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TEST BANK MEDICAL - SURGICAL NURSING, 10TH EDITION, IGNATAVICIUS A nurse is caring for several clients. Which client does the nurse assess most carefully for hyperkalemia? a. client with type 2 diabetes taking an oral anti-diabetic agent b. client with€16,99
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TEST BANK MEDICAL - SURGICAL NURSING, 10TH EDITION, IGNATAVICIUS A nurse is caring for several clients. Which client does the nurse assess most carefully for hyperkalemia? a. client with type 2 diabetes taking an oral anti-diabetic agent b. client with
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TES- BANK MEDICAL - SURGICAL NURSING, 10TH EDITIO
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TES- BANK MEDICAL - SURGICAL NURSING, 10TH EDITIO
TEST BANK MEDICAL - SURGICAL NURSING, 10TH
EDITION, IGNATAVICIUS
A nurse is caring for several clients. Which client does the nurse
assess most carefully for hyperkalemia?
a. client with type 2 diabetes taking an oral anti-diabetic agent
b. client with heart failure using a salt substitute
...
TEST BANK MEDICAL - SURGICAL NURSING, 10TH
EDITION, IGNATAVICIUS
A nurse is caring for several clients. Which client does the nurse
assess most carefully for hyperkalemia?
a. client with type 2 diabetes taking an oral anti-diabetic agent
b. client with heart failure using a salt substitute
c. client taking a thiazide diuretic for hypertension
d. client taking non-steroidal anti-inflammatory drugs daily - ANS-B
Many salt substitutes are composed of potassium chloride. Heavy use
cna contribute to the development of hyperkalemia. The client should
be taught to read labels and to choose a salt substitute that does not
contain potassium. NSAIDs promote the retention of sodium but not
potassium.
An older adult client presents with signs and symptoms related to dig
toxicity. Which age related change may have contributed to this
problem?
a. decreased renal blood flow
b. increased gastrointestinal motility
c. decreased ratio of adipose tissue to lean body mass
d. increased total body water - ANS-A
Decreased renal blood flow and reduced glomerular filtration can
result in slower medication excretion time, potentially leading to toxic
drug accumulation. Aging results in decreased total body water and
gastrointestinal motility and an increase in the ratio of adipose tissue
to lean body mass, but is not related to dig toxicity.
A client is being treated for dehydration. Which statement made by the
client indicates understanding of this condition?
a. I will use a salt substitute when making and eating my meals.
b. I must drink a quart of water or other liquid each day.
,c. I will not drink liquids after 6 PM so I won't have to get up at night.
d. I will weigh myself each morning before I eat or drink. - ANS-D
,When describing patient education approaches, the nurse educator
would explain that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs - ANS-C. Informal teaching is individualized
one on one teaching which represents the majority of patient
education done by nurses that occurs when an intervention is
explained or a question is answered. Group needs are often the focus
of formal patient education courses or classes. Informal teaching does
not necessarily follow a specific formalized plan. It may be planned
with specific content, but it is individualized responses to patient
needs. Formal teaching involves the use of a curriculum/course plan
with standardized content.
A patient expresses a strong interest in returning to their work, family,
and hobbies after having a stroke. Which theory type would the nurse
use to develop a plan of care for the best results of this patient's
motivation style?
a. field
b. biological
c. cognitive
d. sociologic - ANS-C. Cognitive theorists believe that attention,
relevance, confidence, and satisfaction (ARCS) are the conditions that,
when integrated, motivate someone to learn. Field theorists place
significance on how achievement, power, the need for affiliation, and
avoidance motives influence individual behavior. Sociologic theories
are not involved in motivation.
The nurse is assessing a group of clients. Which clients are at greater
risk for hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
, e. a young woman who is anorexic
f. a young woman who is diabetic - ANS-C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are
at greater risk for hypothermia. Clients who smoke, consume alcohol,
or have impaired peripheral circulation have a higher incidence of
frostbite.
Which statement made by a nurse represents the need for further
education regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger
clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as
much - ANS-D
There is no evidence to support the idea that older adult clients
perceive pain any differently than younger clients. The other
statements are accurate regarding older clients and pain.
The nurse is working at a first aid booth for a spring training game on
a hot day. A spectator comes in, reporting that he is not feeling well.
Vital signs are temp 104.1 F, pulse 132 BPM, respirs 26 breaths/min,
and blood pressure 106/66 mm Hg. He trips over his feet as the nurse
leads him to a cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink - ANS-C
The spectator shows signs of heat stroke, which is a medical
emergency. The spectator should be transported to the ED ASAP. The
nurs should take actions to lower his body temp in teh meantime by
removing his shirt and sponging his body with cool water. Lowering
body temp by drinking cool fluids or taking acetaminophen is not as
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