Midterm-DONE Flashcards
A client is scheduled for a diagnostic test to measure blood hormone levels. The nurse expects that this test will determine what?
The functioning of endocrine glands
A nurse is assisting w/teaching a client who has a new diagnosis of severe peripheral arterial disease (PAD). Which of the following instructions should the nurse include?
place both legs in a dependent position while sleeping
Which of the following nursing diagnoses would be most appropriate for the client w/hypothyroidism?
hypothermia r/t decreased metabolic rate
A nurse is caring for a client w/a serum calcium level of 8.0mg/dL. The nurse performs the Chovstek & Trousseau assessment & determines that both of these are positive. What condition does the nurse suspect this client has?
hypocalcemia
HTN places a client at risk for heart disease & heart failure. The nurse knows that which complication is also at risk?
potential for blindness & retinopathy
A nurse should assess for which of the following clinical manifestations in the client w/Cushing’s syndrome?
water retention, moon faced, hirsutism & purple striae
A nurse is reviewing the medication administration record of a client who has acute adrenal insufficiency (Addison’s Disease) & hyperkalemia. Which of the following prescriptions should the nurse expect to be ordered?
-IV fluids w/0.9% NS sodium chloride
-Florinef sodium succinate (dexamethasone)
-Sodium polystyrene sulfonate (Kayexalalate)
The nurse is educating a client w/hypertension on a new prescription of eplerenone. What nutritional recommendations would the nurse include in the teaching for this medication?
Avoid potatoes and tomato soup
A client is to begin taking metformin after being diagnosed w/Type II diabetes. How does metformin lower blood glucose levels?
by lowering glucose production in the liver
A client is admitted to the unit w/diabetic ketoacidosis (DKA). Which insulin would the nurse expect to administer intravenously?
regular
A nurse is caring for a client who has nasogastric tube attached to low intermittent suction. The nurse should monitor for which of the following electrolyte imbalance?
hypokalemia
A nurse is assisting with a community education program on recommended lifestyle changes to prevent angina and myocardial infarction. Which of the following changes should the nurse recommend be made first?
stopping smoking, vaping or any nicotine products
A nurse educates a group of clients with diabetes mellitus on the prevention of diabetic complications. Which suggestion would be most important?
maintaining blood glucose levels w/in normal limits
What client education should be given to a client who was newly diagnosed w/venous insufficiency?
elevate the feet to promote venous circulation
A nurse is correct in identifying which nursing considerations when administering an ACE inhibitor (Captopril) to a client?
-Generic names for ACE inhibitors end in the suffix PRIL
-ACE inhibitors may cause dizziness and a dry cough
-Generic names for ACE inhibitors end in the suffix daPINE
Of the following clients, the one who is at the greatest risk for developing fluid volume deficit is a?
71 year old man unconscious and on tube feeding
A nurse is reviewing the manifestations of hyperthyroidism w/a client. Which of the following findings should the nurse include?
-weight loss
-heat intolerance
A client w/type 1 diabetes is to receive a short-acting insulin and an intermediate-acting insulin subcutaneously before breakfast. The nurse would administer the insulin at which site as the preferred site?
upper abdomen
A client has been taking Milk of magnesium (magnesium hydroxide) for many days because of gastric discomfort. The nurse knows the client has hypermagnesemia because of which symptoms?
bradycardia and hypotension
What is the most common cause of an MI?
coronary thrombosis
What signs and symptoms should a nurse that clients with suspected right-sided heart failure may experience?
gradual, unexplained weight gain
What should nursing students be taught is the reason for heart failure
the heart cannot pump sufficient blood to meet the body’s metabolic needs.
What is a normal calcium level?
9-11
A 64 year-old client is brought into the clinic w/thirsty, dry, sticky mucous membranes, decreased urine output, fever & rough tongue. Serum sodium level is above 149mEq/L. Should the nurse start salt tablets when caring for this client?
No, sodium intake should be restricted.
You are caring for a new client on your unit who is third-spacing fluid. You know to assess for what type of edema?
generalized
Your client has a diagnosis of hypervolemia. What would be an important intervention that a nurse should initiate?
limit sodium and water intake.
The cardiac nurse clinician is teaching a group of clients w/HF about self-management of their disease. What dietary advise should the nurse clinician give to clients w/severe HF until edema resolves?
avoid the intake of processed & commercially prepared foods.
A nurse is collecting data from a client who has diabetic ketoacidosis & ketones in the urine. The nurse should expect which of the following findings?
-Kussmaul respirations
-fruity odor of breath
-abdominal pain
-hunger
A client who was IV prednisone (Solumedrol) is now being discharged from the hospital w/a new prescription for oral dexamethasone. The provider’s order advises to gradually taper the doses down. What complication might occur if the client stops taking the prednisone abruptly?
addisonian crisis
A client has been diagnosed w/hyperthyroidism. Which of the following medications would the nurse anticipate the provider to order for this client?
