A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize: A. They can expect the child will be mentally retarded. B. Administration of thyroid hormone will prevent problems. C. This rare problem is always hereditary. D. Physical growth/development will be delayed.… Read More »
In which of the following disorders would the nurse expect to assess sacral edema in bedridden client? A. DM B. Pulmonary emboli C. Renal failure D. Right-sided heart failure Correct Answer: D. Right-sided heart failure The most accurate area of the body to assess dependent edema in… Read More »
A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis? A. Alteration in nutrition B. Alteration in bowel elimination C. Alteration in skin integrity D. Ineffective individual coping Correct Answer: A. Alteration in nutrition Cancer of the pancreas frequently leads to severe… Read More »
The following are lipid abnormalities. Which of the following is a risk factor for the development of atherosclerosis and PVD? A. High levels of low-density lipid (LDL) cholesterol B. High levels of high-density lipid (HDL) cholesterol C. Low concentration triglycerides D. Low levels of LDL cholesterol. Correct… Read More »
You are taking the history of a 14-year-old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect? A. Multiple sclerosis B. Anorexia nervosa C. Bulimia nervosa D. Systemic sclerosis Correct Answer:… Read More »
Which of the following symptoms might a client with right-sided heart failure exhibit? A. Adequate urine output B. Polyuria C. Oliguria D. Polydipsia Correct Answer: C. Oliguria Inadequate deactivation of aldosterone by the liver after right-sided heart failure leads to fluid retention, which causes oliguria. Oliguria is… Read More »
Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to correct this electrolyte imbalance, the nurse would expect to: A. Administer Kayexalate B. Restrict foods high in… Read More »
A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed? A. The patient is somnolent with decreased response to the family. B. The patient suddenly complains of chest pain and shortness of breath. C. The patient has… Read More »
A 24-year-old female is admitted to the ER due to confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you most likely suspect? A. Diverticulosis B. Hypercalcemia C. Hypocalcemia D. Irritable bowel syndrome … Read More »
When performing oral care on a comatose client, Nurse Krina should: A. Apply lemon glycerin to the client’s lips at least every 2 hours. B. Brush the teeth with a client lying supine. C. Place the client in a side-lying position, with the head of the bed lowered. D. Clean the… Read More »