NUR1211 Exam 2 2024 x x x x
x
a xnurse xis xplanning xcare xfor xa xclient xwho xhas x- x x
x
A xnurse xis xmonitoring xa xclient xfollowing xa xthyroidectomy. xWhich xof xthe xfollowing xfindings
xshould xthe xnurse xidentify xas xan xindication xof xhypoparathyroidism? x- xInvoluntary xmuscle
xspasms x x(occurs xif xthe xparathyroid xglands xare xdamaged xor xremoved xduring xa xthyroidectomy.
xMuscle xtwitching xand xparesthesias xcan xresult xdue xto xdecreased xparathyroid xhormone xlevels
xand xcalcium xdeficiency.) x
x
A xnurse xis xreinforcing xdischarge xteaching xwith xa xclient xwho xhas xa xnew xpermanent
xpacemaker. xWhich xof xthe xfollowing xstatements xby xthe xclient xindicates xan xunderstanding xof
xthe xteaching? x- x"I xshould xcheck xmy xheart xrate xeach xday."• x
x
A xnurse xis xreinforcing xdischarge xteaching xabout ximproving xgas xexchange xwith xa xclient xwho
xhas xemphysema. xWhich xof xthe xfollowing xinformation xshould xthe xnurse xinclude xin xthe
xteaching? x- xUse xpursed-lip xbreathing xduring xperiods xof xdyspnea. x
x
A xnurse xis xreinforcing xteaching xwith xa xclient xwho xhas xa xnew xdiagnosis xof xmultiple xsclerosis
x(MS). x
The xclient xasks xthe xnurse xabout xthe xusual xcourse xof xMS. xWhich xof xthe xfollowing xresponses
xshould x
x
the xnurse xmake? x- x"Acute xepisodes xare xusually xfollowed xby xremissions, xwhich xcan xlast
xvarying
x
lengths xof
xtime."
x
a xnurse xin xan xemergency xdepartment xis xcaring xfor xa xclient xwho xreports xdeveloping xsevere
xright xeye x
x
pain xwith xa xgritty xsensation xwhile xsawing xwood. xWhats xpriority? x- xAsk xthe xclient xabout
xfirst xaid
x
performed xat xthe
xscene
x
A xnurse xis xpreparing xto xadminister xtimolol xeye xdrops xfor xa xclient xwho xhas xglaucoma. xWhen
xinstilling xthe xmedication, xwhich xof xthe xfollowing xactions xshould xthe xnurse xtake? x- xApply
xpressure xto xpuncta xafter xinstillation xof xthe xmedication. x
x
A xnurse xis xcaring xfor xa xclient xwho xhas xa xstage xIII xpressure xulcer xon xhis xheel. xWhen
xpreparing xto xirrigate xthe xwound, xwhich xof xthe xfollowing xactions xshould xthe xnurse xtake xrst? x-
xCheck xthe xclient's xpain xlevel x
x
A xnurse xis xcaring xfor xa xclient xwho xbegins xhaving xa xtonic-clonic xseizure xwhile xsitting xin xa
xchair xat
the xbedside. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake xfirst? x- xLower xthe xclient
xto xthe x
x
floor.
, x
A xnurse xis xcaring xfor xa xclient xwho xhas xtype x1 xdiabetes xmellitus xand xa xcapillary xblood
xglucose xreading xof x48 xmg/dL. xWhich xof xthe xfollowing xfindings xshould xthe xnurse xexpect? x-
xDiaphoresis xA xclient xwho xhas xa xblood xglucose xlevel xbelow x70 xmg/dL xto xexhibit
xindications xof xhypoglycemia. xIncluding xweakness, xhunger, xdiaphoresis, xnausea, xshakiness,
xand xconfusion. x
x
A xnurse xis xreinforcing xteaching xwith xa xclient xwho xis xscheduled xfor xa xsigmoid xcolon xresection
xwith x
colostomy. xWhich xof xthe xfollowing xstatements xby xthe xclient xindicates xa xneed xfor xfurther
xteaching? x
x
- x"My xdiet xwill xhave xto xchange xto xa xsoft xdiet xafter
xsurgery."•
x
( xAfter xsurgery, xthe xclient's xdiet xquickly xreturns xto xa xregular xdiet xand xthere xare xnot xany
xfood
x
restrictions.)
