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NR 443 CHAPTER 09: LEGAL AND ETHICAL ASPECTS IN CLINICAL PRACTICE
. An advanced practice nurse evaluates a patient for emergency commitment because of the likelihood the patient will do serious harm to others. Which statement best reflects the nurse’s role as patient advocate during the assessment process? 
a.	“Tell me about any delusions you are experiencing.” 
b.	“I understand you have had some difficulty today.” 
c.	“Tell me why you need to threaten or hurt others around you.” 
d.	“Threatening to hurt others will require that you be committe...
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- Exam (elaborations)
- • 14 pages •
. An advanced practice nurse evaluates a patient for emergency commitment because of the likelihood the patient will do serious harm to others. Which statement best reflects the nurse’s role as patient advocate during the assessment process? 
a.	“Tell me about any delusions you are experiencing.” 
b.	“I understand you have had some difficulty today.” 
c.	“Tell me why you need to threaten or hurt others around you.” 
d.	“Threatening to hurt others will require that you be committe...
NR 443 CHAPTER 49: FEMALE REPRODUCTIVE DISORDERS
Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be prepared for? 
a. Heavy menses 
b. Masculinizing 
c. Acnelike skin eruptions 
d. Anemia 
. What instruction should a nurse provide to a patient after a culdoscopy? 
a. Clean the incision site daily with hydrogen peroxide. 
b. Avoid vaginal intercourse. 
c. Return to the clinic for suture removal in 7 days. 
d. Use tampons. 
A patient asks a...
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- Exam (elaborations)
- • 9 pages •
Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be prepared for? 
a. Heavy menses 
b. Masculinizing 
c. Acnelike skin eruptions 
d. Anemia 
. What instruction should a nurse provide to a patient after a culdoscopy? 
a. Clean the incision site daily with hydrogen peroxide. 
b. Avoid vaginal intercourse. 
c. Return to the clinic for suture removal in 7 days. 
d. Use tampons. 
A patient asks a...
NR 443 CHAPTER 26: THE PATIENT WITH AN OSTOMY | GRADED A
Which term appropriately defines an artificial opening into a body cavity? 
a. Gastrostomy 
b. Ostomy 
c. Colonoscopy 
d. Ureterostomy 
Why is a patient who has undergone a colostomy instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? 
a. The stoma will shrink during this time. 
b. A poor-fitting pouch will cause infection of the stoma. 
c. The paste will not adhere. 
d. Prolapse will result. 
A 47-year-old patient with a permanent ...
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- Exam (elaborations)
- • 10 pages •
Which term appropriately defines an artificial opening into a body cavity? 
a. Gastrostomy 
b. Ostomy 
c. Colonoscopy 
d. Ureterostomy 
Why is a patient who has undergone a colostomy instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? 
a. The stoma will shrink during this time. 
b. A poor-fitting pouch will cause infection of the stoma. 
c. The paste will not adhere. 
d. Prolapse will result. 
A 47-year-old patient with a permanent ...
NR 443 CHAPTER 26: THE PATIENT WITH AN OSTOMY | VERIFIED SOLUTION
. Which term appropriately defines an artificial opening into a body cavity? 
a. Gastrostomy 
b. Ostomy 
c. Colonoscopy 
d. Ureterostomy 
. Why is a patient who has undergone a colostomy instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? 
a. The stoma will shrink during this time. 
b. A poor-fitting pouch will cause infection of the stoma. 
c. The paste will not adhere. 
d. Prolapse will result. 
. A 47-year-old patient with a perm...
- Exam (elaborations)
- • 10 pages •
. Which term appropriately defines an artificial opening into a body cavity? 
a. Gastrostomy 
b. Ostomy 
c. Colonoscopy 
d. Ureterostomy 
. Why is a patient who has undergone a colostomy instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? 
a. The stoma will shrink during this time. 
b. A poor-fitting pouch will cause infection of the stoma. 
c. The paste will not adhere. 
d. Prolapse will result. 
. A 47-year-old patient with a perm...
NR 443 CHAPTER 21: IMMOBILITY | GRADED A
. What negative effects does immobilization have on the musculoskeletal system? 
a. Demineralization of bone 
b. Increase in aerobic capacity 
c. Increased muscle oxidation 
d. Lengthening of muscle fibers 
. What should the nurse be aware is the best prevention of immobility-related disorders? 
a. Dietary supplements 
b. Fluids 
c. Adequate fiber 
d. Exercise 
A nurse’s assessment reveals an area of erythema on an immobilized patient’s sacrum. What is the initial nursing action? 
a. Apply a...
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- Exam (elaborations)
- • 10 pages •
. What negative effects does immobilization have on the musculoskeletal system? 
a. Demineralization of bone 
b. Increase in aerobic capacity 
c. Increased muscle oxidation 
d. Lengthening of muscle fibers 
. What should the nurse be aware is the best prevention of immobility-related disorders? 
a. Dietary supplements 
b. Fluids 
c. Adequate fiber 
d. Exercise 
A nurse’s assessment reveals an area of erythema on an immobilized patient’s sacrum. What is the initial nursing action? 
a. Apply a...
