TEST IV - CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS STUDY
TEST IV - CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS STUDY
TEST IV - CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS STUDY
TEST IV - Care of Clients with 4. Ricardo, was diagnosed with type I
Physiologic and Psychosocial diabetes. The nurse is aware that
Alterations acute hypoglycemia also can
develop in the client who is
1. Randy has undergone kidney diagnosed with:
transplant, what assessment would a. Liver disease
prompt Nurse Katrina to suspect b. Hypertension
organ rejection? c. Type 2 diabetes
a. Sudden weight loss d. Hyperthyroidism
b. Polyuria
c. Hypertension 5. Tracy is receiving combination
d. Shock chemotherapy for treatment of
metastatic carcinoma. Nurse Ruby
2. The immediate objective of nursing should monitor the client for the
care for an overweight, mildly systemic side effect of:
hypertensive male client with ureteral a. Ascites
colic and hematuria is to decrease: b. Nystagmus
a. Pain c. Leukopenia
b. Weight d. Polycythemia
c. Hematuria
d. Hypertension 6. Norma, with recent colostomy
expresses concern about the
3. Matilda, with hyperthyroidism is to inability to control the passage of
receive Lugol’s iodine solution before gas. Nurse Oliver should suggest
a subtotal thyroidectomy is that the client plan to:
performed. The nurse is aware that a. Eliminate foods high in
this medication is given to: cellulose.
a. Decrease the total basal
metabolic rate.
b. Maintain the function of the
parathyroid glands.
c. Block the formation of
thyroxine by the thyroid gland.
d. Decrease the size and
vascularity of the thyroid
gland.
, b. Decrease fluid intake at meal c. Increase oral intake of cheese
times. and milk.
c. Avoid foods that in the past d. Administer large amounts
caused flatus. of normal saline via I.V.
d. Adhere to a bland diet prior to
social events. 9. Mario has burn injury. After Forty48
hours, the physician orders for Mario
7. Nurse Ron begins to teach a male 2 liters of IV fluid to be administered
client how to perform colostomy q12 h. The drop factor of the tubing
irrigations. The nurse would evaluate is 10 gtt/ml. The nurse should set
that the instructions were understood the flow to provide:
when the client states, “I should: a. 18 gtt/min
a. Lie on my left side while instilling b. 28 gtt/min
the c. 32 gtt/min
irrigating solution.” d. 36 gtt/min
b. Keep the irrigating container less
than 10. Terence suffered from burn injury.
18 inches above the stoma.” Using the rule of nines, which has the
c. Instill a minimum of 1200 ml of largest percent of burns?
irrigating solution to stimulate a. Face and neck
evacuation of the bowel.” b. Right upper arm and penis
d. Insert the irrigating catheter c. Right thigh and penis
deeper into the stoma if cramping d. Upper trunk
occurs during the procedure.”
11. Herbert, a 45 year old construction
8. Patrick is in the oliguric phase of acute engineer is brought to the hospital
tubular necrosis and is experiencing unconscious after falling
fluid and electrolyte imbalances. The
client is somewhat confused and
complains of nausea and muscle
weakness. As part of the prescribed
therapy to correct this electrolyte
imbalance, the nurse would expect to:
a. Administer Kayexalate
b. Restrict foods high in protein
112
,
, from a 2-story building. When using a pulse oximeter.
assessing the client, the nurse would
be most concerned if the assessment 14. Tonny has undergoes a left
revealed: thoracotomy and a partial
a. Reactive pupils pneumonectomy. Chest tubes are
b. A depressed fontanel inserted, and one-bottle water-seal
c. Bleeding from ears drainage is instituted in the operating
d. An elevated temperature room. In the postanesthesia care unit
Tonny is placed in Fowler's position
12. Nurse Sherry is teaching male client on either his right side or on his back.
regarding his permanent artificial The nurse is aware that this position:
pacemaker. Which information a. Reduce incisional pain.
given by the nurse shows her b. Facilitate ventilation of the left
knowledge deficit about the lung.
artificial cardiac pacemaker? c. Equalize pressure in the pleural
a. take the pulse rate once a space.
day, in the morning upon d. Increase venous return
awakening
b. May be allowed to use 15. Kristine is scheduled for a
electrical appliances bronchoscopy. When teaching Kristine
c. Have regular follow up care what to expect afterward, the nurse's
d. May engage in contact sports highest priority of information would
be:
13. The nurse is ware that the most a. Food and fluids will be
relevant knowledge about oxygen withheld for at least 2 hours.
administration to a male client with b. Warm saline gargles will be done
COPD is q 2h.
a. Oxygen at 1-2L/min is given to c. Coughing and deep-breathing
maintain the hypoxic stimulus exercises will be done q2h.
for breathing.
b. Hypoxia stimulates the
central chemoreceptors in
the medulla that makes the
client breath.
c. Oxygen is administered best
using a non- rebreathing mask
d. Blood gases are monitored
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