Adult Health Nursing Exam Review
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing a range of acute and chronic health conditions. This course emphasizes the application of the nursing process, critical thinking, and evidence-based practice to promote health, prevent illness, and manage complex health problems in adult populations. Students will explore topics such as pathophysiology, pharmacology, patient assessment, care planning, and collaborative practice within multidisciplinary teams. Through theoretical instruction and clinical experiences, learners develop the skills necessary to deliver safe, patient-centered care while addressing the physical, psychological, and social needs of adults across diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis
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72 Chapters
1742 Verified Questions
1742 Flashcards
Source URL: https://quizplus.com/study-set/3946 Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78758
Sample Questions
Q1) Which of the following refers to the use of communication and information technologies in order to support the delivery and integration of clinical care?
A) e-Health
B) Nursing informatics
C) Electronic health record
D) ICT (information and communication technology)
Answer: A
Q2) Which of the following is an example of the "P" in a SOAP progress note?
A) The patient stating that her right arm is numb
B) Encouragement of alternating rest and activity periods
C) Activity intolerance related to fatigue
D) Blood pressure 140/85 mm Hg
Answer: B
Q3) Which characteristic is consistent with critical thinking?
A) Do not use abstract ideas.
B) Think within alternative systems of thought.
C) Encourage cooperative relationships from positions of power and authority.
D) Use the trial-and-error method for effective problem-solving options.
Answer: B
3
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Chapter 2: Cultural Competence and Health Equity in Nursing Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) What is a primary factor that shapes the health of Canadians?
A) Medical treatments
B) Living conditions
C) Lifestyle choices
D) Obesity
Answer: B
Q2) Which following term refers to characteristics of a group whose members share a common social,cultural,linguistic,or religious heritage?
A) Diversity
B) Ethnicity
C) Ethnocentrism
D) Cultural imposition
Answer: B
Q3) Which of the following is a system factor that influences help-seeking behaviour for health care?
A) Lack of health insurance
B) Association by patients of hospitals with death
C) Lack of ethnic-specific health care programs
D) Possible patient distrust of the dominant population and institutions
Answer: C
Page 4
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Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) While the nurse is taking a health history,the patient indicates that his father and grandfather both had heart attacks and were unable to be very active afterward.Which functional health pattern is reflected in this statement?
A) Health perception-health management
B) Coping-stress tolerance
C) Cognitive-perceptual
D) Activity-exercise
Answer: A
Q2) A patient is admitted to the orthopedic unit with a fractured right elbow following a skiing accident.During the initial nursing assessment,what information is related to the functional health pattern regarding the patient's fractured elbow and the treatment he has received?
A) Activity-exercise
B) Cognitive-perceptual
C) Self-perception-self-concept
D) Health perception-health management
Answer: D
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Page 5
Chapter 4: Patient and Caregiver Teaching
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient admits to the nurse that she does not read well.In developing a teaching plan for the patient,what does this information guide the nurse in determining?
A) The degree of the patient's motivation to learn
B) What information the patient will be able to understand
C) What instructional strategies should be used in teaching
D) That the family must be included in the teaching process
Q2) After the nurse implements diet instruction with a patient with heart disease,the patient can explain the information but fails to make the recommended dietary changes.Which of the following statements best describes the nurse's evaluation observation?
A) The nursing responsibility has been fulfilled.
B) Learning did not occur because the patient's behaviour did not change.
C) Choosing not to follow the diet is the learning behaviour that resulted.
D) The instructional methods were not effective in helping the patient learn.
Q3) Which of the following is a technique to enhance patient learning?
A) Keep patient expression of needs at a minimum.
B) Focus on "nice to know" information initially.
C) Emphasize relevancy of information to patient's lifestyle.
D) Maintain a formal physical environment at all times.
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Page 6
Chapter 5: Chronic Illness
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which characteristic reflects a nonmodifiable risk factor for chronic illness?
A) The risk factor cannot be changed.
B) The risk factor requires intervention in order to change.
C) The risk factor can be altered to benefit health outcomes.
D) The risk factor can be changed with patient perseverance.
Q2) Which of the following reflects a characteristic of health-related hardiness known as "challenge"?
A) Confidence to appraise a health stressor
B) Ability to modify responses to health stressors
C) Viewing a health stressor as an opportunity for growth
D) Optimal psychosocial adaptation to a health stressor
Q3) Which of the following is a characteristic of chronic illness?
A) Abrupt onset
B) Usually single cause
C) Cure usually likely
D) Uncertainty pervasive
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Chapter 6: Community-Based Nursing and Home Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A 78-year-old woman hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength.In planning continued care for the patient,in which setting would the nurse consider that the patient's needs would best be met?
A) A public health unit
B) A community health centre
C) The patient's home
D) An occupational health facility
Q2) Primary health care is increasingly being embraced as a strategy to shift the health system's focus from treatment of disease to health promotion.This shift is known as which of the following?
A) Economic shift
B) Reforming the system
C) Enhancing primary health care
D) Chronic disease management in home care settings
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Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) What is an appropriate teaching topic to help prevent drug-drug interactions in an older adult patient taking many medications?
A) "Do not take any over-the-counter drugs with your prescription drugs."
B) "Be sure a family member knows the name and use of all of your medications."
C) "Bring all the medications,supplements,and herbs that you use to every health care appointment."
D) "Use a medication reminder system so that you won't forget to take your medications as scheduled."
Q2) Which of the following functions declines during old age?
A) Fluid intelligence
B) Spatial perception
C) Mental performance speed
D) Short-term recall memory
Q3) What data collection method does the nurse recognize as eliciting the most complete information during a geriatric assessment?
A) Having the patient recount his or her health history
B) Having the caregiver provide the information on the patient
C) Using a reliable geriatric assessment instrument to evaluate the patient
D) Having the patient provide a diary of medical conditions and treatments
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Page 9
Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which of the following is an external factor that affects an individual's response to stress?
A) Sleep status
B) Coping skills
C) Income and social status
D) Personality
Q2) A 40-year-old woman comes to the health clinic requesting sleeping medication and treatment for headaches.She tells the nurse that her husband has moved out to live with another woman.Her 16-year-old son,who has a drug problem,sold her jewellery and electronic equipment.What stress theory is the nurse using in concluding that the woman's life events are contributing to her insomnia and headaches?
A) Stress as a stimulus
B) Stress as a response
C) Stress as a perception
D) Stress as a transaction
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10
Chapter 9: Sleep and Sleep Disorders
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which of the following is a common misconception about sleep in the older adult?
A) Older adults need less sleep than middle-aged adults.
B) Insomnia symptoms in the older adult frequently occur with depression.
C) Older female adults report more trouble falling asleep than their male counterparts.
D) Diabetes in the older adult can increase the prevalence of insomnia.
Q2) After the nurse has taught a patient about the use of extended-release Zopiclone (Imovane)for insomnia,which patient statement indicates a need for further teaching?
A) "I will take the medication an hour before bedtime."
B) "I should take the medication on an empty stomach."
C) "I should not take this medication unless I can sleep for at least six hours."
D) "I will schedule activities that require mental alertness for later in the day."
Q3) Which of the following is an arousal parasomnia that occurs during NREM sleep?
A) Enuresis
B) Hallucinations
C) Sleepwalking
D) Nightmares
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Chapter 10: Pain
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78757
Sample Questions
Q1) A postoperative patient who has undergone extensive bowel surgery moves as little as possible and does not use his incentive spirometer unless specifically reminded.He rates his pain severity as an 8 on a 10-point scale but tells the nurse that he can "tough it out." To encourage the patient to use pain medication,what should the nurse explain about the effects of withholding or delaying analgesics?
A) Very few patients become addicted to opioids when using them for pain control.
B) He should not worry about side effects because these problems usually decrease over time.
