exam 3 EAQ quizzes

if blood flow to the brain is interrupted how quickly does cellular death occur a) 2 mins b) 5 mins c) 30 mins d) 30 sec

b) 5 mins

while providing care for a client with a second degree left ankle sprain the nurse raises the injured part above the hear level. Which statement describes the rationale behind this nursing action a) to promote bone density b) to prevent further edema c) to reduce pain perception d) to increase muscle strength

b) to prevent further edema

which urinary disorder commonly occurs in jewish men a) bladder cancer b) uric acid stones c) urinary tract calculi d) urinary incontinence

b) uric acid stones

When administering medications to the patient with chronic gout, the nurse recognizes which drug is used as a treatment for this disease? a. Colchicine b. Allopurinol c. Sulfasalazine d. Cyclosporine

b. Allopurinol

which medication used in gastroesophageal reflux disease decreases the conversion of pepsinogen to pepsin a) Famotidine b) misoprostol c) rabeprazole d) metoclopramide

a) Famotidine

for the patient with renal calculi on which problem would the nurse focus interventions when developing a plan of care a) acute pain b) risk for constipation c) deficient fluid volume d) risk for powerlessness

a) acute pain

which medical condition places a patent at a higher risk for an embolic stroke a) atrial fibrillation b) atherosclerosis c) cancer of the brain d) anticoagulant therapy

a) atrial fibrillation

which clinical manifestations would the nurse associate with a patients diagnosis of an upper urinary tract infection (SATA) a) chills b) fever c) afebrile d) flank pain e) clear yellow urine

a) chills b) fever d) flank pain

which instructions does the nurse give to a patient with a long leg cast to prevent edema and skin breakdown (SATA) a) exercise joint above and below the cast b) cover the cast with plastic for prolonged periods c) remove the padding of the cast after going home d) apply ice on the fracture site during the first 24 hours e) elevate the leg above the heart on pillows for the first 24 hours

a) exercise joint above and below the cast d) apply ice on the fracture site during the first 24 hours e) elevate the leg above the heart on pillows for the first 24 hours

which seizure disorder would the patient have when medication therapy failed, and the patient had a resection of epileptogenic tissue a) focal seizure b) atonic seizure c) myoclonic seizure d) tonic-clonic seizure

a) focal seizure

a patient arrives in the ED after sustaining a fall. The initial assessment reveals that the left leg is shorter than the right and externally rotated. Which condition does the nurse suspect a) fractured hip b) fractured pelvis c) fractured tibia/fibula d) non-displaced fractured femur

a) fractured hip

which type of fracture is most common in adults greater than 65 years of age a) hip fracture b) pelvic fracture c) colles fracture d) fracture of the humerus

a) hip fracture

which clinical manifestation is associated with a stroke on the right side of the brain a) impulsiveness b) impaired speech c) slow performance d) paralyzed right side

a) impulsiveness

which therapeutic medical intervention would the nurse anticipate scheduling for a patient with renal calculi a) lithotripsy b) myelogram c) renal sonogram d) IV pyelogram

a) lithotripsy

after a motor vehicle crash, a patient has dislocated the right hip joint and the bone is exposed in the right thigh. The patient's X-ray shows more than two fragments. Which type of fracture does the nurse document? (SATA) a) open b) closed c) displaced d) greenstick e) comminuted

a) open c) displaced e) comminuted

which medication would the nurse associate with the primary drug of choice when treating tonic clonic seizures a) phenytoin b) gabapentin c) clonazepam d) ethosuximide

a) phenytoin

which nursing interventions would assist the patient who had a right brain stroke in coping with perceptual deficits (SATA) a) provide good lighting b) break tasks into simple steps c) provide nonslip socks at all time d) allow the patient to move around in a wheelchair e) give nonverbal cues and instructions for activities

a) provide good lighting b) break tasks into simple steps c) provide nonslip socks at all time

which disorder includes the inflammation of renal parenchyma and the collecting system a) pyelonephritis b) interstitial cystitis c) urethral diverticula d) glomerulonephritis

a) pyelonephritis

which medication for treating GERD may cause constipation a) sucralfate b) misoprostol c) bethanechol d) esomeprazole

a) sucralfate

which artery would be obstructed if a patient sustained a stroke and is experiencing cranial nerve deficits a) vertebral artery b) middle cerebral artery c) anterior cerebral artery d) posterior cerebral artery

a) vertebral artery

During assessment of the patient with trigeminal neuralgia, the nurse should (select all that apply) a. inspect all aspects of the mouth and teeth. b. assess the gag reflex and respiratory rate and depth. c. lightly palpate the affected side of the face for edema. d. test for temperature and sensation perception on the face. e. ask the patient to describe factors that initiate an episode.

