Exam (elaborations)
Exam (elaborations) N330
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Exam (elaborations) N330
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N330 QAThe nurse is instructing a client with Parkinson's disease about preventing falls. Which
client statement reflects a need for further teaching? - (correct answer)"I don't need to
use my walker to get to the bathroom."
Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse
monitors the client for side and adverse effects of the medication. Which finding
indicates that the client is experiencing an adverse effect? - (correct answer)Impaired
voluntary movements
A client has been on treatment for rheumatoid arthritis for 3 weeks. During the
administration of etanercept, which is most important for the nurse to assess? - (correct
answer)The white blood cell counts and platelet counts
In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs),
which assessment findings would the nurse consider acceptable responses? Select all
that apply. - (correct answer)1.Control of symptoms during periods of emotional stress
2.Normal white blood cell, platelet, and neutrophil counts
3.Radiological findings that show no progression of joint degeneration
4.An increased range of motion in the affected joints 3 months into therapy
A client with diabetes mellitus is told that amputation of the leg is necessary to sustain
life. The client is very upset and tells the nurse, "This is all my primary health care
provider's fault. I have done everything I've been asked to do!" Which nursing
interpretation is best for this situation? - (correct answer)An expected coping
mechanism
The nurse has provided instructions to a client with a diagnosis of rheumatoid arthritis
about measures to protect the joints. Which statement by the client indicates a need for
further instruction? - (correct answer)"Pain or fatigue is expected, and I should try to
continue with the activity if this occurs."
, The nurse provides instructions to a client with bilateral deformities of the joints of the
fingers due to rheumatoid arthritis. When providing teaching about the disease process,
the nurse should inform the client that the changes are most likely due to what type of
response? - (correct answer)Autoimmune
The clinic nurse is performing an assessment on a client with a diagnosis of rheumatoid
arthritis (RA). The nurse checks for which assessment finding that is associated with
RA? - (correct answer)Systemic symptoms such as fatigue, anorexia, and weight loss
The nurse is gathering subjective and objective data from a client with a diagnosis of
suspected rheumatoid arthritis (RA). The nurse would expect to note which early signs
and symptoms of RA? Select all that apply. - (correct answer)Fatigue & morning
stiffness
The home health nurse has been discussing interventions to prevent constipation in a
client with multiple sclerosis. The nurse determines that the client is using the
information most effectively if the client reports which action? - (correct answer)Initiating
a bowel movement every other day, 45 minutes after the largest meal of the day
The home care nurse is visiting a client with a diagnosis of Parkinson's disease. The
client is taking benztropine mesylate orally daily. The nurse provides information to the
spouse regarding the side effects of this medication and should tell the spouse to report
which side effect if it occurs? - (correct answer)Inability to urinate
A client is admitted with an exacerbation of multiple sclerosis. The nurse is assessing
the client for possible precipitating risk factors. Which factor, if reported by the client,
should the nurse identify as being unrelated to the exacerbation? - (correct
answer)Ingestion of increased fruits and vegetables
A client with multiple sclerosis is experiencing muscle weakness, spasticity, and an
ataxic gait. On the basis of this information, the nurse should include which client
problem in the plan of care? - (correct answer)Interruption in physical mobility
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