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Advanced Adult Health Questions and Correct Answers
Typology: Quizzes
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A 44-year-old male patient has been exposed to a severe amount of radiation after a leak in a reactor plant. When planning this patient's care, the nurse should implement what action? - ANSWERThe patient should be carefully protected from infection. A nurse suspects a client who has Alzheimer's disease in unconsciously telling untrue stories to protect the client's self-esteem. This nurse correctly identifies this behavior as: - ANSWERConfabulation A patient diagnosed with alcoholism is admitted to a substance abuse unit complaining of decreased exercise tolerance, lower extremity edema, arrhythmias, and dyspnea. Which nursing intervention would be most appropriate for this patient? - ANSWERAdminister digoxin (Lanoxin) and furosemide (Lasix)
A patient diagnosed with borderline personality disorder coyly requests diazepam (valium). When the physician refuses, the client becomes angry and demands to see another physician. What defense mechanism is the patient/client using? - ANSWERSplitting A patient has been admitted to your unit with a GI ulcer. The patient/client is NPO and has a nasogastric tube in place connected to low suction. What for of shock should you monitor this patient for? - ANSWERHypovolemic shock A patient has been brought to the emergency department with multiple trauma after a MVA. After immediate threats to life have been corrrected in a patient with multiple trauma, which action would the nurse perform? - ANSWERPerform a rapid physical assessment A patient is admitted to the hospital with a head injury resulting from an automobile accident. On admission the patient/clients vital signs are temperature 98.6 F (37 C), blood pressure 128/68, pulse 110, and respirations
that he has little pain. How should you categorize this injury? - ANSWERFull- thickness The nurse is caring for a female patient who sustained a closed head injury 8 days ago due to a motor vehicle accident. Which signs/symptoms would alert the nurse to a complication of the head injury? - ANSWERThe patient tells the nurse she has a stuffy nose and green nasal discharge The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes the patients oxygen saturation rapidly dropping. The patient complained of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include? - ANSWERDiminished or absent breath sounds on the affected side The patient with a myocardial infarction has undergone electrocardiography (ECG). What changes in the ECG tracing would the nurse expect to see in this patient/client? - ANSWERST-segment elevation, T-wave inversion, abnormal Q wave The patient with end stage renal disease (ESRD) is scheduled for the first hemodialysis treatment. The patient asks the nurse what common complications may occur from the treatment. What would the nurse's best reply? - ANSWERHypotension and cramping may occur
The surgical nurse is caring for a patient who is post op day one following thyroidectomy. The patient/client reports tingling in her lips and fingers. She states that she has intermittent spasm in her wrist and hand and she exhibits increased muscle tone. What electrolyte imbalance should the nurse first suspect? - ANSWERHypocalcemia What is the rationale for administering tissue plasminogen activator (t-PA) within 3 hours of a thrombotic stroke? - ANSWERTo cause fibrinolysis of the clot