WGU D444 ADULT HEALTH 1 EXAM 4 QUESTIONS WITH VERIFIED
ANSWERS LATEST
Correct
Incorrect
1 of 225
Term
CH. 48 - The nurse is teaching a patient who has diabetes about
vascular complications of diabetes. What information is appropriate for
the nurse to include?
a. Macroangiopathy only occurs in patients with type 2 diabetes who
have severe disease.
b. Microangiopathy most often affects the capillary membranes of the
eyes, kidneys, and skin.
c. Macroangiopathy causes slowed gastric emptying and the sexual
impotency experienced by most patients with diabetes.
d. Renal damage resulting from changes in large- and medium-sized
blood vessels can be prevented by careful glucose control.
Give this one a go later!
,b. "Stop taking the medication now and call your health care provider."
Cyclophosphamide may cause syndrome of inappropriate antidiuretic hormone
(SIADH). Medications that stimulate the release of ADH should be avoided or
discontinued. Treatment may include restriction of fluids to 800 to 1000 mL/day. A
loop diuretic such as furosemide (Lasix) is used to promote diuresis, and
supplements of potassium, calcium, and magnesium may be needed.
a. "I will discard any insulin bottle that is cloudy in appearance."
Intermediate-acting insulin and combination-premixed insulin will be cloudy in
appearance. Routine hygiene such as washing with soap and rinsing with water is
adequate for skin preparation for the patient during self-injections. Insulin vials that
the patient is currently using may be left at room temperature for up to 4 weeks
unless the room temperature is higher than 86° F (30° C) or below freezing (<32°F
[0°C]). Rotating sites to different anatomic sites is no longer recommended. Patients
should rotate the injection within one particular site, such as the abdomen.
a. Right lateral side-lying position
After a renal biopsy, a pressure dressing should be applied. The patient should be
kept on the affected side for 30 to 60 minutes to apply additional pressure from the
patient's own body weight and then on bed rest for 24 hours. High Fowler's position
with arms supported is a position for a patient in respiratory distress. Reverse
Trendelenburg position is used to maintain circulation to the legs in peripheral
artery insufficiency. Supine with legs elevated puts excessive pressure on the
diaphragm and should generally be avoided.
, b. Microangiopathy most often affects the capillary membranes of the eyes,
kidneys, and skin.
Microangiopathy occurs in diabetes. When it affects the eyes, it is called
diabetic retinopathy. When the kidneys are affected, the patient has
nephropathy. When the skin is affected, it can lead to diabetic foot ulcers.
Macroangiopathy can occur in either type 1 or type 2 diabetes and contributes
to cerebrovascular, cardiovascular, and peripheral vascular disease. Sexual
impotency and slowed gastric emptying result from microangiopathy and
neuropathy.
Don't know?
2 of 225
Term
CH. 31 - The nurse is admitting a patient who is scheduled to undergo a
cardiac catheterization. What allergy information is most important for
the nurse to assess and document before this procedure?
a. Iron
b. Iodine
c. Aspirin
d. Penicillin
Give this one a go later!
, b. Turbulent blood flow across a heart valve
Turbulent blood flow across the affected valve results in a murmur. A murmur is not
a direct result of variances in blood viscosity, conductivity, or friction between the
heart and myocardium.
b. Iodine
The provider will usually use an iodine-based contrast to perform this
procedure. Therefore, it is imperative to know whether the patient is allergic to
iodine or shellfish. Knowledge of allergies to iron, aspirin, or penicillin will be
secondary.
a. Administer a cathartic or enema.
Nursing responsibilities in caring for a patient undergoing an IVP include
administration of a cathartic or enema to empty the colon of feces and gas. The
nurse will also assess the patient for iodine sensitivity; keep the patient NPO for 8
hours before the procedure; and advise the patient that warmth, a flushed face, and
a salty taste during injection of contrast material may occur.
b. Artifact
Motion is the most likely cause of the low SpO2 for this patient with Parkinson's
disease. Anemia, dark skin color, and thick acrylic nails as well as low perfusion,
bright fluorescent lights, and intravascular dyes may also cause an inaccurate pulse
oximetry result. There is no mention of these or reason to suspect these in this
question.
