*NURSING > QUESTIONS & ANSWERS > NURSING 201 Saunders Review Test ( QUESTIONS, ANSWERS & RATIONALES ) (All)

NURSING 201 Saunders Review Test ( QUESTIONS, ANSWERS & RATIONALES )

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The nurse is caring for a woman who is starting medroxyprogesterone injections for birth control. What statements by the client would indicate a need for further teaching? Select all that apply. A.... “I may experience some weight gain.” Incorrect B. “I may not have regular periods while taking this medication.” C. “I should return in approximately 6 months for my next injection.” Correct D. “Because it is highly effective, I can use this medication for many years.” Correct E. “Depression is a side effect, and I should let my doctor know if I experience any mood changes.” Incorrect  Rationale: Medroxyprogesterone is an injectable progestin given every 3 months to prevent ovulation and pregnancy. It suppresses ovulation for 15 weeks, and therefore, timing of the next injection is very important and should be no longer than exactly 3 months. Although medroxyprogesterone is highly effective, it should not be taken for more than 2 years due to the risk of osteoporosis. Weight gain, irregular periods, and depression are all known side effects.  Test-Taking Strategy: Note the strategic words, “need for further teaching.” These words indicate a negative event query and the need to select the incorrect client statements. Specific knowledge about this medication is needed to answer correctly. Remember that it needs to be given every 3 months and should not be taken for more than 2 years due to the risk of osteoporosis. Review: medroxyprogesterone injections  Level of Cognitive Ability:  Evaluating  Client Need:  Health Promotion and Maintenance  Integrated Process: Teaching and Learning  Content Area:  Pharmacology: Reproductive Medications  Priority Concepts: Client Education, Reproduction  HESI Concepts:  Sexuality/Reproduction, Teaching and Learning/Patient Education  Reference: Rosenjack Burchum, Rosenthal (2016), pp. 760-761.  Awarded -1.0 points out of 2.0 possible points.  2.ID: 9476801218  Following thyroid surgery, the nurse notes this response (refer to figure) when taking the client’s blood pressure. On further assessment, which laboratory finding would the nurse expect to find? A. Serum calcium of 8.4 mg/dL (2.1 mmol/L) B. Correct C. Sodium level of 138 mEq/L (138 mmol/L) D. Serum potassium of 5.1 mEq/L (5.1 mmol/L) E. F. Thyroid Stimulating Hormone (TSH) of 1.5 mU/L Incorrect  Rationale: Hypocalcemia is characterized by tetany, or sustained muscle contractions. Chvostek’s sign is facial contractions seen after a light tap of the facial nerve in front of the ear. Trousseau’s sign is carpal contraction when a blood pressure cuff is inflated. These two signs are observed in hypocalcemia.  Test-Taking Strategy: Focus on the subject, thyroid surgery and the signs of hypocalcemia. Use knowledge of signs of muscle contractions and its association with a low calcium level. Note that hypocalcemia is a known complication after thyroid surgery and serum calcium levels should be closely monitored. Review: hypocalcemia.  Level of Cognitive Ability:  Synthesizing  Client Need:  Physiological Integrity  Integrated Process: Nursing Process/Analyzing  Content Area:  Fundamentals of Care: Fluids & Electrolytes  Priority Concepts: Cellular Regulation, Fluid and Electrolytes  HESI Concepts:  Cellular Regulation, Fluids and Electrolytes  Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th  ed., pp. 298-299). St. Louis: Mosby.  Awarded 0.0 points out of 1.0 possible points.  3.ID: 9476805570  The charge nurse on a women’s health unit is making a client room assignment. Which clients would be least appropriate to assign to share a room with a woman who is pregnant? Select all that apply.A. A client with hepatitis B Correct B. A client with herpes zoster Correct C. A client with pyelonephritis Incorrect D. A client with hashimotos thyroiditis Incorrect E. A client with a urinary tract infection  Rationale: Viral infections such as hepatitis B and herpes zoster can be very serious for the mother and fetus if exposed and clients with these conditions should not share a room with a pregnant client. Pyelonephritis, hashimotos thyroiditis, and urinary tract infections can all have adverse effects on a pregnant woman, however, these are not contagious conditions, and therefore clients with these conditions can safely room share with a pregnant woman.  Test taking strategy: Focus on the strategic words least appropriate and select the clients that should not share a room with a pregnant female. Think about the infectious factors of each disorder in the options to answer correctly. Review: risks of pregnancy  Level of Cognitive Ability:  Creating  Client Need:  Safe and Effective Care Environment  Integrated Process: Nursing Process/Planning  Content Area:  Maternity: Antepartum  Priority Concepts: Care Coordination, Infection  HESI Concepts: Care Coordination, Infection  Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013). Maternal-child nursing (4th ed., pp. 626-628). St. Louis: Elsevier.  Awarded -1.0 points out of 2.0 possible points.  4.ID: 9476805554  The home health nurse is caring for an older client recovering from pneumonia. A concerned family member believes that the client is no longer capable of caring for self effectively. The nurse conducts an assessment of the client’s basic activities of daily living (BADLs). What activities would the nurse assess? Select all that apply. A. Eating Correct B. Bathing Correct C. Cooking Incorrect D. Dressing Correct E. Taking medications Incorrect F. Balancing a checkbook  Rationale: ADL’s are basic activities that assess functional ability. Daily activities such as eating, bathing, and dressing are considered basic every day needs. Activities such as cooking, taking medication, and balancing a checkbook are considered more complex, instrumental activities.  