Rasmussen College :NURSING NU278/NUR2 Exam 3 Questions and Answers LATEST 2021,100% CORRECT

Rasmussen College :NURSING NU278/NUR2 Exam 3 Questions and Answers LATEST 2021 1. When assessing a client diagnosed with acromegaly, which signs, symptoms, or history with is nurse likely find? (Select all that apply): Selected Answers: Cardiomyopathy Large tongue (Macroglossia) Answers: Oily skin Cardiomyopathy Anorexia Large tongue (Macroglossia) Hypoglycemia Oily skin 2. When differentiating between the causes of pyelonephritis vs. glomerulonephritis, the nurse understands that one cause of glomerulonephritis is: Selected Answer: Group A beta-hemolytic streptococcus Answers: Group A beta-hemolytic streptococcus Urine backflow Kidney stones Urinary tract infections 3. The nurse is planning care for a client diagnosed with Graves’ disease. Which of the following nursing interventions would be appropriate for this client’s care? Selected Answer: Provide small, frequent meals. Answers: Administer a stool softener. Provide extra blankets. Provide small, frequent meals. Restrict the caloric intake. A nurse is caring for a client diagnosed with rhabdomyolysis. Which of the following labs will the nurse consider priority? Selected Answer: BUN and creatinine Answers: BUN and creatinine Hemoglobin and hematocrit ALT and AST HGB A1C 4. The nurse is caring for a client with new onset of elevated BUN and creatinine, oliguria, hypotension and diarrhea for one week. The nurse suspect which disease process? Selected Answer: Acute renal failure Answers: Pyelonephritis Acute renal failure Hepatic encephalopathy End stage renal disease A nurse is caring for a client with nephrotic syndrome. Which of the following would the nurse expect for this condition? Selected Answers: Edema, hypoalbuminemia and proteinuria; follow a salt restricted diet Cystic, enlarged kidneys; onset renal failure; interventions include supportive care Oliguria, proteinuria, uremia, electrolyte imbalances; interventions include low protein diet and dialysis CVA tenderness, dysuria, hematuria; interventions include antimicrobials 5.A Health Department RN is teaching community courses on the prevention of kidney disease. Which of the following are discussed as risk factors for chronic kidney disease? (Select all that apply): Selected Answers: Diabetes insipidus hypertension nephrotoxic medications Recurrent infections Answers: Diabetes insipidus hypertension nephrotoxic medications renal artery stenosis Recurrent infections 6.A client tells the nurse he is “so thirsty” that he has already consumed four pitchers of water. The client’s urine output is 3500 mL in an 8-hour period. The client is recovering from surgery on the pituitary gland. What endocrine disorder is the client most likely experiencing? Selected Answer: Answers: Diabetes insipidus Diabetes mellitus Myxedema Syndrome of inappropriate antidiuretic hormone secretion 7. When caring for the client diagnosed with diabetes insipidus, the nurse will anticipate administering which one of these mediations? Selected Answer: Vasopressin Answers: Vasopressin Levothyroxi ne Fludrocortis one Furosemide 8. The nurse is caring for a client with exophthalmos. Which of the following nursing interventions will the nurse do? Selected Answer: Apply artificial tears to reduce dryness Answers: Assess for hypokalemia Assess for thalamus dysfunction Maintain head of bed (HOB) at 45 degrees Apply artificial tears to reduce dryness 9.A nurse is educating a client who is newly diagnosed with nephrotic syndrome. The nurse correctly educates the client when which statement is made? Selected Answer: There is an increased oncotic pressure where fluid shifts to the intravascular space Answers: This condition seldom leads to renal failure Damage has been done to the glomerular capillary membrane Most cases have an excellent prognosis There is an increased oncotic pressure where fluid shifts to the intravascular space 10.A client is diagnosed with rhabdomyolysis. The nurse understands this may be a consequence of which condition? Selected Answer: Compartment syndrome Answers: Core pulmonale Disseminated intravascular coagulation Hypertension Compartment syndrome 11. Care of the client following a thyroidectomy includes which one of the following interventions? Selected Answer: Assess for bleeding at surgical sight; respiratory difficulty; pain Answers: HOB up 10 degrees Assess for bleeding at surgical sight; respiratory difficulty; pain Assess for hypercalcemia Keep emergency intubation equipment at bedside A client is newly diagnosed with Addison’s disease, and asks the nurse “What is that?” The nurse correctly responds by stating Addison’s disease occurs when there is a(n) in the body. Fill in the blank. Selected Answers: “decrease in secretion of SIADH” “increase in secretion of aldosterone and cortisol” “increase in secretion of SIADH” “decrease in secretion of aldosterone and cortisol” 12. Management of the client on hemodialysis includes all of the following except: Selected Answer: Have vitamin K ready to reverse Coumadin if needed Answers: Monitoring for disequilibrium syndrome Administer anticoagulants as prescribed Have vitamin K ready to reverse Coumadin if needed Assess for bleeding at the site of needle insertion Treatment for Addison’s disease will include which of these medications? Selected Answer: Fludrocortis one Answers: Fludrocortis one Cabergoline Levothyroxi ne Vasopressin 13.A client diagnosed with lung cancer is admitted for SIADH. The expected findings for this client would be: Selected Answer: Fluid volume excess Answers: Fluid volume excess Polyuria Hypernatremia Dehydration 14.The nurse is