Question 1

The nurse is caring for the client with cirrhosis. As part of dietary teaching to minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The nurse determines that the client has the best understanding of the material if the client states to increase intake of which of the following?

Accepted Answer

Pork is a rich source of thiamine (Vitamin B1), which is essential for individuals with cirrhosis to support liver function and help prevent complications such as hepatic encephalopathy.

Question 2

The client is resuming a diet after hemigastrectomy. To minimize complications, the nurse would tell the client to avoid doing which of the following?

Accepted Answer

Drinking liquids with meals can lead to dumping syndrome, a common complication after hemigastrectomy, as it can cause rapid gastric emptying.

Question 3

The older adult client has been lying in a supine position for the last 3 hours. The nurse who is repositioning this client would be most concerned with examining which of the following bony prominences of the client? Select all that apply.

Accepted Answer

The answer of The older adult client has been lying...

Question 4

The client is having a diagnostic workup for colorectal cancer. Which of the following factors in the client's history will place the client at increased risk of this type of cancer? Select all that apply.

Accepted Answer

The answer of The client is having a diagnostic workup...

Question 5

The nurse teaching a group of adults about cancer warning signs presents to the group a list of the seven possible warning signs of cancer that is used by the American Cancer Society. What should this list include? Select all that apply.

Accepted Answer

The American Cancer Society lists several warning signs of cancer, including sores that do not heal, a nagging cough or hoarseness, indigestion or difficulty swallowing, and changes in bowel or bladder habits. These signs are part of the CAUTION acronym used to help remember the key warning signs of cancer. Areas of alopecia (A) and absence or decreased frequency of menses (F) are not typically included in this list.

Question 6

A client is admitted to the hospital with a diagnosis of Addison's disease. The nurse would monitor for which of the following problems associated with this disease? Select all that apply.

Accepted Answer

Addison's disease is characterized by insufficient production of adrenal hormones, leading to symptoms such as syncope (due to low blood pressure), hypotension, and muscle weakness. Edema and obesity are not typically associated with Addison's disease, and hirsutism is more related to excess androgen production, not deficiency.

Question 7

The client has been diagnosed with Cushing's syndrome. The nurse would monitor this client for which of the following expected signs of this disorder? Select all that apply.

Accepted Answer

Cushing's syndrome is characterized by symptoms resulting from excessive cortisol in the body. Hypertension (C) is common due to cortisol's effects on fluid balance and blood pressure. Moon facies (E), a rounding of the face, and truncal obesity (F), where fat accumulates around the trunk while arms and legs remain thin, are classic physical manifestations of Cushing's syndrome. Anorexia and weight loss are not typical features; instead, weight gain is expected. Dizziness is not directly associated with Cushing's syndrome.

Question 8

The client with liver dysfunction has low serum levels of fibrinogen and a prolonged prothrombin time (PT). Based on these findings, which of the following actions are planned to promote client safety? Select all that apply.

Accepted Answer

The client with liver dysfunction and coagulation issues is at risk for bleeding. Using a soft toothbrush and electric razor helps prevent bleeding from gums and skin. Monitoring secretions for blood helps detect bleeding early.

Question 9

The nurse is doing volunteer work in a homeless shelter. The nurse monitors the individuals in the shelter for which of the following initial symptoms of tuberculosis (TB)? Select all that apply.

Accepted Answer

Tuberculosis often presents initially with non-specific symptoms such as fatigue, lethargy, low-grade fever, and a morning cough. Chest pain and labored breathing are not typically initial symptoms of TB.

Question 10

The nurse notes that the client's serum calcium level is 6.0 mg/dL. Which of the following assessment findings would be anticipated in this client? Select all that apply.

Accepted Answer

A serum calcium level of 6.0 mg/dL indicates hypocalcemia. Hypocalcemia can lead to tetany (A), hypotension (D), a prolonged QT interval (E), and a positive Chvostek's sign (F). Constipation (B) and renal calculi (C) are associated with hypercalcemia, not hypocalcemia.

Question 11

The nurse notes during assessment and history taking that the older client exhibits visual changes. Which of the following are normal age-related changes of the eye? Select all that apply.

Accepted Answer

The answer of The nurse notes during assessment and history...

Question 12

The nurse caring for a client admitted to the hospital with acute back pain understands that this problem can be most likely caused by which of the following? Select all that apply.

Accepted Answer

The answer of The nurse caring for a client admitted...

Question 13

The client who sustained a severe sprain of the ankle is told by the physician that the pain experienced is caused by muscle spasm and swelling in the area of the injury. Which of the following interventions should the nurse anticipate will be included in the client's plan of care? Select all that apply.

Accepted Answer

Ice bags, elevation, and compression by an elastic bandage are common interventions for managing a severe sprain. Ice helps reduce swelling and pain, elevation helps decrease swelling by promoting venous return, and compression supports the injured area and reduces swelling. Heating pads are generally not recommended immediately after injury as they can increase swelling, and range-of-motion exercises might be introduced later in the recovery process but not immediately. Maintaining the affected extremity in a dependent position would counteract efforts to reduce swelling.

Question 14

The nurse collecting data related to the client's risk factors associated with osteoporosis would include which of the following? Select all that apply.

Accepted Answer

A) Thin body build, B) Smoking history, C) Postmenopausal age, D) Chronic corticosteroid use, and E) Family history of osteoporosis are all recognized risk factors for osteoporosis. Thin body build is associated with less bone mass, smoking can decrease bone density, postmenopausal age is linked with decreased estrogen levels which affect bone density, chronic corticosteroid use can lead to bone loss, and a family history of osteoporosis can indicate a genetic predisposition to the condition. F) High intake of dairy products is generally considered beneficial for bone health due to calcium and vitamin D, not a risk factor for osteoporosis.

Question 15

The student nurse is assisting with an assessment of a client's level of consciousness using the Glasgow Coma Scale. The student understands that which of the following categories of client functioning are included in this assessment? Select all that apply.

Accepted Answer

The Glasgow Coma Scale assesses a client's level of consciousness based on three categories: Eye opening (A), Best verbal response (B), and Best motor response (C). Pupil size and reaction (D) and Reflex response (E) are not part of the Glasgow Coma Scale.

Question 16

An adult client trapped in a burning house has suffered burns to the back of the head, upper half of the posterior trunk, and the back of both arms. Using the rule of nines, what does the nurse determine the extent of the burn injury to be? (Enter the answer in the space provided.)

Accepted Answer

The answer of An adult client trapped in a burning...

Quiz 1: Adult Health