Hesi quiz 6

Which exogenous conditions are responsible for increased cortisol secretion? Select all that apply.

Organ transplantation Cancer chemotherapy Asthma

A client with newly diagnosed multiple myeloma asks, "How long do you think I have to live?" What is the most appropriate response by the nurse?

"Tell me about your concerns right now."

What is the concentration of estradiol in the blood during the follicular phase of the menstrual cycle?

130 pg/mL In the follicular phase of the menstrual cycle, 20-150 pg/mL of estradiol is released.

What would the student nurse claim is an acceptable respiratory rate range in a toddler of 2 years of age

25 to 32 breaths/minute

Which joint permits movement in any direction?

Ball-and-socket joint

Which statement about primary anxiolytic drugs requires correction?

Benzodiazepines increase the activity of gamma-aminobutyric acid.

Which is a second-generation antidepressant drug?

Citalopram

A nurse is caring for a client who had major abdominal surgery one day ago. What factor increases the risk of this client developing a wound dehiscence?

Client being overweight

An Asian client arrives at the mental health clinic with symptoms of anxiety and panic. While speaking with the client, the nurse notes that the client makes very little eye contact. What does this assessment data suggest?

Cultural variation

A nurse is caring for a client with pruritic lesions from an IgE-mediated hypersensitivity reaction. Which mediator of injury is involved?

Histamine

Which drug is a teratogen that may cause masculinization of a female fetus?

Danazol

Which hormone aids in regulating intestinal calcium and phosphorous absorption?

Glucocorticoids

A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?

Hemorrhage

The serum potassium level of a client who has diabetic ketoacidosis is 5.4 mEq/L (5.4 mmol/L). What would the nurse expect to see on the ECG tracing monitor?

Peaked T waves and widened QRS complexes -Potassium is the principal intracellular cation, and during ketoacidosis it moves out of cells into the extracellular compartment to replace potassium lost as a result of glucose-induced osmotic diuresis; overstimulation of the cardiac muscle results. The T wave is depressed in hypokalemia. Initially, the QT segment is short, and as the potassium level rises, the QRS complex widens. P waves are abnormal because the PR interval may be prolonged and the P wave may be lost; however, the T wave is peaked, not depressed. The ST segment becomes depressed. The PR interval is prolonged, and the P wave may be lost. QRS complexes and thus T waves become irregular, and the rate does not necessarily change.

After performing an otoscopic examination on a client who reports a decrease in hearing acuity, the primary healthcare provider diagnoses the condition as otitis media. Which assessment finding supports the diagnosis?

Redness of the eardrum

Which team member is most accountable when delegating a task to the healthcare team?

Registered nurse (RN)

A client has been diagnosed with generalized anxiety disorder (GAD). Which behavior supports this diagnosis?

Spending hours each day worrying about something "bad happening"

At which stage of Kohlberg's theory is the child afraid of punishment?

Stage 1

Which type of delayed hypersensitivity reaction can be assessed in the client pictured in the image?

Type IV The client is having contact dermatitis [1] [2] of the skin to rubber boots. This is a clinical example of a delayed hypersensitivity reaction, a type IV reaction. This is also called a cell-mediated immune response. Anaphylactic reactions are type I reactions that occur only in susceptible people who are highly sensitized to specific allergens. Hemolytic transfusion reactions are type II reactions that occur when a recipient receives ABO-incompatible blood from a donor. Tissue damage will occur in type III reactions, which are immune-complex reactions that usually occur secondary to antigen-antibody complexes

A nurse has difficulty palpating the pedal pulse of a client with venous insufficiency. What action should the nurse take next?

Verify the pulse by using a Doppler.