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AH2 med sug quiz/ AH2 med sug quiz.
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Exam of 38 pages for the course AH2 NUR MISC at AH2 NUR MISC (AH2 med sug quiz.)
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AH2 med sug quiz.AH2 med sug quiz.
1. Healthcare workers must protect themselves against becoming infected with HIV. The Center
for Disease Control has issued guidelines for healthcare workers in relation to protection from
HIV. These guidelines include which recommendation?
A. Place HIV positive clients in strict isolation and limit visitors.
B. Wear gloves when coming in contact with the blood or body fluids of anyclient.
Correct
C. Conduct mandatory HIV testing of those who work with AIDS clients.
D. Freeze HIV blood specimens at -70° F to kill the virus.
The CDC guidelines recommend that healthcare workers use gloves when coming in contact with
blood or body fluids from ANY client (B) since HIV is infectious before the client becomes aware of
symptoms. (A) is not recommended, nor is it necessary. (C) is very controversial, difficult to enforce,
and is not recommended by CDC. (D) does not guarantee to kill the virus. Additionally, the purpose
of the blood specimen will determine how it is stored and handled.
Awarded 5.0 points out of 5.0 possible points.
2. 2.ID: 311187910
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH), which
is manifested by which symptoms?
A. Loss of thirst, weight gain. Correct
B. Dependent edema, fever.
C. Polydipsia, polyuria.
D. Hypernatremia, tachypnea.
SIADH occurs when the posterior pituitary gland releases too much ADH, causing water retention, a
urine output of less than 20 ml/hour, and dilutional hyponatremia. Other indications of SIADH are
loss of thirst, weight gain (A), irritability, muscle weakness, and decreased level of consciousness.
(B) is not associated with SIADH. (C) is a finding associated with diabetes insipidus (a water
metabolism problem caused by an ADH deficiency), not SIADH. The increase in plasma volume
causes an increase in the glomerular filtration rate that inhibits the release of rennin and
aldosterone, which results in an increased sodium loss in urine, leading to greater hyponatremia, not
(D).
Awarded 5.0 points out of 5.0 possible points.
3. 3.ID: 311189077
An elderly client is admitted with a diagnosis of bacterial pneumonia. The nurse's assessment of the
, AH2 med sug quiz.
client is most likely to reveal which sign/symptom?
A. Leukocytosis and febrile.
B. Polycythemia and crackles.
C. Pharyngitis and sputum production. Incorrect
D. Confusion and tachycardia. Correct
, AH2 med sug quiz.
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate (D). (A, B, and C) are often absent in the elderly
with bacterial pneumonia.
Awarded 0.0 points out of 5.0 possible points.
4. 4.ID: 311193663
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
A. Pupil constriction.
B. Increased heart rate. Correct
C. Bronchial constriction.
D. Decreased blood pressure.
Any stressor that is perceived as threatening to homeostasis acts to stimulate the sympathetic
nervous system and manifests as a flight-or-fight response, which includes an increase in heart rate
(B). (A, C, and D) are responses of the parasympathetic nervous system.
Awarded 5.0 points out of 5.0 possible points.
5. 5.ID: 311232312
Which assessment finding by the nurse during a client's clinical breast examination requires follow-
up?
A. Newly retracted nipple. Correct
B. A thickened area where the skin folds under the breast.
C. Whitish nipple discharge. Incorrect
D. Tender lumpiness noted bilaterally throughout the breasts.
A newly retracted nipple (A), compared to a life-long finding, may be an indication of breast cancer
and requires additional follow-up. The inframammary ridge (B) is a normal anatomic finding. Up to
80% of women may experience an intermittent nipple discharge (C), especially related to recent
stimulation, and in most cases, nipple discharge is not related to malignancy. (D) is a classic finding
for fibrocystic breast disease, a benign condition.
Awarded 0.0 points out of 5.0 possible points.
6. 6.ID: 311187912
The nurse is assisting a client out of bed for the first time after surgery. What action should the nurse
do first?
A. Place a chair at a right angle to the bedside.
B. Encourage deep breathing prior to standing.
C. Help the client to sit and dangle legs on the side of the bed. Incorrect
D. Allow the client to sit with the bed in a high Fowler's position. Correct
, AH2 med sug quiz.
The first step is to raise the head of the bed to a high Fowler's position (D), which allow venous
return to compensate from lying flat and vasodilating effects of perioperative drugs. (A, B, and C) are
implemented after (D).
Awarded 0.0 points out of 5.0 possible points.
7. 7.ID: 311220822
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory
test results to indicate a decreased serum level of which substance?
A. Sodium. Incorrect
B. Antidiuretic hormone.
C. Potassium. Correct
D. Glucose.
Clients with primary aldosteronism exhibit a profound decline in the serum levels of potassium (C)
(hypokalemia)--hypertension is the most prominent and universal sign. (A) is normal or elevated,
depending on the amount of water reabsorbed with the sodium. (B) is decreased with diabetes
insipidus. (D) is not affected by primary aldosteronism.
Awarded 0.0 points out of 5.0 possible points.
8. 8.ID: 311223496
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems.
The visiting nurse is discussing painting the house with the client. The nurse suggests that the edge
of the steps should be painted which color?
A. Black.
B. White.
C. Light green.
D. Medium yellow. Correct
Yellow is the easiest for a person with failing vision to see (D). (A) will be almost impossible to see at
night because the shadows of the steps will be too difficult to determine, and would pose a safety
hazard. (B) is very hard to see with a glare from the sun and it could hurt the eyes in the daytime to
look at them. (C) is a pastel color and is difficult for elderly clients to see.
Awarded 5.0 points out of 5.0 possible points.
9. 9.ID: 311226932
A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse
anticipates which change in prescription for the client?
A. The dosage of the diuretic will be decreased.
B. The diuretic will be discontinued. Incorrect
C. A potassium supplement will be prescribed. Correct
D. The dosage of the diuretic will be increased.
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