Test Bank for Adult Health Medical-
h h h h h
Surgical Nursing, 3rd Edition by Honan
h h h h h
Whenhdescribinghpatientheducationhapproaches,hthehnurseheducatorhwouldhexplainhthat
hinformalhteachinghishanhapproachhthat
a.hfollowshformalizedhplans
b.hhashstandardizedhcontent
c.hoftenhoccurshone-to-one
d.haddresseshgrouphneedsh-
hANSWERhhhC.hInformalhteachinghishindividualizedhonehonhonehteachinghwhichhrepresen
tshthehmajorityhofhpatientheducationhdonehbyhnurseshthathoccurshwhenhanhinterventionhish
explainedhorhahquestionhishanswered.hGrouphneedsharehoftenhthehfocushofhformalhpatien
theducationhcourseshorhclasses.hInformalhteachinghdoeshnothnecessarilyhfollowhahspecifi
chformalizedhplan.hIthmayhbehplannedhwithhspecifichcontent,hbuthithishindividualizedhrespo
nseshtohpatienthneeds.hFormalhteachinghinvolveshthehusehofhahcurriculum/coursehplanhwi
thhstandardizedhcontent.
Ahpatienthexpresseshahstronghinteresthinhreturninghtohtheirhwork,hfamily,handhhobbieshaft
erhhavinghahstroke.hWhichhtheoryhtypehwouldhthehnursehusehtohdevelophahplanhofhcarehfo
rhthehbesthresultshofhthishpatient'shmotivationhstyle?
a.hfield
b.hbiological
c.hcognitive
d.hsociologich-
hANSWERhhhC.hCognitivehtheoristshbelievehthathattention,hrelevance,hconfidence,handhs
atisfactionh(ARCS)harehthehconditionshthat,hwhenhintegrated,hmotivatehsomeonehtohlear
n.hFieldhtheoristshplacehsignificancehonhhowhachievement,hpower,hthehneedhforhaffiliatio
n,handhavoidancehmotiveshinfluencehindividualhbehavior.hSociologichtheoriesharehnothinv
olvedhinhmotivation.
Thehnursehishassessinghahgrouphofhclients.hWhichhclientsharehathgreaterhriskhforhhypother
miahorhfrostbite?h(selecthallhthathapply)
a.hanholderhwomanhwithhhypertension
b.hahyounghmanhwithhahbodyhmasshindexhofh42
c.hahyounghmanyhwhohhashjusthconsumedhsixhmartinis
d.hanholderhmanhwhohsmokeshahpackhofhcigaretteshahday
e.hahyounghwomanhwhohishanorexic
f.hahyounghwomanhwhohishdiabetich-hANSWERhhhC,hD,hE,hF
clientshwithhpoorhnutrition,hfatigue,handhmultiplehchronichillnessesharehathgreaterhriskhforh
hypothermia.hClientshwhohsmoke,hconsumehalcohol,horhhavehimpairedhperipheralhcircul
ationhhavehahhigherhincidencehofhfrostbite.
Whichhstatementhmadehbyhahnursehrepresentshthehneedhforhfurtherheducationhregarding
hpainhmanagementhinholderhadulthclients?
,a.holderhadultshtendhtohreporthpainhlesshoftenhthanhyoungerhadults
b.holderhclientshusuallyhhavehmorehexperiencehwithhpainhthanhyoungerhclients
c.holderhadultsharehathgreatesthriskhforhunderhtreatedhpain
d.holderhclientshhavehahdifferenthpainhmechanismhandhdohnothfeelhithashmuchh-
hANSWERhhhD
Therehishnohevidencehtohsupporththehideahthatholderhadulthclientshperceivehpainhanyhdiffe
rentlyhthanhyoungerhclients.hThehotherhstatementsharehaccuratehregardingholderhclientsh
andhpain.
