Patho Exam 4 Prep U

What questions should the nurse asl a 55-year old woman to ascertain her risk for osteoporosis?

"Do you have any family history of Osteoporosis?" "What medications do you take on a regular basis?" "Do you smoke?" "Do you sit most of the day?"

A client has been diagnosed with Rheumatoid Arthritis (RA). What will the nurse tell the client about this disorder's etiology?

"Genetic predisposition is very likely"

The nurse evaluates which body temperatures to be outside the normal range?

100.4°F and 96.6°F

A physician is providing care for several clients on a hospital-based medical ward. Which client is MOST likely to experience chronic fatigue?

51-year old woman admitted for exacerbation of her MS

Which client(s) is showing manifestations of infection? Select all the apply

75-yr old client with a temp of 99.2°F, declining mental status, weakness and fatigue 25-yr old client with temp of 104°F, sweating, shivering, states generalized pain 2-month old client with temp of 100.4°F, lethargy, poor feeding, and cyanosis

Which client is likely at the GREATEST risk of developing a urinary tract infection ?

A 79-year old client with an indwelling catheter

A parent brings his child to the emergency department after the child sustains a fall from a tree. The child has severe right arm pain. A radiograph shows a complete break in the humerus with multiple pieces of bone at the fracture line and the skin is not broken. This type of fracture is classified as:

A closed, comminuted fracture

A client reports general malaise and has a temperature of 103.8°F. What is the rationale for administering a prescribed aspirin, an antipyretic, to the client?

Antipyretics protect vulnerable organs, such as the brain, from extreme temperature elevation

What medication teaching should be done for a woman of childbearing age with a seizure disorder?

Antiseizure drugs increase the risk for congenital abnormalities

Which clients should the nurse assess to determine if they have premature osteoporosis?

Anyone with an eating disorder

The nurse is caring for a client experiencing a seizure. During the seizure the nurse notes that the client repetitively rubs his/her clothing. When contacting the client's physician, the nurse notes that the client exhibited:

Automatisms

Acute pylonephritis is a result of ?

Bacterial Infection

An emergency room nurse receives a report that a client's GCS is 3. The nurse prepares to care for a client with which of the following?

Flaccid Motor Response

The family of an older adult reports increasing inability to perform basic activities of daily living. After evaluation, the client is diagnosed with Alzheimer disease. What intervention will be implemented to slow cognitive decline?

Cholinesterase Inhibitors

The older adult client tells the nurse that she believes she is getting shorter. The nurse explains to the client that height loss is caused by occurrence with aging?

Compression of the vertebral column

The loss of heat from the body through the circulation of air currents is known as:

Convection

An older adult's blood cultures have come back-positive, despite the fast that the client's oral temperature remains within normal range. Which phenomena underlies the alterations in fever response that occur in older adults?

Disturbance in the functioning of the thermoregulatory center

A clients recent diagnosis of Parkinson disease has prompted the care provider to promptly begin pharmacologic therapy. The drugs prescribed will likely influence the client's levels of which substance?

Dopamine

The underlying causative problem in Parkinsonism is

Failure of Dopamine release

The nurse is caring for a client with Rheumatoid Arthritis (RA). Which assessment finding correlate with the diagnosis?

Fatigue Weight Loss Anorexia

A nurse is planning care for a client coming into the ED via ambulance on a hot summer day with the following symptoms: Temperature 105°F, absence of sweating, and loss of consciousness. The nurse presents this evidence to the health care provider as supporting which condition?

Heatstroke

A clients emergency MRI has been examined by the physician and tissue plasminogen activator (tPA) has been administered to the client. What was this client's most likely diagnosis?

Ischemic Stroke

Unilateral obstruction of the urinary tract may result in renin secretion, thereby leading to which manifestation ?

Increased BP

The nurse is evaluating a client presenting with polyuria and lower abdominal pain due to a suspended urinary tract infection (UTI). Which finding should the nurse report as evidence of UTI?

Increased Nitrites

The nurse reading a client's lumbar puncture results notifies the physician of findings consistent with meningitis when which s/s is noted?

Large number of polymorphonuclear neutrophil

A nurse at a long-term care facility provides care for a client who has recent transient ischemic attacks (TIAs). What significant should the nurse attach to the client's TIAs?

TIAs, by definition, resolve rapidly, but they constitute an increased risk for stroke

Which disease is thought to be caused by antibody-mediated loss of ACTH receptors in the neuromuscular junction?

Myasthenia Gravis

A 75-year old woman has been admitted to the hospital with a hip fracture. She states, "All I did was fall onto my chair, not even very hard". Upon diagnostic testing, the client's bones shows loss of trabeculae from cancellous bone and thinning of the cortex. Which diagnosis is most likely?

Osteoporosis

A client with a closed reduction of a wrist fracture has a plaster cast applied. Which nursing intervention is the HIGHEST PRIORITY immediately after the procedure?

Performing a peripheral circulation assessment

The nurse is assessing a client who has experienced a seizure. The client describes having a feeling or warning that the seizure would occur. Which term does the nurse use when documenting about this perceived warning?

Prodrome

The nurse is assessing a client and notes the client is now displaying decerebrate posturing. The position would be documented as:

Rigidity of the arms and palms of the hands turned away form the body and with stiffly extended legs and plantar flexion of the feet

A nurse caring for an older adult who has been diagnosed with a UTI checks the client's temperature on admission and finds that it is 96.6°F. Which statement describes how the nurse should interpret the finding ?

The client may be exhibiting a blunted or absent febrile response

A client suffering from a thrombotic stroke is brought into the ED by ambulance and the health care team is preparing to administer a synthetic tissue plasminogen activator for which purpose?

Thrombolysis

The most common cause of ischemic stroke is ?

Thrombosis

An older adult has recently been diagnosed with Rheumatoid Arthritis. The nurse should focus assessment on which aspect?

Weight and nutritional status