N201 INTERMEDIATE MED SURG WEEK 2 EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++ LATEST UPDATE
A nurse is completing discharge teaching with a client who has heart failure and
is encouraged to increase potassium in his diet. Which of the following selections
should the nurse include that contains the most potassium?
1 medium potato
A nurse is providing discharge teaching for a client who has heart failure and is
on a fluid restriction of 2000 ml a day. The client asks the nurse to determine the
appropriate amount of fluids he is allowed. Which of the following statements is
an appropriate response from the nurse?
Pour the amount of fluid in an empty 2 liter bottle to keep track of how much you drink.
The nurse provides education regarding daily activities to a patient with
thrombocytopenia. Which patient activity indicates understanding of the
teaching?
A
Flossing using thick tape floss
B
Shaving using an electric razor
,C
Wearing flip flops to go walking
D
Brushing using a stiff-bristle toothbrush
B
A patient with thrombocytopenia has a decreased number of platelets, and therefore
prolonged bleeding will be observed even for minor injuries. Shaving using an electric
razor blade decreases the risk of cuts and wounds resulting in decreased bleeding.
Therefore this activity of the patient indicates understanding of the nurse's teaching.
Walking with flip flops can cause the patient to trip, causing the risk for cuts or wounds
and increased bleeding. Flossing using a thick tape floss is not safe and can cause an
increased risk for bleeding. Brushing using a stiff-bristle toothbrush causes injury to the
gums and is not safe; therefore the nurse needs to perform more patient teaching.
A patient experiences thrombocytopenia. The nurse should monitor the patient
for which major complication?
A
Fatigue
B
Weakness
C
Hemorrhage
D
Abdominal pain
, C
The major complication of thrombocytopenia is hemorrhage. This occurs due to a
decreased number of platelets in blood, which results in excessive bleeding. Fatigue,
weakness, and abdominal pain are minor complications of thrombocytopenia.
Which diagnostic test can detect destruction of circulating platelets as the cause
of thrombocytopenia?
A
Hemoglobin
B
Bone marrow analysis
C
Prothrombin time (PT)
D
Peripheral blood smear
B
When destruction of circulating platelets is the cause, bone marrow analysis shows
megakaryocytes (precursors of platelets) to be normal or increased, even though
circulating platelets are reduced. Prothrombin time (PT) is used to assess secondary
hemostasis. Peripheral blood smear is used to distinguish acquired disorders from
congenital disorders. Hemoglobin measures the amount of protein in the red blood cells
that carries oxygen to the body's organs and tissues and transports carbon dioxide from
the organs and tissues back to the lungs.
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++ LATEST UPDATE
A nurse is completing discharge teaching with a client who has heart failure and
is encouraged to increase potassium in his diet. Which of the following selections
should the nurse include that contains the most potassium?
1 medium potato
A nurse is providing discharge teaching for a client who has heart failure and is
on a fluid restriction of 2000 ml a day. The client asks the nurse to determine the
appropriate amount of fluids he is allowed. Which of the following statements is
an appropriate response from the nurse?
Pour the amount of fluid in an empty 2 liter bottle to keep track of how much you drink.
The nurse provides education regarding daily activities to a patient with
thrombocytopenia. Which patient activity indicates understanding of the
teaching?
A
Flossing using thick tape floss
B
Shaving using an electric razor
,C
Wearing flip flops to go walking
D
Brushing using a stiff-bristle toothbrush
B
A patient with thrombocytopenia has a decreased number of platelets, and therefore
prolonged bleeding will be observed even for minor injuries. Shaving using an electric
razor blade decreases the risk of cuts and wounds resulting in decreased bleeding.
Therefore this activity of the patient indicates understanding of the nurse's teaching.
Walking with flip flops can cause the patient to trip, causing the risk for cuts or wounds
and increased bleeding. Flossing using a thick tape floss is not safe and can cause an
increased risk for bleeding. Brushing using a stiff-bristle toothbrush causes injury to the
gums and is not safe; therefore the nurse needs to perform more patient teaching.
A patient experiences thrombocytopenia. The nurse should monitor the patient
for which major complication?
A
Fatigue
B
Weakness
C
Hemorrhage
D
Abdominal pain
, C
The major complication of thrombocytopenia is hemorrhage. This occurs due to a
decreased number of platelets in blood, which results in excessive bleeding. Fatigue,
weakness, and abdominal pain are minor complications of thrombocytopenia.
Which diagnostic test can detect destruction of circulating platelets as the cause
of thrombocytopenia?
A
Hemoglobin
B
Bone marrow analysis
C
Prothrombin time (PT)
D
Peripheral blood smear
B
When destruction of circulating platelets is the cause, bone marrow analysis shows
megakaryocytes (precursors of platelets) to be normal or increased, even though
circulating platelets are reduced. Prothrombin time (PT) is used to assess secondary
hemostasis. Peripheral blood smear is used to distinguish acquired disorders from
congenital disorders. Hemoglobin measures the amount of protein in the red blood cells
that carries oxygen to the body's organs and tissues and transports carbon dioxide from
the organs and tissues back to the lungs.
