FGM – PN2 Exam 4 second attempt final quiz ,100% CORRECT

1 out of 1 points A nurse is evaluating a patient who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan? • Question 2 ...

1 out of 1 points A nurse is evaluating a patient who is being treated for dehydration. Which assessment result does the nurse correlate with a therapeutic response to the treatment plan? • Question 2 1 out of 1 points After teaching a patient who is prescribed a restricted sodium diet, a nurse assesses the patient’s understanding. Which food choice for lunch indicates that the patient correctly understood the teaching? • Question 3 1 out of 1 points A nurse is assessing a patient with hypokalemia, and notes that the patient’s handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first? • Question 4 1 out of 1 points After teaching a patient to increase dietary potassium intake, a nurse assesses the patient’s understanding. Which dietary meal selection indicates that the patient correctly understands the teaching? • Question 5 1 out of 1 points A patient at risk for developing hyperkalemia states, “I love fruit and usually eat it every day, but now I can’t because of my high potassium level.” How will the nurse respond? • Question 6 1 out of 1 points A nurse is caring for a patient who has a serum calcium level of 14 mg/dL (3.5 mmol/L). Which provider order does the nurse implement first? • Question 7 1 out of 1 points A nurse assesses a patient who is experiencing an acid–base imbalance. The patient’s arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3- 19 mEq/L (19 mmol/L). Which assessment would the nurse perform first? • Question 8 1 out of 1 points A nurse assesses a patient who is prescribed furosemide (Lasix) for hypertension. For which acid–base imbalance does the nurse assess to prevent complications of this therapy? • Question 9 1 out of 1 points A nurse is caring for a patient who is experiencing excessive diarrhea. The patient’s arterial blood gas values are pH 7.18, PaO2 98 mm Hg, PaCO2 45 mm Hg, and HCO3- 16 mEq/L (16 mmol/L). Which provider order does the nurse expect to receive? • Question 10 1 out of 1 points A nurse evaluates a patient’s arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3- 22 mEq/L (22 mmol/L). Which intervention does the nurse implement first? • Question 11 0 out of 1 points A diabetic patient becomes septic after a bowel resection and is having problems with respiratory distress. The nurse reviews the labs and finds the following ABG results: pH 7.50; PaCO2 30; HCO3: 24; and PaO2 68. What does the nurse recognize as the primary factor causing this the acid–base imbalance? • Question 12 0 out of 1 points A patient with human immune deficiency virus is admitted to the hospital with fever, night sweats, and severe cough. Laboratory results include a CD4+ cell count of 180/mm3 and a negative tuberculosis (TB) skin test 4 days ago. What action would the nurse take first? • Question 13 1 out of 1 points A patient with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load. What action would the nurse take first? • Question 14 1 out of 1 points A nurse works on a unit that has admitted its first patient with acquired immune deficiency syndrome. The nurse overhears other staff members talking about the “AIDS guy” and wondering how the patient contracted the disease. What action by the nurse is best? • Question 15 1 out of 1 points A patient with human immune deficiency virus infection is hospitalized for an unrelated condition, and several medications are prescribed in addition to the regimen already being used. What action by the nurse is most important? • Question 16 1 out of 1 points A nurse cares for a patient with arthritis who reports frequent asthma attacks. What action would the nurse take first? • Question 17 1 out of 1 points After teaching a patient who is prescribed a long-acting beta2 agonist medication, a nurse assesses the patient’s understanding. Which statement indicates that the patient comprehends the teaching? • Question 18 1 out of 1 points A nurse cares for a patient who has a chest tube. When would this patient be at highest risk for developing a pneumothorax? • Question 19 1 out of 1 points A nurse cares for a patient with a 40-year smoking history who is experiencing distended neck veins and dependent edema. Which physiologic process would the nurse correlate with this patient’s history and clinical manifestations? • Question 20 1 out of 1 points A nurse cares for a patient who has a pleural chest tube. What action would the nurse take to ensure safe use of this equipment? • Question 21 1 out of 1 points A nurse in a family practice clinic is preparing discharge instructions for a patient reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. What instruction will be most helpful? • Question 22 1 out of 1 points The charge nurse on a medical unit is preparing to admit several “patients” who have possible pandemic flu during a preparedness drill. What action by the nurse is best? • Question 23 1 out of 1 points A patient admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the patient questions this action, saying “I have been drinking tons of water. How am I dehydrated?” What response by the nurse is best? • Question 24 1 out of 1 points The emergency department (ED) manager is reviewing patient charts to determine how well the staff performs when treating patients with community-acquired pneumonia. What outcome demonstrates that goals for this patient type have been met? • Question 25 1 out of 1 points A nurse admits a patient from the emergency department. Patient data are listed below: History Physical Assessment Laboratory Values 70 years of age History of diabetes On