caring for a client newly diagnosed with hypothyroidism. The nurse expects to provide teaching instructions for which medication? Selected Answer: Levothyroxi ne Answers: Methimazol e Cabergolin e Levothyroxi ne Vasopressi n 15.A nurse is assessing the AV fistula of a client in end stage renal failure. The nurse notes an absence of a bruit and no thrill with palpation. The nurse’s next step is to: Selected Answer: Contact the primary care provider and notify them the fistula is not working Answers: Document the AV fistula is functioning properly Contact the primary care provider and notify them the fistula is not working Apply cool compresses to the AV fistula Wait 30 minutes, then reassess the AV fistula for any changes 16.A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: Selected Answer: computed tomography (CT) Answers: computed tomography (CT) magnetic resonance imaging (MRI) electrocardiography (EEG) positron emission tomography (PET) A client is admitted for end stage renal disease (ESRD). The nurse anticipates care will include which treatment plans and interventions? Selected Answer: Low protein diet Answers: Identify underlying cause and reverse the renal failure to normal function Increase fluid intake Provide sodium supplements Low protein diet 17.A client complains of brown pigmentation of their skin, changes in body hair distribution, weight loss and profound fatigue. These may indicate which disease process? Selected Answer: Addison’s disease Answers: Grave’s disease Myxedema Cushing’s disease Addison’s disease 18.EMS arrives with an unconscious patient, hypothermic, hypotensive, non- pitting edema to face and extremities. Care is initiated and labs are drawn. Results show absent serum T3 and T4 levels, with elevated TSH levels. The nurse suspect which disease process? Selected Answer: myxedema coma Answers: myxedema coma Thyroid storm SIADH Diabetes insipidus 19.A nurse is caring for a client who is receiving hemodialysis and develops disequilibrium syndrome. Which of the following is an appropriate action by the nurse? Selected Answer: Assess level of consciousness. Answers: Administer an opioid medication. Monitor for hypertension. Assess level of consciousness. Increase the dialysis exchange rate. Treatment for hyperthyroidism may include which of the following medications? Selected Answers: Methimaz ole Cabergolin e Levothyro xin Vasopressi n A nurse is providing teaching to a client who has chronic kidney disease and is starting hemodialysis. Which of the following information should the nurse include in the teaching? Hemodialysis: Selected Answer: Restores renal function Answers: Restores renal function Replaces hormonal function of the renal system Allows an unrestricted fluid intake Returns a balance to serum electrolytes 20.Which outcome would be most appropriate to include in the plan of care for a client diagnosed with pheochromocytoma? Selected Answer: Blood pressure within normal limits Answers: Fasting glucose less than 100 mg/dl Blood pressure within normal limits Serum sodium greater than 135 mg. Normal sinus rhythm with no ectopy 21.A nurse is caring for a client with Cushing’s Syndrome. Which of these signs and symptoms does the nurse expect to find? (Select all that apply): Hirsutism Purplish striae Moon Face Answer Hyperpigmentation of s: the skin Hirsutism Purplish striae Moon Face Hypoglycemia A client, complaining of weight gain, has thin extremities, a “buffalo hump,” and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process? Selected Answer: Cushing’s syndrome Answers: Addison’s disease Cretinism Cushing’s syndrome Obesity 22.Clinical manifestations of acute renal failure include which one of the following? Selected Answer: Hypervolemia Answers: Hypervolemia Low levels of serum uremia elevated serum RBC’s hypercalcemia 23.A client has been diagnosed with glomerulonephritis. Which of the following orders will the nurse question? Selected Answer: IV NS at 250 cc/hr Answers: High protein diet Monitor amylase and lipase IV NS at 250 cc/hr Plasmapheresis if in renal failure 24.A client is hospitalized with an ongoing fever. The nurse learns that the client has had a recent infection. Currently the client is restless, diaphoretic, and agitated with the following vital signs: temperature 106°F, pulse 114, blood pressure 180/80 mmHg. Which of the following disorders is the client most likely experiencing? Selected Answer: Thyroid storm Answers: Addisonian crisis Diabetes Insipidus Myxedema Thyroid storm 25.A client diagnosed with chronic renal failure is prescribed a diet low in protein. The rationale for this diet is that: Selected Answer: Answers: protein sources are broken down and converted to urea, which is then filtered by the kidney. Protein sources are of low biological value Protein increases calcium and sodium levels Deficit protein metabolism breaks down muscle tissue During a yearly physical exam, a client complains of constant fatigue, weakness, cold intolerance, constipation and dry skin. The nurse suspects which disease process? Selected Answer: Hypothyroid Answers: Hypothyroid Addison’s disease Myxedema Pheochromocyt oma 26.A client with a glomerular filtration rate (GFR) of 12 is considered to have: Selected Answer: Kidney failure Answers: Normal kidney function Kidney disease Kidney failure A kidney infection 27.Care of the client who is taking digitalis, and is diagnosed with renal failure should include which intervention? Selected Answer: Assess for digitalis toxicity Answers: Increase digitalis dose to maintain normal serum levels Assess for digitalis toxicity Advise client to discontinue the medication Assess for tachydysrhythmias