nclex Flashcards
After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops
a. muscle weakness and weight loss.
b. hyperthermia and severe tachycardia.
c. hypertension and difficulty swallowing.
d. laryngospasms and tingling in the hands and feet.
d
Which statement best describes the etiology of obesity?
a. Obesity primarily results from a genetic predisposition.
b. Psychosocial factors can override the effects of genetics in the etiology of obesity.
c. Obesity is the result of complex interactions between genetic and environmental factors.
d. Genetic factors are more important than environmental factors in the etiology of obesity.
c
The obesity classification that is most often associated with cardiovascular health problems is
a. primary obesity.
b. secondary obesity.
c. gynoid fat distribution.
d. android fat distribution.
d
Health risks associated with obesity include (select all that apply)
a. colorectal cancer.
b. rheumatoid arthritis.
c. polycystic ovary syndrome.
d. nonalcoholic steatohepatitis.
e. systemic lupus erythematosus.
a.c.d
- The best nutritional therapy plan for a person who is obese is
a. the Zone diet.
b. the Atkins diet.
c. Sugar Busters.
d. foods from the basic food groups
d
This bariatric surgical procedure involves creating a gastric pouch that is reversible and no malabsorption occurs. What surgical procedure is this?
a. Vertical gastric banding
b. Biliopancreatic diversion
c. Roux-en-Y gastric bypass
d. Adjustable gastric banding
d
A patient with extreme obesity has undergone Roux-en-Y gastric bypass surgery. In planning postoperative care, the nurse anticipates that the patient
a. may have severe diarrhea early in the postoperative period.
b. will not be allowed to ambulate for 1 to 2 days postoperatively.
c. will require nasogastric suction until the drainage is pale yellow.
d. may have only liquids orally, and in very limited amounts, during the early postoperative period.
d
Which criteria must be met for a diagnosis of metabolic syndrome (select all that apply)?
a. Hypertension
b. Elevated triglycerides
c. Elevated plasma glucose
d. Increased waist circumference
e. Decreased low-density lipoproteins
a b c d
M.J. calls the clinic and tells the nurse that her 85-year-old mother has been nauseated all day and has vomited twice. Before the nurse hangs up and calls the HCP, she should tell M.J. to
a. administer antiemetic drugs and observe skin turgor.
b. give her mother sips of water and elevate the head of her bed to prevent aspiration.
c. offer her mother a high-protein liquid supplement to drink to maintain her nutritional needs.
d. offer her mother large quantities of Gatorade to decrease the risk of sodium depletion.
b
- The nurse explains to the patient with Vincent’s infection that treatment will include
a. tetanus vaccinations.
b. viscous lidocaine rinses.
c. amphotericin B suspension.
d. topical application of antibiotics.
d
The nurse teaching young adults about behaviors that put them at risk for oral cancer includes
a. discouraging use of chewing gum.
b. avoiding use of perfumed lip gloss.
c. avoiding use of smokeless tobacco.
d. discouraging drinking of carbonated beverages.
c
- Which instructions would the nurse include in a teaching plan for a patient with mild gastroesophageal reflux disease (GERD)?
a. “The best time to take an as-needed antacid is 1 to 3 hours after meals.”
b. “A glass of warm milk at bedtime will decrease your discomfort at night.”
c. “Do not chew gum; the excess saliva will cause you to secrete more acid.”
d. “Limit your intake of foods high in protein because they take longer to digest.”
a
A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of
a. an intolerance to the feedings.
b. extension of the tumor into the aorta.
c. leakage of fluids into the mediastinum.
d. esophageal perforation with fistula formation into the lung.
c
The pernicious anemia that may accompany gastritis is due to
a. chronic autoimmune destruction of cobalamin stores in the body.
b. progressive gastric atrophy from chronic breakage in the mucosal barrier and blood loss.
c. a lack of intrinsic factor normally produced by acid-secreting cells of the gastric mucosa.
d. hyperchlorhydria from an increase in acid-secreting parietal cells and degradation of RBCs.
c
The nurse is teaching the patient and family that peptic ulcers are
a. caused by a stressful lifestyle and other acid-producing factors such as H. pylori.
b. inherited within families and reinforced by bacterial spread of Staphylococcus aureus in childhood.
c. promoted by factors that tend to cause oversecretion of acid, such as excess dietary fats, smoking, and H. pylori.
d. promoted by a combination of factors that may result in erosion of the gastric mucosa, including certain drugs and alcohol.
d
