NSG 3250 Latest Update 2024-2025 Questions

NSG 3250 Latest Update 2024-2025 Questions and 100% Verified Correct Answers Guaranteed A client at continuing risk for hyperparathyroidism is prescribed to take furosemide 40 mg and to drink at least 3 to 4 L of fluid daily. He tells the nurse he believes taking a "water pill" and then drinking so much seems wrong. How will the nurse respond?

• "This combination of a water pill and drinking more ensures protects you from buildup

of excess sodium in the kidney."

• "The furosemide makes you lose water and you need to increase your intake to keep

from becoming dehydrated."

• "The drug helps you to get rid of calcium and drinking more helps dilute your blood

calcium so the level doesn't get too high."

• "You are correct. I will check with your primary health care provider to determine

whether you should restrict your fluid intake." - CORRECT ANSWER: C. "The drug helps you to get rid of calcium and drinking more helps dilute your blood calcium so the level doesn't get too high."

Rationale: The purpose of the furosemide and hydration therapy is to lower the blood calcium levels to manage the hypercalcemia associated with hyperparathyroidism.Although it is true that increasing fluid intake while on furosemide can help prevent dehydration and also helps excrete sodium, that is not the desired outcome in hyperparathyroidism.

A client had an open partial colectomy and colostomy placement 6 hours ago. Which assessment would concern the nurse?

• Purple, moist stoma
• Stoma edema
• Liquid stool collecting in the drainage bag
• Serosanguineous fluid draining from the drain(s) - CORRECT ANSWER: A. Purple,

moist stoma

Rationales: The stoma in the immediate postoperative period is expected to be swollen but reddish-pink and moist. Purple may indicate lack of blood flow to the stoma . The stool is expected to be liquid at first and serosanguinous drainage is expected from the wound drain(s).

A client has a new diagnosis of irritable bowel syndrome (IBS) with diarrhea. What health teaching by the nurse is appropriate for this client?

• "Take a stool softener every day to ease defecation."
• "Avoid high-fiber foods in your diet."
• "Avoid dairy products and caffeinated beverages."
• "Ask your primary health care provider for an antidepressant." - CORRECT

ANSWER: C. "Avoid dairy products and caffeinated beverages."

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Rationales: Dairy products are often not well tolerated and should be avoided to help decrease diarrhea.The client who presents with diarrhea as a result of IBS needs fiber to help provide bulk and does not need a stool softener as clients with constipation do. The nurse should not suggest any medication to manage possible anxiety or depression as a result of IBS because not all clients with IBS have those mental health problems .

A client is receiving adefovir for management of hepatitis B. What health teaching will the nurse provide for the client about this drug? Select all that apply.

• "Avoid places with crowds and individuals who have infection."
• "Report increased bruising to your doctor because the drug can cause bleeding."
• "Get your lab work done regularly because the drug can affect your kidneys."
• "Be careful and avoid falls because the drug can cause fractures."
• "Follow up with the dietitian to ensure that you adhere to your special diet." -

CORRECT ANSWER: A. "Avoid places with crowds and individuals who have

infection."

• "Get your lab work done regularly because the drug can affect your kidneys."

Rationales: Adefovir is an immune modulating drug and therefore can weaken a client's immune system. Therefore, teaching the client to avoid sources of infection is a correct response (Choice A). Almost all immune modulating drugs are excreted via the kidneys and kidney function may be impaired. Regular follow-up with lab work for monitor renal function is essential (Choice C). The other choices are not associated with this medication.

A client with obesity tells the nurse, "My genes are the only thing that have made me obese." What is the appropriate nursing response? Select all that apply.

• "Genes can contribute to obesity."
• "Tell me about your family history."
• "Let's talk about your nutrition intake."
• "Have you considered bariatric surgery?"
• "How do you feel about physical activity?"
• "What lifestyle modifications have you tried?" - CORRECT ANSWER: A. "Genes can

contribute to obesity."

• "Tell me about your family history."
• "Let's talk about your nutrition intake."
• "How do you feel about physical activity?"
• "What lifestyle modifications have you tried?"

Rationale: The nurse can affirm that there is evidence to show that genes can contribute to obesity and asking about the family history. However, the nurse will also introduce lifestyle and environmental factors that exist, by asking about nutrition intake, physical activity, and lifestyle modifications that have been tried. At this time, it is not appropriate to ask about consideration of bariatric surgery; other historical information needs to be gathered before a plan of care is considered.

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