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PNH301 Final Exam – Questions With Guaranteed Solutions

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PNH301 Final Exam – Questions With Guaranteed Solutions

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In a severely anemic patient, the nurse a. dyspnea + tachycardia
would expect to find:
a. dyspnea and tachycardia
b. cyanosis and pulmonary edema
c. cardiomegaly and pulmonary fibrosis
d. ventricular dysrhythmias and wheezing


When obtaining assessment data from a b. dietary intake of iron
client with a microcytic, hypochromic
anemia, what would the nurse question the
client about?
a. folic acid intake
b. dietary intake of iron
c. Hx of gastric surgery
d. Hx of sickle cell anemia


Nursing interventions for a client w/ severe a, c
anemia r/t PUD include which of the - high iron diet
following? (SATA): - monitor stools for blood
a. giving instructions in high-iron diet
b. taking VS q8h
c. monitoring stools for occult blood
d. teaching self-injection of erythropoietin
e. administering cobalamin (V.B12) injections


Which nursing management actions apply a, b, c, d
for a client in sickle cell crisis? (SATA): -monitor cbc
a. monitoring CBC -pain management + o2
b. providing optimal pain management and -blood transfusions; iron chelation
O2 therapy -rest prn + dvt prophylaxis
c. doing blood transfusions if required and
iron chelation
d. recommending rest as needed and DVT
prophylaxis
e. administering IV iron and a diet high in
iron content

,The healthcare provider prescribes b. levothyroxine is lifelong treatment
levothyroxine (synthroid) for a client w/
myxedema. After teaching regarding this
drug, the nurse determines that further
instruction is needed when the client says
which of the following?
a. "I can expect the medication dose may
need to be adjusted"
b. "I only need to take this drug until my
symptoms are improved"
c. "I can expect to return to normal function
with the use of this drug"
d. "I will report any chest pain or difficulty
breathing to the doctor right away"


Which of the following are important b+e
nursing intervention(s) when caring for a - monitor blood glucose
patient w/ Cushing's syndrome? (SATA): - protect client from infection
a. restrict protein intake
b. monitor blood glucose levels
c. observing signs of hypotension
d. administer medication in equal doses
e. protect the client from exposure to
infection


How does the nurse instruct the client who a. increase calcium intake
is taking corticosteroids to control adverse
effects of drug therapy?
a. increase calcium intake to 1500mg/day
b. perform glucose monitoring for
hypoglycemia
c. obtain immunizations due to high risk for
infections
d. avoid abrupt position changes b/c of
orthostatic hypotension


What does the nurse teach the client c. on arising and in the late afternoon
regarding the best time to take
corticosteroids for replacement purposes?
a. once a day @ bedtime
b. every other day on awakening
c. on arising and in the late afternoon
d. @ consistent intervals every 6-8 hrs


When would the nurse suspect an ankle d. twisting injury while running bases
sprain for the client being seen at urgent
care centre?
a. client was hit by another soccer player on
the field
b. client has ankle pain after sprinting
around the track
c. client dropped 4.5kg weight on his lower
leg at the gym.
d. client had a twisting injury while running
bases during a baseball game.

, The nurse explains to a client with a distal a. callus formation
tibial fracture returning for a 3 week
checkup that healing is indicated by which
of the following?
a. callus formation
b. complete bony union
c. hematoma at the fracture site
d. presence of granulation tissue


Which of the following indicates a c. decreased sensation distal to the fracture site
neurovascular problem during the nurses
assessment of a client with a fracture?
a. exaggeration of extremity movement
b. increased redness and heat below the
injury
c. decreased sensation distal to the fracture
site
d. purulent drainage at the site of an open
fracture


A client with a stable, closed fracture of d. pain when passively extending fingers
humerus caused by trauma to the arm has a
temporary splint with bulky padding applied
with an elastic bandage. For which of the
following symptoms would the nurse
suspect compartment syndrome and notify
the physician?
a. increasing edema of the limb
b. muscle spasms of the lower arm
c. rebounding pulse at the fracture site
d. pain when passively extending fingers


A client with RA (rheumatoid) is scheduled b+d
for an arthroplasty, how should the nurse - to replace the joint
explain the purpose of this procedure? - to improve or maintain ROM
(SATA):
a. to fuse the joint
b. to replace the joint
c. to prevent further damage
d. to improve or maintain ROM
e. to decrease the amount of destruction in
the joint


What should the nurse teach a client b. sitting with legs crossed
recovering from a total hip replacement to
avoid?
a. sleeping on the abdomen
b. sitting with the legs crossed
c. abduction exercises of the affected leg
d. bearing weight on the affected leg for 6
weeks

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