NUR 2392 (Latest 2023 / 2024) Multidimensional Care II / MDC 2 – Rasmussen The nurse is caring for a 46-year-old female client who presented to the emergency department with dizziness, nausea, vomiting, and fatigue over the past few days. The client has recently diagnosed with breast cancer and has been undergoing chemotherapy. The client's labs reveal the following: Na 150mEq/Ml, potassium 3.0 mEq/ML, calcium 15 mg/DL. Which of the following imbalances is the client exhibiting? - answer>> Hypernatremia, hypokalemia, hypercalcemia A nurse is caring for client who is postoperative following abdominal surgery. Which of the following findings would indicate to the nurse that the client's peristalsis returning? - answer>> Passage of flatus Which of the laboratory results would be the most important for a nurse to monitor for a client with a lower gastrointestinal bleed? - answer>> Hemoglobin and hematocrit A nurse is providing client and family education for a client diagnosed with irritable bowel syndrome. Which of the following is important to include in the education? - answer>> Modify diet Stress reductionAdhere to prescribed medications Which laboratory report is of the highest concern for the nurse to monitor for a client with bone marrow suppression receiving chemotherapy? - answer>> White blood cell (WBC) count The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cervical cancer? - answer>> Administering the human papillomavirus (HPV) vaccine A nurse is teaching a client with diabetes, mellitus who ask, "Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dl (3.3 mmol/l)? How would the nurse respond? - answer>> Your brain needs a constant supply of glucose because it cannot store it A nurse is caring for a client recently diagnosed with thyroid cancer. Which of the following lab results will validate this diagnosis? - answer>> Increased serum thyroglobulin (TG) level A nurse is caring for a client who recently underwent a colon resection for colorectal cancer. The client is post-op day two and has developed a fever. Vital signs are a temperature of 102degrees F. heart rate 126beats/minute, blood pressure 100/50 mm Hg. The client is complaining of increased abdominal pain. Based on this information, which of the following conditions is the client exhibiting? - answer>> Peritonitis An adult client reports lack of energy and needs several naps throughout the day.Which problem may these symptoms be associated with that is often seen in older adults? - answer>> Hypothyroidism 1 / 2
A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder? - answer>> Desmopressin A nurse is caring for a client that has recently been diagnosed with ulcerative colitis.Which of the following statements by the client would indicate an understanding of the disease process? - answer>> "It is caused by an inflammatory process of the gastrointestinal tract" The graduate nurse is caring for a child with suspected appendicitis. What intervention by the graduate nurse would be inappropriate or contraindicated in the care of this client? - answer>> Contacting the health care provider immediately if the client reports sudden relief of pain The nurse is caring for a client with a new diagnosis of adrenal insufficiency. Which of the following would the nurse expect upon assessment? - answer>> Hypotension, Hyperpigmentation, Hyperkalemia A client assessment reveals fatigue, poor memory, and weight gain. The lab results reveal elevated thyroid-stimulating hormone (TSH) and decrease T3 and T4 levels. The nurse knows that these are manifestations of which disorder. - answer>> Hypothyroidism The nurse knows which statement is true about age-related changes and the endocrine system in older adults - answer>> Thyroid hormone secretion decrease A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation would contact the health care provider urgently? - answer>> A bluish stoma A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first? - answer>> Pain A nurse is caring for a client with an opioid overdose. The client is difficult to arouse.The vital signs include blood pressure 90/60mm Hg. Respirations 10/minute heart rate 60 beats/minute. The arterial blood gas (ABG) results include a PH 7.34, PaCo2 48 mm Hg. Hc03 24Meq/l, Pa02 of 76 mm Hg. How would the nurse interpret these results? - answer>> Respiratory acidosis not compensated with hypoxemia Condition in the intestines from irritable bowel syndrome. The client's symptoms have now resolved, and the client asks, "When can I stop taking these medications? How would the nurse respond? - answer>> You start corticosteroids, you must be tapered off the medication The nurse is providing care for a client who underwent a parathyroidectomy two days ago. To prevent complications with this surgery. Which laboratory value requires close monitoring by the nurse? - answer>> Calcium levels A client is diagnosed with metastatic cancer. The family ask the nurse, "What's the difference between hospice and palliative care? The nurse correctly responds with which statement? - answer>> Palliative care is to prevent and treat symptoms and side effects of cancer treatment
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