b. The patient will choose a diet that distributes calories throughout the day. c. The patient will reach a glycosylated hemoglobin level of less than 6.5%. d. The patient will follow a diet and exercise plan that results in weight loss. Question 40 0 out of 2.15 points The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following? Selected Answer: [None Given] Answers: a. "I will need a bedtime snack because I take an evening dose of NPH insulin." b. "I can have an occasional alcoholic drink if I include it in my meal plan." c. "I will eat something at meal times to prevent hypoglycemia, even if I am not hungry." d. "I can choose any foods, as long as I use enough insulin to cover the calories." Question 41 0 out of 2.15 points A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia? Selected Answer: [None Given] Answers: a. 2:00 PM b. 8:30 AM c. 4:00 PM d. 12:00 AM Question 42 0 out of 2.15 points A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first? Selected Answer: [None Given] Answers: a. Have the patient drink 4 ounces of orange juice. b. Infuse dextrose 50% by slow IV push. c. Administer 1 mg glucagon subcutaneously. d. Obtain a glucose reading using a finger stick. Question 43 0 out of 2.15 points You are caring for a patient with newly diagnosed type 1 diabetes. What information is essential to include in your patient teaching before discharge from the hospital(select all that apply)? Selected Answers: [None Given] Answers: a. use of a glucose monitor to check blood sugar levels b. need to reduce physical activity c. hypoglycemia prevention, symptoms, and treatment. d. elimination of sugar from diet e. insulin administration Question 44 0 out of 2.15 points Analyze the following diagnostic findings for your patient with type 2 diabetes. Which result will need further assessment? Selected Answer: [None Given] Answers: a. LDL cholesterol 100 mg/dL (2.6 mmol/L) b. A1C 9% c. FBF 130 mg/dL (7.2 mmol/L) d. BP 126/80 mm Hg Question 45 0 out of 2.15 points After change-of-shift report, which patient will the nurse assess first? Selected Answer: [None Given] Answers: a. 35-year-old with type 1 diabetes whose most recent blood glucose reading was 230 mg/dL b. 19-year-old with type 1 diabetes who was admitted with possible dawn phenomenon c. 60-year-old with hyperosmolar hyperglycemic syndrome who has poor skin turgor and dry oral mucosa d. 68-year-old with type 2 diabetes who has severe peripheral neuropathy and complains of burning foot pain Question 46 0 out of 2.15 points After change-of-shift report, which patient should the nurse assess first? Selected Answer: [None Given] Answers: a. 50-year-old who uses exenatide (Byetta) and is complaining of acute abdominal pain b. 40-year-old who is pregnant and whose oral glucose tolerance test is 202 mg/dL c. 19-year-old with type 1 diabetes who has a hemoglobin A1C of 12% d. 23-year-old with type 1 diabetes who has a blood glucose of 40 mg/dL Question 47 0 out of 2.15 points A diabetic patient has a serum glucose level of 824 mg/dL and is unresponsive. After assessing the patient, the nurse suspects diabetic ketoacidosis rather than hyperosmolar hyperglycemic, syndrome based on the finding of: Selected Answer: [None Given] Answers: a. decreased serum potassium. b. positive chvostek's sign. c. rapid, deep respirations. d. severe dehydration. Question 48 0 out of 2.15 points A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient? Selected Answer: [None Given] Answers: a. Administration of immunosuppressant medication. b. Insertion of an arteriovenous graft for hemodialysis. c. A blood test for human luekocyte antion (HLA) matching. d. Placement of the patient on a transplant waiting list. Question 49 0 out of 2.15 points Joe presents to the physicians office with a history of nausea and vomiting for the past wek. He has been self-medicating himself with baking soda to control his abdominal discomfort. What ABG values would you expect to see? Selected Answer: [None Given] Answers: a. pH 7.35, PaCO2 60 mm Hg, HCO3 40 mEq/L b. pH 7.44, PaCO2 54 mm Hg, HCO3 36 mEq/L c. pH 7.26, PaCO2 56 mm Hg, HCO3 24 mEq/L d. pH 7.50, PaCO2 30 mm Hg, HCO3 25 mEq/L Question 50 0 out of 2.15 points Catherine presented to the ED after a sexual assault. Examination reveals hysteria and emotional distress. Her respiratory rate is 38, lungs are clear, and O2 sat is 96%. Her ABG's are pH 7.5, PaCO2 30 mm Hg, and HCO3 24 mEq/L. What treatment regimen would you follow with her? Selected