1.Discuss nursing and collaborative interventions for a patient with a CVA that are evidence based.  

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Question Answered step-by-step 1.Discuss nursing and collaborative interventions for a patient with a CVA that are evidence based.  2.Develop an original IV heparin drip weight-based scenario that might be used for a ischemic stroke including: a bolus, drip and sliding scale application.3.  Develop a teaching strategies to increase the patient and family understanding and needs of a client who has neurological deficits after a CVA.  Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step 1. The nurse is reinforcing teaching to a client with diverticulitis.Which statement by the client indicate that teaching was successful? if left untreated, diverticulitis is can spread to other organs If left untreated, I could develop a peptic ulcer If left untreated, the inflamed bowl can perforate and cause peritonitis If left untreated, the inflamed bowel will cause appendicitis 2. Excessive secretion of growth hormone, or gigantism, causes which of the following?Small hands Enlarged feet Goiter Excessive thirst 3. The nurse is helping discharge a client diagnosed with diverticulosis which instruction should the nurse reinforce? Eat a high-fiber dietDecrease fluid intakeAvoid physical activity Include popcorn and seeds in diet 4. The nurse is caring for client with diabetes insipidus. Which the following manifestations dose the nurse anticipate the client? Profound diuresis Recurring infections Blurred vision Weight gain 5. When discussing exercise programs with a diabetic client, which instruction are important for the nurse to include? Select all that apply. Delay exercise until glucose is controlled Keep a quick source of glucose readily available Begin slowly and build up to 30-45 minutes Only use the abdominal injection sit for injection sit for insulin Avoid injecting insulin on days of exercise 6. The nurse is caring for a client with syndrome of inappropriate hormone (SADH) which of the following priority for the nurse to monitor? Fluid balance Blood glucose Appetite Hearing 7. Which of the following gastrointestinal disorders is characterized by hypersensitivity of the bowel wall? Irritable bowel syndrome (IBS)Inflammatory bowel disease (IBD) Diverticulitis Intestinal obstruction 8. The nurse is caring for a client admitted to the medication surgical unit for intestinal obstruction. The client complains of 10/10 pain despite administration of prescribed pain medication. Which action should the nurse take? Notify the provider immediatelyAdjust the client's position in bed Provider the client small sips of water Administer an as need laxative 9.The nurse is caring for a client who is recovering from a flare up of Crohn's disease. Which of the following should the nurse reinforce?Increase fiber intake as tolerated Take a laxative daily Avoid any fiber in the diet Eat a high-fat, low-protein diet 10. The nurse is reinforcing teaching to a client with a colostomy. Which food should the nurse recommend to help decrease stool odor? YogurtBeans Fish broccoli11. A 36-old client who had an ascending colostomy angrily deciares, "don't want this thing on my body! This bag I have now is not me" Which response is most appropriate for the nurse to make? Well the colostomy is part of you now Would you like me to show you how to change the bag?Many clients feel this way at first, but they get used to itWhat about this colostomy concerns you the most?12. A client with weakness and malaise is diagnose with Addison's disease. The nurse understands that Addison's disease is due to which of the following? Adrenal insufficiency Excess adrenal hormones Injury to the parathyroid glad Goiter 13. The nurse is caring for a hospitalized client who is ordered docusate sodium to prevent constipation. When reinforcing teaching about the medication, which instruction should the nurse include? Take with a full glass of water Take for two weeks to achieve full effectAvoid exposing skin to direct sunlight Avoid ambulating for 30 minutes 14. The nurse is providing preoperative care to a client who will undergo ostomy creation. Which of the following is most accurate regarding ostomies? A colostomy connects part of the colon to an opening in the abdominal wallAn ileostomy is created at the end of the large intestine Ileostomies are always permanent Stool from a colostomy is less formed than an ileostomy 15. A client has been ordered 500 mg IV every six hours of a medication which available in 25 mg/mL. How many mL will be administered in 24 hours? 80 mL5 mL120 mL 3 mL 16. Type I and type II diabetes differ in the type I diabetes is associated with which of the following? Occurs later in life Can be controlled by diet Insulin dependence Treated with oral hypoglycemic agents 17. The nurse is caring for a client 1-day postoperative after a transverse colostomy. When observing the stomia, which finding requires the nurse immediate action? A most, glistening stoma A stoma with scant bleeding An edematous stoma A purplish colored stoma 18. The nurse is caring for a client with irritable bowl syndrome (IBS). Which teaching point should the nurse reinforce? Keep a diary to identify foods that cause symptoms Increase consumption of legumes Lifelong corticosteroid treatment will be needed Drink tea or soda instead of coffee19. A client with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates that the client understands condition management? The client consumes a simple carbohydrate snake after 30 minutes of activityThe client eats a large high-carbohydrate meal immediately before exercise The client administers insulin after exercise rather than before The client reduces insulin use during days when exercise is pinned 20. The emergency department nurse is caring for a client with right lower quadrant pain and muscle guarding. The client's temperature is 100.5 degrees F, and they report nausea vomiting. Which of the following does the