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76. A patient  with left sided paresis after a stroke will be transferred to a rehabilitation facility. The patient asks why rehabilitation is necessary. What is the nurse’s BEST response?

1. “Rehabilitation can help you to funcion al the highest level possible for you.”

2. “if you do not have rehabilitation, you’ll never walk again”

3. “Your provider prescribed this treatment for you”

4. “Rehabilitation can reverse all of the physical deficits caused by the stroke.”

 

78. Apatient has a pituitary tumor causing HYPOpituitarism. This caused decreased ACTH levels. During assessment of the patient, the nurse ANTICIPATES finding which of the

following?

1. hyperglycemia

2. Moon face

3. hypotension

4. Positive Trousseau’s sign

 

79. A female patient with HYPERthyroidism is considering the treatment options presented to her by the endocrinologist. The nurse recognizes that the patient understands the treatment options for hyperthyroidism when she says:

1.”Radioactive iodine temporarily blocks the production of thyroid hormone.”

2.”methimazole permanently destroys my entire thyroid gland”

3. “A subtotal tyroidectory is an option that decreases hormone levels by removing part of the thyroid gland!”

4. “I will never be able to have a child because radioactive iodine will stay in my body forever.”

 

80. Damage to the PARATHYROID glands during thyroidectomy may result in:

1. Laryngospasm due to hypocalcemic lelany

2. Flaccid paralysis due to hypercalcemia

3. Permanent hoarseness due to hypokalemia

4. Hypokalemia due to decreased aldosterone

 

81. Nursing care of a patient admitted with NEW onset of HYPERThyroidism will include which of the following?

1 Encourage physical activity to work off excess energy

2 Provide a warm room and extra blankets

3 Administer a beta blocker to control tachycardia

4 Encourage a diet with foods that are high in sodium

 

82. While caring for a patient with a NEW tracheostomy, the nurse observes the patient’s Sp 02 change from 96% to 91% when the patient ambulates around the hall once. While in

bed, the patient is on humidified Al through a tracheostomy collar. The nurse will:

1. Change the patient’s activity level to complete bedrest

2. Ambulate the patient around the hall twice next lime

3. Obtain a prescription (order) for portable oxygen when the patient ambulates

4. Order an arterial blood gas analysis alter the patient rests for 60 minutes to verify the Sp02

 

83. The cuff of a tracheostomy tube is inflated to:

1.Prevent air from escaping around the tube when a patient is on a ventilator

2. To enable the patient on a ventilator to speak

3. Prevent infection with drug resistant organisms

4. Keep the inner cannula from falling out of the outer cannula of the tracheostomy tube

 

84. A patient has systemic  lupus erythematosus (SLE) and will be started on 20 mg of Prednisone daily to help control the disease. Which of the following is appropriate for the nurse to teach this patient?

1. The patient should not receive an annual flu shot.

2. The patient should have a TB test before beginning long-lem prednisone therapy.

3. Prednisone should not be taken if the patient is scheduled for surgery.

4. Prednisone should be discontinued if the patient develops a fever.

 

85. The muse anticipates finding which of the following when assessing a patient with an autoimmune disorder who has taken high doses of prednisone for 2 years?

1 hypotension

2 Truncal obesity

3 Hypoglycemia

4 Bronze skin

SCIENCE
HEALTH SCIENCE
NURSING
NRS 315

 

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