a. inspect all aspects of the mouth and teeth. d. test for temperature and sensation perception on the face. e. ask the patient to describe factors that initiate an episode.

which finding is consistent with a left hemispheric stroke a) impaired judgement b) unilateral weakness of the left extremities c) unilateral weakness of the right extremities d) spatial-perceptual deficits

c) unilateral weakness of the right extremities

Which instructions would the nurse include in a teaching plan for a patient with mild gastroesophageal reflux disease (GERD)? a. "The best time to take an as-needed antacid is 1 to 3 hours after meals." b. "A glass of warm milk at bedtime will decrease your discomfort at night." c. "Do not chew gum; the excess saliva will cause you to secrete more acid." d. "Limit your intake of foods high in protein because they take longer to digest."

a. "The best time to take an as-needed antacid is 1 to 3 hours after meals."

A patient with a humeral fracture is returning for a 4-week checkup. The nurse explains that initial evidence of healing on x-ray is indicated by a. formation of callus. b. complete bony union. c. hematoma at the fracture site. d. presence of granulation tissue.

a. formation of callus.

The nurse determines that the goals of dietary teaching have been met when the patient with celiac disease selects from the menu a. scrambled eggs and sausage. b. buckwheat pancakes with syrup. c. oatmeal, skim milk, and orange juice. d. yogurt, strawberries, and rye toast with butter.

a. scrambled eggs and sausage.

In planning nursing interventions to increase bladder control in the patient with urinary incontinence, the nurse includes (select all that apply) a. teaching the patient to use Kegel exercises. b. clamping and releasing a catheter to increase bladder tone. c. teaching the patient biofeedback mechanisms to train pelvic floor muscles. d. counseling the patient concerning choice of incontinence containment device. e. developing a fluid modification plan, focusing on decreasing intake before bedtime.

a. teaching the patient to use Kegel exercises. c. teaching the patient biofeedback mechanisms to train pelvic floor muscles.

the nurse finds that the patient is unable to recognize familiar objects after a stroke. Which term would the nurse chart in the patients medical record a) alexia b) agnosia c) aphasia d) agraphia

b) agnosia

a patient reports periumbilical pain that increases after coughing and sneezing. The patient prefers to lie still with the right leg flexed. Which condition does the nurse suspect a) peritonitis b) appendicitis c) gastroenteritis d) ulcerative colitis

b) appendicitis

when developing the plan of care for a client with rheumatoid arthritis which client consideration would the nurse include a) surgery b) comfort c) education d) motivation

b) comfort

which instruction would the nurse verify for patient understanding prior to their discharge home with renal calculus a) maintain bed rest with bathroom privileges b) continue to strain all urine at home for stones c) perform relaxation exercises to ease flank pain d) sustain a clear liquid diet for the next 72 hours

b) continue to strain all urine at home for stones

which clinical manifestation is associated with osteoarthritis a) fever and malaise b) crepitation in the weight bearing joints c) increased erythrocyte sedimentation rate d) morning stiffness of all joints that tends to last all day

b) crepitation in the weight bearing joints

which description is associated with osteoarthritis a) an underproduction of synovial fluid b) degeneration of cartilage in synovial joints c) an autoimmune disorder that is hereditary in nature d) breakdown of tissue caused by a sedentary lifestyle

b) degeneration of cartilage in synovial joints

which synovial joint movement is described as turning the sole away from the midline of the body a) pronation b) eversion c) adduction d) supination

b) eversion

which clinical manifestation is associated with a left hemispheric stroke a) impulsivity b) impaired speech c) left side neglect d) short attention span

b) impaired speech

which clinical manifestation is exclusive to a complex focal seizure a) jerking of the limbs b) smacking of the lips c) loss of consciousness d) increased muscle tone

b) smacking of the lips

the nurse is providing post op care two days after a patient underwent surgical repair of a fractured hip. Which assessment finding indicates the need for immediate nursing action a) pain at the surgical site b) sudden shortness of breath c) serosanguineous wound drainage d) limited range of motion of the affected leg

b) sudden shortness of breath

Bladder training in a male patient who has urinary incontinence after a stroke includes a. limiting fluid intake. b. helping the patient to stand to void. c. keeping a urinal in place at all times. d. catheterizing the patient every 4 hours.

b. helping the patient to stand to void.

In assessing the joints of a patient with osteoarthritis, the nurse understands that Bouchard's nodes a. are often red, swollen, and tender. b. indicate osteophyte formation at the PIP joints. c. are the result of pannus formation at the DIP joints. d. occur from deterioration of cartilage by proteolytic enzymes.

b. indicate osteophyte formation at the PIP joints.

