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PNLE IV FOR CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS PART 2
1. Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect
organ rejection?
A. Sudden weight loss
B. Polyuria
C. Hypertension
D. Shock
2. The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral
colic and hematuria is to decrease:
A. Pain
B. Weight
C. Hematuria
D. Hypertension
3. Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is
performed. The nurse is aware that this medication is given to:
A. Decrease the total basal metabolic rate.
B. Maintain the function of the parathyroid glands.
C. Block the formation of thyroxine by the thyroid gland.
D. Decrease the size and vascularity of the thyroid gland.
4. Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can
develop in the client who is diagnosed with:
A. Liver disease
B. Hypertension
C. Type 2 diabetes
D. Hyperthyroidism
5. Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby
should monitor the client for the systemic side effect of:
A. Ascites
B. Nystagmus
C. Leukopenia
D. Polycythemia
6. Norma, with recent colostomy expresses concern about the inability to control the passage of gas.
Nurse Oliver should suggest that the client plan to:
A. Eliminate foods high in cellulose.
B. Decrease fluid intake at meal times.
C. Avoid foods that in the past caused flatus.
D. Adhere to a bland diet prior to social events.
7. Nurse Ron begins to teach a male client how to perform colostomy irrigations. The nurse would
evaluate that the instructions were understood when the client states, “I should:
A. Lie on my left side while instilling the irrigating solution.”
B. Keep the irrigating container less than 18 inches above the stoma.”
C. Instill a minimum of 1200 ml of irrigating solution to stimulate evacuation of the bowel.”
D. Insert the irrigating catheter deeper into the stoma if cramping occurs during the procedure.”
8. Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte
imbalances. The client is somewhat confused and complains of nausea and muscle weakness. As part of
the prescribed therapy to correct this electrolyte imbalance, the nurse would expect to:
A. Administer Kayexalate
B. Restrict foods high in protein
C. Increase oral intake of cheese and milk.
D. Administer large amounts of normal saline via I.V.
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