Adult Health

Question 1

Decreased Hormones

Answer 1

Addisons Disease

Question 2

Increased Hormones

Answer 2

Cushings disease

Question 3

Renal calculi formation from hyperparathyroid is due to accumulation of

Answer 3

calcium and phosphorus

Question 4

swelling of hands and enlargement of visceral organs are manfiestations of which endocrine disorder

Answer 4

acromegaly

Question 5

post-thyroidectomy bedside meds

Answer 5

calcium gluconate

Question 6

lab that shows isoenzyme increase, early indicator of MI

Answer 6

CPK

Question 7

proper storage of nitroglycerin SL tablets

Answer 7

change stock every 6 months
offer sips of water before administering
gradual change position to prevent orthostatic hypotension

Question 8

reduced cardiac output and impaired tissue perfusion due to ineffective pumping action of the heart

Answer 8

cardiogenic shock

Question 9

thrombolytic therapy should be given in a post-stroke time window of

Answer 9

3 hours

Question 10

pathology of huntingtons disease involves

Answer 10

excess of the neurotransmitter dopamine

Question 11

patient with come of unkown origin, most helpful lab values is

Answer 11

serum glucose level

Question 12

pathophysiologic basis of peptic ulcer

Answer 12

increased secretion of hcl
decreased secretion of protective gastric mucus

Question 13

drainage color from NGT during first 12 hours after gastric resection

Answer 13

coffee ground

Question 14

after gastric surgery, dumping syndrome is a possible complication. This problem can be minimized by

Answer 14

eating in a semi-recumbent position

Question 15

group of symptoms, such as diarrhea, nausea, and feeling light-headed or tired after a meal, that are caused by rapid gastric emptying.

Answer 15

Dumping syndrome

Question 16

purpose of giving TPN for a patient with inflammatory disease of the intestine is to

Answer 16

prevent negative nitrogen balance

Question 17

treatment for ARF

Answer 17

GICKS

Glucose
insulin
calcium gluconate
kayexleate
sodium bicarbonate

Question 18

patient in oliguric phase of ARF, nursing plan of care should include

Answer 18

meticulous skin care to prevent skin breakdown

Question 19

greatest impediment to renal transplant

Answer 19

lack of sufficient donor organs

Question 20

teaching plan for a client with nephrotic syndrome should include

Answer 20

diligent skin care

Question 21

post-nephrectomy nursing intervention, include:

Answer 21

promote effective breathing pattern

Question 22

patient with renal trauma exhibiting gross hematuria, nurse would enforce the activity limitation of

Answer 22

bed rest

Question 23

client with osteoporosis finds difficulty in avoiding coffee, for every coffee consumed the client should

Answer 23

take 40mg of otc calcium

Question 24

most common complication of total hip replacement

Answer 24

DVT

Question 25

post total hip arthroplasty position

Answer 25

side-lying on unaffected side with operated side extended

Question 26

what does cocaine do

Answer 26

fight-flight reaction occurs when cocaine is used, stressing the heart, often beyond its capacity

Question 27

presence of serious heart or lung disease

Answer 27

duskiness of the buccal mucosa

Question 28

heart sounds would recognize the normal closure of mitral and tricuspid valves creates

Answer 28

S1 heart sound

Question 29

ECG is useful as one means of detecting

Answer 29

coronary artery disease

Question 30

nurse monitoring a CHF client would detect the early manifestations of heart failure by

Answer 30

obtaining daily weights

Question 31

chronic venous disease would most likely reveal legs with

Answer 31

erythema

Question 32

client with arterial insufficieny, nurse would expect

Answer 32

muscular atrophy

Question 33

what to find for chronic venous disease

Answer 33

pitting edema of the lower extremities

Question 34

nursing action to prevent cardiogenic shock after MI

Answer 34

MONA Morphine Oxygen Nitroglycerin Aspirin

Question 35

arterial leg ulcer would anticipate that the ulcer will be characterized as

Answer 35

being surrounded by atrophic tissue

Question 36

most concerned reports with anticoagulant therapy

Answer 36

tarry stools

Question 37

symptoms of multiple myeloma

Answer 37

CRAB hyperCalcemia Renal Dysfunction Anemia Bone Pain

Question 38

client will likely to have hearing impairment when

Answer 38

one who repeatedly turns the head to one side

Question 39

noise levels that everyday conversational generally takes place at

Answer 39

60 decibels

Question 40

1% silver silfadiazine cream can affect

Answer 40

WBC count

Question 41

to minimze hypertrophic scarring of a client's burn wound, the nurse would

Answer 41

apply continuous pressure with elastic wraps

Question 42

meshed graft for burn wound is for

Answer 42

to allow fluid to escape from the wound

Question 43

leading cause of fire deaths is

Answer 43

cigarettes igniting furniture

Question 44

leading cause of burn injury for toddlers

Answer 44

playing with matches

Question 45

PaCO2. Increased

Answer 45

Respiratory Acidosis.

Question 46

PaCO2 Decreased

Answer 46

Respiratory Alkalosis.

Question 47

HCO3. Increased

Answer 47

Metabolic Alkalosis

Question 48

HCO3. Decreased

Answer 48

Metabolic Acidosis

Question 49

client receiving diuretics is also taking oral potassium chloride to prevent hypokalemia. nurse should give this mediciation with

Answer 49

a glass of juice

Question 50

client has serum sodium concentration of 160 meq/L and exhibits generalized weakness and confusion. nurse should plan to initiate

Answer 50

seizure precaution

Question 51

chemoreceptors in the medulla oblongata are sensitive to

Answer 51

increases in blood carbon dioxide and decreases in blood pH

Question 52

what will happen to patient with post-caldwell luc procedure

Answer 52

client wil be unable to breathe through the nose

Question 53

client with posterior pack for severe epistaxis, how long the packing must remain in place

Answer 53

5 days

Question 54

best way to remove tenacious secretions during suctioning

Answer 54

direct saline in area