AH, Adult health 1 study guide, ADULT HEALTH D444
QUESTIONS WITH COMPLETE SOLUTIONS
Three days after a cholecystectomy for cholelithiasis, a client
reports persistent upper abdominal pain that radiates to the back.
The client has vomited three times in the last 12 hours and has a
temperature of 101.8°F (38.7° C). Serum amylase and lipase are
twice the normal value. Based on these findings, the nurse
should observe the client for which pathophysiological
condition?
Acute pancreatitis
The nurse notes that a client has been receiving hydromorphone
every six hours for four days. Which assessment is most
important for the nurse to complete?
Auscultate the client's bowel sounds
Influenza symptoms
Referral to healthcare provider for oseltamivir prescription
The nurse is preparing a teaching plan for a group of clients who
were found to be HIV positive within the last year. Members of
the group express an interest in learning about the pathology of
AIDS. The nurse should explain that HIV acts in which way to
suppress the immune system?
Destruction of helper T-cells and CD4 cells.
Following discharge teaching, a client with a duodenal ulcer
tells the nurse of plans to eat plenty of dairy products to help
,coat and protect the duodenal ulcer. Which is the best follow- up
action by the nurse?
Review with the client the need to avoid foods that are rich in
milk and cream
The nurse is caring for a client with emphysema who is mildly
dyspneic after ambulation. Which instruction should the nurse
provide to the client to improve gas exchange?
Draw air in through the nose and exhale slowly through pursed
lips
To assess the quality of an adult client's pain, which approach
should the nurse use?
Ask the client to describe the pain
A client who is newly diagnosed with erosive esophagitis
secondary to gastroesophageal reflux disease (GERD) reports to
the home health nurse that there has been only a minimal
reduction in symptoms after taking lansoprazole PO for one full
week. Which action should the nurse take?
Advise the client that healing typically takes several weeks to
occur.
The antitubercular drug isoniazid is prescribed for a client with
active tuberculosis. To evaluate the effectiveness of this
medication, which outcome can the nurse expect this client to
exhibit?
Decreased cough and sputum
, A client with symptoms of influenza that started the previous
day asks the clinic nurse about taking oseltamivir to treat the
infection. Which response should the nurse provide?
Refer the client to the healthcare provider at the clinic to obtain
a medication prescription
Appendix location
right lower quadrant of stomach
Appendicitis (4)
inflamed appendix that can cause abdominal pain, nausea, and
fever
Before administering a newly prescribed dose of terbinafine
HCL to a client with a fungal toenail infection, which
assessment finding is most important for the nurse to address?
Use of Alcohol/Alcoholism
The patients Hemoglobin A1c today of 8.29% & was 7.59%
there months ago. [Reference range 4 to 5.99] What diagnosis?
Diabetes mellitus
Duodenal ulcer
Avoiding dairy products rich in milk and cream
Emphysema
Improving gas exchange by pursed lip breathing
Erosive esophagitis
Educating on healing time after lansoprazole use
QUESTIONS WITH COMPLETE SOLUTIONS
Three days after a cholecystectomy for cholelithiasis, a client
reports persistent upper abdominal pain that radiates to the back.
The client has vomited three times in the last 12 hours and has a
temperature of 101.8°F (38.7° C). Serum amylase and lipase are
twice the normal value. Based on these findings, the nurse
should observe the client for which pathophysiological
condition?
Acute pancreatitis
The nurse notes that a client has been receiving hydromorphone
every six hours for four days. Which assessment is most
important for the nurse to complete?
Auscultate the client's bowel sounds
Influenza symptoms
Referral to healthcare provider for oseltamivir prescription
The nurse is preparing a teaching plan for a group of clients who
were found to be HIV positive within the last year. Members of
the group express an interest in learning about the pathology of
AIDS. The nurse should explain that HIV acts in which way to
suppress the immune system?
Destruction of helper T-cells and CD4 cells.
Following discharge teaching, a client with a duodenal ulcer
tells the nurse of plans to eat plenty of dairy products to help
,coat and protect the duodenal ulcer. Which is the best follow- up
action by the nurse?
Review with the client the need to avoid foods that are rich in
milk and cream
The nurse is caring for a client with emphysema who is mildly
dyspneic after ambulation. Which instruction should the nurse
provide to the client to improve gas exchange?
Draw air in through the nose and exhale slowly through pursed
lips
To assess the quality of an adult client's pain, which approach
should the nurse use?
Ask the client to describe the pain
A client who is newly diagnosed with erosive esophagitis
secondary to gastroesophageal reflux disease (GERD) reports to
the home health nurse that there has been only a minimal
reduction in symptoms after taking lansoprazole PO for one full
week. Which action should the nurse take?
Advise the client that healing typically takes several weeks to
occur.
The antitubercular drug isoniazid is prescribed for a client with
active tuberculosis. To evaluate the effectiveness of this
medication, which outcome can the nurse expect this client to
exhibit?
Decreased cough and sputum
, A client with symptoms of influenza that started the previous
day asks the clinic nurse about taking oseltamivir to treat the
infection. Which response should the nurse provide?
Refer the client to the healthcare provider at the clinic to obtain
a medication prescription
Appendix location
right lower quadrant of stomach
Appendicitis (4)
inflamed appendix that can cause abdominal pain, nausea, and
fever
Before administering a newly prescribed dose of terbinafine
HCL to a client with a fungal toenail infection, which
assessment finding is most important for the nurse to address?
Use of Alcohol/Alcoholism
The patients Hemoglobin A1c today of 8.29% & was 7.59%
there months ago. [Reference range 4 to 5.99] What diagnosis?
Diabetes mellitus
Duodenal ulcer
Avoiding dairy products rich in milk and cream
Emphysema
Improving gas exchange by pursed lip breathing
Erosive esophagitis
Educating on healing time after lansoprazole use
