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Physiological Adaptation

(1785 questions)

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  1. 1) To communicate effectively with a client who has sensorineural hearing loss caused by presbycusis, the nurse should use which strategy to improve communication with the client? Answer all that apply.
    1. approach the client from the front
    2. use the mouth to exaggerate word pronunciation
    3. shout initially to get the client’s attention
    4. turn down background noise from radio or TV before speaking
    5. speak very loudly but in an even tone of voice
    6. To communicate effectively with a client who has sensorineural hearing loss caused by presbycusis, the nurse should use which strategy to improve communication with the client? Answer all that apply.a. approach the client from the frontb. use the mouth to exaggerate word pronunciationc. shout initially to get the client’s attentiond.turn down background noise from radio or TV before speakinge. speak very loudly but in an even tone of voice


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  2. Which statement by an 8-year-old girl who has asthma indicates that she understands the use of a peak expiratory flow meter?
    1. "My peak flow meter can tell me if an asthma episode might be coming, even though I might still be feeling okay."
    2. "When I do my peak flow, it works best if I do three breaths without pausing in between breaths."
    3. "I always start with the meter reading about halfway up. That way, I don t waste any breath."
    4. "If I use my peak flow meter every day, I will not have an asthma attack."


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  3. A young boy is brought to the trauma unit with a chemical burn to the face. Priority assessment would include which of the following?
    1. Skin integrity
    2. Blood pressure and pulse
    3. Patency of airway
    4. Amount of pain


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  4. During the beginning-of-shift assessments, which client would the nurse see first?
    1. Client with chronic pain requesting pain meds
    2. Client with diarrhea who needs to be cleaned
    3. Client who is due for a dressing change
    4. Client who requires suctioning


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  5. The client in the coronary care unit, status post-anterior myocardial infarction (MI), has been diagnosed with heart failure. A pulmonary artery (PA) catheter has been placed. The PA pressure is 30/15 mmHg and the client has mild crackles. The nurse knows from this reading that the client is experiencing:
    1. Right heart failure.
    2. Left heart failure.
    3. Both right and left failure.
    4. Pulmonary edema.


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  6. Which of the following actions of pancreatic enzymes can cause pancreatic damage?
    1. Utilization by the intestine
    2. Autodigestion of the pancreas
    3. Reflux into the pancreas
    4. Clogging of the pancreatic duct


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  7. The nurse would conclude that hypomagnesemia has not resolved if which of the following neuromuscular signs is still present after treatment?
    1. Paralysis
    2. Tetany
    3. Flaccidity
    4. Decreased reflexes


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  8. The nurse would assess for hypermagnesemia when magnesium sulfate is repeatedly used to control which of the following symptoms?
    1. Constipation
    2. Vomiting
    3. Anorexia
    4. Fever


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  9. A client taking cholestyramine (Questran) to lower lipid levels should be monitored for possible deficiency of which vitamin(s)?
    1. Niacin
    2. Folic acid
    3. Vitamins A and D
    4. Vitamin B<sub>12</sub>


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  10. The nurse should suspect cephalopelvic disproportion after noting documentation of which of the following for a laboring client?
    1. Pelvic outlet is less than 9 cm.
    2. Midpelvis is contracted.
    3. Fetal shoulders are too large to pass through the bony pelvis.
    4. Fetal head is too large to pass through the bony pelvis.


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