NR 443 CHAPTER 17: SURGICAL CARE | VERIFIED SOLUTION
. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? 
a. Assess for the presence of bowel sounds. 
b. Assess pupillary reaction. 
c. Ask the patient’s family if she is having pain. 
d. Determine when the patient last received pain medication. 
. A nurse is caring for a postoperative patient. What should the nurse ask when assessing for the complication of malignant hyperthermia?...
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- Exam (elaborations)
- • 10 pages •
. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? 
a. Assess for the presence of bowel sounds. 
b. Assess pupillary reaction. 
c. Ask the patient’s family if she is having pain. 
d. Determine when the patient last received pain medication. 
. A nurse is caring for a postoperative patient. What should the nurse ask when assessing for the complication of malignant hyperthermia?...
NR 443 CHAPTER 52: SKIN DISORDERS | GRADED A
. Displaying her hands, a patient asks, “Do you think my liver is OK? Look at all these liver spots!” What is the most appropriate nursing response? 
a. “The spots could mean something is wrong; I will make a note of it.” 
b. “The spots are normal aging changes and have nothing to do with your liver.” 
c. “Have you recently been exposed to hepatitis?” 
d. “Don’t worry about them. They will fade during the winter.” 
A confused patient has been restrained because of combative...
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- Exam (elaborations)
- • 9 pages •
. Displaying her hands, a patient asks, “Do you think my liver is OK? Look at all these liver spots!” What is the most appropriate nursing response? 
a. “The spots could mean something is wrong; I will make a note of it.” 
b. “The spots are normal aging changes and have nothing to do with your liver.” 
c. “Have you recently been exposed to hepatitis?” 
d. “Don’t worry about them. They will fade during the winter.” 
A confused patient has been restrained because of combative...
NR 443 CHAPTER 48: DIABETES MELLITUS AND HYPOGLYCEMIA
A nurse explains that type 1 diabetes mellitus is a disease in which the body does not produce enough insulin. What is the reason that the blood glucose is elevated? 
a. Prolonged elevation of stress hormone (cortisol, epinephrine, glucagon, growth hormone) levels 
b. Malfunction of the glycogen-storing capabilities of the liver 
c. Destruction of the beta cells in the pancreas 
d. Insulin resistance of the receptor cells in the muscle tissue 
A patient newly diagnosed with type 2 diabetes melli...
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- Exam (elaborations)
- • 10 pages •
A nurse explains that type 1 diabetes mellitus is a disease in which the body does not produce enough insulin. What is the reason that the blood glucose is elevated? 
a. Prolonged elevation of stress hormone (cortisol, epinephrine, glucagon, growth hormone) levels 
b. Malfunction of the glycogen-storing capabilities of the liver 
c. Destruction of the beta cells in the pancreas 
d. Insulin resistance of the receptor cells in the muscle tissue 
A patient newly diagnosed with type 2 diabetes melli...
NR 443 CHAPTER 28: CEREBROVASCULAR ACCIDENT | VERIFIED SOLUTION
. A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA). What part of the brain is affected? 
a. Left hemisphere of the cerebrum 
b. Right hemisphere of the cerebrum 
c. Left cerebellum 
d. Right cerebellum 
Which patient is at the greatest risk for a CVA? 
a. A 20-year-old obese Latin woman who is taking birth control pills 
b. A 40-year-old athletic white man with a family history of CVA 
c. A 60-year-old Asian woman who smokes occasional...
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- Exam (elaborations)
- • 10 pages •
. A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA). What part of the brain is affected? 
a. Left hemisphere of the cerebrum 
b. Right hemisphere of the cerebrum 
c. Left cerebellum 
d. Right cerebellum 
Which patient is at the greatest risk for a CVA? 
a. A 20-year-old obese Latin woman who is taking birth control pills 
b. A 40-year-old athletic white man with a family history of CVA 
c. A 60-year-old Asian woman who smokes occasional...
NR 443 CHAPTER 57: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS
A patient has been diagnosed with alcoholism. A nurse tells him that he has a physical illness with a genetic predisposition to alcoholism, and the only effective treatment is total abstinence from alcohol. This type of approach characterizes which theory? 
a. Biologic 
b. Behavioral 
c. Sociocultural 
d. Intrapersonal 
A nurse explains that according to the intrapersonal theory, addiction is caused by early childhood rejection. These substance abusers are thought to have common characteristics....
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- Exam (elaborations)
- • 10 pages •
A patient has been diagnosed with alcoholism. A nurse tells him that he has a physical illness with a genetic predisposition to alcoholism, and the only effective treatment is total abstinence from alcohol. This type of approach characterizes which theory? 
a. Biologic 
b. Behavioral 
c. Sociocultural 
d. Intrapersonal 
A nurse explains that according to the intrapersonal theory, addiction is caused by early childhood rejection. These substance abusers are thought to have common characteristics....
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