Thehnursehishworkinghathahfirsthaidhboothhforhahspringhtraininghgamehonhahhothday.hAhspec
tatorhcomeshin,hreportinghthathhehishnothfeelinghwell.hVitalhsignsharehtemph104.1hF,hpulseh
132hBPM,hrespirsh26hbreaths/min,handhbloodhpressureh106/66hmmhHg.hHehtripshoverhhi
shfeethashthehnursehleadshhimhtohahcot.hWhathishthehprioryhactionhofhthehnurse?
a.hadminhtylenolh650hmghorally
b.hencouragehrest,handhreassesshinh15hminutes
c.hspongehthehvictimhwithhcoolhwaterhandhremovehhishshirt
d.hencouragehdrinkinghofhcoolhwaterhorhsportshdrinkh-hANSWERhhhC
Thehspectatorhshowshsignshofhheathstroke,hwhichhishahmedicalhemergency.hThehspectat
orhshouldhbehtransportedhtohthehEDhASAP.hThehnurshshouldhtakehactionshtohlowerhhishbo
dyhtemphinhtehhmeantimehbyhremovinghhishshirthandhsponginghhishbodyhwithhcoolhwater.h
Loweringhbodyhtemphbyhdrinkinghcoolhfluidshorhtakinghacetaminophenhishnothasheffective
hinhanhemergencyhsituation.hThehclienthneedshtohbehcooledhquicklyhandhishahpriorityhforhtr
eatment
ThehclienthishreceivinghanhIVhofh60hmEqhofhpotassiumhchloridehinah1000hmLhsolutionhofhd
extroseh5%hinh0.45%hsaline.hThehclienthstateshthaththehareaharoundhthehIVhsitehburns.hW
hathinterventionhdoeshthehnursehperformhfirst?
a.hassesshforhahbloodhreturn
b.hnotifyhthehphysician
c.hdocumenththehfinding
d.hstophthehIVhinfusionh-hANSWERhhhD
Potassiumhishahseverehtissuehirritant.hThehsafesthactionhishtohdiscontinuehthehsolutionhth
athcontainshthehpotassiumhandhdiscontinuehthehIVhaltogether,hinhwhichhcasehthehclienthw
ouldhneedhanotherhsitehstarted.hAssessinghforhahbloodhreturnhmayhorhmayhnothbehsucces
sful.hThehsolutionhcouldhbehdilutedh(lesshpotassium)handhthehratehcouldhbehslowedhonceh
ithishdeterminedhthaththehneedlehishinhthehvein.
Ahnursehishcaringhforhanholderhadulthclienthwhohliveshalone.hWhichheconomichsituationhpr
esentshthehmosthserioushproblemhforhthishclient?
a.hcostshofhcreatinghahlivinghwill
b.hstockhmarkethfluctuations
c.hincreasedhproviderhbenefits
d.hsocialhsecurityhashthehbasishofhincomeh-hANSWERhhhD
,Olderhadultshonhfixedhincomesharehunablehtohadjusththeirhincomehtohmeethrisinghcostshas
sociatedhwithhmeetinghbasichneeds
Controllinghpainhishimportanthtohpromotinghwellness.hUnrelievedhpainhhashbeenhassocia
tedhwithh
a.hprolongedhstresshresponsehandhahcascadehofhharmfulheffectshsystemhwide.
b.hdecreasedhtumorhgrowthhandhlongevity
c.hlargehtidalhvolumeshandhdecreasedhlunghcapacity
d.hdecreasedhcarbohydrate,hprotein,handhfathdestructionh-hANSWERhhhA
Painhtriggershahnumberhofhphysiologichstresshresponseshinhthehhumanhbody.hUnrelieved
hpainhcanhprolonghthehstresshresponsehandhproducehahcascadehofhharmfulheffectshinhallh
bodyhsystems.hThehstresshresponsehcauseshthehendocrinehsystemhtohreleasehexcessiv
ehamountshofhhormones,hsuchhashcortisol,hcatecholamines,handhglucagon.hInsulinhandht
estosteronehlevelshdecrease.hIncreasedhendocrinehactivityhinhturnhinitiateshahnumberhofh
metabolichprocesses,hinhparticular,hacceleratedhcarbohydrate,hprotein,handhfathdestructi
on,hwhcihhcanhresulthinhweighthloss,htachycardia,hincreasedhrespiratoryhrate,hshock,hand
hevenhdeath.hThehimmunehsystemhishalsohaffectedhbyhpainhashdemonstratedhbyhresearc
hhshowinghahlinkhbetweenhunrelievedhpainhandhahhigherhincidencehofhnosocomialhinfecti
onshandhincreasedhtumorhgrowth.hLargehtidalhvolumesharehnothassociatedhwithhpainhwhil
ehdecreasedhlunghcapacityhishassociatedhwithhunrelievedhpain.hDecreasedhtumorhgrowt
hhandhlongevityharehnothassociatedhwithhunrelievedhpain.hDecreasedhcarbs,hprotein,han
dhfatharehnothassociatedhwithhpainhorhstresshresponse.
