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Chapter 35: The Endocrine System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. Intake of which nutrients directly impacts thyroid hormone production? a. Protein and iodine b. Fats and vitamins c. Carbohydrates and minerals d. Sodium and potassium ANS: A The production of thyroid hormone is dependent on the intake of protein and iodine. PTS:1 DIF: Cognitive Level: Comprehension REF: 821 OBJ:2 (theory) TOP: Thyroid Hormone Production KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2...

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Test Bank for Medical Surgical Nursing 5th Edition by Holly K. Stromberg |Chapter 21-30| |Newest Version 2024|

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DeWit: Medical Surgical Nursing: Concepts & Practice, 3rd Edition Chapter_ 21_22_23_24_25_26_27_28_29_30_

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Chapter 21: The Neurologic System |deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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Chapter 21: The Neurologic System deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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Chapter 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders |deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. A patient has come to the ambulatory care clinic with a sprain. The nurse correctly differentiates a grade 2 sprain from a grade 3 sprain with the assessment of which finding? a. Pain b. Swelling c. Bleeding into the joint d. Minor loss of function ANS: D The minor loss of function is the differentiating factor. Pain, swelling, and bleeding into the joint are true of both grade 2 and grade 3 sprains. A grade 3 sprain has loss of function of the joint. PTS:1 DIF: ...

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Chapter 33: The Urinary System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. An 85-year-old patient who has been NPO since midnight last night for diagnostic testing just completed the procedure. Which intervention is most important? a. Inform the patient about the test results. b. Obtain the patient’s weight for comparison to the morning value. c. Turn the patient every 2 hours. d. Offer 4 ounces of water or juice every hour. ANS: D Offering small amounts of fluid every hour will rehydrate the older adult without resorting to intravenous ...

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Chapter 31: The Musculoskeletal System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. The nurse is discussing actions that can be taken to best prevent osteoporosis with a patient. Which information should the nurse include? a. Take an extra calcium supplement. b. Eat a balanced diet. c. Exercise throughout life. d. Increase daily intake of milk products. ANS: C A lifetime of even mild daily exercise will delay or prevent osteoporosis. PTS:1 DIF: Cognitive Level: Comprehension REF: 720 OBJ:4 (theory) TOP: Osteoporosis: Supplement KEY: Nursing...

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Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System |deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight? a. 50% b. 70% c. 90% d. 100% ANS: D Those people who weigh 100% over their recommended weight are considered morbidly obese. PTS:1 DIF: Cognitive Level: Comprehension REF: 645 OBJ:1 TOP: Obesity: Morbid Obesity KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 2. The nurse calculates th...

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Chapter 29: Care of Patients with Disorders of the Lower Gastrointestinal System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. Which type of hernia can lead to necrosis? a. Strangulate d hernia b. Indirect hernia c. Direct hernia d. Irreducible hernia ANS: A The incarcerated hernia may become strangulated, which cuts off the blood supply and can lead to necrosis of the trapped bowel loop. Hernias are classified as reducible, which means the protruding organ can be returned to its proper place by pressing on the organ, and irreducible, which means that the protruding part of the organ is tig...

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Chapter 30: Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. The nurse is providing discharge teaching for a patient who underwent a laparoscopic cholecystectomy. Which statement indicates that the nurse’s teaching has been successful? a. “I should call my doctor if I have any pain.” b. “I should be able to go back to work tomorrow.” c. “I should avoid fatty foods for a few weeks.” d. “I should let these Steri-Strips fall off on their own.” ANS: D The nurse should teach the patient to remove the bandages fro...

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Chapter 27: The Gastrointestinal System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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MULTIPLE CHOICE 1. The nurse cautions that constant stress can cause which alteration to the gastrointestinal (GI) system? a. Slowed GI mobility resulting in constipation b. Reversed peristalsis resulting in projectile vomiting c. Increased digestive juices resulting in a gastric ulcer d. Decreased digestive juices resulting in ineffective metabolism ANS: C Stress increases the gastric secretions, which irritate and finally ulcerate the gastric mucosal lining. PTS:1 DIF: Cognitive L...

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