NURS 316 Exam Questions And Accurate
Answers A+ Graded
This is a 16-year-old male with swollen lymph nodes and a sore throat. His girlfriend was
diagnosed with infectious mononucleosis one week ago. While providing education to
this adolescent, the nurse emphasizes that infectious mononucleosis is usually caused
by the Epstein-Barr virus and spread through saliva.
An older adult client is admitted with hypermagnesemia related to a history of renal
insufficiency and overuse of antacids and laxatives that contain magnesium. On initial
admission assessment, the nurse identifies which clinical manifestations that are
associated with hypermagnesemia? Select all that apply. - ANSWER Hyporeflexia
Muscle weakness leading to shallow breathing
A client is brought to the emergency department who has experienced both heart and
kidney failure. Assessment/diagnosis reveals that the client has decompensated heart
failure. Based on the following assessment findings, which are related to excess
intracellular water? Select all that apply.
Lethargy
Confusion
Seizures - ANSWER Lethargy
Confusion
Seizures
The basement membrane around the client's wound in the foot is intact, and this is a
good omen for the healing to take place. What type of substances/cells are responsible
for producing collagen and elastic fibers?
B.) Fibroblasts - ANSWER B)
Fibroblasts
, A client is diagnosed with a gram-negative bacillus in his blood cultures. The health care
providers know these bacteria may produce clinical manifestations such as high
temperature, high respiratory rate, and low blood pressure. These manifestations are
primarily caused by: - ANSWER The outer layer of the bacterial membrane acting as an
endotoxin
Ischemia and other toxic injuries enhance the intracellular accumulation of calcium
owing to the: - ANSWER Release of stored calcium from the mitochondria
22.
Scenario A man is having some peanuts and suddenly begins to choke. He falls to the
ground. The obstruction in his airway is partially cleared, but he remains hypoxic for a
time before arrival to the hospital. Health care providers will be monitoring this client for
which of the following physiological events? ANSWER Cerebral infarction Coagulation
necrosis
A patient who has impaired arterial circulation of the lower extremities has developed
areas of inflammation and "weeping" clear serous exudate. Because chronic
inflammation is long-term, it has been associated with which of the following changes in
physiological response? Choose all that apply. - ANS Formation and development of new
blood vessels The death of one or more cells of the body within a localized region
An older client has just abraided the skin on her elbow while trying to Hoover herself up
in bed, an event that has precipitated acute inflammation in the area around the wound.
Which of the following events will occur during the vascular stage of the client's
inflammation? ANSWER Outpouring of exudate into interstitial spaces
A patient preparing dinner for her family accidentally cuts herself on a sharp knife. She
relates that the cut has begun to bleed and takes on a reddish color within minutes. The
nurse realizes that during the vascular stage of acute inflammation, the vessels:
-ANSWER Vasodilate causing congestion resulting in redness and warmth
A client comes into the clinic with a swollen, painful "hangnail" of the index finger. Over
the site, there is a large pustule that must be lanced. The health care worker knows
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