BSN LAST DAY! YAY! Jeopardy Template

100

the nurse is planning care for a client with schizophrenia who is experiencing persecutory delusions. Which of the following interventions should the nurse include in the clients plan of care ?

1. focus on the meaning behind the clients delusions

2. gently attempt to convince the client that the delusions are false

3. explore the clients feelings related to the delusions

4. present the client with logical arguments to discredit the delusions

3

100

A nurse is caring for a client admitted with severe depression and suspected Cotard syndrome. Which assessment findings would support this diagnosis? Select all that apply.

A. States, "My organs stopped working days ago."

B. Refuses meals, stating food is unnecessary because they are dead.

C. Reports hearing voices commenting on their actions throughout the day.

D. Has not showered in several days because "dead people don't need hygiene."

E. Believes hospital staff are conspiring to poison them.

F. States, "I no longer exist, even though people can see me."

G. Frequently washes their hands because they fear contamination.

a, b, d , f

100

A client asks why ovarian cancer is often diagnosed at an advanced stage. Which response by the nurse is most accurate?

A. "Most women do not experience symptoms until the disease is advanced."

B. "The symptoms are often vague and easily mistaken for gastrointestinal or urinary problems."

C. "There are no screening tests available for women at high risk."

D. "Ovarian cancer grows too quickly to detect early."

b

100

The nurse is caring for a client who developed GB after a recent gastrointestinal illness. It would be a priority to monitor the client for :

1. unilateral leg swelling

2. hypoactive bowel sounds

3. inability to cough

4. diaphoresis with facial flushing

100

The nurse has taught a client with myasthenia gravis. Which of the following statements by the client would indicate a correct understanding of the teaching ? SELECT ALL THAT APPLY

1. I will receive the influenza vaccine annually

2. I will includee more soft foods with my meals

3. i should peform most of my daily activities in the evening

4. I should take pyridostigmine 45 to 60 minutes before meals

5. I will inform my health care provider if i plan to become pregnant

100

The nurse preparing an educational seminar on STI for female college students should advicse that which 2 infections are leading causes of pelvic inflammatory disease and infertility?

1. genital herpes and hiv

2. gonorrhea and chlamydia

3. hpv and syphilis

4. yeast and trichomoniasis

2. gonorrhea and chlamydia

100

A client with multiple sclerosis is voicing concerns to the nurse about incoordination when walking. Which of the following instructions by the nurse would be most appropriate at this time ?

1. avoid excess stretching of your lower extremities

2. build strength by increasing the duration of daily excercise

3. Let me speak with your hcp about getting a wheelchair

4. you should keep your feet apart and use a cane when walking

4

100

A nurse is caring for a client with advanced cirrhosis who has developed hepatorenal syndrome. Which laboratory finding should the nurse expect?

A. Decreased serum creatinine and increased urine output

B. Increased serum creatinine and elevated BUN

C. Increased glomerular filtration rate (GFR)

D. Decreased serum potassium and decreased BUN

Answer: B. Increased serum creatinine and elevated BUN

Rationale

Hepatorenal syndrome is a type of kidney failure that occurs in clients with severe liver disease. The kidneys themselves are structurally normal, but renal perfusion becomes severely decreased.

Expected findings include:

↑ Serum creatinine
↑ BUN
↓ GFR
Oliguria (low urine output)
Dilutional hyponatremia may occur

Why the others are wrong:

A: Creatinine would increase, not decrease.
C: GFR decreases due to poor renal perfusion.
D: BUN typically increases, not decreases.

100

the nurse is teaching a client with endometriosis. which of the following statements by the client would require follow-up?

1. treatement for endometriosis may include oral contraceptives

2. my condition should not affect my future ability to become pregnant

3. a low sodium diet and excercise may help reduce menstruation discomfort

4. i should take ibuprofen to manage my pain at the first indication of menstrual discomfort

2.

100

The nurse is assessing a client with advanced ALS. Which of the following assessment findings does the nurse expect ? Select all that apply

1. diarrhea

2. difficulty breathing

3. difficulty swallowing

4. muscle weakness

5. resting tremor

2,3,4