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NUR-265 Exam 3 || Actual Exam 200 Questions And Correct
Detailed Answers (verified Answers) ||Already Graded
A+||Newest Version!!
A patient with systemic lupus erythematosus has been
prescribed 2 weeks of high-dose prednisone therapy. Which
information about the prednisone is most important for the
nurse to include?
a. "Weigh yourself daily to monitor for weight gain."
b. "The prednisone dose should be decreased gradually."
c. "A weight-bearing exercise program will help minimize risk for
osteoporosis."
d. "Call the health care provider if you have mood changes with
the prednisone." - ANSWER-ANS: B
Acute adrenal insufficiency may occur if exogenous
corticosteroids are suddenly stopped. Mood alterations and
weight gain are possible adverse effects of corticosteroid use,
but these are not life-threatening effects. Osteoporosis occurs
when patients take corticosteroids for longer periods.
Which action would the nurse take when providing care for a
patient who has an adrenocortical adenoma causing
hyperaldosteronism?
a. Check blood glucose level every 4 hours.
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b. Monitor the blood pressure every 4 hours.
c. Elevate the patient's legs to prevent edema.
d. Order the patient a potassium-restricted diet. - ANSWER-
ANS: B
Hypertension caused by sodium retention is a common
complication of hyperaldosteronism. Hyperaldosteronism does
not cause an elevation in blood glucose. The patient will be
hypokalemic and require potassium supplementation before
surgery. Edema does not usually occur with
hyperaldosteronism.
Which finding would the nurse plan to assess for in a patient
diagnosed with a pheochromocytoma?
a. Flushing
b. Headache
c. Bradycardia
d. Hypoglycemia - ANSWER-ANS: B
The classic clinical manifestations of pheochromocytoma are
hypertension, tachycardia, severe headache, diaphoresis, and
abdominal or chest pain. Elevated blood glucose may occur
because of sympathetic nervous system stimulation.
Bradycardia and flushing would not be expected.
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Which topic would the nurse teach a patient who had a
hypophysectomy to remove a pituitary adenoma?
a. Sodium restriction to prevent fluid retention
b. Insulin to maintain normal blood glucose levels
c. Oral corticosteroids to replace endogenous cortisol
d. Chemotherapy to prevent malignant tumor recurrence -
ANSWER-ANS: C
Antidiuretic hormone (ADH), cortisol, and thyroid hormone
replacement will be needed for life after hypophysectomy.
Without the effects of adrenocorticotropic hormone (ACTH) and
cortisol, the blood glucose and serum sodium will be low unless
cortisol is replaced. An adenoma is a benign tumor, and
chemotherapy will not be needed.
Which intervention will the nurse include in the plan of care for
a patient with syndrome of inappropriate antidiuretic hormone
(SIADH)?
a. Encourage fluids to 2 to 3 L/day.
b. Offer the patient sugarless gum to chew.
c. Monitor for increasing peripheral edema.
d. Keep head of bed elevated to 30 degrees. - ANSWER-ANS: B
Chewing on sugarless gum decreases thirst for a patient on fluid
restriction. Patients with SIADH are on fluid restrictions of 800
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to 1000 mL/day. Peripheral edema is not seen with SIADH. The
head of the bed is elevated no more than 10 degrees to
increase left atrial filling pressure and decrease antidiuretic
hormone (ADH) release.
A patient has just arrived on the unit after a thyroidectomy.
Which action would the nurse take first?
a. Observe the dressing for bleeding.
b. Check the blood pressure and pulse.
c. Assess the patient's respiratory effort.
d. Support the patient's head with pillows. - ANSWER-ANS: C
Airway obstruction is a possible complication after
thyroidectomy because of swelling or bleeding at the site or
tetany. The priority nursing action is to assess the airway. The
other actions are also part of the standard nursing care
postthyroidectomy but are not as high of a priority.
A patient is being admitted with a diagnosis of Cushing
syndrome. Which finding will the nurse expect during the
assessment?
a. Chronically low blood pressure
b. Bronzed appearance of the skin
c. Purplish streaks on the abdomen
d. Decreased axillary and pubic hair - ANSWER-ANS: C
NUR-265 Exam 3 || Actual Exam 200 Questions And Correct
Detailed Answers (verified Answers) ||Already Graded
A+||Newest Version!!
