Download PN Exam 3: Thyroid, Eye, Neurological, Diabetes, and Rheumatoid Arthritis and more Exams Nursing in PDF only on Docsity!
PN exam 3 with 100% correct answers
Which treatment is used to manage hyperthyroidism? Select all that apply. - correct answer - ✔Irradiation of the thyroid and Thyroidectomy
Which problem is most likely to develop if hyperthyroidism remains untreated? - correct answer -✔Heart failure
A client who has just had a thyroidectomy returns to the unit in stable condition. What equipment is it essential for the nurse to have readily available? - correct answer - ✔Tracheostomy set
Which finding would be the greatest cause for concern to the nurse during the early postoperative period following a thyroidectomy? - correct answer -✔Carpal spasm when the blood pressure is taken
An adult with myxedema is started on thyroid replacement therapy and is discharged. The client returns to the doctor's office one week later. which statement that the client makes is most indicative of an adverse reaction to the medication? - correct answer -✔"My chest hurt when I was sweeping the floor this morning."
Which diet does the nurse expect will be ordered for the client with hypothyroidism? - correct answer -✔High roughage, low calorie
A client develops hypoparathyroidism after a total thyroidectomy. What treatment should the nurse anticipate? - correct answer -✔Administration of calcium
A nurse is caring for a an older adult client who has diabetes mellitus. The client reports loss of peripheral vision. For which of the following is the client at risk? - correct answer -✔Open-angle glaucoma
A nurse is reinforcing selfcare instructions with a client following a trabeculectomy. Which of the following statements should the nurse include? - correct answer -✔"You need to limit your housekeeping activities."
A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease? (Select all that apply.) - correct answer -✔Genetic predisposition, Hypertension, and Age
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.) - correct answer - ✔Blurred vision and White pupils
A nurse is collecting data from a client who has Parkinson's disease. Which of the following are expected findings? (Select all that apply.) - correct answer -✔Pill-rolling tremor of the fingers, Shuffling gait, and Lack of facial expressions
A nurse is assisting with a plan of care for the nutritional needs of a client who has stage 4 Parkinson's disease. Which of the following actions should the nurse include in the plan of care? (Select all that apply.) - correct answer -✔Record diet and fluid intake daily, Add thickener to liquids, and Offer nutritional supplements between meals.
A nurse is caring for a client who is to start therapy with bromocriptine (Parlodel). For which of the following should the nurse monitor? (Select all that apply.) - correct answer -✔Dyskinesias, Orthostatic hypotension, and Constipation
A nurse is caring for a client who has Parkinson's disease and displays manifestations of bradykinesia. Which of the following is an appropriate action by the nurse? - correct answer - ✔Assist with hygiene as needed
A client is diagnosed as having insulindependent diabetes mellitus (IDDM). She received regular insulin at 7:30 A.M. When is she most apt to develop a hypoglycemic reaction? - correct answer
An adolescent with IDDM is learning about a diabetic diet. He asks the nurse if he will ever be able to go out to eat with his friends again. What is the most appropriate answer for the nurse to give? - correct answer -✔"Yes. You will learn what foods are allowed so you can eat with your friends."
At 10 A.M., a client with Type 1 diabetes becomes very irritable and starts to yell at the nurse. Which initial nursing assessment should take priority? - correct answer -✔Color and temperature of skin
An elderly woman has been recently diagnosed as having Type 2 diabetes. Which of the following complaints that she has is most likely to be related to the diagnosis of diabetes mellitus? - correct answer -✔Pruritus vulvae
A client is admitted to the hospital with recently diagnosed Type I diabetes mellitus and is to have fasting blood work drawn this morning. At 7:00 A.M., the lab has not arrived to draw the blood. The client's dose of regular insulin is scheduled for 7:30 A.M. What is the best action for the nurse to take? - correct answer -✔Withhold the insulin until the lab comes and the client will be eating within 15 to 30 minutes
A nurse is teaching a client who experiences migraine headaches and is prescribed a beta- blocker. Which statement would the nurse include in this client's teaching? - correct answer - ✔"Take this drug as prescribed, even when feeling well, to prevent vascular changes associated with migraine headaches."
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? - correct answer -✔Visual disturbances
A nurse obtains a health history on a client prior to administering prescribed sumatriptan succinate (Imitrex) for migraine headaches. Which condition would alert the nurse to hold the medication and contact the healthcare provider? - correct answer -✔Prinzmetal's angina
After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife's understanding. Which statement by the client's wife indicates that she correctly understands changes associated with this disease? - correct answer -✔"He may have trouble chewing, so I will offer bite-sized portions."
A nurse plans care for a client with Parkinson disease. Which intervention would the nurse include in this client's plan of care? - correct answer -✔Keep the head of the bed at 30 degrees or greater
A nurse is teaching the daughter of a client who has Alzheimer's disease. The daughter asks, "Will the medication my mother is taking improve her dementia?" How would the nurse respond? - correct answer -✔"It will not improve her dementia but can help control emotional responses."
