Test Bank for Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler |Chapter 41-50|

MULTIPLE CHOICE 1. Which information about an 80-yr-old male patient at the senior center is of most concern to the nurse? a. Decreased appetite b. Occasional indigestion c. Unintended weight loss d. Difficulty chewing food ANS: C Unintentional weight loss is not a normal finding and may ...

MULTIPLE CHOICE 1. After change-of-shift report in the progressive care unit, for which patient would the nurse provide care first? a. Patient who had an inferior myocardial infarction 2 days ago and has crackles in the lung bases b. Patient who had a T5 spinal cord injury 1 week ago and curren...

MULTIPLE CHOICE 1. Which finding for a young adult who follows a vegan diet may indicate the need for cobalamin supplementation? a. Glossitis b. Ecchymoses c. Dry, scaly skin d. Gingival swelling ANS: A Cobalamin (vitamin B12) cannot be obtained from foods of plant origin, so the patient ...

MULTIPLE CHOICE 1. After change-of-shift report, which patient would the nurse assess first? a. A 42-yr-old patient who has acute gastritis and ongoing epigastric pain b. A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn c. A 60-yr-old patient with nausea and vomiting...

MULTIPLE CHOICE 1. Which statement by the nurse is most likely to help a 22-yr-old patient with extreme obesity in losing weight on a 1000-calorie diet? a. “It will be necessary to change lifestyle habits permanently to maintain weight loss.” b. “You are likely to notice changes in how yo...

MULTIPLE CHOICE 1. Which action would the nurse include in the plan of care for a patient who is being admitted with a C. difficile infection? a. Teach the patient about proper food storage. b. Order a diet without dairy products for the patient. c. Place the patient in a private room on conta...

MULTIPLE CHOICE 1. A young adult contracts hepatitis from contaminated food. Which result would the nurse expect serologic testing to reveal during the acute (icteric) phase of the patient‘s illness? a. Antibody to hepatitis D (anti-HDV) b. Hepatitis B surface antigen (HBsAg) c. Anti-hepatit...

MULTIPLE CHOICE 1. Which question would the nurse ask to assess a patient‘s dysuria? a. “Do you have to urinate at night?” b. “Do you have blood in your urine?” c. “Do you have to urinate frequently?” d. “Do you have pain when you urinate?” ANS: D Dysuria is painful urin...

MULTIPLE CHOICE 1. A 46-yr-old female patient returns to the clinic with continued dysuria after being treated with trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take? a. Remind the patient about the need to drink 1000 mL of fluids daily. b. Obtain a midstrea...