-methamazole
-propranolol
A nurse is collecting data from a client who has hyperkalemia. The nurse should identify which conditions as being associated w/this electrolyte imbalance?
Diabetic ketoacidosis
The nurse is providing information about foot care to a client w/diabetes. Which of the following would the nurse include?
Be sure to apply a moisturizer to feet daily
A nurse is reinforcing discharge instructions w/a client who has diabetic ketoacidosis. Which of the following information should the nurse include about preventing DKA?
-Drinking 2L of fluids daily
-Monitor blood glucose closely when ill
-Report ketones in the urine after 24hrs of illness
-Administer insulin as prescribed when ill
Which food or beverage items listed below are good sources of Potassium?
-Orange juice
-cantaloupe
-yogurt
-bananas
When assessing your client, you note a BP OF 205/115. The client has had BP’s within normal limits up until this time. The client complains of a sudden onset severe headache. The nurse recognizes this as probable Malignant HTN. What would be the nurse’s FIRST action?
notify the physician immediately
What should a nurse ask a client w/HF to asses for nocturnal dyspnea?
asking how many pillows the client normally uses for sleep
Why would it be important for a nurse to closely monitor an older adult receiving a cardiac glycoside for cardiac disorders
older adults are at increased risk for digoxin toxicity
What is an appropriate nursing action when assessing a client at risk for a deep vein thrombosis?
Examine the extremities and assess skin color, capillary refill time, and tissue integrity.
A provider has ordered IV fluids of normal saline to be hung at 100mL/HR. You know that this is what type of IV solution?
crystalloid
What condition is the most common fluid imbalance in order adults?
dehydration
Which of the following specific drugs may contribute to malignant hypertension?
-oral contraceptives
-cocaine
-amphetamines
-MAOIs
A nurse suspects a client is experiencing hypercalcemia. The lab results return and show the calcium level is 12mg/dL. What signs lead the nurse to suspect the client is experiencing hypercalcemia?
-weight gain
-deep bone pain
-constipation
When administering insulin to a client w/type I diabetes, which would be most important for the nurse to keep in mind for insulin administration?
-type of insulin administered
-duration of the insulin
-accuracy of the dosage
What is a characteristic of atherosclerosis?
Fatty deposits in the lumen of arteries
What is an appropriate nursing action when evaluating a client w/coronary artery disease (CAD)?
Assess the characteristics of chest pain
When assessing a client w/a deep vein thrombosis, what would be the most important to assess for?
Chest pain and dyspnea
What finding indicates a possible deep vein thrombosis?
pain in the calf
What is the definition of arteriosclerosis?
arteriosclerosis is a loss of elasticity or hardening of the arteries that happens as we age
Which of the following medications would the nurse expect the physician to order for a client w/hypothyroidism?
Levothryoxine
A client has just been diagnosed w/prehypertension. What would the nurse instruct this client to do to restore his BP below hypertensive levels?
decrease sodium intake
A nurse is caring for a client who walks into the clinic and is exhibiting symptoms of tachypnea & circumoral parasthesia. What should be the nurse’s first course of action?
determine & correct the cause of tachypnea
What effect should a nurse carefully monitor for a client who has been using non-narcotic analgesics daily over an extended period?
gastrointestinal bleeding
A client is found to be unresponsive & hypoglycemic w/a blood sugar of 30mg/dL. What would the nurse expect the provider to order first?
order 50% glucose IV to be given immediately
A nurse is collecting data from a client who recently began taking levothyroxine to treat hypothyroidism. Which of the following findings should indicate to the nurse that the client might need a decrease in dosage of this medication?
hand tremors
A nurse is contributing to the plan of care for a client who has just been diagnosed w/an aneurysm. What advice should the nurse provide to this client?
Avoid straining during bowel movements and coughing
What nursing intervention should a student nurse perform to ensure that the client does not suffer any injury due to a client recently diagnosed w/HTN?
monitor postural changes and measure orthostatic BP
What type of fluid is used to replace circulating blood?
colloid
A nurse is discussing HF to a local community group. What would the nurse explain is the major cause of right-sided HF?
left sided HF
You are caring for a client that has been admitted w/a possible clotting disorder. The client is complaining of excessive bleeding & bruising w/out cause. You that you should take extra care to check for signs of bruising or bleeding in what condition?
hypocalcemia
A nurse is collecting data from a client who is suspected of having an endocrine disorder and is scheduled for diagnostic testing that involves the use of a contrast medium. The nurse would inform the physician if the client stated which of the following?
“i have an allergy to iodine”
You are caring for a client who is NPO and is going into surgery. What solution is administered to maintain fluid balance when a client is unable to eat or drink temporarily?
isotonic solution
