Exam (elaborations)
NURS 2255 FINAL: CRITICAL THINKING AND PRACTICE QUESTIONS
- Course
- Institution
NURS 2255 FINAL: CRITICAL THINKING AND PRACTICE QUESTIONS
[Show more]
Content preview
NURS 2255 FINAL: CRITICAL THINKING ANDPRACTICE QUESTIONS
The nurse is reviewing the preadmission testing laboratory values for a 62 year old
client scheduled for a total knee replacement finds an A1c of 6.2%. How will the nurse
interpret this finding?
the client has prediabetes
Which assessment finding in a 40-year-old client is most relevant for the nurse to
assess further for a possible endocrine problem?
The client reports now needing to shave only once weekly instead of daily.
Which urine characteristics indicate to the nurse that the client being managed for
diabetes insipidus is responding appropriately to interventions?
Urine output volume decreased; urine specific gravity increased
Which of the following are the priority precautions the nurse will teach the client who
remains at continuing risk for adrenal hypofunction and is taking hormone replacement
therapy to prevent harm related to the disorder? (Select all that apply)
a. "Avoid crowds and people who are ill"
b. "Check your heart rate for irregular or skipped beats twice daily"
c. "Do not choose low sodium versions of prepared food"
d. "Get up slowly fromsitting or lying position"
e. "Keep a source of glucose, such as candy, with you at all times"
f. "Never skip your hormone replacement drug"
all of the above
A client preparing for surgery to remove a cortisol-secreting tumor from the adrenal
gland asks the nurse whether the physcial changes from the excessive cortisol will go
away as a result of the surgery so she can look like herself again. What is the nurses
best response?
The fatty changes and acne will resolve with time but the stretch marks only fade
, An assistive personnel reports that a nursing home client who has hypothyroidism has a
pulse of 48 beats/min this morning. Which assessments have the highest priority for the
nurse to perform immediately? (Select all that apply)
a. checking body temperature
b. testing deep tendon reflex response
c. measuring oxygen saturation by pulse oximetry
d. checking BP, HR, and rhythm
e. determining LOC and cognition
f. identifying persence or absence of the swallowing reflex
g. examining feet and ankles for indications of peripheral edema
c and d
A client at continuing risk for hyperparathyroidism is prescribed to take furosemide
40mg and to drink at least 3 to 4L of fluid daily. He tells the nirse he believes taking a
"water pill" and then drinking so much seems wrong. How will the nurse respond?
The drug helps you get rid of calcium and drinking more helps dilute your blood calcium
so the level doesn't get to high
Performance of which assessment is a priority for the nurse before giving a client the
first oral dose of hormone replacement for hypothyroidism?
Measuring heart rate and rhythm
Which assessment findings in a client which hyperthyroidism indicate to the nirse that
the client is indanger of thyroid storm? (Select all that apply)
a. increased salivation
b. client report of increased palmar sweating
c. decreased pulse pressure from 40 mmHg to 36 mmHg
d. diminished bowel sounds in all four abdominal quadrants
e. an increase in temperature from 99.5 (37.5C) to 101.3 (38.5C)
f. serum sodium level increase from 136 to 139
g. increase in premature ventricular heart contractions from 4 to 28 per minute
b, e, and g
The nurse reviewing the laboratory values of a client with hypoparathyroidism finds a
serum calcium level of 7.9 mg/dL. Which parameter is most important for the nurse to
assess to prevent harm?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now