Adult Health 1 Exam 1 Review Q&A 2024

A 52 year old patient has a new diagnosis of pernicious anemia. After teaching the patient about pernicious anemia, the nurse determines that the patient understands the disorder when the patient states: - correct answer--"I will need cyanocobalamin replacement for the rest of my life." A 59 year old man is scheduled for a herniorrhaphy tomorrow. During the preoperative evaluation he reports that he has been taking the supplement ginkgo biloba daily. What is the priority intervention? - correct answer--Notify the anesthesia care provider A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best? - correct answer--Demonstrate how to splint the abdomen incision A client receiving a blood transfusion develops anxiety and low back pain. After stopping the transfusion, what next action by the nurse is most important? - correct answer--Double-checking the client and blood product identification A client who had a surgical repair of a hip fracture 2 days previously, has restrictions on ambulation. Based on this information, the nurse identifies the priority collaborative problem for this patient is? - correct answer--Potential complication: venous thromboembolism A client who has an indwelling catheter reports a need to urinate which of the following actions should the nurse take? - correct answer--Check to see whether the catheter is patent. A client with autoimmune idiopathic thrombocytopenic purpura (ITP) has had a splenectomy and returned to the surgical unit 2 hours ago. The nurse assesses the client and finds the abdominal dressing saturated with blood. What action is most important? - correct answer--Taking a set of vital signs and notifying the surgeon A client with cirrhosis is admitted to the hospital. Which of the following assessments made by the nurse would indicate the presence of portal hypertension? - correct answer--Elevated blood pressure A client with vitamin B12 deficiency anemia has been taught to eat foods high in Vitamin B12. Which meal selected by the client indicates that he or she understands the prescribed diet? - correct answer--Salmon, spinach salad and milk A female client is admitted to the hospital with a hemoglobin of 10 g/dL. When assessing this client, the nurse should expect which symptom? - correct answer-- Shortness of breath with exertion