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NR341 Complex Adult Health Exam 6 2024

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NR341 Complex Adult Health Exam 6 2024

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  • January 21, 2025
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  • 2024/2025
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NR341 Complex Adult Health Exam 6 2024

A nurse is caring for a client with diabetes insipidus (DI) who has been prescribed aqueous
vasopressin. Which of the following outcomes indicates that treatment has been effective?
a. Blood pressure of 90/50 mm Hg
b. Fluid intake of 2,400mL in 24 hours
c. Urine output of 200mL per hour
d. Pulse rate of 126 beats/minute - b. Fluid intake of 2,400mL in 24 hours

A nurse is caring for a client with a diagnosis of Cushing syndrome. What is the most common
cause of Cushing syndrome that the nurse should consider before assessing this client for
physiological responses? - Hyperplasia of the adrenal cortex

A nurse is assessing a client with Cushing syndrome. Which signs should the nurse expect the
client to exhibit? (Select all that apply.)
1. Hirsutism
2. Round face
3. Pitting edema
4. Buffalo hump
5. Hypoglycemia - 1. Hirsutism
2. Round face
4. Buffalo hump

A nurse is planning care for a client who has urolithiasis (kidney stone). Which of the following
actions should the nurse take? - Encourage intake of at least 3 L of fluids per day.

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that
which of the following conditions can increase the risk for renal calculi? - Dehydration

The nurse should teach the client with an ileal conduit to prevent urine leakage when changing
the appliance by using which of the following procedures?
1. Insert a gauze wick into the stoma
2. Close the opening temporarily with a cellophane seal
3. Suction the stoma before changing the appliance
4. Avoid oral fluids for several hours before changing the appliance - 1. Insert a gauze wick into
the stoma

The client with an ileal conduit will be using a reusable appliance at home. The nurse should
teach the client to clean the appliance routinely with which product?
1. Baking soda
2. Soap
3. Hydrogen peroxide
4. Alcohol - 2. Soap

, The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the
following statements indicates that the client has correctly understood teaching? Select all that
apply
1. "If I limit my fluid intake, I will not have to empty my ostomy pouch as often"
2. "I can place an aspirin tablet in my pouch to decrease odor"
3. "I can usually keep my ostomy pouch on for 3-7 days before changing it"
4. "I must use a skin barrier to protect my skin form urine"
5. "I should empty my ostomy pouch of urine when it is full" - 3. "I can usually keep my ostomy
pouch on for 3-7 days before changing it"
4. "I must use a skin barrier to protect my skin form urine"

A client has an ileal conduit. Which of the following solutions will be useful to help control odor
in the urine collecting bag after it has been cleaned?
1. Salt water
2. Vinegar
3. Ammonia
4. Bleach - 2. Vinegar

The nurse explains to the client the importance of drinking large quantities of fluid to prevent
cystitis. The nurse should tell the client to drink:
1. Twice as much fluid as usual.
2. At least 1 quart more than usual.
3. A lot of water, juice, and other fluids throughout the day. 4. At least 3,000 mL of fluids daily.
- 4. At least 3,000 mL of fluids daily.

To prevent recurrence of cystitis, the nurse should plan to encourage the female client to include
which of the following measures in her daily routine?
1. Wearing cotton underpants.
2. Increasing citrus juice intake.
3. Douching regularly with 0.25% acetic acid.
4. Using vaginal sprays. - 1. Wearing cotton underpants

What postoperative care is most appropriate for a patient who has undergone modified radical
mastectomy in the right breast? - Elevate HOB to 30 degrees.

The nurse is participating at a health fair at the local mall giving influenza vaccinations to senior
citizens. What level of prevention is the nurse practicing?
1. Primary Prevention
2. Secondary Prevention
3. Tertiary Prevention
4. Quaternary Prevention - 1. Primary prevention

The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in
the home is poor and that there are several throw rugs throughout the home and a low footstool
in the living room. She suggests that the rugs and the footstool be removed and improving the
lighting in the home. The nurse is addressing which need according to Maslow?

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