Crowder College

Chapter 60: Care of Patients with Inflammatory Intestinal Disorders Test Bank MULTIPLE CHOICE 1. The nurse conducts a physical assessment for a client with abdominal pain. Which finding leads the nurse to suspect appendicitis? a. Severe, steady right lower quadrant (RLQ) pain b. Abdominal pain that started a day after vomiting began c. Abdominal pain that increases with knee flexion d. Marked peristalsis and hyperactive bowel sounds ANS: A Right lower quadrant pain, specifically at...

Chapter 58: Care of Patients with Stomach Disorders Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client who is at risk for developing gastritis. Which finding from the client’s history leads the nurse to this conclusion? a. Client is lactose intolerant and cannot drink milk. b. Client recently traveled to Mexico and South America. c. Client works at least 60 hours per week in a stressful job. d. Client takes naproxen sodium (Naprosyn) 500 mg daily for arthritis pain. ANS...

Chapter 67: Care of Patients with Diabetes Mellitus Test Bank MULTIPLE CHOICE 1. In preparing a staff in-service presentation about diabetes mellitus, the nurse includes which information? a. Diabetes increases the risk for development of epilepsy. b. The cure for diabetes is the administration of insulin. c. Diabetes increases the risk for development of cardiovascular disease. d. Carbohydrate metabolism is altered in diabetes, but protein metabolism is normal. ANS: C Diabetes me...

Chapter 65: Care of Patients with Pituitary and Adrenal Gland Problems Test Bank MULTIPLE CHOICE 1. A client has a hormone deficiency. Which deficiency is the highest priority? a. Growth hormone b. Luteinizing hormone c. Thyroid-stimulating hormone d. Follicle-stimulating hormone ANS: C A deficiency of thyroid-stimulating hormone (TSH) is the most life-threatening deficiency of the hormones listed in this question. TSH is needed to ensure proper synthesis and secretion of the thyro...

Chapter 70: Care of Patients with Renal Disorders Test Bank MULTIPLE CHOICE 1. On assessment of a client with polycystic kidney disease (PKD), which finding is of greatest concern to the nurse? a. Flank pain b. Periorbital edema c. Bloody and cloudy urine d. Enlarged abdomen ANS: B Flank pain and a distended or enlarged abdomen occur in PKD because the kidneys enlarge and displace other organs. Urine can be bloody or cloudy owing to cyst rupture or infection. Periorbital edema wou...

Chapter 46: Care of Patients with Problems of the Peripheral Nervous System Test Bank MULTIPLE CHOICE 1. The nurse recognizes which pathophysiologic feature as a hallmark of Guillain-Barré syndrome? a. Nerve impulses are not transmitted to skeletal muscle. b. The immune system destroys the myelin sheath. c. The distal nerves degenerate and retract. d. Antibodies to acetylcholine receptor sites develop. ANS: B In Guillain-Barré syndrome, the immune system destroys the myelin sheat...

Chapter 36 care of patients with vascular problems Arteriosclerosis & atherosclerosis • Arteriosclerosis o Thickening or hardening of arterial wall o Often associated with aging • Atherosclerosis o Type of arteriosclerosis involving formation of plaque within arterial wall o Leading risk factor for CVD o Usually affects LARGER arteries: Aorta, Carotids & Vertebral, Renal, Iliac, & Femoral o CAUSE: Damage to the blood vessel causing an INFLAMMATORY response-->A Fatty Streak then appears...

Chapter38:Care of Patients with Vascular Problems Test Bank MULTIPLE CHOICE 1. A client with atherosclerosis asks a nurse which factors are responsible for this condition. What is the nurse’s best response? a. “Injury to the arteries causes them to spasm, reducing blood flow to the extremities.” b. “Excess fats in your diet are stored in the lining of your arteries, causing them to constrict.” c. “A combination of platelets and fats accumulates, narrowing the artery and re...

Chap 32: Care of Patients with Noninfectious Lower Respiratory Problems Test Bank MULTIPLE CHOICE 1. A client with asthma reports “not being able to take deep breaths.” The nurse auscultates decreased breath sounds in the bases, and no wheezes. What is the nurse’s best action? a. Encourage the client to stay calm and take deep breaths. b. Document the findings and continue to monitor. c. Have the client cough forcefully. d. Assess the client’s oxygen saturation. ANS: D Dec...

Chapter 44: Care of Patients with Problems of the Central Nervous System: The Brain Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client experiencing migraine headaches who is receiving a beta blocker to help manage this disorder. When preparing a teaching plan, which instruction does the nurse plan to provide? a. “Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache.” b. “Take this drug as ordered, even when feeling well, to ...