Whichhinterventionhinhahclienthwithhdehydrationhinducedhconfusionhishmosthlikelyhtohrelie
vehthehconfusion?
a.hincreasinghthehIVhflowhratehtoh250hmL/hr
b.happlyinghoxygenhbyhmaskhorhnasalhcannula
c.hplacinghthehclienthinhahhighhFowler'shposition
d.hMeasuringhintakehandhoutputheveryhfourhhoursh-hANSWERhhhA
Dehydrationhmosthfrequentlyhleadshtohpoorhcerebrahperfusionhandhcerebralhhypoxia,hca
usinghconfusion.hApplyinghoxygenhcanhreducehconfusion,hevenhifhperfusionhishstillhlessht
hanhoptimum.hIncreasinghthehIVhflowhratehwouldhincreasehperfusion.hHowever,hdependi
nghonhthehdegreehofhdehydration,hrehydratinghthehpersonhtoohrapidlyhwithhIVhfluidshcanhl
eadhtohcerebralhedema.
Whichhclienthishathgreatesthriskhforhdehydration?
a.hyoungerhadulthclienthonhbedrest
b.holderhadulthclienthreceivinghhypotonichIVhfluid
c.holderhadulthclienthwithhcognitivehimpairment
d.hyoungerhadulthclienthreceivinghhypertonichIVhfluidh-hANSWERhhhC
Olderhadults,hbecausehtheyhhavehlesshtotalhbodyhwaterhthanhyoungerhadults,harehathgrea
terhriskhforhdevelopmenthofhdehydration.hAnyonehwhohishcognitivelyhimpairedhandhcanno
thobtainhfluidshindependentlyhorhcannothmakehhishorhherhneedhforhfluidshknownhishathhighh
riskhforhdehydration
, Ahnursehishcaringhforhseveralhclients.hWhichhclienthdoeshthehnursehassesshmosthcarefully
hforhhyperkalemia?
a.hclienthwithhtypeh2hdiabeteshtakinghanhoralhanti-diabetichagent
b.hclienthwithhhearthfailurehusinghahsalthsubstitute
c.hclienthtakinghahthiazidehdiuretichforhhypertension
d.hclienthtakinghnon-steroidalhanti-inflammatoryhdrugshdailyh-hANSWERhhhB
Manyhsalthsubstitutesharehcomposedhofhpotassiumhchloride.hHeavyhusehcnahcontributeht
ohthehdevelopmenthofhhyperkalemia.hThehclienthshouldhbehtaughthtohreadhlabelshandhtohc
hoosehahsalthsubstitutehthathdoeshnothcontainhpotassium.hNSAIDshpromotehthehretentio
nhofhsodiumhbuthnothpotassium.
Anholderhadulthclienthpresentshwithhsignshandhsymptomshrelatedhtohdightoxicity.hWhichha
gehrelatedhchangehmayhhavehcontributedhtohthishproblem?
a.hdecreasedhrenalhbloodhflow
b.hincreasedhgastrointestinalhmotility
c.hdecreasedhratiohofhadiposehtissuehtohleanhbodyhmass
d.hincreasedhtotalhbodyhwaterh-hANSWERhhhA
Decreasedhrenalhbloodhflowhandhreducedhglomerularhfiltrationhcanhresulthinhslowerhmedi
cationhexcretionhtime,hpotentiallyhleadinghtohtoxichdrughaccumulation.hAginghresultshinhd
ecreasedhtotalhbodyhwaterhandhgastrointestinalhmotilityhandhanhincreasehinhthehratiohofha
diposehtissuehtohleanhbodyhmass,hbuthishnothrelatedhtohdightoxicity.