Test-taking Strategy: Focus on the subject, basic activities of daily living. Select the answers that require the most basic care for completion. In addition,specific knowledge of those activities that are basic and those that are instrumental will assist in answering correctly. Review: Activities of Daily Living.  Level of Cognitive Ability:  Applying  Client Need:  Physiological Integrity  Integrated Process: Nursing Process/Assessment  Content Area: Fundamental Skills: Safety  Priority Concepts: Functional Ability, Safety  HESI Concepts:  Functional Ability, Safety  References: Giddens, J. (2013). Concepts for nursing practice. (p. 12). St. Louis, MO: Mosby.  Potter, P., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013). Fundamentals of nursing. (8th ed., pp. 259-260). St. Louis: Mosby.  Awarded 1.0 points out of 3.0 possible points.  5.ID: 9476807948  The nurse is caring for a client who has recently undergone a right-sided mastectomy for stage 3 breast cancer. When giving report to the next shift, what information would be essential to communicate to the oncoming nurse? Select all that apply. A. Elevate the right arm on a pillow. Correct B. Monitor skin color and for the presence of edema. Correct C. Educate that a medical alert bracelet is being worn. Correct D. Ensure the client refrains from any physical activity. Incorrect E. Take blood pressure measurements on the right side only. Incorrect  Rationale: After a mastectomy, the nurse must assess for peripheral tissue perfusion. Therefore it is important to assess skin color and for the presence of edema. Elevation of the extremity will decrease venous pressure and decrease edema. A medical alert bracelet should be worn at all times. A medical alert bracelet should be worn to alert others and prevent anyone from using the affected extremity for blood pressure, intravenous (IV punctures), or blood draws because this could increase the likelihood of infection or decreased tissue perfusion. Although the client should avoid heavy lifting, activity should be encouraged and the client should participate in physical therapy unless contraindicated.  Test-Taking Strategy: Note the strategic word essential when considering what information should be included in shift change report. Think about what information would be necessary for safe care of the client to help select the correct answer. Also noting the words, any and only in options 4 and 5 will assist in eliminating these options. Review: mastectomy  Level of Cognitive Ability: Applying  Client Needs: Safe and Effective Care Environment  Integrated Process: Communication and Documentation  Content Area: Adult Health: Oncology Priority Concepts: Care Coordination, Tissue Integrity  HESI Concepts:  Care Coordination, Tissue Integrity  Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th  ed., p. 1254-1255). St. Louis: Mosby.  Awarded -1.0 points out of 3.0 possible points.  6.ID: 9476793886  A client informs the nurse that she has recently started taking the herbal supplement black cohosh for her menopausal symptoms. When reviewing the client’s medical record, what finding would warrant the need for follow-up? Refer to chart.  H istory and Physical  Laboratory Results  M e di c at io ns  R enalIn  Thyroid Stimulating Hormone (TSH) 2.45 mIU/L  Gl ipi zi de 5m gsufficiency or al on ce da ily  H eartfailure  B-type natriuretic peptide (BNP) 204 pg/ml  Si m va st at in 4 0 m g on ce da ily A. TSH result B. BNP result C. Heart failure D. Glipizide prescription Correct  Rationale:  Black cohosh is an herbal product used to treat hot flashes, irritability, and palpitations. It potentiates insulin, oral hypoglycemic agents, and antihypertensive agents. Therefore, follow-up would be necessary if the client wastaking glipizide, a sulfonlyrea oral hypoglycemic agent. The TSH result is a normal finding. The BNP result would be expected with a known diagnosis of heart failure and additionally would not be affected by black cohosh.  Test-Taking Strategy: Note the strategic words need for follow-up when considering what information provided in the chart is important. The options of heart failure and the BNP result are comparable or alike options, and therefore should be eliminated. Next, note that the TSH level is normal to eliminate this option. Review: interactions associated with black cohosh  Level of Cognitive Ability: Synthesizing  Client Needs: Safe and Effective Care Environment  Integrated Process: Nursing Process: Analysis  Content Area: Fundamental of Care: Safety  Priority Concepts: Clinical Judgment, Safety  HESI Concepts:  Clinical Decision-Making/Clinical Judgment, Safety  References: Hodgson, B., & Kizior, R. (2015). Saunders nursing drug handbook 2015. (p. 1317 ). St. Louis: Saunders.  Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th  ed., p. 1285). St. Louis: Mosby.  Awarded 1.0 points out of 1.0 possible points.  7.ID: 9476797805  A client is admitted to hospital for treatment of a respiratory infection. The client was treated with an intravenous (IV) course of ampicillin and is ready to be discharged home on oral antibiotics. What information present in the chart would warrant the nurse to provide further teaching? [Show More]

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