C) Multiple options of medications are available,and if one drug does not relieve his pain,other drugs may be tried.
D) Unrelieved pain can be harmful because it impairs respiratory and gastrointestinal function and can impair his recovery from surgery.
Q2) What is the mechanism of action of NSAIDs?
A) They block action potential initiation.
B) They block prostaglandin production.
C) They inhibit cyclo-oxygenase action.
D) They interfere with serotonin uptake.
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Page 12
Chapter 11: Substance Use
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) During physical assessment of a patient with chronic alcohol abuse,what does the nurse identify as a pathophysiological change related to alcohol?
A) Hypotension
B) Hyperthermia
C) Hepatomegaly
D) Dependent edema
Q2) During which stage of alcohol withdrawal would the nurse expect to see a patient experience delirium tremens?
A) Early
B) Minor
C) Intermediate
D) Major
Q3) Which statement is true in relation to Canada's low-risk drinking guidelines?
A) Drink no more than 15 drinks per week if you are a female.
B) Have no more than six drinks on any one occasion if you are a male.
C) Limit alcohol intake to two drinks in any three-hour period,regardless of gender.
D) Eat before but not while drinking alcohol.
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Chapter 12: Complementary and Alternative Therapies
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which of the following is true regarding healing touch?
A) It has strong ties to religious beliefs.
B) It is a physician-based program.
C) It assists the patient to self-heal.
D) The nurse determines its effectiveness.
Q2) A patient with chronic headaches seeks treatment from a nurse trained in therapeutic touch.What does the nurse explain to the patient that therapeutic touch involves?
A) The use of the practitioner's hands to assess and redirect energy
B) The forceful,passive movement of joints to restore structural and functional imbalances
C) Application of pressure with the fingers at points on the body where energy is obstructed
D) Manipulation of soft tissue and small joints that alters the length and tone of myofascial tissue
Q3) Which of the following is used to gently lift and knead the muscle?
A) Simple massage
B) Effleurage
C) Pétrissage
D) Circular massage
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Chapter 13: Palliative Care at the End of Life
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which of the following is a lay term used to describe instructions about future medical care?
A) DNR orders
B) Living will
C) Advance directive
D) Power of attorney for personal care
Q2) A patient who is very close to death is very restless and repeats,"I am not ready to die." What is the most appropriate nursing intervention at this time?
A) Call the hospital chaplain to visit the patient.
B) Sit with the patient,and ask him if he wants to talk.
C) Inform the patient that everything possible is being done for him.
D) Ask the patient what he needs to do to come to acceptance of his death.
Q3) Which of the following refers to care that is provided in the last days or weeks of the patient's life?
A) Hospice care
B) Palliative care
C) Respite care
D) End-of-life care
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Chapter 14: Inflammation and Wound Healing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A patient with a systemic bacterial infection has "goose pimples," feels cold,and has a shaking chill.At this stage of the febrile response,what would the nurse expect to find?
A) Flushing of the skin
B) Rising body temperature
C) Decreasing blood pressure
D) Relief of muscle aching and fatigue
Q2) In evaluating a patient's inflammatory response,by what does the nurse understand that the activation of the classical complement pathway to mediate an inflammatory response is stimulated?
A) Lysis of bacterial cells
B) An antigen-antibody complex
C) Monocyte diapedesis to injured tissue
D) Release of histamine from injured cells
Q3) During which stage of the febrile response would the nurse expect to see the patient sweating?
A) Chill
B) Flush
C) Prodromal
D) Defervescence
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16
Chapter 15: Genetics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When counselling parents about hemophilia A,an X-linked recessive trait,which of the following would be the basis for the nurse's response related to offspring?
A) Daughters will not be affected with the trait or be carriers.
B) Sons will not be affected with the trait or be carriers.
C) Fifty percent of sons will be normal,and 50% will be affected with the trait.
D) Fifty percent of daughters will be normal,and 50% will be affected with the trait.
Q2) On average,what percentage of children in a family will be affected with the mutated gene in an autosomal recessive trait?
A) 0%
B) 25%
C) 50%
D) 100%
Q3) What is the name given to a family tree that contains the genetic information and disorders of the family?
A) Genome
B) Hereditary
C) Phenotype
D) Pedigree
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Chapter 16: Altered Immune Response and Transplantation
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient is treated at a clinic with an injection of long-acting penicillin for a streptococcal throat infection.Her history reveals that she has received penicillin before with no allergic responses.When the penicillin injection is administered,what should the nurse inform the patient about?
A) She must wait in the clinic area for 20 minutes before she is discharged.
B) Given that she has taken penicillin before without problems,she can safely take it now.
C) She would have immediate symptoms if she had developed an allergy to penicillin.
D) She should monitor for fever and skin rash typical of type III immune-complex reactions.
Q2) Which of the following is an example of a type IV delayed hypersensitivity reaction?
A) Transfusion reaction
B) Serum sickness
C) Contact dermatitis
D) Systemic lupus erythematosis
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Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) What early manifestations of HIV infection should the nurse assess for in both the nursing history and the physical examination?
A) Ataxia and confusion
B) Rectal lesions and bleeding
C) Lesions of the mouth and tongue
D) Weight loss and wasting syndrome
Q2) Drug therapy is being considered for an HIV-infected patient who has asymptomatic HIV infection with a CD4<sup>+</sup> T-cell count of 400 per microlitre.Which nursing assessment is most important in determining whether therapy will be used?
A) The patient's social support system offered by significant others and family
B) The patient's socioeconomic status and availability of medical insurance
C) The patient's understanding of the multiple side effects that the drugs may cause
D) The patient's willingness and ability to comply with stringent schedules and dietary prescriptions
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19
Chapter 18: Cancer
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient has been told by his physician that the tumour in his bowel is poorly differentiated.He asks the nurse what is meant by "poorly differentiated." On what knowledge should the nurse base the response to the patient's question?
A) Cancer cells develop a new gene,called an oncogene,which promotes continuous,immature reproduction of cells.
B) Poorly differentiated cells are fetal cells that do not have time to mature as a result of the rapid division of malignant cells.
C) Normal cells revert to a more fetal appearance and function,probably because of mutation of cellular genes called proto-oncogenes.
D) Normal mature cells with specific functions become immature,nonfunctioning cells when chemical agents,such as oncogenes,cause cell mutation.
Q2) Approximately what percentage of Canadians will develop cancer during their lifetimes?
A) 12%
B) 27%
C) 43%
D) 55%
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Chapter 19: Fluid, electrolyte, and Acidbase Imbalances
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient is in metabolic acidosis.Which of the following findings indicates to the nurse that the patient's body is attempting to compensate for the acidosis?
A) Rapid,deep respirations
B) An increase in urinary pH
C) Decreased plasma proteins
D) Increased urinary bicarbonate
Q2) IV potassium chloride is ordered for treatment of a patient with hypokalemia.What should the nurse be aware of when administering the potassium solution?
A) KCl should be administered as rapidly as necessary to correct hypokalemia.
B) To prevent hyperkalemia,the amount of KCl added to IV fluids should never exceed 80 mmol/L.
C) KCl should be given only through central lines to prevent venospasm and inflammation at the site of entry.
D) To prevent cardiac dysrhythmias and arrest,the maximum amount of KCl to be administered in 1 hour is 20 mEq.
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Chapter 20: Nursing Management: Preoperative Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse visits the patient to have him sign the operative permit as directed in the physician's preoperative orders.The patient tells the nurse that the physician has not really told him what is involved in the surgical procedure.What should the nurse do?
A) Ask family members whether they have discussed the surgical procedure with the physician.
B) Explain what the planned surgical procedure entails before having the patient sign the consent form.
C) Have the patient sign the form,and tell him the physician will visit him before surgery to explain the procedure.
