Adult Health Final Exam Questions & Answers-* The nurse is teaching a client recently diagnosed with rheumatoid arthritis (RA) about home care and management of symptoms. What should the nurse encourage the client to do at home? Select all that apply.
A Allow periods of rest in the afternoon
B Pe...
Adult Health Final Exam Questions & Answers * The nurse is teaching a client recently diagnosed with rheumatoid arthritis (RA) about home care and management of symptoms. What should the nurse encourage the client to do at home? Select all that apply. A Allow periods of rest in the afternoon B Perform range of motion exercises daily C Place a pillow under the knees at night before sleeping D Use heating packs to relax stiff joints as needed - A, B, D A Patient presents with a butterfly shaped erythematous rash around the bridge of the nose and cheeks. This is a sign of what autoimmune disease? A Graves' disease B Systemic Lupus Erythematosus C Crohn's disease D Multiple sclerosis - B * A client has an arm cast and reports that it feels really tight, and the fingers are puffy. What is the nurse's best response? A Elevate your arm on two pillows and apply ice to the cast B Continue to take ibuprofen (Motrin) until the swelling subsides C It is normal for a new cast to feel a little tight for the first few days D Please come to the clinic today to have your arm checked by the health care provider - B * A client who has sustained a crush injury to the right lower leg reports numbness and tingling of the affected extremity. The skin of the right leg appears pale. Which is the nurse's first intervention? A Assess pedal pulses. B Apply oxygen by nasal cannula. C Increase the IV flow rate. D Document the finding. - A The patient has been diagnosed with a fractured hip. Which of the following findings did the patient have, that is the most typical sign for a fractured hip? A Pain in the hip and affected leg B Diminished sensation in the affected leg C Misalignment of th e affected extremity D Absence of pedal and femoral pulses in the affected extremity - C * Which of the following signs and symptoms of increased ICP after head trauma would appear first? A Bradycardia B Large amounts of very dilute urine C Restlessness and confusion D Widened pulse pressure - C *A client arrives in the emergency department with an ischemic stroke and receives tissue plasminogen activator (t -PA) administration. Which is the priority nursing assessment? A Time of onset of current stroke B Complete physical and history C Current medication D Upcoming surgical procedures - A A 78 -year-old client is admitted to the emergency department with numbness and weakness of the left arm and slurred speech. Which nursing intervention is a priority? A. Prepare to administer a recombinant tissue plasminogen activator (rt -PA). B. Discuss the precipitating factors that caused the symptoms. C. Schedule for A STAT computer tomography (CT) scan of the head. D. Notify the speech pathologist for an emergency co nsultation. - A Which of the following values is considered normal for ICP? 1. 0 to 10 mm Hg 2. 25 mm Hg 3. 35 to 45 mm Hg 4. 60 to 75 mm Hg - 1 * Which of the following are expected signs and symptoms of a left sided ischemic stroke? Select all that apply. A. right sided facial numbness B. Left sided weakness C. Difficulty walking or holding balance D. Headache E.A&O X 4 - A, C, D *Which of the f ollowing are early signs and symptoms of increased intracranial pressure (ICP)? Select all that apply a. change in LOC b. Increased urinary output c. Weakness in one extremity or one side d. Pupillary changes e. Weight loss - A, C, D *A Patient has just b een transferred to the PACU after surgery. What should be the nurse's priority action? A Early ambulation. B Repositioning the patient every two hours to prevent pressure injuries. C Maintaining patient airways and O2 levels D Assessing for signs of infect ion E Administering pain medications as ordered - C *The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a patient? A Upon transfer fro m post anesthetic care unit to the post surgical unit B Prior to surgery C When early signs of venous stasis are evident D In post anesthetic recovery - B *The nurse is providing teaching to a patient regarding pain control after surgery. What time does the nurse inform the patient is the best time to request pain medication?
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