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Chapter 41: The Integumentary System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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...

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Test Bank for Medical Surgical Nursing 5th Edition by Holly K. Stromberg |Chapter 31-40| |Newest Version 2024|

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

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Chapter 40: Care of Patients with Sexually Transmitted Infections |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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...

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Chapter 39: Care of Men with Reproductive Disorders |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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 ...

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Chapter 37: Care of Patients with Diabetes and Hypoglycemia |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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...

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Chapter 38: Care of Women with Reproductive Disorders |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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...

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Chapter 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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....

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Chapter 34: Care of Patients with Disorders of the Urinary System |DeWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

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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...

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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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