3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
WGU D446 ADULT HEALTH 2 FINAL EXAM 187 QUESTIONS WITH
VERIFIED ANSWERS 2026
Correct
Incorrect
Your answers
1 of 187
Term
The nurse suspects cardiac tamponade in a patient who has acute
pericarditis. How would the nurse assess for the presence of pulsus
paradoxus?
a. Subtract the diastolic blood pressure from the systolic blood
pressure.
b. Note when Korotkoff sounds are heard during both inspiration and
expiration.
c. Check the electrocardiogram (ECG) for variations in rate during the
respiratory cycle.
d. Listen for a pericardial friction rub that persists when the patient is
instructed to stop breathing.
Give this one a go later!
,3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
ANS: C
Muscle twitching and finger numbness indicate hypocalcemia, which may lead to
tetany unless calcium gluconate is administered. Although the other findings should
also be reported to the health care provider, they do not indicate complications
that require rapid action.
ANS: A
The high urine output indicates that diabetes insipidus may be developing, and
interventions to prevent dehydration need to be rapidly implemented. The other
data do not indicate a need for any change in therapy.
ANS: B
Pulsus paradoxus exists when there is a gap of greater than 10 mm Hg
between when Korotkoff sounds can be heard during only expiration and
when they can be heard throughout the respiratory cycle. The other methods
described would not be useful in determining the presence of pulsus
paradoxus. The difference between the diastolic blood pressure and the
systolic blood pressure is known as the pulse pressure
C. "I will use a washcloth to wash the affected area."
External radiation therapy requires that markings be placed on the skin so that
therapy can be aimed at the affected areas. The hand rather than a washcloth needs
to be used to wash the area to avoid irritation. The nurse would instruct the client
who is undergoing external radiation therapy to dry affected areas with a patting
(rather than rubbing) motion so as not to disrupt the markings on the skin. Soft
clothing needs to be worn so that the affected area is not irritated. The client needs
to be sure to carry items such as a bag of groceries on the unaffected side.
Don't know?
2 of 187
Definition
,3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
a. Reposition the client.
c. Make sure the peritoneal catheter is not kinked.
e. Check that the drainage bag is lower than the client's abdomen.
f. Assess the stool history, and institute elimination measures if the
client is constipated.
CAPD is a method of peritoneal dialysis in which the client infuses
dialysate into the abdomen through a special peritoneal catheter and
then lets it dwell for a period of hours. After a specified time, the client
drains the dialysate out of the abdomen by gravity and then instills
another 1.5 to 3 L of dialysate into the peritoneal cavity. During the
dwell time, substances are exchanged across the peritoneal membrane
through the process of diffusion. It is important for the nurse to make
sure that all of the dialysate in each treatment is removed to ensure
proper waste and fluid removal. The distal end of the peritoneal
catheter hangs loosely within the abdomen cavity, so if the nurse
encourages the client to change position, placement of the catheter
also could be changed, potentially increasing outflow. Because the
peritoneal catheter and the tubing to the drainage bag are long and
flexible, either could get kinked. Correcting this is an easy solution to
the outflow problem. The peritoneal catheter is surgically placed in the
abdomen, and the skin grows around the cuff. With peritoneal dialysis,
gravity is the process whereby dialysate is removed from the
peritoneal cavity. Keeping the bag lower than the abdomen enhances
gravity. Constipation is one of the primary causes of poor outflow.
Assessing and intervening for constipation and encouraging a high-
fiber diet are important actions to include in the care of a client on
peritoneal dialysis. The catheter cannot be physically manipulated. In
addition, this is not an action that would be within the focus of a
nursing responsibility.
, 3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
Give this one a go later!
A client diagnosed with chronic kidney disease (CKD) is scheduled to begin
hemodialysis. The nurse determines that which neurological and psychosocial
manifestations, if exhibited by this client, are related to the CKD? Select all that
apply.
a. agitation
b. euphoria
c. depression
d. withdrawal
e. labile emotions
A client with chronic kidney disease (CKD) is being managed by continuous
ambulatory peritoneal dialysis (CAPD). During outflow, the nurse notes that
only half of the 2 L of dialysate has returned, and the flow has stopped. Which
interventions would the nurse take to enhance the outflow? Select all that
apply.
a. Reposition the client.
b. Encourage a low-fiber diet.
c. Make sure the peritoneal catheter is not kinked.
d. Slide the peritoneal catheter farther into the abdomen.
e. Check that the drainage bag is lower than the client's abdomen.
f. Assess the stool history, and institute elimination measures if the client is
constipated.
A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The
client complains to the nurse about hair loss and severe fatigue from the treatment.
Which interventions would the nurse plan to implement for this client? Select all
that apply.