D) Delay the patient's signature on the consent form,and notify the physician that the informed-consent process is not complete.
Q2) What does appropriate preoperative teaching for a patient scheduled for abdominal surgery include?
A) How to care for the wound
B) How to breathe deeply and cough
C) What medications will be used during surgery
D) What drains and tubes will be present after surgery
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Chapter 21: Nursing Management: Intraoperative Care
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse would implement postoperative monitoring of a patient's sedation score when the patient had received which one of the following anaesthetics?
A) Lidocaine (local spinal)
B) Fentanyl (analgesic spinal)
C) Lidocaine (local epidural)
D) Sufentanil (analgesic epidural)
Q2) What is the intraoperative activity that is performed by the perioperative nurse and is specific to the circulating function?
A) Identifying and assessing the patient
B) Counting sponges,needles,and instruments
C) Passing instruments to the surgeon and assistants
D) Preparing the instrument table and organizing sterile equipment
Q3) A surgical patient received a volatile liquid as an inhalation anaesthetic during surgery.What would the nurse expect the patient to experience postoperatively?
A) Early onset of pain
B) Nausea and vomiting
C) Respiratory depression
D) Significant cardiac depression
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Chapter 22: Nursing Management: Postoperative Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an integumentary system clinical manifestation of inadequate oxygenation?
A) Muscle twitching
B) Use of accessory muscles
C) Hypotension
D) Prolonged capillary refill
Q2) A patient's blood pressure in the PACU has dropped from an admission blood pressure of 138/84 to 110/78 mm Hg,with a pulse change of 68 to 84 beats/min.What is the first nursing action to be performed?
A) Administer oxygen.
B) Assess for a full bladder.
C) Auscultate the patient's lungs.
D) Check the patient's temperature.
Q3) While caring for a postoperative patient,what should the nurse expect that a physiological response to stress during the first 2 to 5 days postoperatively will result in?
A) Tachycardia
B) Hyperventilation
C) Fluid retention with decreased urinary output
D) An elevation of body temperature to 38.3°C
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Page 24
Chapter 23: Nursing Assessment: Visual and Auditory Systems
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When examining a patient's eyes,the nurse suspects a weakness or imbalance of the extraocular nerves on finding which of the following data?
A) A limited field of vision
B) A sluggish papillary reflex
C) An irregular corneal light reflex
D) Conjugate movement of the eyes through the cardinal fields of gaze
Q2) An 87-year-old patient has marked bilateral presbycusis.In performing a Rinne's test on the patient,what would the nurse anticipate?
A) The patient can "feel" the noise longer than she can hear the noise.
B) The patient hears the tuning fork best when it is placed next to the ear canal.
C) The patient hears the tuning fork better when it is placed on the mastoid bone.
D) The sound is equally diminished in both ears when the fork is placed in the middle of the forehead.
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Chapter 24: Nursing Management: Visual and Auditory
Problems
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The physician places an ear wick in the external ear canal and prescribes antibiotic otic drops for a patient with external otitis.Before the patient leaves the clinic,the nurse reviews the management of the disorder and determines that the patient needs additional instruction when the patient makes which of the following statements?
A) "I may use aspirin for the pain."
B) "I should clean my ear canal daily with a cotton-tipped applicator."
C) "I may use warm compresses to the outside of my ear for comfort."
D) "I should apply the eardrops to the cotton wick placed in my ear canal."
Q2) A patient with herpes simplex type I keratitis of the left eye is very concerned about his diagnosis and is afraid his right eye will become involved.What should the nurse advise the patient to do,to prevent spread of the infection?
A) Apply an occlusive dressing to the affected eye.
B) Avoid touching the eye,and wash the hands frequently and thoroughly.
C) Use the eye drops prescribed for the left eye in the right eye as well for a prophylactic measure.
D) Use disposable tissues to wash the drainage from the affected eye frequently,discarding the tissues in a covered container.
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Chapter 25: Nursing Assessment: Integumentary System
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13 Flashcards
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Sample Questions
Q1) How would the nurse document a papule?
A) Firm,edematous,irregularly shaped area
B) Elevated,solid lesion smaller than 1 cm in diameter
C) Circumscribed,flat area with a change in skin colour,less than 1 cm in diameter
D) Circumscribed,elevated solid lesion,larger than 1 cm in diameter
Q2) Where would you find apocrine sweat glands?
A) Scalp
B) Eyelids
C) Back
D) Upper chest
Q3) When obtaining a self-care integument history,the nurse will ask the patient about which of the following?
A) Pain associated with skin conditions
B) The brands of moisturizers and cosmetics used
C) Lifestyle changes associated with skin conditions
D) Changes in the condition of the skin,hair,and nails
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Chapter 26: Nursing Management: Integumentary Problems
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following would the nurse recommend to the patient who has vitiligo?
A) Chemical peels
B) Use of warm compresses to decrease pain
C) Rehabilitative cosmetics to camouflage the lesion
D) Injection of botulinum toxins (Botox)
Q2) The physician diagnoses impetigo and prescribes penicillin for a 68-year-old patient who has crusty vesiculopustular lesions over the lower face and skin creases in the neck.While planning care instructions for the patient,what does the nurse recognize is the most common risk factor for impetigo?
A) Obesity
B) Exposure to grease or oils
C) Inadequate personal hygiene
D) Deficiency of vitamin A in the diet
Q3) What is the most common reason that people undergo a cosmetic procedure?
A) To increase longevity
B) To obtain different employment
C) To improve their body image
D) To improve function of the area that is involved
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Chapter 27: Nursing Management: Burns
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78739
Sample Questions
Q1) A patient with burns on the upper thorax and circumferential burns on both arms develops decreased radial pulses and loss of sensation in the fingers.What is the most appropriate nursing action?
A) Notify the physician because an escharotomy is indicated.
B) Increase the rate of fluid administration to prevent sludging.
C) Put the patient's arms through passive range-of-motion exercises.
D) Elevate the extremities on pillows and re-evaluate the patient in 30 minutes.
Q2) During the emergent phase of burn injury,the nurse assesses for the presence of hypovolemia.What does the nurse understand is the primary cause of hypovolemia in burn victims?
A) Major blood loss from injured tissue
B) Evaporation of fluid from denuded body surfaces
C) Capillary permeability that causes fluid shift to the interstitium
D) Third spacing of fluid from the interstitial space into fluid-filled vesicles
Q3) Which of the following burn victims should the nurse assess for carbon monoxide inhalation?
A) Was found unconscious in a burning building
B) Has facial burns,hoarseness,and sooty sputum
C) Inhaled a large amount of steam released by a radiator
D) Was burned in a charcoal grill fire ignited with gasoline
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Chapter 28: Nursing Assessment: Respiratory System
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24 Verified Questions
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Sample Questions
Q1) In analyzing the results of a patient's blood gas analysis,the nurse will be most concerned about which of the following?
A) Arterial oxygen tension (PaO<sub>2</sub>)of 60 mm Hg
B) Arterial oxygen saturation (SaO<sub>2</sub>)of 91%
C) Arterial carbon dioxide (PaCO<sub>2</sub>)of 47 mm Hg
D) Arterial bicarbonate level (HCO<sub>3</sub><sup>-</sup>)of 27 mmol/L
Q2) Which of the following is a normal partial pressure of oxygen value at sea level?
A) 60 mm Hg
B) 75 mm Hg
C) 90 mm Hg
D) 105 mm Hg
Q3) Which of the following is an early symptom of inadequate oxygenation?
A) Dyspnea at rest
B) Hypotension
C) Tachypnea
D) Cyanosis
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Chapter 29: Nursing Management: Upper Respiratory
Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78737
Sample Questions
Q1) The nurse is caring for a hospitalized 82-year-old patient who has nasal packing in place to treat a nosebleed.Which of these assessments will require the most immediate nursing action?
