Exam (elaborations)
NUR 376 Final
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Exam of 9 pages for the course NUR 376 at NUR 376 (NUR 376 Final)
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NUR 376 FinalA 30-year old woman who has been taking isotretinoin
(Accutane) to treat severe cystic acne makes all these statements
while being seen for a follow-up examination. Which statement
is of most concern?
A. "Sometimes I get nauseated after taking the medication."
B. "My husband and I are thinking of starting a family soon."
C. "I have been having problems driving when it gets dark."
D. "I don't think there has been much improvement in my skin."
Correct Answers B. "My husband and I are thinking of starting
a family soon."
Isotretinoin (Accutane) is associated with a high incidence of
birth defects, it is important that the client stops using the
medication at least a month before attempting to become
pregnant.
A client has been taking prednisone (Deltasone) 20 mg once a
day to treat severe seborrheic dermatitis. Which of the following
assessment findings is of most concern?
A. Complaints of epigastric pain.
B. Blood pressure 145/90 mm Hg.
C. Blood glucose level 129 mg/dL.
D. Complaints of increase appetite. Correct Answers A.
Complaints of epigastric pain.
, Complaints of epigastric pain indicate that the client might be
suffering from peptic ulcers, which require the addition of the
use of antacid such as proton pump inhibitor (Nexium).
A client is being admitted for the treatment of acute cellulitis of
the thigh. The client asks the admitting nurse to explain what
cellulitis means. The nurse bases the response on the
understanding that the characteristics of cellulitis include:
A. An epidermal and lymphatic infection caused by
Staphylococcus.
B. An inflammation of the epidermis only.
C. A skin infection into the subcutaneous tissue and dermis.
D. An acute superficial infection of the lymphatics and dermis.
Correct Answers C. A skin infection into the subcutaneous
tissue and dermis.
Cellulitis is an infection into deeper dermal and subcutaneous
tissue that results in a deep red erythema without sharp borders
and spreads widely throughout tissue spaces
acute anemia Correct Answers usually caused by sudden blood
loss due to trauma, surgery, or rupture of a blood vessel. It can
also result from a rapid destruction of red blood cells
Acute Lymphoblastic Leukemia Correct Answers most
common in children, although it can also occur in adults
-affects the lymphoid cells, which form part of the immune
system.
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