x
A xnurse xis xreviewing xa xclient's xlaboratory xreport. xThe xclient's xABG xlevels xare xpH x7.5, xPaCO
x32 xmm xHG, xand xHCO x24 xmEq/L. xThe xnurse xshould xdetermine xthat xthe xclient xhas xwhich xof
xthe xfollowing xacid-base ximbalances? x- xRespiratory xalkalosis x
(The xnurse xshould xidentify xthat xthe xclient's xpH xis xelevated xabove xthe xexpected xreference
xrange xof x7.35 xto x7.45, xindicating xalkalosis. xThe xnurse xshould xthen xidentify xthat xthe xclient's
xPaCO xis xlow, xbelow xthe xexpected xreference xrange xof x35 xto x45 xmm xHg, xwhich xindicates xa
xrespiratory xorigin. xThe xnurse xshould xconclude xthat xthe xclient's xelevated xpH xand xdecreased
xPaCO xindicate xrespiratory xalkalosis.) x
x
A xnurse xin xan xurgent xcare xclinic xis xcollecting xdata xfrom xa xclient xwho xsustained xa xfall. xWhich
xof xthe x
x
following xfindings xshould xthe xnurse xidentify xas xan xindication xof xa xskull xfracture? x- xClear
xfluid
x
coming xfrom xthe
xnares.
x
(cerebrospinal
xfluid)
x
A xnurse xis xreinforcing xteaching xwith xa xclient xabout xpreventing xthe xtransmission xof xhepatitis
xA. xThe xnurse xshould xidentify xthat xhepatitis xA xis xtransmitted xby xwhich xof xthe xfollowing
xroutes? x- xFecal-oral xcontamination x
x
A xnurse xis xreinforcing xteaching xwith xa xclient xwho xhas xtuberculosis x(TB) xand xa xprescription
xfor xisoniazid. xWhich xof xthe xfollowing xinstructions xshould xthe xnurse xinclude? x- x"Your
xprovider xwill xmonitor xyour xliver xfunction xwhile xyou xare xtaking xthis xmedication." x
x
A xnurse xis xcollecting xdata xfrom xa xclient xwho xdevelops xa xfruity xbreath xodor, xdry xmouth, xand
xextreme xthirst. xWhich xof xthe xfollowing xadditional xdata xshould xthe xnurse xcollect? x- xBlood
xglucose xusing xa xglucometer x
x
x
a xnurse xis xplanning xcare xfor xa xclient xwho xhas x- x x
x
A xnurse xis xmonitoring xa xclient xfollowing xa xthyroidectomy. xWhich xof xthe xfollowing xfindings
xshould xthe xnurse xidentify xas xan xindication xof xhypoparathyroidism? x- xInvoluntary xmuscle
xspasms x x(occurs xif xthe xparathyroid xglands xare xdamaged xor xremoved xduring xa xthyroidectomy.
xMuscle xtwitching xand xparesthesias xcan xresult xdue xto xdecreased xparathyroid xhormone xlevels
xand xcalcium xdeficiency.) x
x
A xnurse xis xreinforcing xdischarge xteaching xwith xa xclient xwho xhas xa xnew xpermanent
xpacemaker. xWhich xof xthe xfollowing xstatements xby xthe xclient xindicates xan xunderstanding xof
xthe xteaching? x- x"I xshould xcheck xmy xheart xrate xeach xday."• x
x
A xnurse xis xreinforcing xdischarge xteaching xabout ximproving xgas xexchange xwith xa xclient xwho
xhas xemphysema. xWhich xof xthe xfollowing xinformation xshould xthe xnurse xinclude xin xthe
xteaching? x- xUse xpursed-lip xbreathing xduring xperiods xof xdyspnea. x
x
A xnurse xis xreinforcing xteaching xwith xa xclient xwho xhas xa xnew xdiagnosis xof xmultiple xsclerosis
x(MS). x
The xclient xasks xthe xnurse xabout xthe xusual xcourse xof xMS. xWhich xof xthe xfollowing xresponses
xshould x
x
the xnurse xmake? x- x"Acute xepisodes xare xusually xfollowed xby xremissions, xwhich xcan xlast
xvarying
x
lengths xof
xtime."