A patient with systemic lupus erythematosus has been
prescribed 2 weeks of high-dose prednisone therapy. Which
information about the prednisone is most important for the
nurse to include?
a. "Weigh yourself daily to monitor for weight gain."
b. "The prednisone dose should be decreased gradually."
c. "A weight-bearing exercise program will help minimize risk for
osteoporosis."
d. "Call the health care provider if you have mood changes with
the prednisone." - ANSWER-ANS: B
Acute adrenal insufficiency may occur if exogenous
corticosteroids are suddenly stopped. Mood alterations and
weight gain are possible adverse effects of corticosteroid use,
but these are not life-threatening effects. Osteoporosis occurs
when patients take corticosteroids for longer periods.
Which action would the nurse take when providing care for a
patient who has an adrenocortical adenoma causing
hyperaldosteronism?
a. Check blood glucose level every 4 hours.
,2|Page
b. Monitor the blood pressure every 4 hours.
c. Elevate the patient's legs to prevent edema.
d. Order the patient a potassium-restricted diet. - ANSWER-
ANS: B
Hypertension caused by sodium retention is a common
complication of hyperaldosteronism. Hyperaldosteronism does
not cause an elevation in blood glucose. The patient will be
hypokalemic and require potassium supplementation before
surgery. Edema does not usually occur with
hyperaldosteronism.
Which finding would the nurse plan to assess for in a patient
diagnosed with a pheochromocytoma?
a. Flushing
b. Headache
c. Bradycardia
d. Hypoglycemia - ANSWER-ANS: B
The classic clinical manifestations of pheochromocytoma are
hypertension, tachycardia, severe headache, diaphoresis, and
abdominal or chest pain. Elevated blood glucose may occur
because of sympathetic nervous system stimulation.
Bradycardia and flushing would not be expected.
,3|Page
Which topic would the nurse teach a patient who had a
hypophysectomy to remove a pituitary adenoma?
a. Sodium restriction to prevent fluid retention
b. Insulin to maintain normal blood glucose levels
c. Oral corticosteroids to replace endogenous cortisol
d. Chemotherapy to prevent malignant tumor recurrence -
ANSWER-ANS: C
Antidiuretic hormone (ADH), cortisol, and thyroid hormone
replacement will be needed for life after hypophysectomy.
Without the effects of adrenocorticotropic hormone (ACTH) and
cortisol, the blood glucose and serum sodium will be low unless
cortisol is replaced. An adenoma is a benign tumor, and
chemotherapy will not be needed.
Which intervention will the nurse include in the plan of care for
a patient with syndrome of inappropriate antidiuretic hormone
(SIADH)?
a. Encourage fluids to 2 to 3 L/day.
b. Offer the patient sugarless gum to chew.
c. Monitor for increasing peripheral edema.
d. Keep head of bed elevated to 30 degrees. - ANSWER-ANS: B
Chewing on sugarless gum decreases thirst for a patient on fluid
restriction. Patients with SIADH are on fluid restrictions of 800
, 4|Page
to 1000 mL/day. Peripheral edema is not seen with SIADH. The
head of the bed is elevated no more than 10 degrees to
increase left atrial filling pressure and decrease antidiuretic
hormone (ADH) release.
A patient has just arrived on the unit after a thyroidectomy.
Which action would the nurse take first?
a. Observe the dressing for bleeding.
b. Check the blood pressure and pulse.
c. Assess the patient's respiratory effort.
d. Support the patient's head with pillows. - ANSWER-ANS: C
Airway obstruction is a possible complication after
thyroidectomy because of swelling or bleeding at the site or
tetany. The priority nursing action is to assess the airway. The
other actions are also part of the standard nursing care
postthyroidectomy but are not as high of a priority.
A patient is being admitted with a diagnosis of Cushing
syndrome. Which finding will the nurse expect during the
assessment?
a. Chronically low blood pressure
b. Bronzed appearance of the skin
c. Purplish streaks on the abdomen
d. Decreased axillary and pubic hair - ANSWER-ANS: C