Don't know?
3 of 225
ANSWERS LATEST
Correct
Incorrect
1 of 225
Term
CH. 48 - The nurse is teaching a patient who has diabetes about
vascular complications of diabetes. What information is appropriate for
the nurse to include?
a. Macroangiopathy only occurs in patients with type 2 diabetes who
have severe disease.
b. Microangiopathy most often affects the capillary membranes of the
eyes, kidneys, and skin.
c. Macroangiopathy causes slowed gastric emptying and the sexual
impotency experienced by most patients with diabetes.
d. Renal damage resulting from changes in large- and medium-sized
blood vessels can be prevented by careful glucose control.
Give this one a go later!
,b. "Stop taking the medication now and call your health care provider."
Cyclophosphamide may cause syndrome of inappropriate antidiuretic hormone
(SIADH). Medications that stimulate the release of ADH should be avoided or
discontinued. Treatment may include restriction of fluids to 800 to 1000 mL/day. A
loop diuretic such as furosemide (Lasix) is used to promote diuresis, and
supplements of potassium, calcium, and magnesium may be needed.
a. "I will discard any insulin bottle that is cloudy in appearance."
Intermediate-acting insulin and combination-premixed insulin will be cloudy in
appearance. Routine hygiene such as washing with soap and rinsing with water is
adequate for skin preparation for the patient during self-injections. Insulin vials that
the patient is currently using may be left at room temperature for up to 4 weeks
unless the room temperature is higher than 86° F (30° C) or below freezing (<32°F
[0°C]). Rotating sites to different anatomic sites is no longer recommended. Patients
should rotate the injection within one particular site, such as the abdomen.
a. Right lateral side-lying position
After a renal biopsy, a pressure dressing should be applied. The patient should be
kept on the affected side for 30 to 60 minutes to apply additional pressure from the
patient's own body weight and then on bed rest for 24 hours. High Fowler's position
with arms supported is a position for a patient in respiratory distress. Reverse
Trendelenburg position is used to maintain circulation to the legs in peripheral
artery insufficiency. Supine with legs elevated puts excessive pressure on the
diaphragm and should generally be avoided.
, b. Microangiopathy most often affects the capillary membranes of the eyes,
kidneys, and skin.
Microangiopathy occurs in diabetes. When it affects the eyes, it is called
diabetic retinopathy. When the kidneys are affected, the patient has
nephropathy. When the skin is affected, it can lead to diabetic foot ulcers.
Macroangiopathy can occur in either type 1 or type 2 diabetes and contributes
to cerebrovascular, cardiovascular, and peripheral vascular disease. Sexual
impotency and slowed gastric emptying result from microangiopathy and
neuropathy.
Don't know?
2 of 225
Term
CH. 31 - The nurse is admitting a patient who is scheduled to undergo a
cardiac catheterization. What allergy information is most important for
the nurse to assess and document before this procedure?
a. Iron
b. Iodine
c. Aspirin
d. Penicillin
Give this one a go later!
, b. Turbulent blood flow across a heart valve
Turbulent blood flow across the affected valve results in a murmur. A murmur is not
a direct result of variances in blood viscosity, conductivity, or friction between the
heart and myocardium.
b. Iodine
The provider will usually use an iodine-based contrast to perform this
procedure. Therefore, it is imperative to know whether the patient is allergic to
iodine or shellfish. Knowledge of allergies to iron, aspirin, or penicillin will be
secondary.
a. Administer a cathartic or enema.
Nursing responsibilities in caring for a patient undergoing an IVP include
administration of a cathartic or enema to empty the colon of feces and gas. The
nurse will also assess the patient for iodine sensitivity; keep the patient NPO for 8
hours before the procedure; and advise the patient that warmth, a flushed face, and
a salty taste during injection of contrast material may occur.
b. Artifact
Motion is the most likely cause of the low SpO2 for this patient with Parkinson's
disease. Anemia, dark skin color, and thick acrylic nails as well as low perfusion,
bright fluorescent lights, and intravascular dyes may also cause an inaccurate pulse
oximetry result. There is no mention of these or reason to suspect these in this
question.
Don't know?
3 of 225