insulin twice a day Reports new-onset dyspnea and productive cough Crackles and rhonchi heard throughout the lungs Dullness to percussion LLL Afebrile Oriented to person only WBC: 5,200/mm3 (5.2 ´ 109/L) PaO2 on room air 85 mm Hg What action by the nurse is the priority? • Question 26 1 out of 1 points A nurse assesses patients on a cardiac unit. Which patient would the nurse identify as being at greatest risk for the development of left-sided heart failure? • Question 27 1 out of 1 points A nurse assesses a patient in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure? • Question 28 1 out of 1 points A nurse assesses a patient admitted to the cardiac unit. Which statement by the patient alerts the nurse to the possibility of right-sided heart failure? • Question 29 1 out of 1 points A nurse cares for a patient with right-sided heart failure. The patient asks, “Why do I need to weigh myself every day?” How would the nurse respond? • Question 30 1 out of 1 points A nurse teaches a patient who has a history of heart failure. Which statement would the nurse include in this patient’s discharge teaching? • Question 31 1 out of 1 points A nurse assesses a patient with mitral valve stenosis. What clinical manifestation would alert the nurse to the possibility that the patient’s stenosis has progressed? • Question 32 1 out of 1 points A nurse cares for a patient with infective endocarditis. Which infection control precautions would the nurse use? • Question 33 1 out of 1 points A nurse cares for an older adult patient with heart failure. The patient states, “I don’t know what to do. I don’t want to be a burden to my daughter, but I can’t do it alone. Maybe I should die.” What is the best response by the nurse? • Question 34 1 out of 1 points A nurse teaches a patient with heart failure about energy conservation. Which statement would the nurse include in this patient’s teaching? • Question 35 1 out of 1 points A nurse is caring for a patient with acute pericarditis who reports substernal precordial pain that radiates to the left side of the neck. Which nonpharmacologic comfort measure would the nurse implement? • Question 36 1 out of 1 points A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience would the nurse provide this service? • Question 37 1 out of 1 points An older patient with peripheral vascular disease (PVD) is explaining the daily foot care regimen to the family practice clinic nurse. What statement by the patient may indicate a barrier to proper foot care? • Question 38 1 out of 1 points A nurse is caring for four patients. Which one would the nurse see first? • Question 39 1 out of 1 points A patient had a percutaneous transluminal coronary angioplasty for peripheral arterial disease. What assessment finding by the nurse indicates that a priority outcome for this patient has been met? • Question 40 1 out of 1 points A patient hospitalized with sickle cell crisis frequently asks for opioid pain medications, often shortly after receiving a dose. The nurses on the unit believe that the patient is drug seeking. When the patient requests pain medication, what action by the nurse is best? • Question 41 1 out of 1 points A nursing student is caring for a patient with leukemia. The student asks why the patient is still at risk for infection when the patient’s white blood cell count (WBC) is high. What response by the registered nurse is best? • Question 42 1 out of 1 points A nurse is caring for a patient who is about to receive a bone marrow transplant. To best help the patient cope with the long recovery period, what action by the nurse is best? • Question 43 1 out of 1 points The nurse is caring for a patient with leukemia who has the priority problem of fatigue. What action by the patient best indicates that an important goal for this problem has been met? • Question 44 1 out of 1 points A nurse is preparing to administer a blood transfusion. What action is most important? • Question 45 0 out of 1 points A patient has a sickle cell crisis with extreme lower extremity pain. What comfort measure does the nurse delegate to the unlicensed assistive personnel (UAP)? • Question 46 1 out of 1 points A patient admitted for sickle cell crisis is distraught after learning her child also has the disease. What response by the nurse is best? • Question 47 1 out of 1 points A nurse is caring for four patients with leukemia. After hand-off report, which patient should the nurse see first? • Question 48 1 out of 1 points A patient has frequent hospitalizations for leukemia and is worried about functioning as a parent to four small children. What action by the nurse would be most helpful? • Question 49 1 out of 1 points A patient has been treated for a deep-vein thrombus and today presents to the clinic with petechiae. Laboratory results show a platelet count of 42,000/mm3 (42 ´ 109/L). The nurse reviews the patient’s medication list to determine if the patient is taking which drug? • Question 50 1 out of 1 points The nurse assesses a patient’s oral cavity and makes the discovery shown in the photo below: What action by the nurse is most appropriate? • Question 51 1 out of 1 points A nurse assesses a client who has a history of migraines. Which clinical manifestation would the nurse identify as an early sign of a migraine with aura? • Question 52 1 out of 1 points A nurse promotes the prevention of lower back pain by teaching patients at a community center. Which instruction would the nurse include in this education? • Question 53 1 out of 1 points A nurse assesses a patient who is recovering from anterior cervical discectomy and fusion. Which complication would alert the nurse to urgently communicate with the healthcare