Ahclienthishbeinghtreatedhforhdehydration.hWhichhstatementhmadehbyhthehclienthindicatesh
understandinghofhthishcondition?
a.hIhwillhusehahsalthsubstitutehwhenhmakinghandheatinghmyhmeals.
b.hIhmusthdrinkhahquarthofhwaterhorhotherhliquidheachhday.
c.hIhwillhnothdrinkhliquidshafterh6hPMhsohIhwon'thhavehtohgethuphathnight.
d.hIhwillhweighhmyselfheachhmorninghbeforehIheathorhdrink.h-hANSWERhhhD
Becauseh1hLhofhwaterhweighsh1hkg,hchangehinhbodyhweighthishahgoodhmeasurehofhexces
shfluidhlosshorhfluidhretention.hWeighthlosshgreaterhthanh0.5hlbhdailyhishindicativehofhexces
sivehfluidhloss.hThehotherhstatementsharehnothindicativehofhpracticeshthathwillhpreventhde
hydration.
Thehnursehnoteshthaththehhandgriphofhthehclienthwithhhypokalemiahhashdiminishedhsinceh
thehprevioushassessmenthonehhourhago.hWhichhinterventionhbyhthehnursehishthehpriority
?
a.hassesshthehclient'shrespiratoryhrate,hrhythm,handhdepth
b.hdocumenthfindingshandhmonitorhthehclient
c.hmeasurehthehclient'shpulsehandhbloodhpressure
d.hcallhthehhealthhcarehproviderh-hANSWERhhhA
Inhahclienthwithhhypokkalemia,hprogressivehskeletalhmusclehweaknesshishassociatedhwit
hhincreasinghseverityhofhhypokalemia.hThehmosthlife-
h h h h h
Surgical Nursing, 3rd Edition by Honan
h h h h h
Whenhdescribinghpatientheducationhapproaches,hthehnurseheducatorhwouldhexplainhthat
hinformalhteachinghishanhapproachhthat
a.hfollowshformalizedhplans
b.hhashstandardizedhcontent
c.hoftenhoccurshone-to-one
d.haddresseshgrouphneedsh-
hANSWERhhhC.hInformalhteachinghishindividualizedhonehonhonehteachinghwhichhrepresen
tshthehmajorityhofhpatientheducationhdonehbyhnurseshthathoccurshwhenhanhinterventionhish
explainedhorhahquestionhishanswered.hGrouphneedsharehoftenhthehfocushofhformalhpatien
theducationhcourseshorhclasses.hInformalhteachinghdoeshnothnecessarilyhfollowhahspecifi
chformalizedhplan.hIthmayhbehplannedhwithhspecifichcontent,hbuthithishindividualizedhrespo
nseshtohpatienthneeds.hFormalhteachinghinvolveshthehusehofhahcurriculum/coursehplanhwi
thhstandardizedhcontent.
Ahpatienthexpresseshahstronghinteresthinhreturninghtohtheirhwork,hfamily,handhhobbieshaft
erhhavinghahstroke.hWhichhtheoryhtypehwouldhthehnursehusehtohdevelophahplanhofhcarehfo
rhthehbesthresultshofhthishpatient'shmotivationhstyle?
a.hfield
b.hbiological
c.hcognitive
d.hsociologich-
hANSWERhhhC.hCognitivehtheoristshbelievehthathattention,hrelevance,hconfidence,handhs
atisfactionh(ARCS)harehthehconditionshthat,hwhenhintegrated,hmotivatehsomeonehtohlear
n.hFieldhtheoristshplacehsignificancehonhhowhachievement,hpower,hthehneedhforhaffiliatio
n,handhavoidancehmotiveshinfluencehindividualhbehavior.hSociologichtheoriesharehnothinv
olvedhinhmotivation.