x
a xnurse xin xan xemergency xdepartment xis xcaring xfor xa xclient xwho xreports xdeveloping xsevere
xright xeye x
x
pain xwith xa xgritty xsensation xwhile xsawing xwood. xWhats xpriority? x- xAsk xthe xclient xabout
xfirst xaid
x
performed xat xthe
xscene
x
A xnurse xis xpreparing xto xadminister xtimolol xeye xdrops xfor xa xclient xwho xhas xglaucoma. xWhen
xinstilling xthe xmedication, xwhich xof xthe xfollowing xactions xshould xthe xnurse xtake? x- xApply
xpressure xto xpuncta xafter xinstillation xof xthe xmedication. x
x
A xnurse xis xcaring xfor xa xclient xwho xhas xa xstage xIII xpressure xulcer xon xhis xheel. xWhen
xpreparing xto xirrigate xthe xwound, xwhich xof xthe xfollowing xactions xshould xthe xnurse xtake xrst? x-
xCheck xthe xclient's xpain xlevel x
x
A xnurse xis xcaring xfor xa xclient xwho xbegins xhaving xa xtonic-clonic xseizure xwhile xsitting xin xa
xchair xat
the xbedside. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake xfirst? x- xLower xthe xclient
xto xthe x
x
floor.
, x
A xnurse xis xcaring xfor xa xclient xwho xhas xtype x1 xdiabetes xmellitus xand xa xcapillary xblood
xglucose xreading xof x48 xmg/dL. xWhich xof xthe xfollowing xfindings xshould xthe xnurse xexpect? x-
xDiaphoresis xA xclient xwho xhas xa xblood xglucose xlevel xbelow x70 xmg/dL xto xexhibit
xindications xof xhypoglycemia. xIncluding xweakness, xhunger, xdiaphoresis, xnausea, xshakiness,
xand xconfusion. x
x
A xnurse xis xreinforcing xteaching xwith xa xclient xwho xis xscheduled xfor xa xsigmoid xcolon xresection
xwith x
colostomy. xWhich xof xthe xfollowing xstatements xby xthe xclient xindicates xa xneed xfor xfurther
xteaching? x
x
- x"My xdiet xwill xhave xto xchange xto xa xsoft xdiet xafter
xsurgery."•
x
( xAfter xsurgery, xthe xclient's xdiet xquickly xreturns xto xa xregular xdiet xand xthere xare xnot xany
xfood
x
restrictions.)
x
A xnurse xis xreviewing xa xclient's xlaboratory xreport. xThe xclient's xABG xlevels xare xpH x7.5, xPaCO
x32 xmm xHG, xand xHCO x24 xmEq/L. xThe xnurse xshould xdetermine xthat xthe xclient xhas xwhich xof
xthe xfollowing xacid-base ximbalances? x- xRespiratory xalkalosis x
(The xnurse xshould xidentify xthat xthe xclient's xpH xis xelevated xabove xthe xexpected xreference
xrange xof x7.35 xto x7.45, xindicating xalkalosis. xThe xnurse xshould xthen xidentify xthat xthe xclient's
xPaCO xis xlow, xbelow xthe xexpected xreference xrange xof x35 xto x45 xmm xHg, xwhich xindicates xa
xrespiratory xorigin. xThe xnurse xshould xconclude xthat xthe xclient's xelevated xpH xand xdecreased
xPaCO xindicate xrespiratory xalkalosis.) x
x
A xnurse xin xan xurgent xcare xclinic xis xcollecting xdata xfrom xa xclient xwho xsustained xa xfall. xWhich
xof xthe x
x
following xfindings xshould xthe xnurse xidentify xas xan xindication xof xa xskull xfracture? x- xClear
xfluid
x
coming xfrom xthe
xnares.
x
(cerebrospinal
xfluid)
x
A xnurse xis xreinforcing xteaching xwith xa xclient xabout xpreventing xthe xtransmission xof xhepatitis
xA. xThe xnurse xshould xidentify xthat xhepatitis xA xis xtransmitted xby xwhich xof xthe xfollowing
xroutes? x- xFecal-oral xcontamination x
x
A xnurse xis xreinforcing xteaching xwith xa xclient xwho xhas xtuberculosis x(TB) xand xa xprescription
xfor xisoniazid. xWhich xof xthe xfollowing xinstructions xshould xthe xnurse xinclude? x- x"Your
xprovider xwill xmonitor xyour xliver xfunction xwhile xyou xare xtaking xthis xmedication." x
x
A xnurse xis xcollecting xdata xfrom xa xclient xwho xdevelops xa xfruity xbreath xodor, xdry xmouth, xand
xextreme xthirst. xWhich xof xthe xfollowing xadditional xdata xshould xthe xnurse xcollect? x- xBlood
xglucose xusing xa xglucometer x
x
