1.Mr. Marcus, age 35, has just had a right above the knee ambulation following injury in a care accident. On his second post -operative day, Mr.

Question Answered step-by-step 1. Mr. Marcus, age 35, has just had a right above the knee ambulation following injury in a care accident. On his second post -operative day, Mr. Marcus reports pain in the limb that was removed. How should the nurse respond? 2 . Mr. Marcus, age 35, has just had a right above the knee ambulation following injury in a care accident. Mr. Marcus’s bandage has become loose, and asked the practical nurse why the bandage needs to be replaced. What is the most appropriate explanation to the client?3 Mr. Marcus, age 35, has just had a right above the knee ambulation following injury in a care accident. Mr. Marcus refuses to get out of bed this morning. When the practical nurse speaks to him about the necessity of keeping mobile, he says, “why bother”? just look at me , I am a cripple”. What is the practical nurse’s best response? 4.Mr. Marcus, age 35, has just had a right above the knee ambulation following injury in a care accident. The practical nurse knows that Mr. Marcus has an understanding of proper stump care. What evaluative outcome does Mr. Marcus demonstrate this? 5.What is an evaluative outcome for a nursing diagnosis. “Anxiety, related threat of disability? 6.A nurse is conducting a safety seminar and reminds the audience that upper extremity amputations are most frequently caused by trauma. Which population has the highest incidence of this type of a amputation? 7. A patient with peripheral vascular disease (PVD) and diabetes asks what he can do to help prevent an amputation. What is the best response of the nurse? 8. A patient who has a left below the knee amputation. 24 hours later he is complaining of burning pain in his left foot. Which intervention is most appropriate for the nurse to implement?9.What is the greatest danger in the early postoperative period after an amputation? 10 .All of the following situations may lead to amputation EXCEPT?11.Underproduction of thyroxine produces 12. A client is admitted to the emergency department, and a diagnosis of myxedema coma is made. Which nursing action would the nurse prepare to carry out initially? 13.A nurse assesses a client on the medical surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism? 14.After understanding a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith prescribe levothyroxine (Levothyroxid), 25 mcg PO daily. Which condition is levothyroxine the preferred agent for treatment? 15.When teaching a client with hyperthyroidism, what does the practical nurse include as part of the diagnostic teats? 16.The surgeon was unable to save a client’s parathyroid gland during a radical thyroidectomy. The nurse should consequently pay particular attention to which of the following components of the client’s laboratory values? 17.A nurse assesses a client who is recovering from a totally thyroidectomy. On the second postoperative day the client states, “I feel numbness and tingling around my mouth, ” ehat action should the practical nurse take? 18. What complication can occur when hyperthyroidism is left untreated? 19.Which problem is most likely to develop if hyperthyroidism remain untreated?20.A nurse assesses a client on the medical surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism?21.Ms. Barack,46 years old was diagnosed with Type II Diabetes Mellitus 10 years ago. As a result of poor control of her blood glucose she was switched to a low dose of insulin. She complains to the nurse that sometimes she feels faint,weak, and sweaty when she jogs with her. What should the nurse recommend? 22.The nurse is assessing a client with Type I Diabetes Mellitus reports high blood glucose in the morning before breakfast. What would be the practical nurse’s most appropriate action to address this issue? 23.A nurse identifies that the client is experiencing a hypoglycemic reaction. Which nursing intervention should the nurse implement to relieve the symptoms associated with this reaction? 24.The practical nurse is assessing a patient who is newly diagnosed with type 1 diabetes who received 12 units of Humulin N. The nurse checks the patient’s blood glucose and is 3mmol/L. What symptoms would the nurse expect the client to exhibit? 25.A nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which of the following if exhibited in the client, would indicate hyperglycemia and warrant notifying the physician?.26. A 62 year old male with Type II Diabetes has sensory neuropathy of the feet legs and peripheral pulses and dependent rubor. What will the practical nurse teach the patient? 27.The client comes into the emergency room with complaints of nausea, vomiting and a abdominal pain. He is type one diabetic. Four days earlier, he reduced his insulin does when flu symptoms prevented him from eating. The nurse performs an assessment of the client that reveals poor skin turgor, dry mucus membranes, and fruity breath odor. The nurse should be alert for which of the following problems? 