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Patient Education RNSG 1125 Questions With Complete Solutions
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Patient Education RNSG 1125 Questions With Complete Solutions
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Patient Education RNSG 1125 Questions With CompleteSolutions
A 15-year-old child has difficulty falling asleep on a nightly
basis. The health care provider suspects a lack of melatonin.
What endocrine gland secretes melatonin? Correct Answer
pineal gland, The pineal gland is attached to the thalamus in the
brain. It secretes melatonin, which aids in regulating sleep
cycles and mood.
A 51-year-old male professional is in the habit of consuming 6
to 8 rum and Cokes each evening after work. He assures the
nurse practitioner who is performing his regular physical exam
that his drinking is under control and does not have negative
implications for his work or family life. How could the nurse
best respond to the client's statement? Correct Answer "When
your body has to regularly break down that much alcohol, your
blood and the functional cells in your liver accumulate a lot of
potentially damaging toxic by-products." The hepatic effects of
alcohol use are related to the accumulation of toxic metabolites
in the hepatocytes and blood. Damage can continue even after
an individual stops drinking. Specific consequences do not
usually include HAV, HBV or liver cancer. Cirrhosis represents
the culmination, not the beginning, of negative hepatic effects.
A client is readmitted with an exacerbation of celiac disease 2
weeks after discharge. Which statement by the client indicates
the need for a dietary consult? Correct Answer "I didn't eat
anything I shouldn't have; I just ate roast beef on rye bread." The
client stating that he ate roast beef on rye bread indicates the
need for a dietary consult because rye bread contains gluten,
,which must be eliminated from the client's diet. The client
stating that he's followed the ordered medication regimen and
diet doesn't suggest that the client needs a dietary consult; a
treatment regimen consisting of medications to improve
symptoms and dietary modification is necessary to treat celiac
disease. The client stating that he hasn't traveled outside of the
country doesn't suggest that dietary concerns exist. The client
saying that he can't have oatmeal shows an understanding of the
dietary restrictions necessary with celiac disease.
A client is recovering from gastric surgery. Toward what goal
should the nurse progress the client's enteral intake? Correct
Answer Six small meals daily with 120 mL fluid between
meals. After the return of bowel sounds and removal of the
nasogastric tube, the nurse may give fluids, followed by food in
small portions. Foods are gradually added until the client can eat
six small meals a day and drink 120 mL of fluid between meals.
A client is scheduled for a renal ultrasound. Which of the
following would the nurse include when explaining this
procedure to the client? Correct Answer "You don't need to do
any fasting before this noninvasive test." Renal ultrasonography
identifies the kidney's shape, size, location, collecting systems,
and adjacent tissues. It is not invasive, does not require the
injection of a radiopaque dye, and does not require fasting or
bowel preparation. An x-ray of the abdomen to view the
kidneys, ureters, and bladder is called a KUB. A contrast
medium is used for computed tomography of the abdomen and
pelvis. A pressure dressing is applied to the groin after a renal
arteriogram
,A client reports that taking St. John's wort. When reviewing the
client's medication history, what would be a cause of concern?
Correct Answer digoxin, St. John's wort, a highly advertised
and popular alternative therapy, has been found to interact with
oral contraceptives, digoxin (a heart medication), the selective
serotonin reuptake inhibitors (used for depression), theophylline
(a drug used to treat lung disease), various antineoplastic drugs
used to treat cancer, and the antivirals used to treat AIDS. It has
not been shown to interact with acetaminophen or ibuprofen.
Insulin or other antidiabetic agents interact with juniper berries,
ginseng, garlic, fenugreek, coriander, dandelion root, and celery
to cause hypoglycemia.
A client undergoes an arthroscopy at the outpatient clinic. After
the procedure, the nurse provides discharge teaching. Which
response by the client indicates the need for further teaching?
Correct Answer "I should use my heating pad this evening to
reduce some of the pain in my knee." The client requires
additional teaching if he states that he'll use a heating pad to
reduce pain the evening of the procedure. The client shouldn't
use heat at the procedure site during the first 24 hours because
doing so may increase localized swelling. Ice is indicated during
this time. Elevating the extremity helps reduce swelling. The
client may experience some discomfort after the procedure for
which the physician may order medication. Bruising and
swelling are common after an arthroscopy.
A client with a conductive hearing disorder caused by ankylosis
of the stapes in the oval window undergoes a stapedectomy to
remove the stapes and replace the impaired bone with a
prosthesis. After the stapedectomy, the nurse should provide
, which client instruction? Correct Answer "Don't fly in an
airplane, climb to high altitudes, make sudden movements, or
expose yourself to loud sounds for 30 days."The nurse should
instruct the client to avoid air travel, sudden movements that
may cause trauma, and exposure to loud sounds and pressure
changes (such as from high altitudes) for 30 days after a
stapedectomy. Immediately after surgery, the client should lie
flat with the surgical ear facing upward; nose blowing is
permitted but should be done gently and on one side at a time.
The client's first attempt at postoperative ambulation should be
supervised to prevent falls caused by vertigo and light-
headedness. The client must avoid shampooing and swimming
to keep the dressing and the ear dry.
A client with diabetes is hospitalized with a TIA. When
planning this client's discharge teaching the nurse knows to
include which of the following ? Correct Answer Techniques
to control blood sugar within normal ranges. Clients with
diabetes are educated in techniques to control blood sugar within
normal ranges with diet, exercise, and medications. The scenario
does not indicate the need to teach this client about
hypoglycemia, hyperglycemia, or how to inject insulin.
A group of students are reviewing class material about lymphoid
tissue. The students demonstrate a need for additional teaching
when they identify this as lymphoid tissue? Correct Answer
histamine, Histamine is a substance released when a cell
membrane is injured and is not considered lymphoid tissue.
Bone marrow, the thymus gland, and the spleen are lymphoid
tissues.
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