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NUR 111 Quiz Summary Questions With Complete Solutions
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NUR 111 Quiz Summary Questions With Complete Solutions
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NUR 111 Quiz Summary Questions With CompleteSolutions
A client has a severe abdominal injury with damage to the liver
and colon from a motorcycle crash. What type of pain will
predominate?
A) Cutaneous pain
B) Neuropathic pain
C) Psychogenic pain
D) Visceral pain Correct Answer D) Visceral pain
Rationale: Visceral pain is poorly localized and originates in
body organs in the thorax, cranium, and abdomen. The pain
occurs as organs stretch abnormally and become distended,
ischemic, or inflamed.
A client has a significant laceration on the left arm. Since the
injury, the client has had muscle and joint aches, a low-grade
fever, and sleepiness. The nurse should attribute this to what
component of the inflammatory response?
A) Bacterial toxins
B) Leukotriene activity
C) Phagocytosis
D) Interferon activity Correct Answer B) Leukotriene activity
Rationale: The leukotrienes affect the brain to induce slow-wave
sleep, believed to be an important energy conservation measure
for fighting the invader. They also cause muscle and joint pain,
common signs and symptoms of various inflammatory diseases,
,which also cause reduced activity and save energy. Interferons
are released in response to viral infection. Phagocytosis destroys
engulfed foreign material in the body. Bacterial toxins cause
local reactions unless the infection is intense and the bacteria
enter the bloodstream. (Taylor, ch 32)
A client has a sliding scale for insulin dosage. The order is for
Humulin R every 6 hours as follows:
(Note: "CBG" is used for capillary blood glucose.) CBG
(capillary blood glucose) checks every 6 hoursBG 0-180 mg/dL,
no coverageBG 181 mg/dL-240 mg/dL, 2 units
subcutaneouslyBG 241 mg/dL-300 mg/dL, 4 units
subcutaneouslyBG 301 mg/dL-400 mg/dL, 6 units
subcutaneouslyBG >400 mg, 8 units subcutaneously and call the
providerAt 1100, the client's CBG reading was 181 mg/dL. How
many units of Humulin R insulin would the client receive?
A) 2 units
B) 4 units
C) 6 units
D) 8 units Correct Answer A) 2 units
Rationale: The nurse gives the ordered insulin according to the
results of the CBG. The CBG was 242 mg/dL. Therefore, the
nurse would cover the client with 2 units of Humulin R insulin.
A client has taken a benzodiazepine for one year following a
divorce. During an annual physical, the client states, "I decided
it was time to move on, so I stopped this drug three days ago."
The nurse then assesses the client for what symptoms of
withdrawal?
,A) Trembling. muscle cramps, and sweating
B) Sedation and drowsiness
C) Decreased libido (sex drive) and urinary hesitancy
D) Dry mucous membranes and constipation Correct Answer
A) Trembling, muscle cramps, and sweating
Rationale: Taper dose gradually after long-term therapy,
especially in epileptic patients. Acute withdrawal could
precipitate seizures in these patients. It may also cause
withdrawal syndrome. Karch, pg 346
A client is being discharged to home after bowel surgery
resulting in a permanent ileostomy. During discharge teaching,
the tearful client states "I don't think I can adjust to having to
wear this bag for the rest of my life." By referring this client to a
community support group for individuals with ostomies the
nurse is _____________________.
A) Promoting the health of the client
B) Protecting the client from illness
C) Facilitating client coping of body image
D) Restoring the health of the client Correct Answer C)
Facilitating client coping of body image
Rationale: The client had a life altering surgery and needs to
cope with the change body image. The nurse's introduction to a
support group allow the client to understand that they are not
alone in their changed body image. Not all clients fully recover
from their illness or injury; many clients will need to learn to
cope with permanent health alterations. Preventing illness is
, using interventions to decrease the possibility of getting ill such
as hand washing and immunizations. Promoting health is
supporting interventions that can lead to keeping a client healthy
such as eating fruits and vegetables and exercising. Restoring
health is focusing on participating in activities to get the client
back to function prior to an illness or surgery.
A client is currently taking medications for chronic pain
management secondary to rheumatoid arthritis. At an urgent
care facility, the client presents with reports of dizziness, mental
confusion, and difficulty hearing. What assessment is most
appropriate by the nurse based upon these symptoms?
A) Allergy status
B) Use of salicylates
C) Use of acetaminophen
D) Exacerbation of rheumatoid arthritis Correct Answer B) Use
of salicylates
Rationale: Salicylism can occur with high dosage of aspirin.
Dizziness, ringing in the ears, difficulty hearing, nausea,
vomiting, diarrhea, mental confusion, and lassitude can occur.
This combination of adverse effects is not associated with
acetaminophen toxicity or an exacerbation of rheumatoid
arthritis itself. This constellation of symptoms is not suggestive
of an allergic reaction. (Taylor ch. 35)
A client is on isolation because she acquired a MRSA infection
after hospitalization for hip replacement surgery. What name is
given to this type of infection?
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