Question

QUESTION 31

1. The nurse instructs the client with chronic obstructive pulmonary disease to practice pursed-lip breathing and explains that this breathing technique is done ______.

   	A.	to prolong inhalation to help bring more oxygen to the lungs
   	B.	to break up mucus that has accumulated in the airway
   	C.	to use the abdominal muscles to breathe, giving the diaphragm a rest
   	D.	to prolong exhalation to help remove carbon dioxide from the lungs

0.5 points   

QUESTION 32

1. A patient with hypofunction of the adrenal cortex has been admitted to your unit. What would the nurse be likely to find when assessing the patient's vital signs?

   	A.	An increased blood pressure.
   	B.	A decreased blood pressure.
   	C.	A decreased body temperature.
   	D.	An increased body temperature.

0.5 points   

QUESTION 33

1. When caring for a client who's being treated for hyperthyroidism, the nurse should ______.

   	A.	balance the client's periods of activity and rest
   	B.	provide extra blankets and clothing to keep the client warm
   	C.	encourage the client to be active to prevent constipation
   	D.	monitor the client for signs of restlessness, sweating, and excessive weight loss during thyroid replacement therapy

0.5 points   

QUESTION 34

1. Prevention of aortic regurgitation is primarily based on prevention of and treatment for bacterial infections.

   	A.	True
   	B.	False

0.5 points   

QUESTION 35

1. A nurse is adjusting a client's plan of care for a client who has recently developed ascites. What should the nurse include in this client's care plan?

   	A.	Vitamin B12 injections as prescribed
   	B.	Mobilization with assistance at least 4 times daily
   	C.	Administration of beta-adrenergic blockers as prescribed
   	D.	Administration of diuretics as prescribed

0.5 points   

QUESTION 36

1. Irritable bowel syndrome is an acute functional disorder characterized by recurrent abdominal pain associated with diarrhea, constipation, or both.

   	A.	True
   	B.	False

0.5 points   

QUESTION 37

1. When examining a stool of a client with bleeding gastric ulcer, which of the following characteristics would the nurse be most likely to find?

   	A.	Green color and texture.
   	B.	Clay-like quality.
   	C.	Black and tarry appearance.
   	D.	Bright red blood in stool.

0.5 points   

QUESTION 38

1. A patient who has had a total parathyroidectomy has returned to the unit from the PACU. The nurse caring for the patient knows he should assess for what complication following this surgery?

   	A.	Brittle bones.
   	B.	Fatigue.
   	C.	Hypercalcemia.
   	D.	Tetany.

0.5 points   

QUESTION 39

1. A client is returned to his room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside?

   	A.	Chest tube.
   	B.	Cardiac monitor.
   	C.	Tracheostomy set.
   	D.	NG tube.

0.5 points   

QUESTION 40

1. The nurse is reviewing the history and physical examination of a client diagnosed with hyperthyroidism. Which of the following would the nurse expect to find?

   	A.	Complaints of sleepiness.
   	B.	Thick hard nails.
   	C.	Inability to tolerate cold.
   	D.	Reports of increased appetite.

Answer 1

31.answer

d)to prolong exhalation to help remove carbondioxide from the lungs.

the postive presuure created opposes the forces exrerted on the airways from the flow of exhalation.as a result,purse-lip breathing helps support breathing by opening by the opening of the airways during exhalation and increased excertion and increasing excertion of volatile acids in the form of carbondioxide preventing or relieving hypercapnia.

32.answer

b)a decrease blood pressure

monitor vitals reguraly,assessing for orthostatic hypotension and other signs

33.answer

a)balance the client's periods of activity and rest

people who have hyperthyrodism may have troblr sleeping throoughout the body to slow down making you feel tired more easily

34.answer

a)true

35.answer

b)mobilize with assistance atleast 3-4 times daily

-maintain some periods of rest eith legs elevated to mobilize edema and ascites.

-alternate rest periods with ambulation

-ancourage and assist with gradually increasing periods of exercise.

36.answer

a)true

irritable bowel syndrome is common disorder that affects the large intestine signs and symptoms include cramping,abdominal,pain,costipation or dairrehea or both.

37.answer

c.black tarry stool

melena refers to black tarry stools,which usually occurs as a result of upper gastrointestinal bleeding

it has characteristic tarry colour and offensive smell,and is often difficult to flush away,which is due to the alteration and degradation of blood by intestinal enzymes

38.answer

c.hypercalcemia

this surgery might be used if your blood has too much calcuim in it.this is a condition known asa hypercalcemia

39.answer

c.tracheostomy set

after a subtotal thyriodectomy,swelling of the surgical site(the tracheal area)may obstruct the airway.the nurse should keep a tracheostaomy set at the clients bedside in case of a respiratory emergency.

40.answer

d)reports of increase appetite

client digestive system can also be affected by hyperthyrodism.client digestive system may speed up and cause diarrhea.you may experience bowel moements