Chronic Final exam
A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis (MS). The client asks the nurse about the usual cause of MS. Which of the following responses should the nurse make?
"Acute episodes are usually followed by remissions, which can vary in duration."
If you have a diet of fat, red meat, fried food, dairy, and/or have been exposed to agent orange and cadmium you may be at risk for....
Prostate
What is the general adaptation syndrome?(GAS)
1. alarm stage 2. resistance stage 3. exhaustion stage
What is the normal BMI range?
18.5-24.9
Cold therapy for no longer than ______ at a time
20 min
What is the BMI for a pt that is 185 and 5'7"?
28.97 (rounded)
What is the range should your glucose be before you exercise being diabetic?
80-250
What is the normal SpO2 for COPD pts?
88-93%
What BMI means you're obese?
>30
A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following clients should the nurse plan to see first?
A client who hast HF and is receiving 100% oxygen via partial rebreather mask
What are the three HF complications?
Acute pulmonary edema, cardiogenic shock, and pericardial tamponade
A nurse is caring for a client who has moderate Alzheimer's disease. Which of the following actions should the nurse take?
Add gestures when speaking with the client
A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Which of the following points should the nurse plan to discuss first?
Addressing the client's perception of the disease process and what might have triggered past attacks
Which disease has plaques and tangles in the brain tissue?
Alzheimers
Which lab value is specific to rheumatoid arthritis?
Anti-CCP
A nurse is teaching a client with arthritis who is experiencing joint pain that impairs mobility. Which of the following instructions should the nurse include?
Apply heat to your joints prior to exercising
A nurse in an acute care clinic is talking with a client who reports that the osteoarthritis pain in her knees is increasing each day. The client wants to discuss non-pharmacological approaches to help relieve her pain. Which of the following interventions should the nurse suggest?
Applying warm compresses to sore joints
What type of spinal cord complication has massive uncompensated cardiovascular reaction mediated by the SNS and there is intact sensory message travels up the spinal cord?
Autonomic dysrefelxia
What type of spinal cord complication is an acute emergency and occurs after the spinal shock has resolved?
Autonomic dysrefelxia
What type of spinal cord complication may occur years after the injury and occurs in persons with damage above T6?
Autonomic dysrefelxia
Which type of spinal cord complication is triggered by obstruction with emptying the bladder, distention/contraction of visceral organs, or stimulation of the skin?
Autonomic dysreflexia
Which type of spinal cord complication s/s include severe pounding HA, hypertension, bradycardia, and nasal congestion?
Autonomic dysreflexia
What nursing intervention should you do for someone with Parkinson's?
Avoid rubber shoes
If you have ever had HPV, multiple sexual partners, and/or smoke, you are likely to get what type of cancer?
Cervical
What type of cancer has long asymptomatic period before the disease becomes clinically evident?
Cervical
A nurse is completing an assessment for a client who has a history of unstable angina. Which of the following findings should the nurse expect?
Chest pain lasts for longer than 15min
What is a inotropic agent used for HF?(She put a start on this on her slides)
Digoxin
Hemorrhagic stroke is what?
Disruption of vessel integrity
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?
Crackles in the lung base
What should you avoid when you have COPD?
Diary
A nurse is providing teaching about degenerative complications to the partner of a client who has a new diagnosis of Parkinson's disease. Which of the following manifestations is the priority?
Dysphagia
What are some thing you would do to manage HF?
Elevate legs, ted hose, scuds, daily weight, diet, O2, energy conservation, and medications.
A nurse is caring for a client who had a cerebrovascular accident (CVA). The client appears alert and engaged during a visit but does not respond verbally to questions. The nurse should document this as which of the following alterations?
Elevate the head of the bed 25° to 30° with the client in a neutral midline position
A nurse is planning care for a client who has type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan?
Encourage the client to control weight
What is the difference between essential and secondary HTN?
Essential has no known cause
A nurse is caring for a client who had a cerebrovascular accident (CVA). The client appears alert and engaged during a visit but does not respond verbally to questions. The nurse should document this as which of the following alterations?
Expressive aphasia
Exercise can decreases sensitivity to insulin. T/F
False
What type of things would you encourage in a diabetic diet?
Fiber
A nurse is providing teaching to a client with cancer who is receiving external radiation therapy. Which of the following statements by the client indicates an understanding of the teaching?
I need to protect the area from sunlight
A nurse is providing teaching about food choices to a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
I should replace white bread with whole grain bread
A nurse is providing teaching to a client who has cancer and is undergoing external radiation treatment. Which of the following statements by the client indicates an understanding of the teaching?
I should use my hand, instead of a washcloth, to wash the areas being radiated
A hospice nurse is providing education about palliative care to the partner of a client who has end-stage liver cancer. Which of the following statements by the partner indicates an understanding of teaching?
I will continue to talk to him, even when he's sleeping
A nurse is providing teaching about disease management to a client who has rheumatoid arthritis. Which of the following responses by the client indicates an understanding of the teaching?
