Basics of Adult Health Nursing
Older adults often do not adhere to a therapeutic regimen. What strategy is most likely to promote adherence to an older patient’s therapeutic regimen after surgery?
A. Demonstrate a dressing change and allow the patient to practice
B. Provide a pamphlet on a dressing change
C. Verbally instruct the patient how to change a dressing
D. Have a family member change the dressing
Demonstrate a dressing change and allow the patient to practice
What is a primary characteristic of hypernatremia?
Thirst
The diabetic nurse educator is teaching a class for newly diagnosed diabetics and their families. In this class, the educator is teaching about “sick day rules.” What guideline applies to periods of illness in a diabetic client?
Monitor glucose frequently (q3-4h)
A patient has been diagnosed with an abdominal aortic aneurysm. Because of the small size (<5cm) of the patient’s AAA, the care team has opted for conservative management. When the nurse is providing health education for this patient, what topic should be prioritized?
Management of BP and lifestyle modifications to address hypertension
A nurse is preparing to admit a client with a confirmed case of TB. Which action is essential to infection control for this client.
N95 and negative pressure room
The nurse is planning to teach a patient about administering her new asthma medication. How can the nurse enhance the patient’s ability to learn?
A. Provide a list of websites that contain information related to the medication
B. Exclude family members from the session to minimize distractions
C. Use color-coded materials
D. Make the information relevant to the patient’s condition and needs
Make the information relevant to the patient’s condition & needs
Which assessment finding would indicate that a patient has fluid volume excess?
Edema
“clinical manifestations of FVE stem from expansion of the ECF and include edema”
A client with a diagnosis of T2D has been vigilant about glycemic control since being diagnosed and has committed to increasing knowledge about the disease. To reduce the risk of developing diabetic nephropathy in the future, this client should combine glycemic control with what other preventative measure?
Hypertension issues
“in addition to achieving and maintaining near-normal blood glucose levels, management for all patients with diabetes should include careful attention to control of hypertension”
A 76 year old resident of an assisted living facility who has a history of heart failure has presented to her primary care provider for a scheduled appt. which of the womans statements suggests her HF is increasing?
The last few weeks I have found I am more comfortable sleeping in a reclining chair than in my bed.
A client asks, “what preventative measures are taken to prevent blood clots?” how would you respond? Select all that apply.
Heparin/lovenox
Ambulate when possible
SCD/Foot pumps
T/F: The most accurate way to evaluate whether learning has taken place is to observe for a change in the patient’s behavior.
True
A patient is admitted with a serum potassium level of 3. What clinical manifestations might be observed in this patient?
Muscle weakness, paresthesias, arrythmias
The nurse is closely monitoring the blood work of a client who has a diagnosis of primary hyperparathyroidism. The nurse should be aware that the fluid and electrolyte disturbances associated with this disease create a significant risk of what problem?
Renal calculi
“patients with hyperparathyroidism are at risk for renal calculi because kidney involvement is possible. The nurse encourages a daily fluid intake of 2000 mL or more to help prevent calculus formation”
An older adult patient has been admitted to a medical unit and the nurse is conducting a comprehensive assessment of the patient in order to plan appropriate care. Which of the following nurse assessments directly relate to the known risk factors for cardiovascular disease? Select all that apply.
Measuring patients fasting gluco
Measuring patients BP
Auscultating the patients lungs
Which of the following is not a classification of pneumonia?
Staphylococcus-acquired pneumonia
Which of the following is the best example of health promotion teaching?
A. Demonstrating an injection technique to a patient for anticoagulation therapy
B. Explaining the side effects of a medication to an adult patient
C. Discussing the importance of preventing sexually transmitted infections to a group of high school students
D. Instructing an adolescent patient about her allergies
Discussing the importance of preventing sexually transmitted infections to a group of high school students
Interpret the following ABG:
pH 7.34, CO2 50, HCO3 30
Respiratory acidosis
The client diagnosed with Cushing’s syndrome is admitted to the hospital and scheduled for a dexamethasone suppression test. During this test, the nurse should:
Administer 1 mg of dexamethasone orally at 11 pm and then recheck the cortisol level at 8 am the next morning
A 32 year old is seen in ER w/ complaints of increased difficulty breathing w/ exertion, including just walking to her mailbox, as well as a feeling “like her heart is fluttering in her chest.” When obtaining a medical history, the nurse learns the patient has a history of rheumatic fever. Given the symptoms described and the medical history, the nurse suspects the patient could be suffering from?
Mitral stenosis
Your client with COPD is ordered respiratory treatments with acetylcysteine by the MD. The nurse should monitor the client for which of the following outcomes from this treatment?
Increased sputum removed by coughing
When is the best opportunity for a nurse to use health education to promote wellness?
Nurses must use opportunities in all health care settings to promote wellness. Every contact an individual nurse has with a patient—ill or not—is an opportunity!
You’ve come into the room after receiving a page from the secretory that your patient is complaining of the IV hurting them. Upon entering the room you assess your patient’s IV and find it swollen, cold to touch, and painful to the touch. You know the proper name for what happened to the IV is....
Infiltration
What are the different treatments for a patient who is diagnosed with hyperthyroidism?
The treatments for hyperthyroidism are: PTU, Methimazole, radioactive iodine therapy, iodine therapy, and beta blockers
A nurse is assessing a new patient who is diagnosed w/ PAD. The nurse cant feel the pulse in pts. Left foot. What other method could the nurse use at the bedside to assess the blood flow in pts. Left foot?
A portable doppler machine
A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the nurse use to identify manifestations of this disorder?
Palpation of the orbital areas