Exam (elaborations)
Nurs 172 Exam 5 Questions With Complete Solutions
- Course
- Hondros NUR 172
- Institution
- Hondros College School Of Nursing
Nurs 172 Exam 5 Questions With Complete Solutions
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Nurs 172 Exam 5 Questions WithComplete Solutions
30 minutes after the analgesic administration, the patient
indicates his pain is 7. What action should the nurse take next?
Select all that apply:
A) Tell the patient that another dose can be given a 3.5 hours
B) Contact the HCP for an additional prescription for pain meds
C) Administration 2 mg hydromorphone (Dilaudid)
D) Assist the client in guided imagery, a relaxation technique
E) Assess the client for surgical complications Correct Answers
B) Contact the HCP for an additional prescription for pain meds
E) Assess the client for surgical complications
A 42 year old client is scheduled for extracorporeal shock wave
lithotripsy (ESWL). Which of the following statements by the
client demonstrates correct understanding of the procedure?
A) I will be fully awake during the procedure
B) Lithotripsy will reduce my chances of stone reoccurrence
C) I will report any bruising that occurs to my doctors
D) Straining my urine following the procedure is important
Correct Answers D) Straining my urine following the procedure
is important
A 66 year old man with type 2 diabetes mellitus and atrial
fibrillation has begun taking glucosamine and chondroitin for
osteoarthritis. Which question is most important for the nurse to
ask? Correct Answers Have you noticed any bruising or
bleeding?
,(Prone to blood pooling and blood clots)
A child is admitted with glomerulonephritis. The nurse should
expect to see a recent _____ infection in the history from the
mother? Correct Answers Throat
A child is admitted with nephrotic syndrome. Which of the
following classic symptoms should the nurse observe for in this
child?
A) Hypertension, hyponatremia, hemoconcentration
B) Hypernatremia, hypoalbuminemia, hyperlipidemia
C) Hematuria, hypoaldosteronemia, hypernatremia
D) Hemodilution, hyperalbuminemia, hypoproteinemia Correct
Answers B) Hypernatremia, hypoalbuminemia, hyperlipidemia
A client comes to the office reporting right knee pain with
ambulation. What are priority assessments? Correct Answers -
pain level
- type of pain
- does pain increase with activity?
- history of OA or trauma
- obese?
- alleviating factors
- stiffness
- nodes or nodules
A client had a cast applied 2 hours ago for a fractured left femur.
Which of the following findings indicate the possibility of
compartment syndrome? Correct Answers - diminished left
pedal pulses
- pain is unrelieved by second dose of oral narcotic
,- inability to move toes on the left
A client is admitted to the nursing unit with diagnosis of right
renal calculus. He has a Foley catheter and IV of 1,000mL of
0.9% NS infusing 150mL/hr. What assessment finding warrants
immediate reporting by the nurse?
A) Flank pain that radiates to the lower abdomen
B) Nausea that is controlled with prescribed medication
C) No urine output for 2 hours
D) Client reports of feeling "sweaty" Correct Answers C) No
urine output for 2 hours
A client is to be discharged home after spontaneous passage of
calcium phosphate stone. The nurse teaches the client ways to
prevent reoccurrence. Which of the following should be
included in the discharge plan? Correct Answers - limit intake
of foods high in animal protein
- reduce sodium intake in diet
- report burning or dysuria to the provider
- increase fluid intake to 3-5 L/day
A nurse is assessing the recent health history of a 63 year old
patient with osteoarthritis. Which activity pattern will the nurse
recommend? Correct Answers Regular exercise program of
walking
A nurse is assigned to care for a child admitted with
glomerulonephritis. Which of the following assessment finding
indicates a need to call the primary care provider?
A) Specific gravity decrease from 1.022 to 1.020
B) Crackles in the bases bilaterally
, C) Absence of S1 on auscultation
D) Weight gain of 0.91 kg overnight Correct Answers D)
Weight gain of 0.9 kg over night
A nurse is providing discharge instructions for a client who
spontaneously passed a urinary calcium phosphate stone. In
teaching the client about dietary modifications, the nurse should
teach the client to limit what in the diet? Correct Answers -
cheese
- soy sauce
- red meat
- spinach
- red wines
- dairy products
A nurse is working with a 73 year old patient with osteoarthritis,
Which description of the disorder should be in the teaching
plan? Correct Answers Degeneration of articular cartilage in
synovial joints
A toddler with nephrotic syndrome has a platelet count of
700,000mm3. For which of the following signs and symptoms
should the nurse monitor?
A) Thrombosis
B) Bruising
C) Pulmonary congestion
D) Cardiac enlargement Correct Answers A) Thrombosis
After insertion of the venous access device, the patient is started
on a TPN solution containing 50% dextrose, amino acids, lipids,
vitamins, and minerals at 60 mL/hr. The nurse obtains a FS
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