Thehnursehishassessinghahgrouphofhclients.hWhichhclientsharehathgreaterhriskhforhhypother
miahorhfrostbite?h(selecthallhthathapply)
a.hanholderhwomanhwithhhypertension
b.hahyounghmanhwithhahbodyhmasshindexhofh42
c.hahyounghmanyhwhohhashjusthconsumedhsixhmartinis
d.hanholderhmanhwhohsmokeshahpackhofhcigaretteshahday
e.hahyounghwomanhwhohishanorexic
f.hahyounghwomanhwhohishdiabetich-hANSWERhhhC,hD,hE,hF
clientshwithhpoorhnutrition,hfatigue,handhmultiplehchronichillnessesharehathgreaterhriskhforh
hypothermia.hClientshwhohsmoke,hconsumehalcohol,horhhavehimpairedhperipheralhcircul
ationhhavehahhigherhincidencehofhfrostbite.
Whichhstatementhmadehbyhahnursehrepresentshthehneedhforhfurtherheducationhregarding
hpainhmanagementhinholderhadulthclients?
,a.holderhadultshtendhtohreporthpainhlesshoftenhthanhyoungerhadults
b.holderhclientshusuallyhhavehmorehexperiencehwithhpainhthanhyoungerhclients
c.holderhadultsharehathgreatesthriskhforhunderhtreatedhpain
d.holderhclientshhavehahdifferenthpainhmechanismhandhdohnothfeelhithashmuchh-
hANSWERhhhD
Therehishnohevidencehtohsupporththehideahthatholderhadulthclientshperceivehpainhanyhdiffe
rentlyhthanhyoungerhclients.hThehotherhstatementsharehaccuratehregardingholderhclientsh
andhpain.
Thehnursehishworkinghathahfirsthaidhboothhforhahspringhtraininghgamehonhahhothday.hAhspec
tatorhcomeshin,hreportinghthathhehishnothfeelinghwell.hVitalhsignsharehtemph104.1hF,hpulseh
132hBPM,hrespirsh26hbreaths/min,handhbloodhpressureh106/66hmmhHg.hHehtripshoverhhi
shfeethashthehnursehleadshhimhtohahcot.hWhathishthehprioryhactionhofhthehnurse?
a.hadminhtylenolh650hmghorally
b.hencouragehrest,handhreassesshinh15hminutes
c.hspongehthehvictimhwithhcoolhwaterhandhremovehhishshirt
d.hencouragehdrinkinghofhcoolhwaterhorhsportshdrinkh-hANSWERhhhC
Thehspectatorhshowshsignshofhheathstroke,hwhichhishahmedicalhemergency.hThehspectat
orhshouldhbehtransportedhtohthehEDhASAP.hThehnurshshouldhtakehactionshtohlowerhhishbo
dyhtemphinhtehhmeantimehbyhremovinghhishshirthandhsponginghhishbodyhwithhcoolhwater.h
Loweringhbodyhtemphbyhdrinkinghcoolhfluidshorhtakinghacetaminophenhishnothasheffective
hinhanhemergencyhsituation.hThehclienthneedshtohbehcooledhquicklyhandhishahpriorityhforhtr
eatment
ThehclienthishreceivinghanhIVhofh60hmEqhofhpotassiumhchloridehinah1000hmLhsolutionhofhd
extroseh5%hinh0.45%hsaline.hThehclienthstateshthaththehareaharoundhthehIVhsitehburns.hW
hathinterventionhdoeshthehnursehperformhfirst?
a.hassesshforhahbloodhreturn
b.hnotifyhthehphysician
c.hdocumenththehfinding
d.hstophthehIVhinfusionh-hANSWERhhhD
Potassiumhishahseverehtissuehirritant.hThehsafesthactionhishtohdiscontinuehthehsolutionhth
athcontainshthehpotassiumhandhdiscontinuehthehIVhaltogether,hinhwhichhcasehthehclienthw
ouldhneedhanotherhsitehstarted.hAssessinghforhahbloodhreturnhmayhorhmayhnothbehsucces
sful.hThehsolutionhcouldhbehdilutedh(lesshpotassium)handhthehratehcouldhbehslowedhonceh
ithishdeterminedhthaththehneedlehishinhthehvein.
