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Exam (elaborations)

WGU ADULT HEALTH 2 D446 EXAM | 174 QUESTIONS | WITH ACTUAL SOLUTIONS!!

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WGU ADULT HEALTH 2 D446 EXAM | 174 QUESTIONS | WITH ACTUAL SOLUTIONS!!

Institution
WGU D446
Course
WGU D446











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Institution
WGU D446
Course
WGU D446

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Uploaded on
February 22, 2025
Number of pages
132
Written in
2024/2025
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Exam (elaborations)
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WGU ADULT HEALTH 2 D446 EXAM
| 174 QUESTIONS | WITH ACTUAL
SOLUTIONS!!




1 of 174

Term


A 59-year-old male client presents to the clinic, reporting pain in the
right great toe. The client says that the pain feels like it is another
attack of gout, which he has had on 2 other occasions in the last 4
months.The client tells the nurses that the pain started about 9 days
ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without
treatment after about 5 days, but the client reports that his condition
has not improved and that he is unable to walk or work.Select the 3
dietary choices that are not part of the recommended diet for a

,client with gout.Rationale:Organ meats like liver are very high in
purines and should be avoided in a diet for managing gout.
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Obesity Liver




Spleen Kidneys


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2 of 174

Term



The nurse is caring for a client diagnosed with psoriasis vulgaris who
is receiving psoralen and ultraviolet.A light (PUVA) treatment.Which
assessment finding indicates that the client has been overexposed to
the treatment?



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Dry skin and flaking in the treatment Increased appetite and weight gain
area. over the treatment period.




Tenderness upon palpation Severe itching and rash in areas not
and generalized erythema. treated with puva.


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, 3 of 174

Term


A client who has a history of hypothyroidism was initially with
lethargy and confusion. Which additional finishing warrants finding
warrants the most immediate action by the nurse?rationale
consciousness in a patient with hypothyroidism can indicate
myxedema coma, a life-threatening emergency requiring immediate
intervention



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Obtain an ecg to assess for signs of Further decline in level of
ischemia or infarction. consciousness.




Cold and dry skin. Guidelines for oxygen use.


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, 4 of 174

Term



A 30-year-old male with a family history of hypertrophic
cardiomyopathy (HCM) presents with symptoms of chest pain,
shortness of breath, and dizziness. An echocardiogram reveals
asymmetric septal hypertrophy. Which of the following diagnostic
findings or treatments requires immediate attention? (Select all that
apply.)



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"this medication helps slow the
Administer prescribed antibiotics
progression of your disease and
and monitor for signs of sepsis.
prevents joint damage."




Severe left ventricular outflow
tract (LVOT)
Thalassemia obstruction.Cardiac
arrhythmia (e.g., ventricular
tachycardia)


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