The nurse assesses a diabetic patient and finds the patient to be pale, edematous, and listless with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL. What would the results of the nursing assessment indicate?
a. Diverticulitis
b. Congestive heart failure
c. Chronic renal failure
d. Benign prostatic hypertrophy
Question 2A person with Parkinsons disease has a nursing diagnosis of nutrition, less than body requirements related to difficulty swallowing. What change would the nurse make in the nursing care plan?
a. Feed the patient at each meal.
b. Place the patient in a semi-Fowler position for mealtime.
c. Offer a thick, high-nutrition shake as a snack.
d. Encourage the patient to drink a sip of water after each bite of solid food.
Question 3Which of the following assessments are the cardinal signs and symptoms of congestive heart failure?
a. Dyspnea and edema
b. Myocardial pain and hypotension
c. Ventricular arrhythmias and cyanosis
d. Atrial arrhythmias and polycythemia
Question 4What is the pathophysiology of emphysema?
a. Constriction of the bronchial tree, excessive mucus, and nonproductive cough
b. Calcification of the alveoli and a dry cough
c. Overinflation of the alveoli, making them ineffective for gas exchange
d. Inflammation of the trachea and bronchioles, excessive mucus, and productive cough
Question 5Which care plan modification would be the most beneficial for a 62-year-old woman who is suffering from a flare in her rheumatoid arthritis?
a. Increase fluid intake
b. Schedule several rest periods to balance activity
c. Reduce salt in the diet
d. Assist with rigorous finger extension exercises
Question 6What are Heberden nodes?
a. Yellow longitudinal lines in the nails
b. Thickened discolored fingernails
c. Darkened areas under the fingernail
d. Bony enlargements of distal joints of the fingers
Question 7What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?
a. No. HRT is not helpful after the age of 60.
b. Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer.
c. No. HRT is reliant on some natural estrogen production from the ovaries.
d. Yes. HRT is a widely accepted therapy for prevention of bone loss.
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