Ahnursehishcaringhforhanholderhadulthclienthwhohliveshalone.hWhichheconomichsituationhpr
esentshthehmosthserioushproblemhforhthishclient?
a.hcostshofhcreatinghahlivinghwill
b.hstockhmarkethfluctuations
c.hincreasedhproviderhbenefits
d.hsocialhsecurityhashthehbasishofhincomeh-hANSWERhhhD
,Olderhadultshonhfixedhincomesharehunablehtohadjusththeirhincomehtohmeethrisinghcostshas
sociatedhwithhmeetinghbasichneeds
Controllinghpainhishimportanthtohpromotinghwellness.hUnrelievedhpainhhashbeenhassocia
tedhwithh
a.hprolongedhstresshresponsehandhahcascadehofhharmfulheffectshsystemhwide.
b.hdecreasedhtumorhgrowthhandhlongevity
c.hlargehtidalhvolumeshandhdecreasedhlunghcapacity
d.hdecreasedhcarbohydrate,hprotein,handhfathdestructionh-hANSWERhhhA
Painhtriggershahnumberhofhphysiologichstresshresponseshinhthehhumanhbody.hUnrelieved
hpainhcanhprolonghthehstresshresponsehandhproducehahcascadehofhharmfulheffectshinhallh
bodyhsystems.hThehstresshresponsehcauseshthehendocrinehsystemhtohreleasehexcessiv
ehamountshofhhormones,hsuchhashcortisol,hcatecholamines,handhglucagon.hInsulinhandht
estosteronehlevelshdecrease.hIncreasedhendocrinehactivityhinhturnhinitiateshahnumberhofh
metabolichprocesses,hinhparticular,hacceleratedhcarbohydrate,hprotein,handhfathdestructi
on,hwhcihhcanhresulthinhweighthloss,htachycardia,hincreasedhrespiratoryhrate,hshock,hand
hevenhdeath.hThehimmunehsystemhishalsohaffectedhbyhpainhashdemonstratedhbyhresearc
hhshowinghahlinkhbetweenhunrelievedhpainhandhahhigherhincidencehofhnosocomialhinfecti
onshandhincreasedhtumorhgrowth.hLargehtidalhvolumesharehnothassociatedhwithhpainhwhil
ehdecreasedhlunghcapacityhishassociatedhwithhunrelievedhpain.hDecreasedhtumorhgrowt
hhandhlongevityharehnothassociatedhwithhunrelievedhpain.hDecreasedhcarbs,hprotein,han
dhfatharehnothassociatedhwithhpainhorhstresshresponse.
Whichhinterventionhinhahclienthwithhdehydrationhinducedhconfusionhishmosthlikelyhtohrelie
vehthehconfusion?
a.hincreasinghthehIVhflowhratehtoh250hmL/hr
b.happlyinghoxygenhbyhmaskhorhnasalhcannula
c.hplacinghthehclienthinhahhighhFowler'shposition
d.hMeasuringhintakehandhoutputheveryhfourhhoursh-hANSWERhhhA
Dehydrationhmosthfrequentlyhleadshtohpoorhcerebrahperfusionhandhcerebralhhypoxia,hca
usinghconfusion.hApplyinghoxygenhcanhreducehconfusion,hevenhifhperfusionhishstillhlessht
hanhoptimum.hIncreasinghthehIVhflowhratehwouldhincreasehperfusion.hHowever,hdependi
nghonhthehdegreehofhdehydration,hrehydratinghthehpersonhtoohrapidlyhwithhIVhfluidshcanhl
eadhtohcerebralhedema.
