Adult health 1 study guide || 100% Errorless Answers.
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask.The orders would the nurse question?
(Select all that apply.) correct answers Ibuprofen 400 mg every 4 to 6 hours PRN for temperature
greater than 100.5°F,Supplemental oxygen 10 L/min via nasal cannula
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask.SATA correct answers Perform hand
hygiene, Identify the client using 2 client identifiers, Check the skin around the face, Don gloves,
Assess respiratory function
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. According to the client's vital signs, he is
experiencing ______ & ______ correct answers Tachycardia & Tachypnea
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask. What actions can the nurse do to assist the
client in improving their ventilation and oxygenation? Select all that apply. correct answers
Encourage the client to take breaks from the oxygen mask every few hours. Assist the client in
ambulating safely. Positioning the client with the head of the bed elevated
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask. Mark whether the assessment findings
indicate that the treatment was effective or ineffective assessment findings. correct answers
Rhonchi in the right lung - ineffective, Symmetric chest expansion-effective, Oxygen saturation
greater than 94%- effective: PaCO2 55 mm Hg on a blood gas ineffective, Client ambulates
without shortness of breath- effective, Diminished breath sounds in the right lung- ineffective.
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask. Which technique should the nurse use
when assessing the client for early signs of rheumatoid arthritis? correct answers Observe the
client's fingers
, Which information should the nurse include when giving discharge instructions to a client
following a left eye cataract extraction with a lens implant? correct answers Administer a stool
softener
A client with chronic cirrhosis has esophageal varices. It is most important for the nurse to
monitor the client for the onset of which problem? correct answers Hematemesis(vomit
bleeding)caused by Bleeding ulcers.
The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions
should be planned to meet which goal? correct answers Prevent esophageal reflux
A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly
areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription
should the nurse teach the client to use for the skin condition? correct answers Topical
corticosteroids
The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to
infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to deliver
how many gtt/minute? * (Always round to the nearest whole number gtt/min.) correct answers
38gtt/min
A client who has had a laryngectomy and tracheostomy frequently expects copious amounts of
purulent secretions. When changing the lines of the tracheostomy tube, which action is most
important for the nurse to take? correct answers Leave the old ties in place until the new ones are
secure
A client presents to the emergency department vomiting dark brown emesis and in severe
abdominal pain. The client reports to the nurse of recently being diagnosed with adenocarcinoma
of the small intestine. After auscultating bowel sounds and obtaining vital signs, which
prescription should the nurse implement next? correct answers Insert a nasogastric tube (NGT)
and attach to low intermittent suction
A client has a nasogastric (NG) tube placed during abdominal surgery. During postoperative
convalescence, the nurse identifies that the client is manifesting a hand tremor, muscle twitching,
and confusion. Which arterial blood gases consistent with metabolic alkalosis should the nurse
report to the healthcare provider? correct answers pH 7.46, PCO, 55 mm Hg, HCO, 36 mEq/L
(36 mmol/L), PO, 95 mm Hg. 50% pH 7.46, PCO2 55 mm Hg, HCO3 36 mEq/L, PO2 95 mm
Hg.
A client has been administered lactulose for several days. Which therapeutic response should the
nurse expect for a client with hepatic encephalopathy? correct answers Lactulose- works by
reducing serum ammonia levels through the promotion of ammonia excretion in the feces,
leading to improved cognitive function and mental status in individuals with hepatic
encephalopathy
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask.The orders would the nurse question?
(Select all that apply.) correct answers Ibuprofen 400 mg every 4 to 6 hours PRN for temperature
greater than 100.5°F,Supplemental oxygen 10 L/min via nasal cannula
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask.SATA correct answers Perform hand
hygiene, Identify the client using 2 client identifiers, Check the skin around the face, Don gloves,
Assess respiratory function
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. According to the client's vital signs, he is
experiencing ______ & ______ correct answers Tachycardia & Tachypnea
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask. What actions can the nurse do to assist the
client in improving their ventilation and oxygenation? Select all that apply. correct answers
Encourage the client to take breaks from the oxygen mask every few hours. Assist the client in
ambulating safely. Positioning the client with the head of the bed elevated
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask. Mark whether the assessment findings
indicate that the treatment was effective or ineffective assessment findings. correct answers
Rhonchi in the right lung - ineffective, Symmetric chest expansion-effective, Oxygen saturation
greater than 94%- effective: PaCO2 55 mm Hg on a blood gas ineffective, Client ambulates
without shortness of breath- effective, Diminished breath sounds in the right lung- ineffective.
The client is a 51-year-old male with pneumonia. The client has a history of hypertension and
takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-
years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the
oxygen administration and apply a simple face mask. Which technique should the nurse use
when assessing the client for early signs of rheumatoid arthritis? correct answers Observe the
client's fingers
, Which information should the nurse include when giving discharge instructions to a client
following a left eye cataract extraction with a lens implant? correct answers Administer a stool
softener
A client with chronic cirrhosis has esophageal varices. It is most important for the nurse to
monitor the client for the onset of which problem? correct answers Hematemesis(vomit
bleeding)caused by Bleeding ulcers.
The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions
should be planned to meet which goal? correct answers Prevent esophageal reflux
A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly
areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription
should the nurse teach the client to use for the skin condition? correct answers Topical
corticosteroids
The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to
infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to deliver
how many gtt/minute? * (Always round to the nearest whole number gtt/min.) correct answers
38gtt/min
A client who has had a laryngectomy and tracheostomy frequently expects copious amounts of
purulent secretions. When changing the lines of the tracheostomy tube, which action is most
important for the nurse to take? correct answers Leave the old ties in place until the new ones are
secure
A client presents to the emergency department vomiting dark brown emesis and in severe
abdominal pain. The client reports to the nurse of recently being diagnosed with adenocarcinoma
of the small intestine. After auscultating bowel sounds and obtaining vital signs, which
prescription should the nurse implement next? correct answers Insert a nasogastric tube (NGT)
and attach to low intermittent suction
A client has a nasogastric (NG) tube placed during abdominal surgery. During postoperative
convalescence, the nurse identifies that the client is manifesting a hand tremor, muscle twitching,
and confusion. Which arterial blood gases consistent with metabolic alkalosis should the nurse
report to the healthcare provider? correct answers pH 7.46, PCO, 55 mm Hg, HCO, 36 mEq/L
(36 mmol/L), PO, 95 mm Hg. 50% pH 7.46, PCO2 55 mm Hg, HCO3 36 mEq/L, PO2 95 mm
Hg.
A client has been administered lactulose for several days. Which therapeutic response should the
nurse expect for a client with hepatic encephalopathy? correct answers Lactulose- works by
reducing serum ammonia levels through the promotion of ammonia excretion in the feces,
leading to improved cognitive function and mental status in individuals with hepatic
encephalopathy
