NUR 318 Focus on Adult Health Exam Questions & Answers
1 view 0 purchase
Course
NUR 318
Institution
NUR 318
NUR 318 Focus on Adult Health Exam Questions & Answers
. ID: 4
. A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply.
A. Constipation
B. Tall T waves Correct
C. Hyporef...
a tuberculin skin test tst is administered to a client with a diagnosis of hiv
Written for
NUR 318
All documents for this subject (9)
Seller
Follow
Cowell
Reviews received
Content preview
NUR 318 Focus on Adult Health Exam
Questions & Answers
. ID: 9477061444
. A nurse is monitoring a client who is taking spironolactone for the
treatment of hypertension. Which findings denote adverse effects of
the medication? Select all that apply.
A. Constipation
B. Tall T waves Correct
C. Hyporeflexia
D. Shallow respirations
E. Prolonged PR interval Correct
F. Hyperactive bowel sounds Correct
. Rationale: Spironolactone is a potassium-sparing diuretic. Potassium-
sparing diuretics can cause hyperkalemia. Cardiovascular
manifestations of hyperkalemia include tall T waves, widened QRS
complexes, prolonged PR intervals, and flat P waves. Other
cardiovascular manifestations include an irregular heart rate,
decreased blood pressure, and ectopic heartbeats. Muscle twitches
occur in hyperkalemia. Hyperactive bowel sounds and diarrhea also
occur in hyperkalemia. Constipation, hyporeflexia, and shallow
respirations are signs of hypokalemia.
. Test-Taking Strategy: The knowledge that spironolactone is a
potassium- sparing diuretic will assist you in determining that
hyperkalemia is an adverse effect of the medication. Recalling the
manifestations of hyperkalemia will direct you to the correct options.
Also, note that the incorrect options are comparable or alike in that
they indicate a slowed body response or function. Review the
adverse effects of spironolactone and the manifestations of
hyperkalemia if you had difficulty with this question.
. Level of Cognitive Ability: Analyzing
. Client Needs: Physiological Integrity
. Integrated Process: Nursing Process/Assessment
. Content Area: Adult Pharmacology
. Giddens Concepts: Clinical Judgment, Fluid and Electrolytes
. HESI Concepts: Clinical Decision-Making/Clinical Judgment,
Fluids and Electrolytes
, . Reference: Hodgson, B., & Kizior, R. (2015). Saunders nursing drug
handbook 2015. (pp. 1125-1127) St. Louis: Saunders.
. Awarded 3.0 points out of 3.0 possible points.
. 2.ID: 9477057138
, . A nurse is providing dietary instructions to a client with chronic
obstructive pulmonary disease (COPD) who is experiencing a loss of
appetite and complains of feeling “too full to eat.” What does the
nurse encourage the client to do? Select all that apply.
A. Avoid drinking fluids before and during meals Correct
B. Eat a variety of dark-green vegetables, such as broccoli
C. Have snacks, such as crackers and cheese, between meals
D. Select foods that are easy to chew and are not gas forming
Correct
E. Consume high-calorie drinks, such as milkshakes, between
meals
. Rationale: COPD is a progressive and irreversible condition
characterized by diminished inspiratory and expiratory capacity of the
lungs. Instruct the client who complains of feeling too full to eat, to
avoid drinking fluids before and during the meal. Dry foods such as
crackers stimulate coughing; foods such as milk and chocolate may
increase the thickness of saliva and secretions. Cheese is
constipating and should also be avoided by the client. The nurse
should also teach the client about foods that are easy to chew and do
not encourage the formation of gas; for this reason, broccoli, which is
a gas-forming food, should be avoided.
. Test-Taking Strategy: Use the process of elimination. Recalling that milk
may increase the thickness of saliva will assist you in eliminating the
option that encourages the consumption of milkshakes. Eliminate the
option in which the consumption of broccoli is encouraged, because it
is a gas-forming food. To select from the remaining options, note the
strategic words “too full to eat” in the question and the option that
encourages the client to avoid fluids before and during meals; this
will direct you to the correct answers. Review dietary measures for
the client with COPD if you had difficulty with this question.
. Level of Cognitive Ability: Applying
. Client Needs: Physiological Integrity
. Integrated Process: Teaching and Learning
. Content Area: Adult Health/Respiratory
. Giddens Concepts: Gas Exchange, Nutrition
. HESI Concepts: Oxygenation/Gas Exchange, Metabolism – Nutrition
. Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014).
Medical-surgical nursing: Assessment and management of clinical problems (9th
ed., pp. 595-596). St. Louis: Mosby.
. Awarded 2.0 points out of 2.0 possible points.
. 3.ID: 9477057160
, . A tuberculin skin test (TST) is administered to a client with a diagnosis
of HIV
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Cowell. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.
