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Adult Health Final Exam With Questions And Verified Detailed Answers
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Adult Health Final Exam With Questions AndVerified Detailed Answers
A nurse is caring for a client who was admitted with a diagnosis of hyperthyroidism. The
client describes weight loss of 12 pounds in the last 2 months despite having an
increased appetite. Other complaints include increased perceptions, menstrual
irregularities, and restlessness. Which of the following actions should the nurse include
in the plan of care to prevent a thyroid crisis? ANSWER Provide a quiet, low-stimulus
environment
After receiving a change of shift report, which of the following should the nurse check
first? - correct answer A 7--year-old recently diagnosed with hypothyroidism who has
just begun taking levothyroxine (Synthroid) with irregular pulse 134
The client with Addison's disease is admitted to the ED after a day at the lake. The client
is described as lethargic, forgetful, and weak. Which intervention should be the first
action by the emergency room nurse? ANSWER Start an IV with an 18 gauge needle to
infuse NS rapidly
Which of the following signs and symptoms would lead the nurse to suspect that the
client is having a thyroid storm? ANSWER Hyperpyrexia and extreme tachycardia
The nurse asks the client to identify herself, once she becomes conscious, after a
subtotal thyroidectomy, in each of her assessments. The nurse does this to check for
the integrity of the ANSWER Laryngeal nerve
"Following a transsphenoidal hypophysectomy, the nurse must closely monitor the
client for: - ANWER CSF leakage
For the patient with Cushing's disease, the nurse should monitor the patient for which
finding? - ANWER decreased calcium levels
,A nurse is caring for a client post craniotomy for pituitary tumor and has developed DI.
The client is receiving vasopressors (Pitressin). The desired response of the the
medication is what? - ANS Urine output to decrease
The nurse is providing care to a PT that had bilateral adrenalectomy. What is the
assessment information that requires the most rapid action by the nurse? - ANS BP is
88/50
A client is admitted to the hospital with suspected SIADH. The client is confused and
describes muscle cramps and twitching. The nurse would expect to find which of the
following lab results to report what? - ANSWER a low sodium
A client with a diagnosis of hyperparathyroidism has a serum phosphorus level of 1.7
and a calcium level of 14. Which of the following nursing actions should be included in
the plan of care? - ANSWER encourage 3000-4000 mL of oral fluids daily
PT arrives in the ED unable to give a health history due to AMS. The family reports that in
over a week the PT has gained over 10 pounds and says it's mainly water weight.
Additionally, they report the PT has not been able to urinate or eat within the past week,
and recently diagnosed with small cell lung cancer. On assessment you know that their
HR is 115, BP 180/92, and sodium level is 90. Which of the following conditions do you
suspect the PT is most likely experiencing? - ANSWER SIADH
Which of the following should raise suspicion to the nurse that a had injury is
experiencing DI? - ANSWER urine specific gravity is low
A PT who has had a sub thyroidectomy is at risk for complications within the first 48 hrs.
To be prepared to respond to these complications, the nurse should collect and place at
the bedside equipment to do what? - ANS perform a tracheostomy
To provide oral hygiene for a client with recovering transsphenoidal hypophysectomy
the nurse should instruct the client to - ANS rinse the mouth with NS
, Which outcome is a priority for the client with addison's disease? - ANS continue
therapy
Which information should the nurse include in the teaching plan of female with bilateral
adrenalectomy? - ANS The client will need to take steroid replacement the rest of her
life
Evaluation of a diabetic client who has proteinuria on urine analysis during a check-up,
the nurse knows that more teasing will be required to further assess the health of the
kidney. Which test is considered the most accurate indicator of kidney function?
ANSWER Serum creatinine
The nurse is teaching a client to perform peritoneal dialysis, the nurse reviews which
essential action that will help prevent further complications? - ANWER maintain strict
aseptic technique
The nurse is caring for a client immediately after renal transplant, IV fluids are
administered as prescribed. The nurse recognizes that the hourly calculi glomerulus of
what? - ANWER The number of mL in the previous hour's urine output
The nurse is performing an assessment to check the patency of a client's left arm AV
fistula in preparation for hemodialysis. Which of the following findings would indicate
that the fistula is patent? - ANSWER Palpation of thrill
ABG's of someone that has renal failure, the nurse should expect what following result?
- ANSWER pH 7.30, PaCO2 35, HCO3 18
A PT who has cardiac surgery and has had a urine output of 20 mL/hr for 2 hours
receives one bolus of 500 mL IV. The amount of urine output over the next hour was 25
mL. Daily lab results reveal the BUN is 45 and serum creatinine is 2.2. Based on these
findings, the nurse will anticipate that the client is at risk for developing what? -
ANSWER acute kidney injury
What is an acute renal failure diet? - ANSWER gelatin dessert
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