Whichhclienthishathgreatesthriskhforhdehydration?
a.hyoungerhadulthclienthonhbedrest
b.holderhadulthclienthreceivinghhypotonichIVhfluid
c.holderhadulthclienthwithhcognitivehimpairment
d.hyoungerhadulthclienthreceivinghhypertonichIVhfluidh-hANSWERhhhC
Olderhadults,hbecausehtheyhhavehlesshtotalhbodyhwaterhthanhyoungerhadults,harehathgrea
terhriskhforhdevelopmenthofhdehydration.hAnyonehwhohishcognitivelyhimpairedhandhcanno
thobtainhfluidshindependentlyhorhcannothmakehhishorhherhneedhforhfluidshknownhishathhighh
riskhforhdehydration
, Ahnursehishcaringhforhseveralhclients.hWhichhclienthdoeshthehnursehassesshmosthcarefully
hforhhyperkalemia?
a.hclienthwithhtypeh2hdiabeteshtakinghanhoralhanti-diabetichagent
b.hclienthwithhhearthfailurehusinghahsalthsubstitute
c.hclienthtakinghahthiazidehdiuretichforhhypertension
d.hclienthtakinghnon-steroidalhanti-inflammatoryhdrugshdailyh-hANSWERhhhB
Manyhsalthsubstitutesharehcomposedhofhpotassiumhchloride.hHeavyhusehcnahcontributeht
ohthehdevelopmenthofhhyperkalemia.hThehclienthshouldhbehtaughthtohreadhlabelshandhtohc
hoosehahsalthsubstitutehthathdoeshnothcontainhpotassium.hNSAIDshpromotehthehretentio
nhofhsodiumhbuthnothpotassium.
Anholderhadulthclienthpresentshwithhsignshandhsymptomshrelatedhtohdightoxicity.hWhichha
gehrelatedhchangehmayhhavehcontributedhtohthishproblem?
a.hdecreasedhrenalhbloodhflow
b.hincreasedhgastrointestinalhmotility
c.hdecreasedhratiohofhadiposehtissuehtohleanhbodyhmass
d.hincreasedhtotalhbodyhwaterh-hANSWERhhhA
Decreasedhrenalhbloodhflowhandhreducedhglomerularhfiltrationhcanhresulthinhslowerhmedi
cationhexcretionhtime,hpotentiallyhleadinghtohtoxichdrughaccumulation.hAginghresultshinhd
ecreasedhtotalhbodyhwaterhandhgastrointestinalhmotilityhandhanhincreasehinhthehratiohofha
diposehtissuehtohleanhbodyhmass,hbuthishnothrelatedhtohdightoxicity.
Ahclienthishbeinghtreatedhforhdehydration.hWhichhstatementhmadehbyhthehclienthindicatesh
understandinghofhthishcondition?
a.hIhwillhusehahsalthsubstitutehwhenhmakinghandheatinghmyhmeals.
b.hIhmusthdrinkhahquarthofhwaterhorhotherhliquidheachhday.
c.hIhwillhnothdrinkhliquidshafterh6hPMhsohIhwon'thhavehtohgethuphathnight.
d.hIhwillhweighhmyselfheachhmorninghbeforehIheathorhdrink.h-hANSWERhhhD
Becauseh1hLhofhwaterhweighsh1hkg,hchangehinhbodyhweighthishahgoodhmeasurehofhexces
shfluidhlosshorhfluidhretention.hWeighthlosshgreaterhthanh0.5hlbhdailyhishindicativehofhexces
sivehfluidhloss.hThehotherhstatementsharehnothindicativehofhpracticeshthathwillhpreventhde
hydration.
Thehnursehnoteshthaththehhandgriphofhthehclienthwithhhypokalemiahhashdiminishedhsinceh
thehprevioushassessmenthonehhourhago.hWhichhinterventionhbyhthehnursehishthehpriority
?
a.hassesshthehclient'shrespiratoryhrate,hrhythm,handhdepth
b.hdocumenthfindingshandhmonitorhthehclient
c.hmeasurehthehclient'shpulsehandhbloodhpressure
d.hcallhthehhealthhcarehproviderh-hANSWERhhhA
Inhahclienthwithhhypokkalemia,hprogressivehskeletalhmusclehweaknesshishassociatedhwit
hhincreasinghseverityhofhhypokalemia.hThehmosthlife-