A) The patient's temperature is 38.3°C.
B) The nose appears red and swollen.
C) The patient's oxygen saturation is 89%.
D) The patient complains of pain rated as 7 on a 10-point scale.
Q2) A home care nurse is completing a follow-up visit with a patient who has recently undergone a radical neck dissection.The nurse will assess the patient for signs and symptoms of which of the following emotional concerns?
A) Anxiety
B) Anorexia
C) Depression
D) Speech impediment
Q3) Which of the following is the most commonly used voice prosthesis?
A) Electrolarynx
B) Blom-Singer
C) Cooper-Rand
D) Artificial larynx
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Chapter 30: Nursing Management: Lower Respiratory
Problems
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/78735
Sample Questions
Q1) A patient has a chest tube following a thoracotomy.Continuous bubbling in the suction-control chamber of the collection device would alert the nurse to which of the following facts?
A) An air leak may be present.
B) The lung has fully expanded.
C) The unit is functioning normally.
D) A tension pneumothorax is developing.
Q2) A patient experiences a flail chest as a result of an automobile accident.During the respiratory assessment,what would the nurse expect to find?
A) Bloody sputum
B) Laryngeal stridor
C) Deep,irregular respirations
D) Paradoxical chest movement
Q3) Which of the following is an extrapulmonary cause of restrictive lung disease?
A) Kyphoscoliosis
B) Atelectasis
C) Interstitial lung disease
D) Tuberculosis
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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A patient who is experiencing an acute asthma attack is admitted to the emergency department.What is the priority nursing action?
A) Determine when the dyspnea started.
B) Obtain the forced expiratory flow rate.
C) Listen to the patient's breath sounds.
D) Ask about inhaled corticosteroid use.
Q2) A 32-year-old patient is seen in the clinic for dyspnea associated with the diagnosis of emphysema.The patient denies any history of smoking.The nurse will anticipate teaching the patient about which of the following?
A) (?<sub>1</sub>)-Antitrypsin testing
B) Use of the nicotine patch
C) Continuous pulse oximetry
D) Effects of leukotriene modifiers
Q3) Which following statement by the patient with COPD indicates that the nurse's teaching about nutrition has been effective?
A) "I will drink a lot of fluids with my meals."
B) "I will have ice cream as a snack every day."
C) "I should exercise for 15 minutes before meals."
D) "I should avoid too much meat or dairy products."
Page 33
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Chapter 32: Nursing Assessment: Hematological System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78733
Sample Questions
Q1) The nurse reviews the results of coagulation testing for a patient with a bleeding disorder.Which of the following diagnostic tests is most valuable in evaluating the intrinsic coagulation process?
A) Bleeding time
B) Prothrombin time
C) Fibrin split products
D) Activated partial thromboplastin time (aPTT)
Q2) When evaluating the red blood cell (RBC)indices of a patient,what does the nurse know is indicated by a low mean corpuscular volume (MCV)?
A) RBCs of small size
B) A decrease in RBCs
C) Decreased saturation of RBCs with hemoglobin
D) Decreased weight of the amount of hemoglobin or RBCs
Q3) Which of the following cells function to provide protection from parasitic infections?
A) Monocytes
B) Basophils
C) Eosinophils
D) Neutrophils
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Chapter 33: Nursing Management: Hematological Problems
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78732
Sample Questions
Q1) A patient with chronic lymphocytic leukemia is hospitalized for treatment of severe hemolytic anemia.What is an appropriate nursing intervention for the patient?
A) Provide a diet high in vitamin K and folic acid.
B) Plan care to alternate periods of rest and activity.
C) Isolate the patient from visitors and other patients.
D) Encourage increased intake of fluid and fibre in the diet.
Q2) A 45-year-old woman with chronic myelogenous leukemia is considering the possibility of treatment with a bone marrow transplant from a human leukocyte antigen-matched sibling.To assist the patient with treatment decisions,what is the best approach for the nurse to use?
A) Emphasize the positive outcomes of a bone marrow transplant.
B) Ensure that the patient understands the risks of treatment-related death or treatment failure.
C) Explain that a cure is not possible with any other type of treatment except a bone marrow transplant.
D) Encourage the patient to ask the physician about new,experimental treatments for leukemia that do not involve total body irradiation.
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Page 35
Chapter 34: Nursing Assessment: Cardiovascular System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78731
Sample Questions
Q1) A patient is scheduled for cardiac catheterization with coronary angiography.Before the test,about which of the following should the nurse inform the patient?
A) A catheter will be inserted into a vein in the arm or leg and advanced to the heart.
B) ECG monitoring will be required for 24 hours following the test to detect any dysrhythmias.
C) A feeling of warmth and a fluttering sensation may be experienced as the catheter is advanced.
D) Complications of the test include breaking of the catheter,air or blood embolism,and puncture of the ventricles.
Q2) During physical examination of a 56-year-old man,the nurse palpates the point of maximal impulse (PMI)in the sixth intercostal space lateral to the midclavicular line.What is the most appropriate interpretation of this finding?
A) The PMI is in the normal location.
B) The patient may have left ventricular hypertrophy.
C) The patient has age-related downward displacement of the heart.
D) The patient should be observed for signs of left atrial enlargement.
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Chapter 35: Nursing Management: Hypertension
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22 Flashcards
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Sample Questions
Q1) Which of the following amounts of exercise recommended by the Canadian Hypertension Education Program (CHEP)to reduce the possibility of a person becoming hypertensive?
A) 30 minutes of light exercise daily
B) 60 minutes of moderate exercise,twice a day,three times per week
C) 30 to 60 minutes of moderate exercise,four to seven times per week
D) 30 to 45 minutes of heavy exercise,three times per week
Q2) Why should the nurse teach a patient who is taking labetalol (Normodyne)for treatment of hypertension to change position slowly?
A) The medication blocks the vasoconstrictive and sodium-retaining properties initiated by the presence of angiotensin.
B) The medication paralyzes the smooth muscle of blood vessels,and they cannot constrict in response to sympathetic stimulation.
C) The medication blocks the normal sympathetic nervous system response to position changes in vasoconstriction and increased heart rate.
D) The medication blocks the movement of calcium into the cardiac cells,and cardiac output cannot increase in response to decreased BP.
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Chapter 36: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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39 Flashcards
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Sample Questions
Q1) Which of the following signs would the patient experience when the nurse evaluates that fibrinolytic therapy has not been successful in restoring perfusion to the myocardium?
A) Continuing chest pain
B) Dyspnea and tachycardia
C) A marked,rapid rise in the CK enzyme
D) An increase in premature ventricular contractions
Q2) In developing a teaching plan for the patient with angina,the nurse recognizes that teaching about the first line of drug therapy for angina will include instructions about using which of the following medications?
A) One aspirin a day
B) Transdermal nitrates
C) Lovastatin (Mevacor)
D) Metoprolol (Lopressor)
Q3) Which of the following is an absolute contraindication for the use of fibrinolytic therapy?
A) Diabetes
B) Pregnancy
C) Intercranial neoplasm
D) Laser eye surgery
Page 38
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Chapter 37: Nursing Management: Heart Failure
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse identifies the collaborative problem of "potential complication: pulmonary edema for a patient in chronic heart failure." Which assessment will the nurse be most concerned about?
A) Apical pulse 106 beats/min
B) Weight gain of 1 kg over 24 hours
C) Oxygen saturation of 88% on room air
D) Decreased hourly urinary output
Q2) Which IV medication will the nurse expect to administer to a patient who has ADHF,to increase stroke volume?
A) Milrinone (Primacor)
B) Nesiritide (Natrecor)
C) Dobutamine (Dobutrex)
D) Nitroprusside (Nipride)
Q3) Following an acute myocardial infarction,a 67-year-old man develops heart failure.What does the nurse anticipate will be the first-line therapy for the patient?
A) Digitalis preparation,such as digoxin
B) Diuretic,such as hydrochlorothiazide (HydroDIURIL)
C) (?)-Adrenergic agonist,such as dobutamine
D) Angiotensin-converting enzyme (ACE)inhibitor,such as captopril (Capoten)
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Page 39
Chapter 38: Nursing Management: Dysrhythmias
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78727
Sample Questions
Q1) A patient has a sinus arrest with a junctional escape rhythm.What would the nurse expect the patient's pulse rate to be?
A) 15 to 20 beats/min
B) 20 to 40 beats/min
C) 40 to 60 beats/min
D) 60 to 100 beats/min
Q2) A patient with diabetes mellitus is admitted unresponsive to the emergency department (ED).Initial laboratory findings are serum potassium 2.8 mmol/L,serum sodium 138 mmol/L,serum chloride 90 mmol/L,and blood glucose 34.9 mmol/L (628 mg/dL).Cardiac monitoring shows multifocal premature ventricular contractions (PVCs).What does the nurse understand that the patient's PVCs are most likely caused by?
A) Hypoxemia
B) Dehydration
C) Hypokalemia
D) Hyperglycemia
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Chapter 39: Nursing Management: Inflammatory and Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78726
Sample Questions
Q1) During the assessment of a patient with IE,what would the nurse expect to find?
A) A new regurgitant murmur
B) Splinter hemorrhages of the lips
C) Dyspnea and a dry,hacking cough
D) Substernal chest pain and pressure
Q2) A patient who is hospitalized with IE develops sharp left flank pain and hematuria.The nurse notifies the physician,recognizing that these symptoms may indicate which of the following complications?
A) Bacterial colonization in the kidneys
B) Vegetative embolization to the kidneys
C) Septicemia resulting in decreased glomerular blood flow
D) Hemolysis of red blood cells by hemolytic microorganisms
Q3) Which of the following is the hallmark finding in a patient with acute pericarditis?
A) Severe sharp chest pain.
B) Pericardial friction rub.
C) Referred pain to the trapezius muscle.
D) Dyspnea
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Page 41
Chapter 40: Nursing Management: Vascular Disorders
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) After repair of an AAA,the nurse notes that the patient does not have popliteal,posterior tibial,or dorsalis pedis pulses.The legs are cool and mottled.Which action is appropriate for the nurse to take first?
A) Review the preoperative assessment form for data about the pulses.
B) Notify the surgeon and anaesthesiologist.
C) Document that the pulses are absent,and recheck in 30 minutes.
D) Elevate the lower extremities on pillows.
Q2) How frequently should the nurse check the operative extremity in the immediate postoperative period for a patient who has had surgical intervention for peripheral artery disease?
A) Every 10 minutes
B) Every 15 minutes
C) Every 30 minutes
D) Every 60 minutes
Q3) Which of the following is a characteristic of PAD?
A) Normal peripheral pulse
B) Capillary refill 2 seconds
C) Ankle-brachial index 0.98
D) No lower leg edema
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Page 42
Chapter 41: Nursing Assessment: Gastrointestinal System
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78723
Sample Questions
Q1) Upon doing a physical assessment of a patient's gastrointestinal (GI)system,the nurse would expect to find the cecum and appendix in which quadrant?
A) Right upper quadrant
B) Left upper quadrant
C) Right lower quadrant
D) Left lower quadrant
Q2) While obtaining a nursing history from a patient,which over-the-counter medication that the patient uses does the nurse recognize as being significant to liver disorders?
A) Aspirin
B) Antacids
C) Acetaminophen
D) Cough suppressants
Q3) The nurse documents the absence of bowel sounds in all quadrants of a patient's abdomen.How long should the nurse have auscultated the patient's abdomen?
A) 8 minutes
B) 10 minutes
C) 16 minutes
D) 20 minutes
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43
Chapter 42: Nursing Management: Nutritional Problems
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is teaching a community group to evaluate the nutritional content of food.If the label on a jar of peanut butter states that each serving contains 16 g of fat and 190 calories,what is the percentage of fat per serving?
A) 34%
B) 59%
C) 76%
D) 88%
Q2) A woman weighs 66 kg and asks the nurse how much protein she should include in her diet each day.What should the nurse recommend that the woman's diet should include?
A) 36 g protein
B) 53 g protein
C) 75 g protein
D) 98 g protein
Q3) What is the daily recommended intake of fibre for a 38-year-old healthy female?
A) 21 g
B) 25 g
C) 30 g
D) 38 g
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Page 44
Chapter 43: Nursing Management: Obesity
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A few months after bariatric surgery,the patient tells the nurse,"My skin is hanging in folds.I think I need cosmetic surgery." Which following response by the nurse is most appropriate?
A) "The skinfolds will gradually disappear once most of the weight is lost."
B) "The important thing is that your weight loss is improving your health."
C) "Perhaps you would like to talk to a counsellor about your body image."
D) "Cosmetic surgery is certainly a possibility once your weight has stabilized."
Q2) In planning preoperative teaching for a patient undergoing a Roux-en-Y gastric bypass as treatment for morbid obesity,on what does the nurse place the highest priority?
A) Demonstrating passive range-of-motion exercises to the legs
B) Teaching the patient about the postoperative presence of a nasogastric (NG)tube connected to suction
C) Teaching the patient proper coughing and deep breathing techniques and methods of turning and positioning
D) Discussing the necessary postoperative modifications in lifestyle
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Chapter 44: Nursing Management: Upper Gastrointestinal
Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/78720
Sample Questions
Q1) A 62-year-old patient develops an acute gastritis caused by the nonsteroidal anti-inflammatory drug (NSAID)she uses to treat her arthritis.In teaching the patient about the effects of these drugs on the stomach's mucosal barrier,what should the nurse explain?
A) "NSAIDs stimulate histamine receptors,which increase the release of hydrochloric acid."
B) "NSAIDs inhibit the synthesis of prostaglandins that normally decrease acid secretion in the stomach."
C) "NSAIDs stimulate the parietal cells of the stomach to release pepsin,which is capable of digesting stomach tissue."
D) "The inflammatory response stimulated by prostaglandin release in the stomach is increased with the use of NSAIDs."
Q2) Which agent that causes bacterial food poisoning is known to have the quickest onset of symptoms?
A) Listeria
B) Escherichia coli
C) Clostridium botulinum
D) Staphylococcus aureus
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Chapter 45: Nursing Management: Lower Gastrointestinal
Problems
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/78719
Sample Questions
Q1) A patient is admitted to the emergency department with severe abdominal pain,anorexia,and chills.His vital signs include temperature 38.3°C,pulse 130 beats/min,respiration 34 breaths/min,and blood pressure (BP)82/50 mm Hg.His pain is more intense in the left lower quadrant but radiates throughout the entire abdomen,with rebound tenderness and abdominal rigidity.The nurse plans care for the patient based on the knowledge that management of his condition initially involves which of the following actions?
A) Intravenous (IV)fluid resuscitation
B) Exploratory laparotomy
C) Administration of IV antibiotics
D) Diagnostic testing with barium studies and endoscopy
Q2) After teaching a patient with IBD about the recommended low-residue diet,the nurse identifies a need for further instruction when the patient chooses which of the following foods from the menu?
A) Boiled shrimp
B) Ham hocks and beans
C) Spaghetti with tomato sauce
D) Poached eggs and crisp bacon
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Tract Problems
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40 Flashcards
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Sample Questions
Q1) When obtaining a health history from a patient with acute pancreatitis,what history should the nurse specifically ask the patient about?
