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NUR 4271 Fin Exam Questions And Correct Answers
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NUR 4271 Fin Exam Questions And Correct AnswersA nurse is caring for a client who has a family history of cystic fibrosis. The client asks
the nurse, "Will my children have cystic fibrosis?" Which is the nurse's best response?
a. "Because many of your family members are carriers, your children will also be
carriers of the gene."
b. "Cystic fibrosis is an autosomal recessive disorder. If you are a carrier, your children
will have the disorder."
c. "Since you said you have a family history of cystic fibrosis, I will recommend both you
and your partner get tested."
d. "Cystic fibrosis is related to a protein responsible for the traffic of chloride. Thus,
dietary change will eventually decrease the spread of this disease."
c. "Since you said you have a family history of cystic fibrosis, I will recommend both you
and your partner get tested."
Cystic fibrosis is an autosomal recessive disorder and for the disorder to be expressed,
both gene alleles must be mutated. The nurse would encourage both the client and
partner to be tested for the abnormal gene. The other statements are not true.
Nursing Care of Patients with Respiratory Disorders
The nurse is aware that the client with Cystic Fibrosis has difficulty breathing due to:
a. Blood in the sputum causing clotting in the airways.
b. Dysphagia and aspiration of food particles.
c. Viscoelastic mucus obstructing airways.
d. Salty sputum induced coughing/wheezing
c. Viscoelastic mucus obstructing airways.
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A client states that his partner is often somnolent at inappropriate times during the day
and arises grouchy in the morning. The nurse wishes to identify symptoms by stating.
a. "Do you find him snoring during the night?
b. "Does your partner drink alcohol before retiring to bed?"
c. "Is your partner more than 15 lbs underweight?"
d. "Does your partner use cigarettes?"
a. "Do you hear your partner snoring at night?"
Performance Evaluation:
The nurse understands that CPAP is helpful to the client because it:
a. Provides pressurized air to maintain the opening of the airway.
b. Provides 100% oxygen into the nasal passages.
c. The reduction of fatty deposits in the neck area.
d. Avoids airway secretions from increasing.
a. Delivers pressurized air to maintain airway patency.
The nurse is preparing a teaching lesson for a community group about early warning
signs of lung cancer. What does the nurse include? (Select all that apply.)
, a. 10-pack-year history of smoking
b. Persistent coughing
c. Rusty or blood-tinged sputum
d. Dyspnea
e. Hoarseness
f. Fatigue
b. Persistent coughing
c. Rusty or blood-tinged sputum
d. Dyspnea
e. Hoarseness
The client with stage 3 cancer of the lung has the following:
a. Tumor is not detectable and no metastasis.
b. Tumor is less than 3 cm., and one lymph node is positive.
c. Tumor is greater than 6 cm and lymph nodes are positive.
d. The tumor involves both lung but no lymph nodes are involved.
c. Tumor is greater than 6 cm and lymph nodes are positive.
What is specific to cancer cells? (Select all that apply)
a. Proliferate more rapidly than normal cells.
b. Remain in the organ of origin.
c. Most cancer diagnoses are made after the age of 60 years.
d. Poorly differentiated.
a. Proliferate more rapidly than normal cells.
d. Poorly differentiated.
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