Evolve Med Surg Hesi Mulriple
Questions And Reviewed
Answers GRADED A+
A 20-year-old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an
appointment.
B) Most lumps are benign, but it is always best to come in for an
examination.
C) Try not to worry too much about it, because usually, most lumps are
benign.
D) If you are in your menstrual period it is not a good time to check for
lumps. - Ans-
B) Most lumps are benign, but it is always best to come in for an
examination.
(B) provides the best response because it addresses the client's anxiety
most effectively and encourages prompt and immediate action for a
potential problem. (A) postpones treatment if the lump is malignant, and
does not relieve the client's anxiety. (C and D) provide false reassurance
and do not help relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a client
with congestive heart failure without specific instruction from the
healthcare provider if the client's
A) serum digoxin level is 1.5.
,B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. - Ans-C) serum potassium level is 3.
,Hypokalemia (C) can precipitate digitalis toxicity in persons receiving
digoxin which will increase the chance of dangerous dysrhythmias
(normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for
digoxin is 0.8 to 2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range.
(B) would not warrant the nurse withholding the digoxin. The nurse
should withhold the digoxin if the apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of
which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. - Ans-C) Potassium.
Clients with primary aldosteronism exhibit a profound decline in the
serum levels of potassium (C) (hypokalemia)--hypertension is the most
prominent and universal sign.
(A) is normal or elevated, depending on the amount of water reabsorbed
with the sodium. (B) is decreased with diabetes insipidus. (D) is not
affected by primary aldosteronism.
Based on the analysis of the client's atrial fibrillation, the nurse should
prepare the client for which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. - Ans-C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare
the client for anticoagulation therapy (C) which should be prescribed
before rhythm control therapies to prevent cardioembolic events which
, result from blood pooling in the fibrillating atria. (A, B, and D) are not
indicated.
Questions And Reviewed
Answers GRADED A+
A 20-year-old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an
appointment.
B) Most lumps are benign, but it is always best to come in for an
examination.
C) Try not to worry too much about it, because usually, most lumps are
benign.
D) If you are in your menstrual period it is not a good time to check for
lumps. - Ans-
B) Most lumps are benign, but it is always best to come in for an
examination.
(B) provides the best response because it addresses the client's anxiety
most effectively and encourages prompt and immediate action for a
potential problem. (A) postpones treatment if the lump is malignant, and
does not relieve the client's anxiety. (C and D) provide false reassurance
and do not help relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a client
with congestive heart failure without specific instruction from the
healthcare provider if the client's
A) serum digoxin level is 1.5.
,B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. - Ans-C) serum potassium level is 3.
,Hypokalemia (C) can precipitate digitalis toxicity in persons receiving
digoxin which will increase the chance of dangerous dysrhythmias
(normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for
digoxin is 0.8 to 2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range.
(B) would not warrant the nurse withholding the digoxin. The nurse
should withhold the digoxin if the apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of
which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. - Ans-C) Potassium.
Clients with primary aldosteronism exhibit a profound decline in the
serum levels of potassium (C) (hypokalemia)--hypertension is the most
prominent and universal sign.
(A) is normal or elevated, depending on the amount of water reabsorbed
with the sodium. (B) is decreased with diabetes insipidus. (D) is not
affected by primary aldosteronism.
Based on the analysis of the client's atrial fibrillation, the nurse should
prepare the client for which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. - Ans-C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare
the client for anticoagulation therapy (C) which should be prescribed
before rhythm control therapies to prevent cardioembolic events which
, result from blood pooling in the fibrillating atria. (A, B, and D) are not
indicated.