A) Smoking
B) Alcohol use
C) Diabetes mellitus
D) High-fat dietary intake
Q2) A patient with severe cirrhosis has a new prescription for propranolol (Inderal).The nurse will teach the patient that the medication is ordered to do which one of the following?
A) Decrease systemic blood pressure (BP)
B) Prevent the development of ischemia
C) Lower the risk for bleeding varices
D) Reduce fluid retention and edema
Q3) In planning care for a patient with acute pancreatitis,to which of the following patient outcomes would the nurse assign the highest priority?
A) Develops no complications
B) Maintains normal respiratory function
C) Expresses satisfaction with pain control
D) Maintains adequate fluid and electrolyte balance
Page 48
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Chapter 47: Nursing Assessment: Urinary System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78717
Sample Questions
Q1) Which of the following is an age-related change in the urinary system?
A) Increased amount of renal tissue
B) Increased number of nephrons
C) Decreased function of the loop of Henle
D) Decreased prevalence of unstable bladder contractions
Q2) When reading a patient's chart,the nurse notes that the patient has had dysuria.To assess whether there is any improvement,which question will the nurse ask?
A) "Do you have any blood in your urine?"
B) "Do you have to get up at night to urinate?"
C) "Do you have any pain when you urinate?"
D) "Do you have to urinate very frequently?"
Q3) A patient with an elevated BUN and serum creatinine is scheduled for a renal arteriogram.The nurse should question an order from the radiology department for which of the following bowel preparations?
A) Castor oil
B) Fleet enema
C) Tap-water enemas
D) Bisacodyl tablets
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Chapter 48: Nursing Management: Renal and Urological Problems
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse anticipates that the patient with Goodpasture syndrome will be prescribed which one of the following medications?
A) A diuretic
B) An antihypertensive
C) A corticosteroid
D) Vitamin K injections
Q2) A patient with a history of renal calculi is hospitalized with gross hematuria and severe colicky left flank pain that radiates to his left testicle.In planning care for the patient,the nurse gives the highest priority to which of the following nursing diagnoses?
A) Acute pain related to irritation of stone
B) Deficient fluid volume related to inadequate intake
C) Risk for infection related to urinary system damage
D) Altered health maintenance related to lack of knowledge about prevention of stones
Q3) Which of the following is considered a storage symptom of a lower UTI?
A) Dysuria
B) Hesitancy
C) Intermittency
D) Urgency
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Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78715
Sample Questions
Q1) A patient receiving peritoneal dialysis using 2 L of dialysate per exchange has an outflow of 1200 mL.Which of the following actions should the nurse take first?
A) Infuse 1200 mL of dialysate during the inflow.
B) Assist the patient in changing position.
C) Administer a laxative to the patient.
D) Notify the physician about the outflow problem.
Q2) A patient with ARF has an arterial blood pH of 7.30.Which of the following will the nurse assess for?
A) Tachycardia
B) Rapid respirations
C) Poor skin turgor
D) Vasodilation
Q3) In preparation for hemodialysis,a patient has an arteriovenous native fistula created in the left forearm.To assess and maintain the patency of the fistula postoperatively,what should the nurse do?
A) Auscultate the fistula site for a bruit.
B) Assess the rate and quality of the radial pulse.
C) Assess the blood pressure in the affected arm.
D) Irrigate the fistula site daily with low-dose heparin.
Page 51
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Chapter 50: Nursing Assessment: Endocrine System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78713
Sample Questions
Q1) A patient is scheduled for a 24-hour urine collection for 17-ketosteroids.The nurse will plan to do which of the following?
A) Insert a retention catheter.
B) Keep the specimen on ice.
C) Have the patient void and save that specimen to start the collection.
D) Encourage the patient to drink 2 to 3 L of fluid during the 24 hours.
Q2) During a patient assessment,which of the following is a question the nurse can ask that addresses thyroid function?
A) "Do you have to get up at night to urinate?"
B) "Have you experienced any blurring or double vision?"
C) "Do you experience fatigue even if you have slept a long time?"
D) "Can you describe the amount of stress you have at home and work?"
Q3) What is the most common type of feedback system in the regulation of hormones?
A) Negative
B) Positive
C) Complex
D) Chemical
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Chapter 51: Nursing Management: Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/78712
Sample Questions
Q1) A patient with Cushing's syndrome is admitted to the hospital in preparation for surgery to remove an adrenal tumour.During the admission assessment,the patient tells the nurse that she looks so awful she does not want anyone to be around her.What is the best response to the patient?
A) "Let me show you how to dress so that the changes are not so noticeable."
B) "I do not think you look bad.Your appearance is just altered by your disease."
C) "You really should not worry about how you look in the hospital.We see many worse things."
D) "Most of the physical and mental changes caused by the disease will gradually improve after surgery."
Q2) Following a transsphenoidal resection of a pituitary tumour,the nurse suspects that the patient has developed diabetes insipidus on finding which of the following data?
A) A urine specific gravity of 1.001
B) A consistent rise in blood pressure
C) Fluid retention with dependent edema
D) A serum sodium of 130 mmol/L
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Chapter 52: Nursing Management: Diabetes Mellitus
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78711
Sample Questions
Q1) A patient with diabetes was admitted to the emergency department when he was found unresponsive at his desk at work.A capillary blood glucose level was 2.2 mmol/L (38 mg/dL),and he was treated for hypoglycemia.When he recovers,he tells the nurse that he had no warning of the hypoglycemia.Which of the following questions will help identify a possible reason for the patient's hypoglycemic unawareness?
A) "Do you use any calcium channel-blocking drugs for blood pressure?"
B) "Have you observed any recent skin changes?"
C) "Do you notice any bloating feeling after eating?"
D) "Have you noticed any painful new ulcerations or sores on your feet?"
Q2) Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia.Which action should the nurse take after the patient regains consciousness?
A) Give the patient a snack of cheese and crackers.
B) Have the patient drink a glass of orange juice or nonfat milk.
C) Administer a continuous infusion of 5% dextrose for 24 hours.
D) Assess the patient for symptoms of hyperglycemia.
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Chapter 53: Nursing Assessment: Reproductive System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78710
Sample Questions
Q1) When the nurse is performing a physical assessment of a male patient's reproductive system,which of the following findings does the nurse identify as abnormal?
A) Absence of a prepuce
B) Clear penile discharge
C) One testis descended lower than the other
D) Ability to palpate the abdominal wall along the inguinal canal
Q2) Which of the following is an age-related change in male sexual functioning?
A) Increased force of ejaculation
B) Increased rigidity of erection
C) Increased interest in sex
D) Decreased libido
Q3) When the nurse obtains a health history from a patient,the patient reports that she had cryosurgery 1 year ago.What does the nurse anticipate that the patient most likely has a history of?
A) Obstructed fallopian tubes
B) Abnormal menstrual cycles
C) Abnormal cells detected by a Pap smear
D) A protrusion of the urinary bladder through the vaginal wall
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55
Chapter 54: Nursing Management: Breast Disorders
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78709
Sample Questions
Q1) Following a modified radical mastectomy for cancer of the breast in a 39-year-old woman,the physician recommends chemotherapy even though the lymph nodes were negative for cancer cells.The patient tells the nurse that she does not know what to do about chemotherapy because she has heard the side effects from the drugs are very uncomfortable.What nursing diagnosis would the nurse document that best reflects the patient's problem?
A) Anxiety related to prospect of additional cancer therapy
B) Fear related to uncomfortable side effects of chemotherapy
C) Decisional conflict related to lack of knowledge about treatment options and prognosis risks
D) Risk for ineffective therapeutic regimen management related to reluctance to consider additional treatment
Q2) Which breast disorder is most common between the ages of 35 and 50?
A) Lactational mastitis
B) Fibrocystic changes
C) Fibroadenoma
D) Duct ectasia
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Chapter 55: Nursing Management: Sexually Transmitted
Infections
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78708
Sample Questions
Q1) Which virus is responsible for genital warts?