A patient with rheumatoid arthritis has articular involvement. The nurse recognizes these characteristic changes include (select all that apply) a. bamboo-shaped fingers. b. metatarsal head dislocation in feet. c. noninflammatory pain in large joints. d. asymmetric involvement of small joints. e. morning stiffness lasting 60 minutes or more.

b. metatarsal head dislocation in feet. e. morning stiffness lasting 60 minutes or more.

In contrast to diverticulitis, the patient with diverticulosis a. has rectal bleeding. b. often has no symptoms. c. usually develops peritonitis. d. has localized cramping pain.

b. often has no symptoms.

For a patient who is suspected of having a stroke, the most important piece of information that the nurse can obtain is a. time of the patient's last meal. b. time at which stroke symptoms first appeared. c. patient's hypertension history and management. d. family history of stroke and other cardiovascular diseases.

b. time at which stroke symptoms first appeared.

The nurse teaches the female patient who has frequent UTIs that she should a. take tub baths with bubble bath. b. void before and after sexual intercourse. c. take prophylactic sulfonamides for the rest of her life. d. restrict fluid intake to prevent the need for frequent voiding.

b. void before and after sexual intercourse.

which organism would the nurse present as the primary cause of health care associated UTI when providing evidenced based practice guidelines for the nursing staff a) Pseudomonas b) streptococcus c) Escherichia coli d) methicillin resistant staphylococcus aureus (MRSA)

c) Escherichia coli

drop attacks are a characteristic of which type of seizure a) tonic seizure b) clonic seizure c) atonic seizure d) myoclonic seizure

c) atonic seizure

which medication would the nurse associate with the preferred drug of choice when treating absence and myoclonic seizures a) phenytoin b) gabapentin c) clonazepam d) ethosuximide

c) clonazepam

a patient with a peptic ulcer begins vomiting. Which type of vomitus is associated with bleeding in the stomach a) fecal b) bilious c) coffee ground d) undigested food

c) coffee ground

a patient with a leg fracture is scheduled for a fasciotomy. Which complication is identified as having caused the need for this type of surgery a) infection b) fat embolism syndrome c) compartment syndrome d) venous thromboembolism

c) compartment syndrome

which condition involves inflammation of all layers of the bowel wall a) peritonitis b) gastroenteritis c) crohns disease d) ulcerative colitis

c) crohns disease

which finding is often the first indication of gastroesophageal reflux disease a) halitosis b) pernicious anemia c) esophageal bleeding d) epigastric tenderness

c) esophageal bleeding

which seizure activity would the nurse associate with a patients jerky muscle movements of the extremities as well as bowel and bladder incontinence during the event a) aura seizures b) postictal seizure c) generalized seizures d) simple partial seizures

c) generalized seizures

the nurse is caring for a patient immediately after the patient sustained a hip fracture. Which nursing action is performed first a) administering pain med b) preparing for immediate surgery c) immobilizing the affected extremity d) placing the injured extremity in traction

c) immobilizing the affected extremity

which behavior would be exhibited by a patient who has suffered a right brain stroke a) very cautious b) difficulty with words c) impulsive and impatient d) accomplishes tasks quickly

c) impulsive and impatient

which type of stroke correlates with the clinical manifestations of a sever headache, hypertension, vomiting, dysarthria, and eye movement disturbance a) embolic stroke b) thrombotic stroke c) intracerebral hemorrhage d) subarachnoid hemorrhage

c) intracerebral hemorrhage

when performing a physical exam on a patient suspected of having urinary tract calculi the nurse would associate the presence of which clinical manifestation with the suspect diagnosis a) fever b) abdominal distension c) sharp pain in the flanks d) bacteria on a urine analysis

c) sharp pain in the flanks

for the patient who sustained a head trauma which type of seizure might he or she experience while on ventilator and receiving sedation medications in the intensive care unit a) atonic seizure b) myoclonic seizure c) subclinical seizure d) tonic-clonic seizure

c) subclinical seizure

The nurse suspects that a patient is experiencing fat embolism syndrome (FES) after sustaining a femur fracture based on which assessment findings? a) tachypnea, tachycardia, shortness of breath, and paresthesia b) paresthesia, bradycardia, bradypnea, petechial rash on the chest and neck c) tachypnea, tachycardia, shortness of breath, petechial rash on the chest and neck d) bradypnea, bradycardia, shortness of breath, petechial rash on the chest and neck

c) tachypnea, tachycardia, shortness of breath, petechial rash on the chest and neck

which expected outcome would be included in the plan of care for a patient who had a stoke and is experiencing residual expressive aphasia a) the patient will verbalize plans for rehabilitation b) the patient will be satisfied with the care environment c) the patient will demonstrate alternative communication techniques d) the patient will demonstrate understanding that the aphasia is permanent

c) the patient will demonstrate alternative communication techniques

In planning care for the patient with Crohn's disease, the nurse recognizes that a major difference between ulcerative colitis and Crohn's disease is that Crohn's disease a. often results in toxic megacolon. b. causes fewer nutritional deficiencies than ulcerative colitis. c. often recurs after surgery, while ulcerative colitis is curable with a colectomy. d. is manifested by rectal bleeding and anemia more often than is ulcerative colitis.

