PHYSIOLOGICAL ADAPTATION QUESTIONS AND
CORRECT ANSWERS
The nurse cares for a client being discharged home after
surgical placement of a non-continent ileostomy.
Complete the sentences by choosing from the list of
options.
The nurse needs to include all of these in the discharge
teaching, but should prioritize ______ as the most
important point. The nurse should emphasize the need
to call the healthcare provider if the _________.
Additionally, the nurse should remind the client
_______. - ANSWER-Signs of dehydration
client gets a headache or feels dizzy
to empty the pouch every time the client's bladder is
emptied
The nurse cares for a client who has been on positive
pressure-controlled mechanical ventilation for 24 hours.
During the respiratory assessment, the nurse finds an
increase in adventitious lung sounds. Additionally, the
nurse notes a temperature of 100 °F (37.8 °C). The
client's skin is pale and dry. The nurse notes a decrease
in tidal volume on the ventilator. Which actions should
the nurse take next? Select all that apply.
Swab the client's mouth with 0.12% chlorhexidine oral
rinse.
Coll - ANSWER-Collaborate with RT for chest
physiotherapy
Suction the client to remove excess secretions
Verify the HOB is elevated at least 30-45 degrees
, Turn the client to one side while maintaining head
elevation
A hospitalized client lost consciousness during cardiac
catheterization. This image shows the current telemetry
reading.
Complete the sentences by choosing from the list of
options.
Based on the assessment information, the client is most
likely experiencing __________ due to the procedure.
The most common medication for the treatment of this
client's situation is ________. The nurse should
________ before administering the medication. -
ANSWER-ventricular tachycardia
amiodarone
check the client's allergies
A nurse reviews the lab reports for a series of clients on
the medical surgical floor with varying diagnoses. For
each serum lab test listed, click to specify if the resulting
value will be altered by the disease process of acute
kidney injury, cirrhosis, or pancreatitis. Each lab test
may be marked as altered in more than one disease
process. (More than one option may be correct in each
row.)
Blood urea nitrogen (BUN)
Creatinine
Amylase
Lipase
Alanine transaminase (ALT)
Alkaline phosphatase - ANSWER-AKI:
CORRECT ANSWERS
The nurse cares for a client being discharged home after
surgical placement of a non-continent ileostomy.
Complete the sentences by choosing from the list of
options.
The nurse needs to include all of these in the discharge
teaching, but should prioritize ______ as the most
important point. The nurse should emphasize the need
to call the healthcare provider if the _________.
Additionally, the nurse should remind the client
_______. - ANSWER-Signs of dehydration
client gets a headache or feels dizzy
to empty the pouch every time the client's bladder is
emptied
The nurse cares for a client who has been on positive
pressure-controlled mechanical ventilation for 24 hours.
During the respiratory assessment, the nurse finds an
increase in adventitious lung sounds. Additionally, the
nurse notes a temperature of 100 °F (37.8 °C). The
client's skin is pale and dry. The nurse notes a decrease
in tidal volume on the ventilator. Which actions should
the nurse take next? Select all that apply.
Swab the client's mouth with 0.12% chlorhexidine oral
rinse.
Coll - ANSWER-Collaborate with RT for chest
physiotherapy
Suction the client to remove excess secretions
Verify the HOB is elevated at least 30-45 degrees
, Turn the client to one side while maintaining head
elevation
A hospitalized client lost consciousness during cardiac
catheterization. This image shows the current telemetry
reading.
Complete the sentences by choosing from the list of
options.
Based on the assessment information, the client is most
likely experiencing __________ due to the procedure.
The most common medication for the treatment of this
client's situation is ________. The nurse should
________ before administering the medication. -
ANSWER-ventricular tachycardia
amiodarone
check the client's allergies
A nurse reviews the lab reports for a series of clients on
the medical surgical floor with varying diagnoses. For
each serum lab test listed, click to specify if the resulting
value will be altered by the disease process of acute
kidney injury, cirrhosis, or pancreatitis. Each lab test
may be marked as altered in more than one disease
process. (More than one option may be correct in each
row.)
Blood urea nitrogen (BUN)
Creatinine
Amylase
Lipase
Alanine transaminase (ALT)
Alkaline phosphatase - ANSWER-AKI:
