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Community Health Nursing (NUR 422) Questions and answers
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Community Health Nursing (NUR 422) 1. A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly “water” weight. In addition, they report the patient hasn’t been...

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  • March 6, 2024
  • 46
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • community health nursing nur 422
  • 1 a patient arrives to the er and is unable to gi

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1. A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly “water” weight. In addition, they report the patient hasn’t been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient’s HR is 115 and BP 180/92. Patient sodium level is 90. Which
of the following conditions do you suspect the patient is most likely presenting with? A. SIADH B. Diabetes Insipidus
C. Addison's Disease
D. Fluid Volume Deficient
The answer is A: SIADH
2. In the scenario above what drug do you anticipate the patient will
be started on per doctor’s order? A. Desmopressin (DDAVP) IV
B. Declomycin C. Diabinese
D. Stimate
The answer is B: Declomycin
3. Which of the following signs and symptoms is NOT expected with Diabetes Insipidus? A. Polyuria
B. Polydipsia
C. Polyphagia lOMoARcPSD|25701531 D. Extreme thirst
The answer is C: Polyphagia
4. You are developing a care plan for a patient with SIADH. Which of the following would be a potential nursing diagnosis for this patient? A. Fluid volume overload B. Fluid volume deficient
C. Acute pain
D. Impaired skin integrity
The answer is A: Fluid volume overload
5. A patient with a mild case of diabetes insipidus is started on Diabinese. What would you include in your patient teaching with this patient? A. Signs and symptoms of hypoglycemia B. Restricting foods containing caffeine
C. T aking the medication on an empty stomach
D. Drinking 16 oz of water when taking the medication
The answer is A: Signs and symptoms of hypoglycemia
6. Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic Hormone (SIADH)? A. A patient diagnosed with small cell lung cancer. B. A patient whose kidney tubules are failing to reabsorb water.
C. A patient with a tumor on the anterior pituitary gland.
D. A patient taking Declomycin.
The answer is A: A patient diagnosed with small cell lung cancer.lOMoARcPSD|25701531 7. A patient with SIADH is undergoing IV treatment of a hypertonic IV solution of 3% saline and IV Lasix. Which of the following nursing findings requires intervention? A. Sodium level of 136.
B. Patient reports urinating more frequently.
C. Potassium level of 5.0.
D. Assessment finding of crackles throughout the lung fields . The answer is D: Assessment finding of crackles throughout the lung fields. Remember that when administering a hypertonic solution you have to do this
very slowly and watch for volume overload. Hypertonic solutions pull fluid from the cell (which is already water intoxicated) and place it back into the vascular system...therefore, crackles in the lungs are a sign there is too much fluid in the body and the heart can not compensate so the fluid is backing up into the lungs. This would require intervention.
8. The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH. A. high, low
B. absent, absent
C. low, high D. low, low
The answer is C: low, high
9. Where is the anti-diuretic hormone PRODUCED in the body? A. Anterior pituitary gland
B. Posterior pituitary gland
C. Hypothalamus lOMoARcPSD|25701531 D. Medulla
The answer is C: Hypothalamus
10. Where is the anti-diuretic hormone SECRETED in the body? A. Hypothalamus
B. Thyroid
C. Posterior Pituitary gland D. Anterior pituitary gland
The answer is C: Posterior Pituitary gland
11. The client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse expect the client to exhibit?
1. Complaints of extreme fatigue and hair loss .
2. Exophthalmos and complaints of nervousness.
3. Complaints of profuse sweating and flushed skin.
4. Tetany and complaints of stiffness of the hands.
1.A decrease in thyroid hormone causes decreased metabolism, which leads to fatigue and hair loss .
12. The nurse identifies the client problem "risk for imbalanced body temperature" for
the client diagnosed with hypothyroidism. Which intervention should be included in the plan of care?
1. Discourage the use of an electric blanket.
2. Assess the client's temperature every two (2) hours.
3. Keep the room temperature cool.
4. Space activities to promote rest.
1.External heat sources (heating pads,electric or warming blankets) should be discouraged because they increase the risk of peripheral vasodilation and vascular collapse .
13. The client diagnosed with hypothyroidism is prescribed the thyroid hormone levothyroxine (Synthroid). Which assessment data indicate the medication has been effective?
1. The client has a three (3)-pound weight gain.
2. The client has a decreased pulse rate.lOMoARcPSD|25701531

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