Answer: [None Given] Answers: a. Antiemetic drugs and nasogastric intubation may help relieve the vomiting, and IV replacement of fluids and electrolytes may be necessary. b. Mechanical ventilation may be necessary to increase respiratory rate and depth, increasing oxygenation and promoting excretion of carbon dioxide. c. Relieve her anxiety and coax her to take slow breaths. Carbon dioxide may be administered by mask, or she may be asked to breathe into a paper bag placed over her nose and mouth. d. Administration of insulin to promote normal glucose metabolism and administration of fluids and electrolytes to replace those lost because of the hyperglycemia. Question 51 0 out of 2.15 points An adult has received an injection of immunoglobulin. The nurse knows that the client will develop which of the following types of immunity? Selected Answers: [None Given] Answers: Active natural immunity Active artificial immunity Passive natural immunity Passive artificial immunity Question 52 0 out of 2.15 points A client has been admitted to the hospital for uncontrolled diabetes. Lab studies reveal a fasting plasma glucose of 320mg/DL. The client is informed that Type 1 diabetes mellitus has which characteristic feature? Selected Answers: [None Given] Answers: It usually causes complete fat metabolism It is rarely controlled It often occurs in obese individuals It is associated with the destruction of beta cells Question 53 0 out of 2.15 points A diabetic client who is taking regular and NPH insulin asks why she must mix the two insulins. What is the correct explanation for mixing regular and NPH insulin? Selected Answers: [None Given] Answers: The onset of regular insulin is immediate A peak action of the NPH is in 2 hours The regular insulin will quickly lower the elevated blood glucose and the NPH will maintain the level The total duration of action is 24 hours Question 54 0 out of 2.15 points A patient has a simple goiter and needs teaching regarding nutritional deficiencies related to goiter. The patient's problems are most likely associated with which nutritional deficiency? Selected Answers: [None Given] Answers: Calcium Iodine Iron Sodium Question 55 0 out of 2.15 points A client is admitted to the hospital with Addison's disease. She has a respiratory infection. During assessment, her blood pressure 90/40. Why should the nurse notify the physician immediately? Selected Answers: [None Given] Answers: Blood gases need to be assessed Shock may be developing Seizure actively is imminent the reading is abnormal Question 56 0 out of 2.15 points A client who is diagnosed with Addison's disease is admitted to the hospital. Which of the following would the nurse expect to find when assessing the client? Selected Answers: [None Given] Answers: Acne Hyperpigmentation of the skin Moon face Fat pads over the supraclavicular bones Question 57 0 out of 2.15 points The nurse is teaching a patient who has Addison's disease about drug therapy for his condition. In evaluating the effectiveness of teaching regarding drug therapy, what should the patient be able to verbalize? Selected Answers: [None Given] Answers: To avoid antibiotics For lifelong therapy To taper the steroid dose To receive alternate-day therapy Question 58 0 out of 2.15 points A client is newly diagnosed with Type 1 diabetes. She is hospitalized to have her insulin doses stablized and must be taught insulin administration and self-monitoring of blood sugar levels. What is the major benefit of self-monitoring of blood glucose levels? Selected Answers: [None Given] Answers: Materials used for self-monitoring are more cost efficient than lab expenses Dependence on the health care system is reduced Larger but fewer doses of insulin are required Blood glucose is maintained at close to normal levels Question 59 0 out of 2.15 points A client needs to have the following diagnostic procedures: serum T3 and T4, a carotid arteriogram, and a thyroid scan. In what order should the nurse schedule the tests? Selected Answers: [None Given] Answers: Arteriogram, serum T3 and T4, scan Serum T3 and T4, arteriogram, and scan Serum T3 and T4, scan, and arteriogram Arteriogram, scan, T3 and T4 Question 60 0 out of 2.15 points Select the most accurate explanation by the nurse to a client being screened for gestational diabetes who is to have an oral glucose tolerance test and needs to understand the procedure. Selected Answers: [None Given] Answers: " You will go to the laboratory and your