provider? • Question 54 1 out of 1 points A nurse teaches a patient with a lower motor neuron lesion who wants to achieve bladder control. Which statement would the nurse include in this patient’s teaching? • Question 55 1 out of 1 points A nurse assesses a patient with multiple sclerosis after administering prescribed fingolimod (Gilenya). For which adverse effect would the nurse monitor? • Question 56 1 out of 1 points A nurse is teaching a patient with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement would the nurse include in this patient’s discharge teaching? • Question 57 1 out of 1 points A nurse assesses a patient with a neurologic disorder. Which assessment finding would the nurse identify as a late manifestation of amyotrophic lateral sclerosis (ALS)? • Question 58 1 out of 1 points A patient with Guillain-Barré syndrome is admitted to the hospital. The nurse plans caregiving priority to interventions that address which priority patient problem? • Question 59 1 out of 1 points A patient is taking long-term corticosteroids for myasthenia gravis. What teaching is most important? • Question 60 1 out of 1 points An older patient is hospitalized with Guillain-Barré syndrome. A family member tells the nurse that the patient is restless and seems confused. What action by the nurse is best? • Question 61 1 out of 1 points A nursing student is instructed to remove a patient’s ear packing and instill eardrops. What action by the student requires intervention by the registered nurse? • Question 62 1 out of 1 points A nurse is irrigating a patient’s ear when the patient becomes nauseated. What action by the nurse is most appropriate for patient comfort? • Question 63 1 out of 1 points A patient has mastoiditis and is prescribed antibiotics. What instruction by the nurse is most important for this patient? • Question 64 1 out of 1 points A patient is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover? • Question 65 1 out of 1 points A patient with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days. The patient’s blood pressure when lying down was 122/80 mm Hg and when standing was 98/52 mm Hg. What action by the nurse is most appropriate? • Question 66 1 out of 1 points A patient is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is most important? • Question 67 0 out of 1 points An older female patient has been prescribed esomeprazole (Nexium) for treatment of chronic gastric ulcers. What teaching is particularly important for this patient? • Question 68 1 out of 1 points A patient has a recurrence of gastric cancer and is in the gastrointestinal clinic crying. What response by the nurse is most appropriate? • Question 69 1 out of 1 points A nurse is teaching a patient about magnesium hydroxide with aluminum hydroxide (Maalox). What instruction is most appropriate? • Question 70 1 out of 1 points An older patient has gastric cancer and is scheduled to have a partial gastrectomy. The family does not want the patient told about her diagnosis. What action by the nurse is best? • Question 71 1 out of 1 points A nurse assesses patients at a community health center. Which patient is at highest risk for the development of colorectal cancer? • Question 72 1 out of 1 points A nurse assessing a patient with colorectal cancer auscultates high-pitched bowel sounds and notes the presence of visible peristaltic waves. Which action would the nurse take? • Question 73 1 out of 1 points A nurse cares for a patient with colon cancer who has a new colostomy. The patient states, “I think it would be helpful to talk with someone who has had a similar experience.” How would the nurse respond? • Question 74 1 out of 1 points A nurse assesses a patient with a mechanical bowel obstruction who reports intermittent abdominal pain. An hour later the patient reports constant abdominal pain. Which action would the nurse take next? • Question 75 1 out of 1 points A nurse cares for a middle-aged male patient who has irritable bowel syndrome (IBS). The patient states, “I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten better. I heard about a drug called Amitiza. Do you think it might help?” How would the nurse respond? • Question 76 1 out of 1 points A nurse teaches a patient who is at risk for colon cancer. Which dietary recommendation would the nurse teach this patient? • Question 77 1 out of 1 points A nurse cares for a patient who has a family history of colon cancer. The patient states, “My father and my brother had colon cancer. What is the chance that I will get cancer?” How would the nurse respond? • Question 78 1 out of 1 points A nurse assesses a patient who takes lithium. Which assessment finding should alert the nurse to a side effect of this therapy? • Question 79 1 out of 1 points A nurse assesses a patient who is recovering from a total thyroidectomy and notes the development of stridor. What action does the nurse take first? • Question 80 1 out of 1 points A nurse assesses a patient on the medical-surgical unit. Which statement made by the patient alerts the nurse to assess the patient for hypothyroidism? • Question 81 1 out of 1 points A nurse plans care for a patient with hypothyroidism. Which priority problem does the nurse address first for this patient? • Question 82 1 out of 1 points A nurse cares for a patient who has hypothyroidism as a result of Hashimoto’s thyroiditis. The patient asks, “How long will I need to take this thyroid medication?” How does the nurse respond? • Question 83 1 out of 1 points A nurse cares for a patient who is recovering from a parathyroidectomy. When taking the patient’s blood pressure, the nurse notes that the patient’s hand has gone into flexion contractions. Which laboratory result