A. Review side effects of chemotherapy and treatment with the client.
B. Teach the client how to resolve specific concerns of her personal life.
WGU D446 ADULT HEALTH 2 FINAL EXAM 187 QUESTIONS WITH
VERIFIED ANSWERS 2026
Correct
Incorrect
Your answers
1 of 187
Term
The nurse suspects cardiac tamponade in a patient who has acute
pericarditis. How would the nurse assess for the presence of pulsus
paradoxus?
a. Subtract the diastolic blood pressure from the systolic blood
pressure.
b. Note when Korotkoff sounds are heard during both inspiration and
expiration.
c. Check the electrocardiogram (ECG) for variations in rate during the
respiratory cycle.
d. Listen for a pericardial friction rub that persists when the patient is
instructed to stop breathing.
Give this one a go later!
,3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
ANS: C
Muscle twitching and finger numbness indicate hypocalcemia, which may lead to
tetany unless calcium gluconate is administered. Although the other findings should
also be reported to the health care provider, they do not indicate complications
that require rapid action.
ANS: A
The high urine output indicates that diabetes insipidus may be developing, and
interventions to prevent dehydration need to be rapidly implemented. The other
data do not indicate a need for any change in therapy.
ANS: B
Pulsus paradoxus exists when there is a gap of greater than 10 mm Hg
between when Korotkoff sounds can be heard during only expiration and
when they can be heard throughout the respiratory cycle. The other methods
described would not be useful in determining the presence of pulsus
paradoxus. The difference between the diastolic blood pressure and the
systolic blood pressure is known as the pulse pressure
C. "I will use a washcloth to wash the affected area."
External radiation therapy requires that markings be placed on the skin so that
therapy can be aimed at the affected areas. The hand rather than a washcloth needs
to be used to wash the area to avoid irritation. The nurse would instruct the client
who is undergoing external radiation therapy to dry affected areas with a patting
(rather than rubbing) motion so as not to disrupt the markings on the skin. Soft
clothing needs to be worn so that the affected area is not irritated. The client needs
to be sure to carry items such as a bag of groceries on the unaffected side.
Don't know?
2 of 187
Definition
,3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
a. Reposition the client.
c. Make sure the peritoneal catheter is not kinked.
e. Check that the drainage bag is lower than the client's abdomen.
f. Assess the stool history, and institute elimination measures if the
client is constipated.
CAPD is a method of peritoneal dialysis in which the client infuses
dialysate into the abdomen through a special peritoneal catheter and
then lets it dwell for a period of hours. After a specified time, the client
drains the dialysate out of the abdomen by gravity and then instills
another 1.5 to 3 L of dialysate into the peritoneal cavity. During the
dwell time, substances are exchanged across the peritoneal membrane
through the process of diffusion. It is important for the nurse to make
sure that all of the dialysate in each treatment is removed to ensure
proper waste and fluid removal. The distal end of the peritoneal
catheter hangs loosely within the abdomen cavity, so if the nurse
encourages the client to change position, placement of the catheter
also could be changed, potentially increasing outflow. Because the
peritoneal catheter and the tubing to the drainage bag are long and
flexible, either could get kinked. Correcting this is an easy solution to
the outflow problem. The peritoneal catheter is surgically placed in the
abdomen, and the skin grows around the cuff. With peritoneal dialysis,
gravity is the process whereby dialysate is removed from the
peritoneal cavity. Keeping the bag lower than the abdomen enhances
gravity. Constipation is one of the primary causes of poor outflow.
Assessing and intervening for constipation and encouraging a high-
fiber diet are important actions to include in the care of a client on
peritoneal dialysis. The catheter cannot be physically manipulated. In
addition, this is not an action that would be within the focus of a
nursing responsibility.
, 3/23/26, 11:09 PM ADULT HEALTH 2 FINAL | Quizlet
Give this one a go later!
A client diagnosed with chronic kidney disease (CKD) is scheduled to begin
hemodialysis. The nurse determines that which neurological and psychosocial
manifestations, if exhibited by this client, are related to the CKD? Select all that
apply.
a. agitation
b. euphoria
c. depression
d. withdrawal
e. labile emotions
A client with chronic kidney disease (CKD) is being managed by continuous
ambulatory peritoneal dialysis (CAPD). During outflow, the nurse notes that
only half of the 2 L of dialysate has returned, and the flow has stopped. Which
interventions would the nurse take to enhance the outflow? Select all that
apply.
a. Reposition the client.
b. Encourage a low-fiber diet.
c. Make sure the peritoneal catheter is not kinked.
d. Slide the peritoneal catheter farther into the abdomen.
e. Check that the drainage bag is lower than the client's abdomen.
f. Assess the stool history, and institute elimination measures if the client is
constipated.
A client with a medical diagnosis of breast cancer is undergoing chemotherapy. The
client complains to the nurse about hair loss and severe fatigue from the treatment.
Which interventions would the nurse plan to implement for this client? Select all
that apply.
A. Review side effects of chemotherapy and treatment with the client.
B. Teach the client how to resolve specific concerns of her personal life.