A nurse assesses a client with Alzheimer's disease who is recently admitted to the hospital. Which psychosocial assessment would the nurse complete? - correct answer -✔Evaluate the client's reaction to a change of environment
A nurse witnesses a client with late-stage Alzheimer's disease eat breakfast. Afterward the client states, "I am hungry and want breakfast." How would the nurse respond? - correct answer -✔"I see you are still hungry. I will get you some toast."
A nurse cares for a client with advanced Alzheimer's disease. The client's caregiver states, "She is always wandering off. What can I do to manage this restless behavior?" How would the nurse respond? - correct answer -✔"Engage the client in scheduled activities throughout the day."
A nurse prepares to discharge a client with Alzheimer's disease. Which statement would the nurse include in the discharge teaching for this client's caregiver? - correct answer -✔"Install deadbolt locks on all outside doors."
A nurse is teaching a client with chronic migraine headaches. Which statement related to complementary therapy would the nurse include in this client's teaching? - correct answer - ✔"Lie down in a darkened room when you experience a headache."
A nurse delegates care for a client with Parkinson disease to an unlicensed assistive personnel (UAP). Which statement would the nurse include when delegating this client's care? - correct answer -✔"Allow the client to be as independent as possible with activities."
A nurse delegates care for a client with early-stage Alzheimer's disease to an unlicensed assistive personnel (UAP). Which statement would the nurse include when delegating this client's care? - correct answer -✔"Reorient the client to the day, time, and environment with each contact."
A nurse assesses a patient with a spinal cord injury at level T5. The patient's blood pressure is 184/95 mm Hg, and the patient presents with a flushed face and blurred vision. What action would the nurse take first? - correct answer -✔Palpate the bladder for distention
An emergency room nurse initiates care for a patient with a cervical spinal cord injury who arrives via emergency medical services. What action would the nurse take first? - correct answer -✔Evaluate respiratory status
A patient is admitted with Guillain-Barré syndrome (GBS). What assessment takes priority? - correct answer -✔Respiratory system
A patient with Guillain-Barré syndrome is admitted to the hospital. The nurse plans caregiving priority to interventions that address which priority patient problem? - correct answer - ✔Inadequate airway
The nurse is preparing a patient for a Tensilon (edrophonium chloride) test. What action by the nurse is most important? - correct answer -✔Obtaining atropine sulfate
A patient with myasthenia gravis has the priority patient problem of inadequate nutrition. What assessment finding indicates that the priority goal for this patient problem has been met? - correct answer -✔Weight gain of 3 lbs (1.4 kg) in 1 month
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? - correct answer -✔Assess the patient's oxygen saturation
A patient is in the preoperative holding area waiting for cataract surgery. The patient says "Oh, yeah, I forgot to tell you that I take clopidogrel, or Plavix." What action by the nurse is most important? - correct answer -✔Notify the surgeon immediately
Med for acute exacerbation of MS - correct answer -✔methoprednisone (medrol)
Which assessment finding would the nurse identify as a late manifestation of (ALS)? - correct answer -✔impairment of respiratory muscles
A patient is admitted with Guillain-Barré syndrome (GBS). What assessment takes priority? - correct answer -✔respiratory system
Most important when doing a Tensilon test - correct answer -✔having atropine
A patient is taking long-term corticosteroids for myasthenia gravis. What teaching is most important? - correct answer -✔avoid large crowds who are ill
A client's chart indicates anisocoria. For what would the nurse assess? - correct answer - ✔difference in pupil size
The client has a disorder that causes the lens or its capsule to lose its transparency or become opaque. - correct answer -✔cataract
Question for possible cause of sensorineural hearing loss - correct answer -✔"have you been exposed to loud noises?"
What type of aura one might see with migraines. - correct answer -✔visual disturbances
A headache with intense throbbing and one sided pain in the eye and temple region. - correct answer -✔cluster
The most common type of headache is: - correct answer -✔tension
The cause of Alzheimer's Disease is: - correct answer -✔unknown
The leading cause of spinal cord injury is: - correct answer -✔MVAs
A halo device is used to apply traction and immobilize which region of the spine after a spinal cord injury? - correct answer -✔Cervical
The pathophysiology of Multiple Sclerosis can be best described as: - correct answer -✔sclerotic tissue replaces myelin
The loss of central vision interferes with the client's ability to: - correct answer -✔read and write
What are the two main functions of the inner ear? - correct answer -✔pressure equalization and hearing
Which type of hearing loss indicates an inability of the sound waves to reach the inner ear? - correct answer -✔conductive
The nurse should include in client teaching that the MOST common type of conductive hearing loss is: - correct answer -✔otosclerosis
The condition in which inflammation occurs in the middle ear and can cause temporary hearing loss - correct answer -✔Otitis Media
A common test used to distinguish between conductive and sensorineural hearing loss is the: - correct answer -✔Weber Test
