NURS 3661 UTA Exam 3 MS QUESTIONS WITH
COMPLETE SOLUTIONS
A cleint with CROHNS has a part of intestine tear and leak
content into abdominal wall. What are they at risk for? Correct
Answer SHOCK, because peritonitits, can also lead to infection
A colony count greater than __________ indicates infection.
Correct Answer 100,000
A colostomy is located on what side of the abdomen? Correct
Answer Left side
A nurse is caring for a client wth a diagnosis with gout. Which
lab values would nurse expect to see?
A) Ca level of 9.0mg/dL
B) Uric acid level of 8.6mg/dL
C)Phosphuris level of 4.1mEq/dL Correct Answer B- Uric acid
level is HIGH, (normal is 2-7mg/dL)
other values are in range
A older women has kyphosis, is postmenopausal, has low BMI,
and has been taking anticonvulsant meds since elementary
school. What is she most likely to be at risk for or currently
have? Correct Answer Osteoporosis, all of her manifestations
suggest OA
A patient is having SUDDEN pain in the right upper quadrant of
the abdomen while out eating as a local fast food restaurant with
his family. What could be the reason for this? Correct Answer
,pain in the RUQ, that is sudden especially after a high fat meal
(such as fast food) can be related to cholecsysitis
A patient is in severe pain and experiencing s&s of cholethiasis.
What position would they most likely be in to relieve some of
the pain? Correct Answer Prostration Position (Muslim praying
on floor position)
A patient states, " I will take ________ with my Calcium
supplements. Correct Answer Vitamin D, because D is needed
to absorb Calcium.
A patient who has undergone a total knee replacement should be
in what position to maximize comfort and blood flow? Correct
Answer Side lying (Lateral) position with a pillow between legs
A patient with Appendicitits notices pain suddently goes away.
Is this a good sign its resolving? Correct Answer BAD sign,
serious sign because patient could be experiencing SHOCK
Allupurinal patient teaching? Correct Answer *take w/ meals
or immediately following meals
*DRINK atleast 3,000mL of fluids a day
*takes 1-2 weeks to work therapeutically
An ileostomy is located on what side of the abdomen? Correct
Answer Right side
,Besides being a woman, what are other risk factors for hip
fractures? Correct Answer *Increased age
*Low estrogen
*person with a history of falls
*conditions that affect Ca in bones for example Kidney Failure
(hypercalcemia---more Ca in blood than in bones making them
strong)
*low body weight and being obese (low because it is usually
associated with low Bone mineral density BMD and obese
because the increased weight on force on bones that could occur
from a fall)
Between Amylase and Lipase, which is elevated longer in the
blood with pancreatic disorders? Correct Answer Lipase is
more specific than amylase and stays elevated longer than
amylase due to its longer half-life in blood.
Between ILEOstomy and COLOstomy, which as a RN would
you teach the client to increase fluids? Correct Answer An
ileostomy because the stool is formed but it is harder for the
body to stay hydrated and a lot of water is being passes
RATHER THAN ABSORBED
Between Rhematoid Arthritits and Osteoarthritis, Which patient
would be more immune to sickness and infections? Correct
Answer Rhemotoid Arthritis because it is a AUTOIMMUNE
disorder.
Pt teaching= hand washing, avoid sick people, avoid being
around flowers etc.
, Biggest teaching with a patient with raynauds phenomenon?
Correct Answer STOP SMOKING
buck's traction Correct Answer knee immobility: widely used
in the lower limb for femoral fractures, lower backache,
acetabular and hip fractures.
*think restraint, restrict involuntary movement with weights to
limit the chance of muscle spasms affecting limb that is broke*
Clinical manifestation of cholecystitis? Correct Answer
*indigestion
*jaundice (because liver enyzmes are elevated)\
*moderate to severe pain in RUQ that refers to right shoulder
*Leukocytosis
*N/V
*restlessness
Clinical manifestations of hip fracture? Correct Answer
*Shortened affected leg presented with adduction, meaning Heel
pointing inwards ( IL ) ---- the "L represents the affected leg, it
cant rotate in because cant move and causes excruciating pain
the ''L'' is the affected leg.. it would be shortened in a real life
scenario
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