Health and Illness Final Exam Questions With Complete
Solutions
80-year-old Mario has been living with COPD for several years.
Sometimes he functions relatively well for long periods of time,
then he experiences a steep episode of illness in a repeated
pattern. When observed with a palliative approach, what pattern
of dying does this describe? Correct Answers A stuttering
decline
A chemotherapeutic agent known to cause alopecia is prescribed
for a client. Which of the following actions should the nurse
plan to implement to help maintain the client's self-esteem?
Correct Answers Encourage the client to purchase a wig or hat
and wear it once hair loss begins.
A client receiving head and neck radiation has ulcerations over
the oral mucosa and tongue and thick, ropey saliva. Which of
the following actions should the nurse teach the client to
complete? Correct Answers Rinse the mouth before and after
each meal and at bedtime with a saline solution.
A client who has severe pain associated with terminal liver
cancer is being cared for at home by family members. Which of
the following findings indicates that teaching regarding pain
management has been effective? Correct Answers The client
takes opioids around the clock on a regular schedule and uses
additional doses when breakthrough pain occurs.
A client with a large stomach tumour that is attached to the liver
is scheduled to have a debulking procedure. When teaching the
,client, which of the following is the expected outcome of this
surgery? Correct Answers Decrease in tumour size to improve
the effects of other therapy
A client with metastatic cancer of the colon experiences severe
vomiting following each administration of chemotherapy.
Which of the following interventions should the nurse
implement? Correct Answers Administer prescribed antiemetics
1 hour before the treatments.
A patient is asking about options for specific complementary
therapies. What would be the nurse's best response in guiding
the patient? (select all that apply) Correct Answers Ask them,
"What symptoms are you trying to eradicate with the treatment
that are not already being addressed?"
Ensure patient is accessing reputable resources for options in
therapy
Amputations: managing phantom limb pain Correct Answers
life over limb
use a mirror to help brain understand the limb is gone
address pain for what it is. If they say they have pain in their
arm which is gone, still give pain meds
Asthma management Correct Answers assess for severity
if O2 less than 92% give O2
administer SAGA- MDI plus spacer (puffs)
ABG if severe and not improving
, Oral corticosteriods
balanced suspension traction Correct Answers weights hang
freely
use padding to prevent skin trauma
CSWM
maintain body alignment
weight correct
assess pin sites (osteomyelitis
constipation
DBC
DVT
called bucks traction
BBIT principles- Basal vs bolus Insulin Correct Answers Basal
insulin provides a steady, background level of insulin
throughout the day and night to control blood glucose levels
between meals and during periods of fasting. 1,2 x a day
Bolus insulin is taken before or after meals to manage the
increase in blood sugar that occurs after eating. It helps control
the post-meal rise in glucose levels.
BBIT principles- Effects of insulin administration and lack of
food, what would be a priority action? Correct Answers this
situation can lead to hypoglycemia (low blood sugar). The
effects of insulin administration without sufficient food intake
include a drop in blood glucose levels, potentially causing
symptoms such as dizziness, shakiness, confusion, sweating,
and, in severe cases, loss of consciousness.
Solutions
80-year-old Mario has been living with COPD for several years.
Sometimes he functions relatively well for long periods of time,
then he experiences a steep episode of illness in a repeated
pattern. When observed with a palliative approach, what pattern
of dying does this describe? Correct Answers A stuttering
decline
A chemotherapeutic agent known to cause alopecia is prescribed
for a client. Which of the following actions should the nurse
plan to implement to help maintain the client's self-esteem?
Correct Answers Encourage the client to purchase a wig or hat
and wear it once hair loss begins.
A client receiving head and neck radiation has ulcerations over
the oral mucosa and tongue and thick, ropey saliva. Which of
the following actions should the nurse teach the client to
complete? Correct Answers Rinse the mouth before and after
each meal and at bedtime with a saline solution.
A client who has severe pain associated with terminal liver
cancer is being cared for at home by family members. Which of
the following findings indicates that teaching regarding pain
management has been effective? Correct Answers The client
takes opioids around the clock on a regular schedule and uses
additional doses when breakthrough pain occurs.
A client with a large stomach tumour that is attached to the liver
is scheduled to have a debulking procedure. When teaching the
,client, which of the following is the expected outcome of this
surgery? Correct Answers Decrease in tumour size to improve
the effects of other therapy
A client with metastatic cancer of the colon experiences severe
vomiting following each administration of chemotherapy.
Which of the following interventions should the nurse
implement? Correct Answers Administer prescribed antiemetics
1 hour before the treatments.
A patient is asking about options for specific complementary
therapies. What would be the nurse's best response in guiding
the patient? (select all that apply) Correct Answers Ask them,
"What symptoms are you trying to eradicate with the treatment
that are not already being addressed?"
Ensure patient is accessing reputable resources for options in
therapy
Amputations: managing phantom limb pain Correct Answers
life over limb
use a mirror to help brain understand the limb is gone
address pain for what it is. If they say they have pain in their
arm which is gone, still give pain meds
Asthma management Correct Answers assess for severity
if O2 less than 92% give O2
administer SAGA- MDI plus spacer (puffs)
ABG if severe and not improving
, Oral corticosteriods
balanced suspension traction Correct Answers weights hang
freely
use padding to prevent skin trauma
CSWM
maintain body alignment
weight correct
assess pin sites (osteomyelitis
constipation
DBC
DVT
called bucks traction
BBIT principles- Basal vs bolus Insulin Correct Answers Basal
insulin provides a steady, background level of insulin
throughout the day and night to control blood glucose levels
between meals and during periods of fasting. 1,2 x a day
Bolus insulin is taken before or after meals to manage the
increase in blood sugar that occurs after eating. It helps control
the post-meal rise in glucose levels.
BBIT principles- Effects of insulin administration and lack of
food, what would be a priority action? Correct Answers this
situation can lead to hypoglycemia (low blood sugar). The
effects of insulin administration without sufficient food intake
include a drop in blood glucose levels, potentially causing
symptoms such as dizziness, shakiness, confusion, sweating,
and, in severe cases, loss of consciousness.