A) Cytomegalovirus
B) HSV
C) Human immunodeficiency virus
D) Human papillomavirus (HPV)
Q2) A patient with gonorrhea is treated with a single intramuscular dose of ceftriaxone (Rocephin)and is given a prescription for doxycycline (Vibramycin)100 mg twice daily for 7 days.What should the nurse explain to the patient about this combination of antibiotics?
A) They are prescribed to treat any coexisting chlamydial infection.
B) They will eradicate resistant strains of Neisseria gonorrhoeae.
C) They prevent the development of resistant organisms.
D) They prevent reinfection in addition to treating the original infection.
Q3) Cervarix,an HPV vaccine,is recommended for which of the following populations?
A) Females before sexual intercourse
B) Males and females between the ages of 9 and 26
C) Females between the ages of 13 and 20
D) Any sexually active female
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Chapter 56: Nursing Management: Female Reproductive Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/78707
Sample Questions
Q1) A 56-year-old woman tells the nurse that she is postmenopausal but has occasional spotting.Which response is most appropriate?
A) "Breakthrough bleeding is normal in women your age."
B) "Are you using prescription hormone replacement therapy?"
C) "How long has it been since your last menstrual period?"
D) "A frequent cause of spotting is endometrial cancer."
Q2) A 56-year-old mother of nine children undergoes an anterior and posterior colporrhaphy for repair of a cystocele and a rectocele.When assessing the patient on her return from the postanaesthesia care unit,what would the nurse expect to find?
A) A rectal tube
B) Perineal dressings
C) Gauze vaginal packing
D) An in-dwelling catheter
Q3) Which of the following is a symptom of estrogen deficiency?
A) Increased rapid-eye-movement sleep
B) Decreased fracture rate in upper femur
C) Increased high-density lipoproteins
D) Incontinence
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Chapter 57: Nursing Management: Male Reproductive Problems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78706
Sample Questions
Q1) A patient has been diagnosed with prostate cancer.He has large tumours involving the seminal vesicle and adjacent structures.According to the Whitmore-Jewett staging classification of prostate cancer,what stage would the nurse document this patient as currently experiencing?
A) Stage A2
B) Stage B1
C) Stage C2
D) Stage D1
Q2) Which of the following is the term given to a narrowing of the retracted uncircumcised foreskin that prevents its normal return over the glans and can cause strangulation?
A) Phimosis
B) Priapism
C) Paraphimosis
D) Hypospadias
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Page 59
Chapter 58: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78705
Sample Questions
Q1) Which neurotransmitter is involved in emotions,moods,and regulating motor control?
A) Serotonin
B) Epinephrine
C) Dopamine
D) Substance P
Q2) To assess the functioning of the optic nerve (cranial nerve II),what should the nurse do?
A) Apply a cotton wisp strand to the cornea.
B) Perform a confrontational test for visual fields.
C) Evaluate pupil response to light and accommodation.
D) Ask the patient to follow a finger with the eyes as it is moved vertically,horizontally,and diagonally.
Q3) Which of the following is an age-related change in the nervous system?
A) Increased efficiency of temperature-regulating mechanism
B) Decreased size of ventricles in the brain
C) Decrease in electrical activity
D) Increase in deep-tendon reflexes
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Chapter 59: Nursing Management: Acute Intracranial Problems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78704
Sample Questions
Q1) A patient was brought to the emergency department when he became faint and disoriented after being hit in the head with a baseball bat during a company picnic.On admission,he has a headache and cannot remember being hit,but he has no other signs of neurological deficit.What would the nurse expect treatment for the patient to include?
A) Diagnostic testing with magnetic resonance imaging
B) Hospitalization for observation for 24 hours
C) Discharge with observation and monitoring instructions
D) Administration of a narcotic for the headache,followed by observation for several hours
Q2) Which of the following assessment data of the oculomotor nerve make the nurse suspicious of a possible supratentorial herniation and compression of the brainstem?
A) Absent corneal reflexes
B) Development of nystagmus
C) Right pupil does not react to light
D) Left pupil is 10 mm in size
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Chapter 60: Nursing Management: Stroke
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78702
Sample Questions
Q1) The nurse expects that management of the patient who experiences a brief episode of tinnitus,diplopia,and dysarthria with no residual effects will include which of the following treatments?
A) Oral administration of clopidogrel (Plavix)
B) Heparin via continuous intravenous (IV)infusion
C) Prophylactic clipping of cerebral aneurysms
D) Therapy with tPA
Q2) The nurse obtains all of the following information about a 65-year-old patient in the clinic.When developing a plan to decrease stroke risk,which risk factor is most important for the nurse to address?
A) The patient smokes a pack of cigarettes daily.
B) The patient's blood pressure is chronically between 150/80 and 170/90 mm Hg.
C) The patient works at a desk and relaxes by watching television.
D) The patient is 11.3 kg above the ideal weight.
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Chapter 61: Nursing Management: Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78701
Sample Questions
Q1) What is the most important nursing tool in diagnosing a cluster headache?
A) Magnetic resonance imaging (MRI)of the brain
B) Electromyography
C) The patient history
D) Computed tomography (CT)imaging of the brain
Q2) A 42-year-old patient who was adopted at birth is diagnosed with early Huntington's disease.When teaching the patient and her family about this disorder,what should the nurse explain about Huntington's disease?
A) It is characterized by retarded voluntary and involuntary movement,resulting in immobility.
B) Genetic testing is available to determine the risk for your children.
C) It can be controlled by replacing the neurotransmitters acetylcholine and ?-aminobutyric acid.
D) It will result in limited physical and mental deterioration,requiring some planning and support for care.
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63
Chapter 62: Nursing Management: Delirium,alzheimers
Disease,and Other Dementias
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78700
Sample Questions
Q1) The nurse has identified the nursing diagnosis of disturbed thought processes related to effects of dementia for a patient with late-stage Alzheimer's disease.What is an appropriate intervention for this problem?
A) Maintain a consistent daily routine.
B) Keep the television in the room on all day.
C) Reorient the patient to the date and time every few hours.
D) Provide the patient with current newspapers and magazines.
Q2) A family member of a patient with possible Alzheimer's disease asks the nurse the purpose of the MMSE.Which response is appropriate?
A) "The MMSE helps in establishing the diagnosis of Alzheimer's disease."
B) "The MMSE is useful in determining the degree of mental impairment."
C) "The MMSE determines the choice of the most appropriate treatment."
D) "The MMSE aids in differentiating acute delirium from chronic dementia."
Q3) Which of the following is a rare and fatal infectious brain disorder that progresses rapidly to death within 1 year?
A) Vascular dementia
B) Dementia with Lewy bodies
C) Creutzfeldt-Jakob disease
D) Neurofibrillary tangle disease
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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78699
Sample Questions
Q1) A patient with Bell's palsy refuses to eat while others are present.What is the best response to the patient's behaviour?
A) Respect her desire for privacy,and leave her alone while she eats.
B) Provide a liquid diet high in protein and calories,which she can easily swallow.
C) Assure the patient that it does not bother others to observe her while she eats.
D) Teach the patient to chew her food on the unaffected side of the mouth for better control.
Q2) Which of the following would the nurse expect from a patient with a spinal cord injury at the level of C7?
A) The patient is able to stand with long leg braces.
B) The patient is independent in all self-care activities.
C) The patient is independent with transferring from a wheelchair to bed.
D) The patient may require assistance with bowel functioning.
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Chapter 64: Nursing Assessment: Musculoskeletal System
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14 Flashcards
Source URL: https://quizplus.com/quiz/78698
Sample Questions
Q1) While assessing a patient's musculoskeletal function,the nurse asks the patient to demonstrate active range of motion of the shoulder.What is the motion(s)at the shoulder that the patient should be able to perform but cannot do at the elbow?