28 . A client with a diagnosis ketoacidosis is being treated in an emergency Department. Which finding would a nurse expect to note as confirming this diagnosis? 29.Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia. Which action should the practical nurse take after the patient regains consciousness? 30. The nurse is caring for a client who is 2 days postoperative following a hysterectomy. The client has a history of diabetes mellitus and has been receiving regular insulin according to capillary blood glucose testing four times a day. A carbohydrate-controlled diet has been prescribed but the client has been complaining of nausea and not eating. On entering the client’s room, the nurse finds the client to be confused and diaphoretic. Which action is appropriate at this time? 31. The nurse is caring for a client who is receiving a blood transfusion was started 30 minutes ago at a rate of 100ml/hr. The client beings to complain of low back pain and headache and is increasingly restless. What is the first nursing action? 32. A 1 year old is admitted to the hospital with sickle cell anemia in crisis. Upon admission, which therapy will assume priority? 33.The student nurse is caring for the patient with sickle cell crisis. Which action by the student nurse warrants intervention by the supervising nurse? 34.The nurse is discussing dietary sources of iron with a client who has iron deficiency anemia. Which menu, if selected by the client, indicates the best understanding of the diet? 35. The patient with sickle cell crisis is admitted to the hospital. Which questions does the nurse ask the patient to elicit information about the cause of the current crisis? 36.All of the following are blood transfusion reactions EXCEPT: 37.What signs and symptoms would the nurse expect to find in a severely anemic patient?38.Which of the following is included in the nursing management of a patient with sickle cell crisis? 39. The nurse is assessing a client with anemia. Which clinical manifestation does the nurse expect to see in this client?40. The nurse is preparing to administer transfusion therapy to a client. Which interventions does the nurse implement before starting the infusion? 41. The patient is treated in the emergency department for status epilepticus and is admitted to the hospital. The physician has ordered seizure precautions. What equipment does the nurse place in the room before the patient’s arrival? 42.The following nursing measures are likely to be helpful in the management of sezures for a patient except? 43. The preferred drug in the treatment of status epilepticus? 44.Which of the following patients are at LEAST risk for having stroke? 45.In preparing the family of a stroke patient going home, the nurse should discuss all the following home care measures EXCEPT: 46.Which of the following is the risk for stroke? 47.A newly admitted patient diagnosed with right sided brain stroke has a nursing diagnosis of disturbed visual sensory perception related to homonymous hemianopsia. Early in the care of the patient, what should the nurse do? 48.A male patient with diagnosis of Parkinson’s disease (PD) has admitted recently to a long term care facility. Which action should the health care team take in order to promote adequate nutrition for this patient? 49. A patient with Parkinson’s disease is being assessed by the nurse. The patient’s arms slitly jerks as it is passively moved towards the patient’s body. This is known as? 50. A patient with Parkinson’s disease is experiencing weight loss due to difficulty chewing and swallowing. Which meal option below is best this patient? 51. A patient asks ” what is essential hypertension?” what response by the nurse is best?52. Hypertension is referred to as the “silent killer”. This phrase is associated with the fact that hypertension often goes undetected until symptoms or other system failure occur, this may occur in the form of: 53. A patient has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is beast? 54. A patient is admitted to the emergency room after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not taking coherently. Vital signs upon admission are: Temperature 36.3 degrees Celsius, Heart rate 130 beats/ min. respiratory rate 34 breaths/min; blood pressure 60/40 mmHg. The healthcare provider suspects which type of shock? 55. The patient with shock has decreased oxygenation and impaired tissue perfusion. Which clinical manifestation is evidence that the patient’s body is attempting to compensate?56. A nurse working at a community center for older adults. What self management measure can the nurse teach the prevent shock? 57. What is the treatment of choice to correct hypovolemic shock?Oxygenation.58. Significant risk factors for peripheral arterial disease include: 59. A nurse caring for a patient with peripheral vascular disease , the patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation of symptoms?60. The nurse would teach patient with peripheral artery disease about promoting vasodilation by. Health Science Science Nursing NURSING 401 Share QuestionEmailCopy link Comments (0)