blood will be drawn." "After you drink a concentrated glucose solution, you cannot eat or drink anything until your blood is drawn." "You will eat a large meal and your blood will be drawn in two hours." "Your blood will be drawn, you will drink a concentrated glucose solution, and your blood will be drawn again. " Question 61 0 out of 2.15 points A nurse assesses a client who has a large abdomen and a rounded face. Which additional assessment finding would lead the nurse to suspect that this client has Cushing's syndrome rather than obesity related to an imbalance of food intake and metaboic needs? Selected Answers: [None Given] Answers: Large thighs and upper arms Pendulous abdomen Posterior neck fat pads and thin extremities large hips Question 62 0 out of 2.15 points A 32 year old female patient is being seen by her primary physician for an annual physical exam. Routine labs reveal T3 (tri-iodothyronine) and T4(thyroxine) levels as elevated while the TSH (thyroid stimulating hormone) is decreased. What condition would the nurse suspect? Selected Answers: [None Given] Answers: hyperthyroidism adrenal crisis hypothyroidism hypoparathyroidism Question 63 0 out of 2.15 points The nurse is preparing a room to recieve a client immediately post-thyroidectomy. The nurse should be sure that which of the following equipment is available at the bedside? Selected Answers: [None Given] Answers: Nasogastric suctioning central venous line set up lumbar puncture equipment tracheostomy tray Question 64 0 out of 2.15 points An adult client has recently had a total thyroidectomy. Which of the following statements made by the client demonstrates to the nurse an adequate understanding of long-term care? Selected Answers: [None Given] Answers: "I should increase my caloric intake to maintain my metabolic needs." "I will need to take replacement hormones for the rest of my life." "Thank goodness this is over, I will never have to worry about weight problems again" "I should avoid stress and be alert for signs of recurrent hyperthyroidism." Question 65 0 out of 2.15 points The nurse is caring for a client who is status post-thyroidectomy. The client is exhibiting hyperreflexia, muscle twitching, and spasms. What is the first action the nurse should perform? Selected Answers: [None Given] Answers: Assess for signs of tetany Place the client in semi-Fowlers position Prepare to send a blood sample to the lab for a calcium level Administer post-op pain meds Question 66 0 out of 2.15 points An adult has had hypoparathyoidism for 20 years. The client has come in to the center for a check-up. For what condition should the nurse assess? Selected Answers: [None Given] Answers: Tetany Hypothermia Hyperthermia Hypertension Question 67 0 out of 2.15 points A client who is newly diagnosed with Type 1 diabetes asks the nurse "Why can't I take a pill for for my diabetes like my neighbor?"Select the statement that states the primary difference between Type 1 and Type 2 diabetes. Selected Answers: [None Given] Answers: Type 1 and Type 2 diabetes can be controlled with injections of antibodies. Type 1 diabetes has a complication known as hyperglycemic hyperosmolar nonketosis whereas Type 2 diabetes has a complication known aas diabetic ketoacidosis. Type 1 diabetes is the result of autoimmune destruction of beta cell function in the pancreas, whereas Type 2 diabetes is the lack of responsiveness of beta cells to insulin Type 1 diabetes depends on blood glucpse levels whereas Type 2 diabetes depends on insulin levels Question 68 0 out of 2.15 points The client at greatest risk for postoperative wound infection is: Selected Answers: [None Given] Answers: A 3-month-old infant postoperative from pyloric stenosis repair A 78-year-old postoperative from inguinal hernia repair An 18-year-old drug user postoperative from removal of a bullet in the leg A 32-year-old diabetic postoperative from an appendectomy Question 69 0 out of 2.15 points A client's wound is draining thick yellow material. The nurse correctly describes the drainage as Selected Answers: [None Given] Answers: Sanguineous Serous-sanguineous Purulent Serous Question 70 0 out of 2.15 points A home health nurse visits a client who twisted an ankle in the morning. The client has an ice bag on the ankle. Which one of the client's chronic conditions contraindicates the use of ice? Selected Answers: [None Given] Answers: Gastritis Diabetes Osteoporosis Glaucoma Wednesday, December 9, 2015 1:31:52 PM CST
