AHA SLIDES Flashcards
An older adult has encouraged their spouse to visit their health care provider, stating their concern that the spouse may have Parkinson disease. Which description of the spouse’s health and function is most suggestive of Parkinson disease?
“Lately they seem to move far more slowly than they ever have in the past.”
A client who has just been diagnosed with mixed muscular dystrophy asks the nurse about the usual course of this disease. How should the nurse respond?
“You may experience progressive deterioration in all voluntary muscles.”
Which of the following is the final stage of fracture repair?
Remodeling
Skull sutures are an example of which type of joint?
Synarthosis
An older adult client has come to the clinic for a regular check-up. The nurse’s initial inspection reveals an increased thoracic curvature of the client’s spine. The nurse should document the presence of what spinal disorder?
Kyphosis
The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?
Lordosis
A client’s fracture is healing and compact bone is replacing spongy bone around the periphery of the fracture. This process characterizes what phase of the bone healing process?
Remodeling
A child is growing at a rate appropriate for their age. What cells are responsible for the secretion of bone matrix that eventually results in bone growth?
Osteoblasts
A clinic nurse is caring for a client with a history of osteoporosis. What diagnostic test will best allow the care team to assess the client’s risk of fracture?
Bone Densitometry
A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client’s care, what goal should the nurse prioritize?
The client will express satisfaction with the ability to perform ADLs.
A client has sustained traumatic injuries that involve several bone fractures. A fracture of what type of bone may interfere with the protection of the client’s vital organs?
Flat Bones
A client is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. Which client status would be most important for the nurse to verify before the client’s scan?
Empty bladder
A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?
Care of the cervical collar
A nurse’s assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward. The nurse should expect to read about what health problem in the client’s electronic health record?
Scoliosis
A client diagnosed with Parkinson’s disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following?
The disease has entered the late stages.
A nurse is caring for a client who has been scheduled for a bone scan. Which statement should the nurse include when educating the client about this diagnostic test?
“You will be encouraged to drink water after the administration of the radioisotope injection.”
A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes of which area?
Joints
The nurse is teaching a client about osteoporosis. What diagnostic test will the nurse include with the client teaching?
dual-energy x-ray absorptiometry
Which of the following is the first-line medication that would be used to treat and prevent osteoporosis?
Bisphosphonates
A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?
Injection of a contrast agent into the knee joint prior to ROM exercises
Which secondary skin lesions are associated with eczema?
Crusts
The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.
Burning of the eyes
Dryness of the eyes
Pruritus of the eyes
A newly admitted client has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment. What assessment parameters should the nurse include? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.
Clinical examination findings
BMI
Dietary Data
Pressure ulcers are caused by:
Extrinsic factors
The nurse is caring for a client with a skin lesion that is oozing. The surrounding skin is acutely inflamed. What type of dressing should the nurse apply?
Interactive
The nurse is changing the dressing of a chronic wound. There is no sign of infection or heavy drainage. How long will the nurse leave the wound covered for?
48-72 hours
The nurse assesses two new wounds located on a client’s right and left buttocks. Which intervention for wound management would the nurse employ? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.
Review the client’s prothrombin time test and international normalized ratio.
Evaluate the client’s level of pain, using a numeric value pain scale.
Palpate the client’s skin for moisture, temperature, and texture.
Ask the client whether the wound bed or surrounding skin itches.
Measure and assess the client’s wound bed, size, edges, and margins.
ALL
A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?
Potassium-rich foods
A nurse employed in a school suspects an outbreak of pediculosis. Which of the following nursing actions should be taken to prevent and control the outbreak?
Insist that everyone who is infested with lice follows the prescribed treatment.
When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?
Administering systemic antibiotics as ordered
A dark-skinned firefighter is admitted to the emergency room with smoke inhalation. An assessment result indicates possible carbon monoxide poisoning. What is the indicator noted on the assessment?
Cherry red color to the nail beds, lips, and oral mucosa
A nurse practitioner prescribes a therapeutic bath for a client with an exacerbation of psoriasis. The nurse tells the client to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?
Medicated tars
A client’s orders include a wound dressing using an autolytic debriding agent. The nurse providing discharge instructions to the client should include which statement?
The wound may have a foul odor.
A nurse is assessing a client with impetigo. The nurse would most likely observe which of the following?
Pustule
A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?
Inability to take in adequate oral food or fluids within 7 days
During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.
Vesicle
The nurse documenting an acute open wound should include which characteristic(s)? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.
Wound size
Wound bed
Periwound skin
Which primary lesions are associated with acne caused by sebum blockage in hair follicles?
Comedones
Which drug is a topical corticosteroid used to treat psoriasis?
Triamcinolone
The RN is assessing an 76-year-old pt who has presented with an unintended weight loss of 10 lb over the past 8 weeks. During the assessment, the RN learns that the pt has ill-fitting dentures and a limited intake of high-fiber foods. What other health problem is the pt at risk to develop?
Constipation
The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?
Psoriasis
Which of the following aggravates the condition caused by acne vulgaris?
Cosmetics
A client’s orders include a wound dressing using an autolytic debriding agent. The nurse providing discharge instructions to the client should include which statement?
The wound may have a foul odor.
The nurse prepares a client with a benign skin lesion for surgical excision, intralesional corticosteroid therapy, and radiation. Which of the following is most likely the lesion described?
Keloid
The nurse applies a moisture-retentive dressing to a client’s wound. The nurse understands that the main advantage of this dressing, rather than a wet dressing, is its ability to:
Provide autolytic debridement.
A nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit. To prevent scabies infection in other clients, the nurse should:
isolate the client’s bed linens until the client is no longer infectious.
A client has been diagnosed with melanoma. What treatment option can the nurse expect will be used?
Radical excision
A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing. To address a potential pt problem associated with this treatment, you formulate the nursing diag of Risk for injury and you should add which “related-to” phrase?
Related to percutaneous absorption of the topical corticosteroid
A client receives treatment for a dermatophyte infection of the toenail. How would the nurse document this condition in the chart?
Onychomycosis
A client requires a full-thickness graft to cover a chronic wound. How is the donor site selected?
An area matching the color and texture of the skin at the surgical site is selected.
