You are called to your patient's room by a family member who voices concern about the patient's status. On assessment, you find the patient tachypneic, lethargic, weak, and exhibiting a diminished cognitive ability. You also find 3+ pitting edema.
What electrolyte imbalance would you suspect?
A) Hypercalcemia
B) Hyponatremia
C) Hyperchloremia
D) Hypophosphatemia
Question 2A patient explains a lack of interest in sex since her spouse passed away 3 years ago. After completing the health history what would the nurse suspect as contributing to the patient's lack of interest in sex?
A) Prescribed antidepressants for sadness
B) Change in the patient's Medicare benefits
C) Participating in arthritis swimming classes
D) Reduced intake of red meat and carbohydrates
Question 3What does a nurse teach an adult male who has had a tonsillectomy?
a. Eat solid food during the first 24 hours.
b. Do not eat or drink anything for the first 24 hours.
c. Apply a heating pad to the neck during the first 24 hours.
d. Avoid coughing and clearing the throat during the first week postoperatively.
Question 4A nurse hears a colleague state, It's actually a myth that older people get sick more often and have a weaker immune response than young people.. How can the nurse best respond?
A) Even though there are things that older people can do to strengthen their immune system, it naturally does get weaker over time..
B) It's true; while older adults do suffer from more chronic conditions, they don't become more susceptible to infections as they age..
C) Actually, function of the immune system becomes weaker with each decade and this decline is not modifiable..
D) You're right. Characterizing older adults as sickly is an inaccurate stereotype based on ageist ideas..
Question 5During discharge teaching of a pulmonary emphysema patient who is going home with oxygen, what does the nurse emphasize?
a. Use the oxygen only when you experience shortness of breath.
b. Use the maximum amount of oxygen that this unit will deliver.
c. Use the oxygen only when exercising.
d. Keep low flow oxygen at 1 to 2 L by nasal cannula.
Question 6While completing an assessment the nurse learns that an older female patient has many misconceptions about having sex at this time in her life. What did the patient say for the nurse to come to this conclusion?
A) Sex can refracture a broken hip.
B) Some medications can reduce the desire for sex.
C) Menopause changes the amount of estrogen in the body.
D) Different positions can be used to help with the limits of arthritis.
Question 7As the ICU nurse caring for a patient with multiple trauma from an ATV accident you draw arterial blood gases (ABGs) every 4 hours. What are you primarily assessing in this patient with the ABGs?
A) The bicarbonatecarbonic acid buffer system
B) The patient's electrolyte balance
C) The patient's intracellular buffer systems
D) The patient's fluid balance
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