I will have handrails installed in my bathroom and hall
A nurse is teaching a client who has asthma about the proper use of an albuterol inhaler. Which of the following client statements indicates an understanding of the teaching?
I will shake the inhaler well right before I use it
A nurse is teaching a client who has type 2 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
I'lll be sure to wear cotton socks every day
A nurse is monitoring a client who has heart failure related to mitral stenosis. The client reports shortness of breath on exertion. Which of the following conditions should the nurse expect?
Increased pulmonary congestion
A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings indicates the client has hyperglycemia?
Increased urination
Thrombotic and emoblic cause what type of stroke?
Ischemic
Pt has left cerebral hemispheric stroke, what might they have trouble with?
Language
What type of HF is from HTN, CAD, Angina, MI and valvular disease?
Left sided
A nurse is providing teaching to the family of a client who has stage II Alzheimer's disease (AD). Which of the following pieces of information should the nurse include in the teaching?
Limit choices offered to the client
Which disease has relapse and remission and impacts sensory and motor function?
MS
Which disease has s/s like diplopia, Uhthoff's signs, difficulty swallowing, mood changes, memory loss, and ataxia?
MS
Which disease is a autoimmune disorder attacking myelin sheath located on the nerve
MS
A nurse is teaching a 70-year-old client about risk factors for heart failure. The client has mild asthma, diabetes mellitus, and coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?
My coronary artery disease is a risk factor for HF
What type of spinal cord complication occurs 24hrs after an injury that can last days/weeks, occurs about T6, and can be life threatening?
Neurogenic shock
What type of spinal cord complication results in communication being lost within the SNS; which results in peripheral vasodilation, muscle tone and blood vessels impacted?
Neurogenic shock
A nurse is planning care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following actions should the nurse include in the client's plan of care?
Offer the client a bedpan every 2 hr
Which type of arthritis has joint effusions, crepitus, and Heberden and Bouchard nodes?
Osteoarthritis
If someone is Ashkenazi jewish descent, BRAC1 mutation, or has never been pregnant; which type of cancer are they at risk for?
Ovarian
If you have the cancer antigen-125 (CA-125), that means you might have what type of cancer?
Ovarian
S/s that include dysuria, pelvic pressure, pain during sex, and abnormal vaginal discharge or bleeding mean you could have what type of cancer?
Ovarian
Which disease causes tremors(pill rolling), mask like expression, and stooped posture
Parkinsons
A nurse is teaching a client who has osteoporosis. Which of the following instruction should the nurse include in the teaching?
Perform weight-bearing exercises
A nurse is planning care for a client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia?
Remind the client to use an electric razor
A nurse is providing discharge teaching to a client who has osteoarthritis. Which of the following instructions should the nurse include?
Rest frequently after periods of activity
Which type of arthritis occurs in all joints?
Rheumatoid
Which type of arthritis is liked to Epstein-Barr virus?
Rheumatoid Arthritis
Which type of arthritis complications includes Sjogren syndrome, peripheral neuropathy, vasculitis, and pericarditis?
Rheumatoid arthritis
Which type of arthritis has joint deformities like swan neck or boutonniere?
Rheumatoid arthritis
Which type of arthritis has morning stiffness and paresthesia?
Rheumatoid arthritis
What type of HF is from COPD and pulmonary fibrosis?
Right sided
What do you do when someone has autonomic dysreflexia?
Seated position
What type of spinal cord complication causes muscular flaccidity, lack of sensation, and reflexes? Also, they need to be monitored closely for 24hrs and are transient.
Spinal shock
What type of spinal cord complication results from a sudden depression of reflex activity below the level of spinal injury; injury above T6
Spinal shock
Which type of angina is not associated with nausea, epigastric distress, dyspnea, anxiety, and diaphoresis?
Stable
A nurse is teaching a client about physiological changes that can occur with menopause. Which of the following changes should the nurse include?
Stress incontinence
A nurse is assessing the respiratory status of a client who has COPD. Which of the following manifestations should the nurse identify as an indication of impending respiratory failure?
Tachycardia
Tachycardia and congestion are signs of COPD. T/F
True
A nurse is providing discharge teaching for a client who has type 2 diabetes mellitus and will be caring for herself at home. The client expresses concerns about preparing an appropriate diet for her diabetes due to her cultural beliefs and preferences. Which of the following responses should the nurse offer?
The dietitian will help you choose foods you are used to that also meet your health needs
What is temporary neurologic dysfunction lasting 30-60min and can cause permanent damage with multiple occasions?
Transient ischemic attack
Pt has right cerebral hemispheric stoke, what might they have trouble with?
Visual awareness
What are the domains of learning?
cognitive, affective, psychomotor
Anomia
inability to name objects
Apraxia
inability to perform particular purposive actions, as a result of brain damage.
A nurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
shakiness
Agnosia
the inability to recognize familiar objects.
What is the formula for BMI?
weight (lbs) / height (in)^2 x 703
