Examsrevision

MULTIPLE CHOICE 1. The nurse is bathing a patient with poison ivy. Which action is most appropriate? a. Bathe the patient with warm water. b. Maintain a room temperature of 78° to 80° F to prevent chills. c. Cover vesicles with gauze dressings. d. Pat skin dry. ANS: D Patting the skin dry will decrease irritation and will not break vesicles. Heat (both water and room temperatures) will exacerbate itching. Vesicles should not be covered with dressings. PTS:1 DIF: Cognitive Level: A...

MULTIPLE CHOICE 1. The nurse explains differences between an emergency situation and a disaster to high school class. Which statement is true? a. An emergency consists of fewer than 50 people who require emergent treatment. b. In an emergency situation, the local emergency rooms can meet the need. c. An emergency situation lacks the need for a prearranged management plan. d. In an emergency situation, the community population is not affected by the event. ANS: B An emergency situation...

MULTIPLE CHOICE 1. What underlying pathophysiology explains the gradual graying of an older adult’s hair? a. Reduced hair follicles b. Less sebaceous gland activity c. Loss of collagen fibers in dermis d. Decreased melanocytes at hair follicle ANS: D Reduction in melanocytes at the hair follicle is the cause of graying hair. A reduction in the number of hair follicles will result in thinning hair. Reduced sebaceous gland activity and collagen will result in drying. PTS:1 DIF: Cogn...

DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition Chapters_31_32_33_34_35_36_37_38_36_40_

MULTIPLE CHOICE 1. The nurse is caring for a homosexual man with a rectal tear and inflamed rectal tissue. The nurse understands that these findings increase the patient’s risk for which disorder? a. An abscess b. Human immunodeficiency virus (HIV) infection c. Hemorrhoids d. Rectal hemorrhage ANS: B Open lesions and inflamed tissue increase the risk of HIV infection. PTS:1 DIF: Cognitive Level: Comprehension REF: 941 OBJ:7 (theory) TOP: Exposure to HIV KEY: Nursing Process S...

MULTIPLE CHOICE 1. In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra), when should the nurse suggest a different treatment? a. The patient is over 50 years of age. b. The patient takes nitroglycerin for angina. c. The patient is more than 50 pounds overweight. d. The patient is a long-term diabetic. ANS: B Viagra is contraindicated if the patient is also taking nitrates because the combination can cause significant hypotension. Age, weight, and ...

MULTIPLE CHOICE 1. The nurse is explaining the underlying pathophysiology of type 1 diabetes to a newly diagnosed patient. Which information accurately explains why the type 1 diabetic does not produce adequate insulin? a. A pituitary disorder inhibits beta cells. b. An allergic response alters beta cell responses to hyperglycemia. c. Alpha cells proliferated in the islets of Langerhans. d. The body’s immune system destroyed beta cells. ANS: D In type 1 diabetes mellitus (DM), the b...

MULTIPLE CHOICE 1. The patient complains to the nurse about a sharp pain in the lower quadrants every month at mid cycle that lasts for several hours. This description is consistent with which underlying pathophysiological process? a. Round ligament stretching to support the uterus b. Mittelschmerz, a pain associated with ovulation c. Premenstrual uterine enlargement d. Endometrial changes ANS: B Mittelschmerz is a pain in either lower quadrant associated with ovulation. There is no s...

MULTIPLE CHOICE 1. Pituitary adenoma antagonizes insulin. This benign tumor results in which imbalance? a. Hyperinsulinism b. Hyperglycemia c. Hypopituitarism d. Hypoglycemia ANS: B The tumor interferes with the effectiveness of insulin, resulting in hyperglycemia. PTS:1 DIF: Cognitive Level: Comprehension REF: 855, Key Points OBJ:1 (clinical) TOP: Pituitary Tumor: Effects KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2....

MULTIPLE CHOICE 1. The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable. What should the nurse do next? a. Request an order for a urinalysis. b. Hold the patient’s antihypertensive medications. c. Assess the patient for fecal impaction. d. Notify the charge nurse. ANS: A Sudden confusion and irritability may indicate a urinary tract infection (UTI) in the older adult. There is no supportive information indic...