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NUR 265 EXAM 3 /NUR265 ADVANCED CONCEPTS OF
MEDICAL NURSING EXAM 3 NEWEST 2025 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ (BRAND NEW VERSION!)
A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. Which topic would the nurse plan to teach the patient?
- Bisphosphonates to reduce bone demineralization
- Calcium supplements to normalize serum calcium levels
- Increasing fluid intake to decrease risk for nephrolithiasis
- Including whole grains in the diet to prevent constipation -
ANSWER-ANS: B
Rationale; Oral calcium supplements are used to maintain the serum calcium in normal range and prevent the complications of hypocalcemia. Whole grain foods decrease calcium absorption and will not be recommended.Bisphosphonates will lower serum calcium levels further.Kidney stones are not a complication of hypoparathyroidism and low calcium levels.
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A patient who has hypothyroidism and hypertension is prescribed levothyroxine (Synthroid). Which finding indicates that the nurse should contact the health care provider before administering the medication?
- Increased thyroxine (T4) level
- Blood pressure 112/62 mm Hg
- Distant and difficult to hear heart sounds
d. Elevated thyroid stimulating hormone level - ANSWER-ANS:
A Rationale; An increased thyroxine level indicates the levothyroxine dose needs to be decreased. The other data are consistent with hypothyroidism and the nurse would administer the levothyroxine.
A patient is being admitted with a diagnosis of Cushing syndrome. Which finding will the nurse expect during the assessment?
- Chronically low blood pressure
- Bronzed appearance of the skin
- Purplish streaks on the abdomen
d. Decreased axillary and pubic hair - ANSWER-ANS: C
Rationale; Purplish-red striae on the abdomen are a common clinical manifestation of Cushing syndrome. 2 / 4
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Hypotension and bronzed-appearing skin are manifestations of Addison's disease. Decreased axillary and pubic hair occur with androgen deficiency.
A patient with Cushing syndrome is admitted for an adrenalectomy. Which information would likely help the patient cope with a disturbed body image related to changes in appearance?
- Reassure the patient that the physical changes are very
- Discuss the use of diet and exercise in controlling the weight
- Teach the patient that the metabolic impact of Cushing
- Remind the patient that most of the physical changes caused
common in patients with Cushing syndrome.
gain associated with Cushing syndrome.
syndrome is of more importance than appearance.
by Cushing syndrome
will resolve after surgery. - ANSWER-ANS: D
Rationale; The most reassuring and accurate communication to the patient is that the physical and emotional changes caused by the Cushing syndrome will 3 / 4
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resolve after hormone levels return to normal postoperatively. Reassurance that the physical changes are expected or that there are more serious physiologic problems associated with Cushing syndrome minimize the patient's concerns. The patient's physiological changes are caused by the high hormone levels, not by the patient's diet or exercise choices.
Which finding indicates to the nurse that the current therapies are effective for a patient who has acute adrenal insufficiency?
- Increasing serum sodium levels
- Decreasing blood glucose levels
- Decreasing serum chloride levels
d. Increasing serum potassium levels - ANSWER-ANS: A
Rationale; Clinical manifestations of Addison's disease include hyponatremia and an increase in sodium level indicates improvement. The other values indicate that treatment has not been effective.
The nurse admits a patient to the hospital in Addisonian crisis.Which patient statement supports the need to plan additional teaching?
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