Ellakiwale

Multiple Choice 1. A nurse is caring for a patient with mitral stenosis. Based on the pathophysiology of this disease process, the nurse would expect the patient to exhibit which of the following heart rhythms? A) Normal sinus rhythm B) Supraventricular tachycardia C) Atrial fibrillation D) Electromechanical dissociation Ans: C Chapter: 29 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 1 Patient Needs: A-1 Feedback: A patient with ...

MULTIPLE CHOICE 1. A nurse caring for a client with sickle cell disease (SCD) reviews the client’s laboratory work. Which finding should the nurse report to the provider? a. Creatinine: 2.9 mg/dL b. Hematocrit: 30% c. Sodium: 147 mEq/L d. White blood cell count: 12,000/mm3 ANS: A An elevated creatinine indicates kidney damage, which occurs in SCD. A hematocrit level of 30% is an expected finding, as is a slightly elevated white blood cell count. A sodium level of 147 mEq/L, although s...

Multiple Choice 1. While assessing a typical patient with cholecystitis who complains of localized pain, the nurse asks if the pain has radiated to the: A) Left upper arm B) Lower abdomen C) Neck or jaw D) Right shoulder Ans: D Chapter: 40 Cognitive Level: Application Difficulty: Moderate Integrated Process: Communication/Documentation Objective: 1 Patient Needs: D-4 Feedback: The patient may have biliary colic with excruciating upper right abdominal pain that radiates to the back...

Question 1 Type: MCSA A patient has a split S2 heart sound. Where would the nurse auscultate to best hear this sound? 1. 2nd intercostal space left of the sternum 2. 5th intercostal space midclavicular line 3. 3rd intercostal space right of the sternum 4. 4th intercostal space left midaxillary line Correct Answer: 1 Rationale 1: A split S2 heart sound is heard best in the pulmonic area, which is the 2nd intercostal space left of the sternum. Rationale 2: The 5th intercostal space midcl...

Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient scheduled for diagnostic tests for hypothyroidism. Which symptoms should the nurse expect to observe in a patient with this disorder? a. Tremor and oily skin b. Anxiety and tachycardia c. Dry skin and slowed heart rate d. Increase in appetite and diarrhea 2. A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which statement should the nurse include when teaching...

Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection (UTI) and asks the nurse what caused it. What is the appropriate response by the nurse? a. “There was a change in the pH of your urine.” b. “You probably did not void frequently enough.” c. “Bacteria probably ascended the catheter, causing the infection...

Chapter 37. Nursing Care of Patients With Disorders of the Urinary System Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection (UTI) and asks the nurse what caused it. What is the appropriate response by the nurse? a. “There was a change in the pH of your urine.” b. “You probably did not void frequently enoug...

MULTIPLE CHOICE 1. A patient says, “My partner doesn‟t love me! Even the roses I get are the wrong color. It doesn‟t matter if I am not happy.” The nurse responds: a. “How do you want your partner to show you that you‟re loved?” b. “When was the last time your partner made you feel really loved?” c. “Everyone deserves to be shown by their partners that they are loved. What did your partner have to say in his defense?” d. “Let me see if I understand you. You think yo...

Question 1 Type: MCSA A patient tells the nurse he has a “cold” every spring that lasts for 8 to 10 weeks. The nurse suspects that the patient is experiencing which condition? 1. Acute viral rhinitis 2. Allergic rhinitis 3. Vasomotor rhinitis 4. Atrophic rhinitis Correct Answer: 2 Rationale 1: Acute viral rhinitis is the common cold and should resolve within 7 to 10 days. Rationale 2: Allergic rhinitis, or hay fever, results from a sensitivity reaction to allergens such as plant po...

MULTIPLE CHOICE 1. Urinary tract anomalies are frequently associated with what irregularities in fetal development? a. Myelomeningocele b. Cardiovascular anomalies c. Malformed or low-set ears d. Defects in lower extremities ANS: C Although unexplained, there is a frequent association between malformed or low-set ears and urinary tract anomalies. During the newborn examination, the nurse should have a high suspicion about urinary tract structure and function if ear anomalies are present...