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Adult Health Exam 2/99 Questions and Answers/100% Verified
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- Adult Health
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- Adult Health
Adult Health Exam 2/99 Questions and Answers/100% Verified
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Adult Health Exam 2/99 Questionsand Answers/100% Verified
3 - -Sildenafil (Viagra) is prescribed to treat a client with erectile
dysfunction. The nurse reviews the client's medical record and should
question the prescription if which data is noted in the client's history?
1. Insomnia
2. Neuralgia
3. Use of nitroglycerin
4. Use of a multivitamin
-1 - -The community health nurse visits a client at home. Prednisone, 10 mg
orally daily, has been prescribed for the client and the nurse teaches the
client about the medications. Which statement, if make by the client,
indicates that further teaching is necessary?
1. "I can take aspirin or my antihistamine if I need it."
2. "I need to take the medication every day at the same time."
3. "I need to avoid coffee, tea, cola, and chocolate in my diet."
4. "If I gain more than 5 pounds a week, I will call my health care provider
(HCP)."
-1, 3, 4 - -A client with hyperthyroidism has been given methimazole
(Tapazole). Which nursing considerations are associated with this
medication? Select all that apply
1. Administer methimazole with food.
2. Place the client on a low-calorie, low-protein diet.
3. Assess the client for unexplained bruising or bleeding.
4. Instruct the client to report side/adverse effects such as sore throat, fever,
or headaches.
5. Use special radioactive precautions when handling the client's urine for
the first 24 hours following initial administration.
-1, 2, 5 - -The nurse is monitoring a client receiving levothyroxine sodium
(Synthroid) for hypothyroidism. Which findings indicate the presence of a
side effect associated with this medication? Select all that apply
1. Insomnia
2. Weight loss
3. Bradycardia
4. Constipation
5. Mild heat intolerance
-3 - -The nurse provides instructions to a client who is taking levothyroxine
(Synthroid). The nurse should tell the client to take the medication at which
time?
,1. With food
2. At lunchtime
3. On an empty stomach
4. At bedtime with a snack
-2 - -The nurse provides medication instructions to a client who is taking
levothyroxine (Synthroid) and should tell the client to notify the health care
provider (HCP) if which problem occurs?
1. Fatigue
2. Tremors
3. Cold Intolerance
4. Excessively dry skin
-2 - -The nurse performs an admission assessment on a client who visits a
health care clinic for the first time. The client tells the nurse that
propylthiouracil (PTU) is taken daily. The nurse continues to collect data from
the client, suspecting that the client has a history of which condition?
1. Myxedema
2. Grave's disease
3. Addison's disease
4. Cushing's syndrome
-C - -What atypical symptoms might a woman who is having a myocardial
infarction experience?
A. Sudden, intermittent, stabbing chest pain
B. Moderate ache in the chest that is worse on inspiration
C. Indigestion, feelings of chronic fatigue, and a choking sensation
D. Pain that spreads across the chest and back and/or radiates down the arm
-A - -A patient is admitted with a weight loss of 2.3 kg over 36 hours,
diarrhea, nausea, and vomiting. Based on this information, the nurse should
assess which cardiovascular parameter more closely?
A.Preload
B.Afterload
C.Heart rate
D.Stroke volume
-B - -The nurse understands that which assessment finding is the best
indicator of fluid retention?
A. Tachycardia
B.Weight gain
C.Crackles in the lungs
D.Increased blood pressure
-D - -On a telemetry monitor, the nurse observes that a patient's heart
rhythm is sustained ventricular tachycardia (VT). Upon assessment, the
, patient is alert and oriented with no reports of chest pain, but expresses
feeling slightly short of breath. His blood pressure is 108/70. What is the
nurse's first action?
A.Synchronized cardioversion
B.CPR and immediate defibrillation
C.Administration of IV amiodarone (Cordarone) and dextrose
D.Administration of oxygen and observation of the heart rhythm
-d - -The nurse is providing education to help reduce cardiovascular risks for
a women's book club. Which statement made by a participant indicates a
need for further teaching?
A. "We are more likely to die from cardiovascular disease than men."
B. "We need to walk or do other exercise every day for 30 minutes."
C. "We need to stay away from people who smoke."
D. "We should take hormones for menopause to decrease the risk for heart
attack."
-C - -A client is admitted to the telemetry unit after a right-sided cardiac
catheterization. What is the nurse's priority when caring for this client?
A. Assess the intensity and quality of the client's pain.
B. Position the client in a sitting position to improve breathing.
C. Check the client's arterial insertion site.
D. Apply oxygen at 2 L/min via nasal cannula.
-C - -A client who had open abdominal surgery 4 hours ago reports feeling
weak and dizzy. The client's current blood pressure has decreased to 98/50,
and pulse rate is 108. What is the nurse's best action at this time?
A. Document the vital signs, and continue to monitor the client.
B. Remind the client to stay in bed if feeling weak and dizzy.
C. Call the health care provider immediately.
D. Increase the client's IV rate to restore fluid volume.
-A, D - -The health care provider prescribes warfarin (Coumadin) for a client
with atrial fibrillation. Which foods will the nurse teach the client taking this
drug to avoid? Select all that apply.
A. Spinach
B. Corn
C. Tomatoes
D. Brussels sprouts
E. Potatoes
-B, C, E - -A client is diagnosed with left-sided heart failure. Which
assessment findings will the nurse expect the client to have? Select all that
apply.
A. Peripheral edema
B. Crackles in both lungs
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