ANSWERS RATED A+
✔✔During care of the patient with extreme obesity, what is most important for the nurse
to do?
a. avoid any reference to the patient's weight to avoid embarrassing the patient
b. emphasize to the patient how important it is to lose weight to maintain health
c. plan for necessary modifications in equipment and nursing techniques for starting
care
d. recognize that a full assessment may not be possible because of numerous layers of
skinfolds - ✔✔c
✔✔The nurse is admitting a patient for bariatric surgery. Which finding in a patient's
history should be brough to the surgeon's attention before proceeding with further
patient preparation?
a. hypertension
b. untreated depression
c. multiple attempts to lose weight
d. sleep apnea treated with CPAP - ✔✔b
✔✔What is a postoperative nursing intervention for the obese patient who has had
bariatric surgery?
a. irrigation and repositioning the NG tube as needed
b. delaying ambulation until the patient has enough strength to support self
c. keeping the patient positioned on the side to facilitate respiratory function
d. providing adequate support to the incision during coughing and deep breathing - ✔✔d
✔✔Which statement accurately describes Graves' disease?
a. exophthalmos occurs in Graves' disease
b. it is an uncommon form of hyperthyroidism
c. manifestations of hyperthyroidism occur from tissue desensitization to the
sympathetic nervous system
d. diagnostic testing in the patient with Graves' disease will reveal an increased thyroid-
stimulating hormone level - ✔✔a
✔✔A patient is admitted to the hospital with acute thyrotoxicosis. On physical
assessment of the patient, what should the nurse expect to find?
a. hoarseness and laryngeal stridor
b. bulging eyeballs and dysrhythmias
c. increased temperature and signs of heart failure
d. lethargy progressing suddenly to impaired consciousness - ✔✔c
✔✔What medication is given in thyrotoxicosis to block the effects of the sympathetic
nervous stimulation of the thyroid hormones?
a. potassium iodine
, b. propylthiouracil
c. propranolol
d. radioactive iodine - ✔✔c
✔✔What is a cause of primary hypothyroidism in adults?
a. malignant or benign thyroid nodules
b. surgical removal or failure of the pituitary gland
c. surgical removal or radiation of the thyroid gland
d. autoimmune-induced atrophy of the thyroid gland - ✔✔d
✔✔A patient with hypothyroidism is treated with levothyroxine. What should the nurse
include with teaching the patient about this therapy?
a. explain that alternate-day dosage may be used if side effects occur
b. provide written instruction for all information related to the drug therapy
c. tell the patient that the drug must be taken until the hormone balance is reestablished
- ✔✔b
✔✔Which information from a 70-yr-old patient during a health history indicates to the
nurse that the patient should be screened for hepatitis C?
a.The patient had a blood transfusion in 2005
b.The patient used IV drugs about 20 years ago.
c. The patient frequently eats in fast-food restaurants.
d.The patient traveled to a country with poor sanitation - ✔✔b
✔✔A hospitalized Native American patient tells the nurse that later in the day a
medicine man from his tribe is coming to perform a healing ceremony to return his world
to balance. What should the nurse recognize about this situation?
a.Traditional rituals may meet the patient's spiritual needs
b.The patient does not adhere to an organized, formal religion
c.The patient may be putting his health in jeopardy by relying on rituals
d.Native American medicine cannot alter the progression of the patient's physical
illness. - ✔✔a
✔✔Which intervention will the nurse include in the plan of care for a patient who is
diagnosed with a lung abscess?
a. Assist the patient with chest physiotherapy and postural drainage.
b. Teach the patient to avoid the use of over-the-counter expectorants.
c. Notify the health care provider immediately about any bloody or foul-smelling sputum.
d. Teach about the need for prolonged antibiotic therapy after discharge from the
hospital - ✔✔d
✔✔After change-of-shift report, which patient should the nurse assess first?
a. A 40-yr-old with a pleural effusion who reports severe stabbing chest pain
b. A 72-yr-old with cor pulmonale who has 4+ bilateral edema in his legs and feet