Health and Healing IV Test 3 Questions With Complete
Solutions
1. The daughter of a client calls to tell the nurse that her 85-year-
old mother has been nauseated all day and has vomited twice.
Before the nurse hangs up and telephones the health care
provider to communicate the assessment data, what does the
nurse instruct the client's daughter to do?
a. Administer antispasmodic drugs and observe skin turgor.
b. Give her mother sips of water and elevate the head of her bed
to prevent aspiration.
c. Offer her mother a high-protein liquid supplement to drink to
maintain her nutritional needs.
d. Offer her mother large quantities of Gatorade to drink because
older adults are at risk for sodium depletion.
B
2. The nurse explains to a patient with Vincent's infection that
treatment will include which of the following?
a. Smallpox vaccinations
b. Viscous lidocaine rinses
c. Amphotericin B suspension
d. Topical application of antibiotics
D
3. The nurse is involved in health promotion related to oral
cancer. Which behaviours are included in the teaching of
adolescents with regard to behaviours that put them at risk for
,oral cancer? (Select all that apply)
a. Avoiding use of perfumed lip gloss
b. Discouraging use of chewing gum
c. Avoiding use of smokeless tobacco
d. Discouraging drinking of carbonated beverages
e. Avoiding excessive alcohol consumption
CE
4. What information is included when the nurse is explaining
gastro-esophageal reflux disease (GERD) to a client with
GERD?
a. Results in acid erosion and ulceration of the esophagus caused
by frequent vomiting
b. Will require surgical wrapping or repair of the pyloric
sphincter to control the symptoms
c. Is the protrusion of a portion of the stomach into the
esophagus through an opening in the diaphragm
d. Often involves relaxation of the lower esophageal sphincter,
allowing stomach contents to back up into the esophagus
D
5. A client who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full
liquid diet is started postoperatively. What are these symptoms
most indicative of?
a. An intolerance to the feedings
b. Extension of the tumour into the aorta
c. Leakage of fluid or foods into the mediastinum
d. Esophageal perforation with fistula formation into the lung
, C
6. The pernicious anemia that may accompany gastritis is caused
by which of the following?
a. Chronic autoimmune destruction of cobalamin stores in the
body
b. Progressive gastric atrophy from chronic breakage in the
mucosal barrier and blood loss
c. A lack of intrinsic factor normally produced by acid-secreting
cells of the gastric mucosa
d. Hyperchlorhydria resulting from an increase in acid-secreting
parietal cells and degradation of red blood cells
C
7. For the client being discharged after an acute episode of
gastrointestinal (GI) bleeding, what information would the
nurse's teaching plan include?
a. Taking only drugs prescribed by the health care provider
b. Avoiding taking ASA (Aspirin) with acidic beverages such as
orange juice
c. Taking all drugs 1 hour before mealtime to prevent further
bleeding
d. Reading all over-the-counter (OTC) drug labels to avoid those
containing stearic acid and calcium
A
8. The nurse is teaching the client and her family about possible
causes of peptic ulcers. How does the nurse explain ulcer
formation?
a. Caused by a stressful lifestyle and other acid-producing
Solutions
1. The daughter of a client calls to tell the nurse that her 85-year-
old mother has been nauseated all day and has vomited twice.
Before the nurse hangs up and telephones the health care
provider to communicate the assessment data, what does the
nurse instruct the client's daughter to do?
a. Administer antispasmodic drugs and observe skin turgor.
b. Give her mother sips of water and elevate the head of her bed
to prevent aspiration.
c. Offer her mother a high-protein liquid supplement to drink to
maintain her nutritional needs.
d. Offer her mother large quantities of Gatorade to drink because
older adults are at risk for sodium depletion.
B
2. The nurse explains to a patient with Vincent's infection that
treatment will include which of the following?
a. Smallpox vaccinations
b. Viscous lidocaine rinses
c. Amphotericin B suspension
d. Topical application of antibiotics
D
3. The nurse is involved in health promotion related to oral
cancer. Which behaviours are included in the teaching of
adolescents with regard to behaviours that put them at risk for
,oral cancer? (Select all that apply)
a. Avoiding use of perfumed lip gloss
b. Discouraging use of chewing gum
c. Avoiding use of smokeless tobacco
d. Discouraging drinking of carbonated beverages
e. Avoiding excessive alcohol consumption
CE
4. What information is included when the nurse is explaining
gastro-esophageal reflux disease (GERD) to a client with
GERD?
a. Results in acid erosion and ulceration of the esophagus caused
by frequent vomiting
b. Will require surgical wrapping or repair of the pyloric
sphincter to control the symptoms
c. Is the protrusion of a portion of the stomach into the
esophagus through an opening in the diaphragm
d. Often involves relaxation of the lower esophageal sphincter,
allowing stomach contents to back up into the esophagus
D
5. A client who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full
liquid diet is started postoperatively. What are these symptoms
most indicative of?
a. An intolerance to the feedings
b. Extension of the tumour into the aorta
c. Leakage of fluid or foods into the mediastinum
d. Esophageal perforation with fistula formation into the lung
, C
6. The pernicious anemia that may accompany gastritis is caused
by which of the following?
a. Chronic autoimmune destruction of cobalamin stores in the
body
b. Progressive gastric atrophy from chronic breakage in the
mucosal barrier and blood loss
c. A lack of intrinsic factor normally produced by acid-secreting
cells of the gastric mucosa
d. Hyperchlorhydria resulting from an increase in acid-secreting
parietal cells and degradation of red blood cells
C
7. For the client being discharged after an acute episode of
gastrointestinal (GI) bleeding, what information would the
nurse's teaching plan include?
a. Taking only drugs prescribed by the health care provider
b. Avoiding taking ASA (Aspirin) with acidic beverages such as
orange juice
c. Taking all drugs 1 hour before mealtime to prevent further
bleeding
d. Reading all over-the-counter (OTC) drug labels to avoid those
containing stearic acid and calcium
A
8. The nurse is teaching the client and her family about possible
causes of peptic ulcers. How does the nurse explain ulcer
formation?
a. Caused by a stressful lifestyle and other acid-producing