A) Circumduction
B) Opposition
C) Eversion
D) Adduction
Q2) When the doctor tells a patient that the pain in his knee is caused by bursitis,the patient asks the nurse to explain what bursitis is.What is the best response that would explain bursitis to the patient?
A) An inflammation of the fibrocartilage that acts as a shock absorber in the knee
B) An inflammation of any connective tissue that is found supporting the joints of the body
C) An inflammation of the synovial membrane that lines the capsule between two bones of a joint
D) An inflammation of a small,fluid-filled bursa sac of protective connective tissue commonly found at joints
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Chapter 65: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78697
Sample Questions
Q1) Following a motor vehicle accident,a patient arrives in the emergency department with massive right lower leg swelling.Which action will the nurse take first?
A) Elevate the leg on pillows.
B) Apply a compression bandage.
C) Place ice packs on the lower leg.
D) Check leg pulses and sensation.
Q2) A woman is seen at the urgent care centre after falling on her right arm and shoulder.What is an assessment finding noted by the nurse that would indicate the patient has a dislocated shoulder?
A) Bruising at the shoulder area
B) The right arm being shorter than the left arm
C) Decreased range of motion of the right shoulder
D) Increased pain caused by flexing and extending the elbow
Q3) Which one of the following workers would be most at risk for an RSI?
A) Butcher
B) Car sales person
C) Long-haul truck driver
D) Nurse
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Chapter 66: Nursing Management: Musculoskeletal
Problems
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78696
Sample Questions
Q1) A patient with a herniated intravertebral disc undergoes a laminectomy and discectomy.Following the surgery,how should the nurse position the patient on his side?
A) By placing a pillow between the patient's legs and turning his body as a unit
B) By turning the patient's head and shoulders and then his hips,keeping him centred in the bed
C) By having the patient turn himself to the side by grasping the siderails and pulling himself over
D) By elevating the head of the bed 30 degrees and having the patient extend his legs while turning to the side
Q2) The nurse identifies a nursing diagnosis of pain related to muscle spasms for a patient with acute low back pain associated with acute lumbosacral strain.What is an appropriate nursing intervention for this problem to teach to the patient?
A) Gently perform range-of-motion exercises of the lower extremities.
B) Place a small pillow under the upper back to gently flex the lumbar spine.
C) Rest in bed with the head of the bed elevated 20 degrees,and flex the knees.
D) Elevate the head of the bed on blocks,and lie with the feet firmly against the foot of the bed.
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Page 68
Chapter 67: Nursing Management: Arthritis and Connective
Tissue Diseases
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) When teaching a patient with OA of the left hip and lower lumbar vertebrae about management of the condition,the nurse determines that additional instruction is needed when the patient gives which of the following responses?
A) "I can use a cane if I find it helpful in relieving the pressure on my back and hip."
B) "A warm shower in the morning will help relieve the stiffness I have when I get up."
C) "I should try to stay active throughout the day to keep my joints from becoming stiff."
D) "I should take no more than 1 g of acetaminophen four times a day to help control the pain."
Q2) When teaching a patient to protect the small joints affected by RA,what should the nurse instruct the patient to do?
A) Stand rather than sit when performing household chores.
B) Avoid activities that require continuous use of the same muscles.
C) Strengthen small hand muscles by wringing sponges or washcloths.
D) Protect the knee joints by sleeping with a small pillow under the knees.
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Page 69
Chapter 68: Nursing Management: Critical Care Environment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78694
Sample Questions
Q1) Which finding represents a normal SV when monitoring hemodynamic parameters?
A) 25 mL/beat
B) 50 mL/beat
C) 100 mL/beat
D) 200 mL/beat
Q2) The nurse identifies a nursing diagnosis of disturbed sensory perception related to sleep deprivation for a patient in the CCU.What is an appropriate nursing intervention for this problem?
A) Cluster nursing activities and plan uninterrupted rest periods.
B) Administer prescribed sedatives or hypnotics at bedtime to promote sleep.
C) Silence the alarms on monitoring equipment to allow the patient to take 30- to 40-minute naps.
D) Explain to the patient the types of noise in the environment and reasons that the noise is necessary.
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70
Chapter 69: Nursing Management: Shock,systemic
Inflammatory Response Syndrome,and Multiple-Organ
Dysfunction Syndrome
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78693
Sample Questions
Q1) A patient with massive trauma and possible spinal cord injury is admitted to the emergency department.The nurse suspects that the patient may be experiencing neurogenic shock in addition to hypovolemic shock based on which of the following findings?
A) Bradycardia
B) Hypotension
C) Cool,clammy skin
D) A subnormal body temperature
Q2) When caring for a patient in cardiogenic shock,the nurse evaluates the status of the patient,recognizing that which of the following is the goal of care?
A) To lower the HR and control dysrhythmias
B) To lower the BP and respiratory rate
C) To improve oxygen exchange and increase urinary output
D) To decrease cardiac workload and increase systemic perfusion
Q3) Which of the following nursing interventions prevents the development of shock?
A) Routine checking of stools for occult blood
B) Keeping patients warm to prevent chilling or shivering
C) Identifying situations in which patients are at risk for shock
D) Frequent monitoring of patient status to detect compensatory changes
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Chapter 70: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78691
Sample Questions
Q1) A patient in acute respiratory failure as a complication of COPD has a PaCO<sub>2 </sub>of 65 mm Hg;adventitious lung sounds,especially in the right lung;and marked fatigue with an ineffective cough.To promote gas exchange in the patient,what should the nurse do?
A) Arrange for a humidifier to be placed in the patient's room.
B) Position the patient on the right side with the head of the bed elevated.
C) Assist the patient with augmented coughing to help remove respiratory secretions.
D) Schedule assessments and treatments to allow rest periods to help conserve the patient's energy.
Q2) Following a coronary artery bypass graft performed with cardiopulmonary bypass,a patient develops pulmonary edema.The nurse anticipates that differentiation between ARDS and pulmonary edema of cardiogenic origin will be made by which of the following diagnostic tests?
A) A chest X-ray film
B) ABG analysis
C) A V/Q lung scan
D) Pulmonary artery wedge pressures (PAWPs)
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Page 72
Chapter 71: Nursing Management: Emergency Care Situations
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78690
Sample Questions
Q1) When completing the secondary survey,the nurse knows that the E in EFGHI represents which one of the following?
A) Evaluating vital signs
B) Exposure and environmental control
C) Environmental scan
D) Effect of immediate treatment
Q2) Which of the following is a cause of a life-threatening condition that the nurse identifies during the primary survey?
A) Pneumonia
B) Controlled hemorrhage
C) Hyperthermia
D) Flail chest with pulmonary contusion
Q3) A patient has experienced blunt abdominal trauma from a motor vehicle accident.Which of the following diagnostic tests does the nurse know is a noninvasive method of determining the presence of intra-abdominal bleeding?
A) Magnetic resonance imaging
B) Ultrasonography
C) Peritoneal lavage
D) Auscultation of bowel sounds in the chest
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Chapter 72: Emergency Preparedness and Disaster Management
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20 Verified Questions
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Source URL: https://quizplus.com/quiz/78689
Sample Questions
Q1) An acute care centre is testing its emergency plan.During which phase of emergency management does this event occur?
A) Response
B) Recovery
C) Mitigation
D) Preparedness
Q2) Following a national disaster,which government agency is responsible for providing safe drinking water and supportive medical services?
A) Health Canada
B) Public Safety Canada
C) Department of National Defence
D) Canadian Red Cross
Q3) When using START,which colour triage tag would the nurse place on a patient who has massive head trauma?
A) Green
B) Yellow
C) Red
D) Black
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