Adults 1 Modules 2 & 3 Quizzes
A nurse is teaching a client with osteoporosis about dietary selections. What client statement indicates the teaching was effective? "I will eat more fruits to increase my potassium intake." "I will decrease my intake of popcorn, nuts, and seeds." "I will eat more dairy products to increase my calcium intake." "I will decrease my intake of red meat."
"I will eat more dairy products to increase my calcium intake."
The nurse provides care for a patient in Buck traction. The client reports pain in the affected extremity, and the nurse administers the prescribed medication. One hour later the patient states, "I don't know why, but the pain isn't getting any better." Which action does the nurse take first? offers the client a back rub assesses the level of the patient's pain contacts the health care provider performs a neurovascular assessment
Answer performs a neurovascular assessment
The son of a patient with Chronic Obstructive Pulmonary Disease asks the nurses how carbon dioxide and oxygen are exchanged across the pulmonary capillaries and the alveoli, the nurse responds it is a process of? Diffusion Filtration Osmosis Active Transport
Diffusion
During an assessment, the nurse observes muscle weakness, EKG changes, and a prolonged QT interval in a patient receiving intravenous magnesium sulfate. What action should the nurse take? Increase the magnesium sulfate infusion rate. Discontinue the magnesium sulfate infusion. Administer an additional dose of calcium. Administer an additional dose of potassium.
Discontinue the magnesium sulfate infusion.
A patient is diagnosed with hypophosphatemia. Which clinical manifestations should the nurse expect to assess in this patient? Hyperactive deep tendon reflexes Elevated body temperature and diaphoresis Muscle weakness and pain Hypertension and tachycardia
Muscle weakness and pain
The majority of bone infections are caused by which organism? Proteus Staphylococcus aureus Pseudomonas Escherichia coli
Staphylococcus aureus
The nurse prepares a patient for a total hip replacement. What information will likely postpone the surgery? The patient's hemoglobin is 15 g/dl. The patient reports periodic heartburn. The patient's platelet count is 250,000/mm3. The patient reports burning with urination.
The patient reports burning with urination.
Which of the following is inappropriate management for a patient with hypercalcemia? administer thiazide diuretics administer calcitonin administer phosphorus administer bisphosphonate therapy
administer thiazide diuretics
The nurse is assessing a patient receiving intravenous potassium chloride (KCl). Which clinical manifestation should the nurse monitor for as a potential side effect of rapid potassium infusion? bradycardia respiratory depression cardia dysrhythmias hypotension
cardia dysrhythmias
An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand can be a problem for this client due to the decrease in bone mass and density? hypertension cardiac disease diabetes compression fractures
compression fractures
A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common? elderly postmenopausal woman elderly man young child young menstruating woman
elderly postmenopausal woman
The nurse is planning care for a patient with a fluid imbalance. The nurse knows that water and electrolytes from the arterial capillary bed into the interstitial fluid. What is the reason this occurs? venous pressure hydrostatic pressure oncotic pressure active transport
hydrostatic pressure
Which electrolyte imbalance poses the greatest risk for cardiac arrest? hypercalcemia hypermagnesemia hyperkalemia hypernatremia
hyperkalemia
A patient with severe dehydration is prescribed IV fluid therapy. Which electrolyte imbalance is commonly associated with dehydration? hypokalemia hypomagnesemia hypercalcemia hypernatremia
hypernatremia
A patient with heart failure is prescribed a loop diuretic. The nurse should closely monitor for signs of which electrolyte imbalance? hypermagnesemia hypokalemia hyperkalemia hypophosphatemia
hypokalemia
Which electrolyte imbalance is a patient with SIADH at risk for? hypokalemia hyperkalemia hyponatremia hypernatremia
hyponatremia
A burn patient is admitted to the floor that you are assigned. Upon your initial assessment, the patient has signs and symptoms of third spacing. Based on this change in states, what imbalance does the patient exhibit? hyperkalemia hypernatremia hypervolemia hypovolemia
hypovolemia
Which aspect should a nurse include in the teaching plan for a client with osteomalacia? avoid dairy products avoid green, leafy vegetables avoid any activity or exercise include calcium, phosphorus, and vitamin D supplements
include calcium, phosphorus, and vitamin D supplements
An older adult patient is admitted for end stage liver disease. Because the patient is an older patient, what signs and symptoms is part of the normal aging process? skin turgor is not able to be assessed spongy skin inelastic skin turgor over hydration
inelastic skin turgor
A family member is caring for an older adult client with osteomalacia in the home. When the home health nurse comes to evaluate the client, what should be a focus point of the visit? ensuring that the client is eating enough making sure the client has adequate financial resources observing for safety hazards that could be a fall risk making sure the client is receiving a daily bath
observing for safety hazards that could be a fall risk
Which of the following can cause hypophosphatemia? hypoparathyroidism hypercalcemia oncogenic osteomalacia hypoglycemia
oncogenic osteomalacia
The most abundant electrolyte in the extracellular fluid, sodium, is regulated by all of the following except: renin-angiotensin-aldosterone system thirst antidiuretic hormone potassium intake
potassium intake
A client sprains an ankle while playing tennis and is brought to the emergency department. What is the priority action by the nurse? heat, compression, analgesics, exercise rest, ice, compression, elevation exercise, ice, compression, elevation rest, heat, compression, exercise
rest, ice, compression, elevation
The nurse provides care for a patient immediately following a right BKA. The nurse is most concerned if which observation is made? the patient reports persistent pain at the operative site the patient reports a throbbing headache the patient periodically naps the patient voices concern about being able to use a prosthesis
the patient reports persistent pain at the operative site
The nurse identifies which sign or symptom as an early indication of fluid volume deficit? weakness thirst weak pulse hypotension
thirst