Rasmussen College - NUR 2571 / NUR2571 PN 2 Exam 2-week 7 study guide
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Course
PN 2 NUR 2571 / NUR2571
Institution
PN 2 NUR 2571 / NUR2571
NUR 2571 / NUR2571 PN 2 Exam 2-week 7 study guide
Know what the secondary stage of the inflammatory response is
5. A client has a leg wound that is in the second stage of the inflammatory response. For what manifestation does the nurse assess?
a. Noticeable rubor
b. Purulent drainage
c. Swelli...
NUR 2571 / NUR2571 PN 2 Exam 2-
week 7 study guide
Know what the secondary stage of the inflammatory response is
5. A client has a leg wound that is in the second stage of the
inflammatory response. For what manifestation does the nurse
assess?
a. Noticeable rubor
b. Purulent drainage
c. Swelling and pain
d. Warmth at the site
ANS: B
1. The student nurse learns that the most important function of
inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-
tolerance ANS: C
7. The nurse understands that which type of immunity is the longest acting?
a. Artificial active
b. Inflammatory
c. Natural active
d. Natural passive
ANS: C
8. The nurse working with clients who have autoimmune diseases
understands that what component of cell-mediated immunity is the
problem?
a. CD4+ cells
b. Cytotoxic T cells
c. Natural killer cells
d. Suppressor T
cells ANS: D
10. A nurse is assessing a client for acute rejection of a kidney transplant.
What assessment finding requires the most rapid communication with the
provider?
a. Blood urea nitrogen (BUN) of 18 mg/dL
b. Cloudy, foul-smelling urine
c. Creatinine of 3.9 mg/dL
d. Urine output of 340 mL/8
hr ANS: C
What drugs are used to treat OA?
,2. A nurse in the family clinic is teaching a client newly diagnosed with
osteoarthritis (OA) about drugs used to treat the disease. For which
medication does the nurse plan primary teaching?
a. Acetaminophen (Tylenol)
b. Cyclobenzaprine hydrochloride (Flexeril)
, c. Hyaluronate (Hyalgan)
d. Ibuprofen
(Motrin) ANS: A
1. A nurse is working with a community group promoting healthy aging.
What recommendation is best to help prevent osteoarthritis (OA)?
a. Avoid contact sports.
b. Get plenty of calcium.
c. Lose weight if needed.
d. Engage in weight-bearing
exercise. ANS: C
What is the post-operative care of a patient after a total hip
replacement?
5. An older client has returned to the surgical unit after a total hip
replacement. The client is confused and restless. What intervention by the
nurse is most important to prevent injury?
a. Administer mild sedation.
b. Keep all four siderails up.
c. Restrain the clients hands.
d. Use an abduction
pillow. ANS: D
7. The nurse on the postoperative inpatient unit assesses a client after a
total hip replacement. The clients surgical leg is visibly shorter than the
other one and the client reports extreme pain. While a co-worker calls the
surgeon, what action by the nurse is best?
a. Assess neurovascular status in both legs.
b. Elevate the affected leg and apply ice.
c. Prepare to administer pain medication.
d. Try to place the affected leg in
abduction. ANS: A
26. A nurse is discharging a client after a total hip replacement. What
statement by the client indicates good potential for self-management?
a. I can bend down to pick something up.
b. I no longer need to do my exercises.
c. I will not sit with my legs crossed.
d. I wont wash my incision to keep it
dry. ANS: C
Know signs and symptoms of rheumatoid arthritis (RA)
11. A nurse works in the rheumatology clinic and sees clients with rheumatoid
arthritis (RA). Which client should the nurse see first?
a. Client who reports jaw pain when eating
b. Client with a red, hot, swollen right wrist
c. Client who has a puffy-looking area behind the knee
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