Category Archives: 114

Physiological Adaptation Q 131

An elderly client is admitted to the nursing home setting. The client is occasionally confused and her gait is often unsteady. Which of the following actions, if taken by the nurse, is most appropriate?         A. Ask the woman’s family to provide personal items such as photos or mementos.      B. Select a room with a bed… Read More »

Physiological Adaptation Q 132

Patients with Type 1 diabetes mellitus may require which of the following changes to their daily routine during periods of infection?         A. No changes      B. Less insulin      C. More insulin      D. Oral diabetic agents           Correct Answer: C. More insulin During periods of infection or illness, patients with… Read More »

Physiological Adaptation Q 134

A patient in labor and delivery has just received an amniotomy. Which of the following is correct? Select all that apply.         A. Frequent checks for cervical dilation will be needed after the procedure.      B. Contractions may rapidly become stronger and closer together after the procedure.      C. The FHR (fetal heart rate) will be… Read More »

Physiological Adaptation Q 135

What is the first intervention for a client experiencing myocardial infarction?         A. Administer morphine      B. Administer oxygen      C. Administer sublingual nitroglycerin      D. Obtain an electrocardiogram           Correct Answer: B. Administer oxygen Administering supplemental oxygen to the client is the first priority of care. The myocardium is deprived of oxygen during… Read More »

Physiological Adaptation Q 136

Nurse Greta is working on a surgical floor. Nurse Greta must logroll a client following a:         A. Laminectomy      B. Thoracotomy      C. Hemorrhoidectomy      D. Cystectomy           Correct Answer: A. Laminectomy The client who has had spinal surgery, such as laminectomy, must be log rolled to keep the spinal column… Read More »

Physiological Adaptation Q 137

JP has been diagnosed with gout and wants to know why colchicine is used in the treatment of gout. Which of the following actions of colchicines explains why it’s effective for gout?         A. Replaces estrogen.      B. Decreases infection.      C. Decreases inflammation.      D. Decreases bone demineralization.           Correct Answer:… Read More »

Physiological Adaptation Q 138

During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:         A. Syphilis      B. Herpes      C. Gonorrhea      D. Condylomata        … Read More »

Physiological Adaptation Q 139

Nurse Maureen knows that the positive diagnosis of HIV infection is made based on which of the following:         A. A history of high-risk sexual behaviors.      B. Positive ELISA and western blot tests      C. Identification of an associated opportunistic infection      D. Evidence of extreme weight loss and high fever        … Read More »

Physiological Adaptation Q 140

Norma asks for information about osteoarthritis. Which of the following statements about osteoarthritis is correct?         A. Osteoarthritis is rarely debilitating.      B. Osteoarthritis is a rare form of arthritis.      C. Osteoarthritis is the most common form of arthritis.      D. Osteoarthritis affects people over 60.           Correct Answer: C. Osteoarthritis… Read More »