does the nurse correlate with this condition? • Question 84 1 out of 1 points After teaching a patient who is recovering from a complete thyroidectomy, the nurse assesses the patient’s understanding. Which statement made by the patient indicates a need for additional instruction? • Question 85 1 out of 1 points A nurse cares for a patient who has a family history of diabetes mellitus. The patient states, “My father has type 1 diabetes mellitus. Will I develop this disease as well?” How would the nurse respond? • Question 86 1 out of 1 points A nurse teaches a patient who is diagnosed with diabetes mellitus. Which statement would the nurse include in this patient’s plan of care to delay the onset of microvascular and macrovascular complications? • Question 87 1 out of 1 points A nurse teaches a patient about self-monitoring of blood glucose levels. Which statement would the nurse include in this patient’s teaching to prevent bloodborne infections? • Question 88 1 out of 1 points A nurse cares for a patient experiencing diabetic ketoacidosis who presents with Kussmaul respirations. What action would the nurse take? • Question 89 1 out of 1 points A preoperative nurse assesses a patient who has type 1 diabetes mellitus prior to a surgical procedure. The patient’s blood glucose level is 160 mg/dL (8.9 mmol/L). What action would the nurse take? • Question 90 1 out of 1 points A nurse teaches a patient with diabetes mellitus who is experiencing numbness and reduced sensation. Which statement would the nurse include in this patient’s teaching to prevent injury? • Question 91 1 out of 1 points A nurse reviews the medication list of a patient with a 20-year history of diabetes mellitus. The patient holds up the bottle of prescribed duloxetine (Cymbalta) and states, “My cousin has depression and is taking this drug. Do you think I’m depressed?” How would the nurse respond? • Question 92 1 out of 1 points A nurse develops a dietary plan for a patient with diabetes mellitus and new-onset microalbuminuria. Which component of the patient’s diet would the nurse decrease? • Question 93 1 out of 1 points A nurse cares for a patient who has diabetes mellitus. The nurse administers 6 units of regular insulin and 10 units of NPH insulin at 07:00. At which time would the nurse assess the patient for potential problems related to the NPH insulin? • Question 94 1 out of 1 points After teaching a patient with type 2 diabetes mellitus, the nurse assesses the patient’s understanding. Which statement made by the patient indicates a need for additional teaching? • Question 95 1 out of 1 points When teaching a patient recently diagnosed with type 1 diabetes mellitus, the patient states, “I will never be able to stick myself with a needle.” How would the nurse respond? • Question 96 1 out of 1 points A patient has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), a serum creatinine level of 2 mg/dL (176 mcmol/L), and a urine output of 350 mL/day. What is the best action by the nurse? • Question 97 1 out of 1 points A patient in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which finding is the cause of immediate action by the nurse? • Question 98 1 out of 1 points A 70-kg adult with chronic renal failure is on a 40-g protein diet. The patient has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern? • Question 99 1 out of 1 points The nurse is teaching a patient with chronic kidney disease (CKD) about the sodium restriction needed in the diet to prevent edema and hypertension. Which statement by the patient indicates that more teaching is needed? • Question 100 1 out of 1 points A patient is having a peritoneal dialysis treatment. The nurse notes an opaque color to the effluent. What is the priority action by the nurse? • Question 101 1 out of 1 points A student nurse is learning about human immune deficiency virus (HIV) infection. Which statements about HIV infection are correct? (Select all that apply.) • Question 102 1 out of 1 points A nurse assesses a patient who has a chest tube. For which manifestations would the nurse immediately intervene? (Select all that apply.) • Question 103 1 out of 1 points A student studying leukemia learns the risk factors for developing this disorder. Which risk factors does this include? (Select all that apply.) • Question 104 0 out of 1 points A student nurse is helping a registered nurse with a blood transfusion. Which actions by the student are most appropriate? (Select all that apply.) • Question 105 1 out of 1 points A student nurse is learning about blood transfusion compatibilities. What information does this include? (Select all that apply.) • Question 106 1 out of 1 points A patient is receiving plasmapheresis. What assessment findings need to be reported to the provider as a priority? (Select all that apply.) • Question 107 0 out of 1 points A patient who had a partial gastrectomy has several expected nutritional problems. What actions by the nurse are best to promote better nutrition? (Select all that apply.) • Question 108 1 out of 1 points After teaching a patient who is recovering from a colon resection, the nurse assesses the patient’s understanding. Which statements by the patient indicate a correct understanding of the teaching? (Select all that apply.) • Question 109 1 out of 1 points A nurse cares for a patient who has a nasogastric (NG) tube. Which actions would the nurse take? (Select all that apply.) • Question 110 1 out of 1 points A nurse assesses a patient with hypothyroidism who is admitted with acute appendicitis. The nurse notes that the patient’s level of consciousness has decreased. What actions does the nurse perform? (Select all that apply.) Sunday, March 15, 2020 6:34:10 PM CDT