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NURS 355 Exam 2 Questions With Correct Answers

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NURS 355 Exam 2 Questions With Correct Answers Which information obtained by the nurse in the endocrine clinic about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider? a. Patient's blood pressure is 148/94 mm Hg. b. Patien...

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  • October 19, 2024
  • 240
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 355
  • NURS 355
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



NURS 355 Exam 2 Questions With Correct
Answers


Which information obtained by the nurse in the endocrine clinic about a patient who has been

taking prednisone 40 mg daily for 3 weeks is most important to report to the health care

provider?




a. Patient's blood pressure is 148/94 mm Hg.

b. Patient has bilateral 2+ pitting ankle edema.

c. Patient stopped taking the medication 2 days ago.


d. Patient has not been taking the prescribed vitamin D. - answer✔Answer: Patient stopped

taking the medication 2 days ago.




Rationale: Sudden cessation of corticosteroids after taking the medication for a week or more can

lead to adrenal insufficiency, with problems such as severe hypotension and hypoglycemia. The

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


patient will need immediate evaluation by the health care provider to prevent or treat adrenal

insufficiency. The other information will also be reported but does not require rapid treatment.

Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse

should contact the health care provider before administering levothyroxine (Synthroid)?




a. Increased thyroxine (T4) level

b. Blood pressure 112/62 mm Hg

c. Distant and difficult to hear heart sounds


d. Elevated thyroid stimulating hormone level - answer✔Answer: Increased thyroxine (T4) level




Rationale: An increased thyroxine level indicates the levothyroxine dose needs to be decreased.

The other data are consistent with hypothyroidism and the nurse should administer the

levothyroxine.

The nurse teaches a patient about pulmonary spirometry testing. Which statement by the patient

indicates teaching was effective?




a. "I should use my inhaler right before the test."

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


b. "I won't eat or drink anything 8 hours before the test."

c. "I will inhale deeply and blow out hard during the test."


d. "My blood pressure and pulse will be checked every 15 minutes." - answer✔Answer: "I will

inhale deeply and blow out hard during the test."




Rationale: For spirometry, the patient should inhale deeply and exhale as long, hard, and fast as

possible. The other actions are not needed. The administration of inhaled bronchodilators should

be avoided 6 hours before the procedure.

A patient with acute shortness of breath is admitted to the hospital. Which action should the

nurse take during the initial assessment of the patient?




a. Ask the patient to lie down for complete a full physical assessment.

b. Complete the health history and check for allergies before treatment.

c. Briefly ask specific questions about this episode of respiratory distress.


d. Delay the physical assessment to first complete pulmonary function tests. - answer✔Answer:

Briefly ask specific questions about this episode of respiratory distress

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM




Rationale: When a patient has severe respiratory distress, only information pertinent to the

current episode is obtained, and a more thorough assessment is deferred until later. Obtaining a

comprehensive health history or full physical examination is unnecessary until the acute distress

has resolved. Brief questioning and a focused physical assessment should be done rapidly to help

determine the cause of the distress and suggest treatment. Checking for allergies is important, but

it is not appropriate to complete the entire admission database at this time. The initial respiratory

assessment must be completed before any diagnostic tests or interventions can be ordered.

The nurse prepares a patient who has a left-sided pleural effusion for a thoracentesis. How

should the nurse position the patient?




a. High-Fowler's position with the left arm extended

b. Supine with the head of the bed elevated 30 degrees

c. On the right side with the left arm extended above the head


d. Sitting upright with the arms supported on an over bed table - answer✔Answer: Sitting upright

with the arms supported on an over bed table

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