c. often recurs after surgery, while ulcerative colitis is curable with a colectomy.

which diagnostic test would the nurse anticipate scheduling for the patient experiencing recurrent infections from a suspected urinary tract obstruction a) sensitivity testing b) dipstick urinalysis c) clean catch urine sample d) CT scan

d) CT scan

which instruction to prevent recurrent UTI would the nurse provide female patients a) restrict purines in your diet b) wipe back to front after urinating c) schedule a follow up urine culture d) empty your bladder before and after sexual intercourse

d) empty your bladder before and after sexual intercourse

which medication would the nurse associate with the primary drug of choice when treating absence and myoclonic seizures a) phenytoin b) gabapentin c) clonazepam d) ethosuximide

d) ethosuximide

which findings are associated with stage 3 rheumatoid arthritis a) subcutaneous nodules present b) consistent muscle strength c) localized disease symptoms d) extensive cartilage loss on xray

d) extensive cartilage loss on xray

which assessment would the nurse teach a patient to report as part of the warning signs of stroke, using the mnemonic FAST a) footdrop b) arm strength c) states disoriented d) facial drooping

d) facial drooping

a nurse is admitting a patient with a thrombotic stroke. The patient is NPO but is requesting a drink of water. Which response by a nurse is appropriate a) you can have a couple of ice chips to wet your mouth b) a barium swallow test is required for stroke patients before giving PO fluids c) we need to keep you NPO in case a procedure needs to be performed today d) it is not safe to allow you to have anything by mouth until a swallow assessment can be performed

d) it is not safe to allow you to have anything by mouth until a swallow assessment can be performed

the nurse evaluate a patient who reports twisting an ankle while walking. besides edema, which symptoms would most likely be observed if a nondisplaced simple fracture were present a) numbness, coolness, and loss of pulse b) loss of sensation, redness, and warmth c) coolness, redness, and inability to bear weight d) redness, warmth, and inability to use the affected part

d) redness, warmth, and inability to use the affected part

which condition is a complication of gout a) cirrhosis b) a gastric ulcer c) a pulmonary embolus d) secondary osteoarthritis

d) secondary osteoarthritis

when assessing a patient for the presence of petit mal, or absence seizures which classic sign would the nurse associate with this disorder a) dizziness b) intense anxiety c) stiffening of the body d) vacant facial expression

d) vacant facial expression

when teaching a group of athletes about reducing the risk of sprains and strains before vigorous exercise which instruction does the nurse include a) rest after exercise b) rest before exercise c) avoid vigorous exercise d) warm up before exercise

d) warm up before exercise

A patient with a stable, closed humeral fracture has a temporary splint with bulky padding applied with an elastic bandage. The nurse notifies the provider of possible early compartment syndrome when the patient has a. increasing edema of the limb. b. muscle spasms of the lower arm. c. bounding pulse at the fracture site. d. pain when passively extending the fingers.

d. pain when passively extending the fingers.

The nurse is teaching the patient and family that peptic ulcers are a. caused by a stressful lifestyle and other acid-producing factors, such as H. pylori. b. inherited within families and reinforced by bacterial spread of Staphylococcus aureus in childhood. c. promoted by factors that cause oversecretion of acid, such as excess dietary fats, smoking, and alcohol use. d. promoted by a combination of factors that cause erosion of the gastric mucosa, including certain drugs and H. pylori.

d. promoted by a combination of factors that cause erosion of the gastric mucosa, including certain drugs and H. pylori.

Information provided by the patient that would help distinguish a hemorrhagic stroke from a thrombotic stroke includes a. sensory changes. b. a history of hypertension. c. presence of motor weakness. d. sudden onset of severe headache.

d. sudden onset of severe headache.

The nurse suspects an ankle sprain when a patient at the urgent care center describes a. being hit by another soccer player during a game. b. having ankle pain after sprinting around the track. c. dropping a 10-lb weight on his lower leg at the health club. d. twisting his ankle while running bases during a baseball game.

d. twisting his ankle while running bases during a baseball game.