nurse suspect? AppendicitisDiverticulosis Harte hernia Colon cancer 21. The nurse is reinforcing teaching about peristomal skin care. Which information should the nurse include? Forcefully remove the faceplate of appliance Apply a skin barrier to the peristomal area Use a vigorous scrubbing motion to remove fecal waste Cut the faceplate about 1-inch from the opening of the stoma22. A client comes to the emergency department complaining of abdominal pain. The nurse observes dry, hot skin, fruity breath, and deep respiration. Which of the following does the nurse suspect? An insulin reaction KetoacidosisDiabetes insipidus Hypoglycemia 23. A client is being evaluated by the healthcare provider for possible hyperthyroidism. The nurse notes which of the following symptoms that support a diagnosis of hyperthyroidism? Select all that apply. Weight loss NervousnessInsomniaBradycardia Decreased appetite 24. Which type of insulin is considered rapid acting? Insulin apart Isophane insulin NPHInsulin giargine Regular insulin 25. Which of the following is the most appropriate nursing intervention for a client diagnosed with diabetes insipidus? Restrict fluids Maintain strict bedrest Monitor intake and output Check blood glucose every two hours 26.The nurse caring for a client with hypothyroidism anticipates which medication to be prescribed? MethimazolePropylthiouracil LevothyroxinePrednisone 27. The nurse is preparing to administer an enema. After positioning the client and putting on gloves, which actions should the nurse take next? Fill the enema bag with the correct solution Lepel air from the tubing Lubricate the end of the enema tube Gently insert the enema tip into the anus 28. The nurse administering insulin giargine to a client knows that the duration of this insulin is how long? 3-5 hours 5-7 hours 24 hours 12 hours 29. The nurse is caring for the client who is immediately postoperative with a new ileostomy. Which intervention is most important for the nurse to implement at this time? Change the ostomy pouch frequently Provide emotional support Administer a bulk laxative Offer the client a small meal 30. A nurse student is learning about different types of bowel obstruction. Which of the following is an example of a mechanical bowel obstruction? A tumor obstruction the tumen of the bowel A paralytic ileus stops peristalsis Diverticulitis causes inflammation of the bowel Bowel motility is slowed by antidiarrheal medications 31. The nurse working at a gastroenterology practice knows that colonoscopies may be indicated for the following reason. Select all that apply. Screen for colon cancer Remove pre-cancerous colon polyps Rule out inflammatory bowel disease Diagnose gastroesophageal reflux disease Treat a gastric ulcer 32. A client is prescribed a cephalexin 250 mg by mouth every six hour for 10 days. The medication is available in 250 mg capsules. How many capsules will the client need for the 10-day curse of the therapy? 40 capsules 60 capsules 80 capsules 20 capsules 33. Cells that are affected by endocrine hormones are called which of the following? Target cellsSecreting cells Antagonists Agonists 34. The nurse is reviewing the medical history of a client prescribed metformin. The nurse would question the order for metformin if the client history contained which of the following? Renal failure Type III diabetes Cushing syndrome Diverticulosis      35. A client prolonged steroid therapy present to the clinic with facial swelling, enlarged abdomen, and hypertension. Which condition dose the nurse suspect? Cushing syndrome Diabetes insipidus Hyperparathyroidism Thyroid cancer 36. The nurse is reinforcing teaching to a client with a colostomy. Which of the following foods will increase the risk of obstruction? Select all that apply. PopcornCelery Shrimp Green beans Potatoes 37. The nurse explaining the underlying pathophysiology to type 1 diabetes to a newly diagnosed client. Which information accurately explains why the type 1 diabetic does not produce adequate insulin? The immune system destroyed beta cells of the pancreas Alpha cells proliferated in the islets of Langerhans The body produced an allergic response to glucose A pituitary disorder blocked the action of insulin 38. After administering prescribed insulin to a client with diabetes mellitus, the nurse monitors for hypoglycemia. Which of the following are signs and symptoms of hypoglycemia? Select all that apply. TachycardiaTremorsAnxietyHungerBradycardia     39. The in-coming nurse receive report on the following clients. Which client should the nurse see first? A client with a gastric ulcer who complains of server abdominal pain and distention A client diagnosed with inflammatory bowel disease who need be dischargedA client with colostomy who need teaching reinforced about appliance care A client with constipation who is requestion assistance to the bathroom 40. What is the correct term for significantly enlarged thyroid gland? GoiterAdenoma Polyp Diverticulum 41. Which of the following is the term for diabetes that develops during pregnancy? Type 1 diabetes mellitus Type 2 diabetes mellitus Gestational diabetes Diabetes insipidus 42. Which of the following statements explains a reason for weight loss in type 1 diabetes? Select all that apply. Loss of body fluid Insulin tolerance Absence of sufficient insulin Altered diet Stressful lifestyle 43. A client with chronic constipation ask about high fiber dietary selections, which menu selection should the nurse recommend? Turkey sandwich on whole wheat toast, pears, and tea Fried chicken, corn, and water Cheese pizza, pasta salad, and milk Bacon, lettuce, and tomato sandwich on sourdough which orange juice  44. The nurse is caring for client with type 1 diabetes who is diaphoretic and clammy. The client complains of hunger but denies pain. The nurse performs a beside blood glucose check. What should the nurse do next?Administer insulin as ordered Assist the client to ambulate Give six ounces of orange juice Document the findings   45. A nurse is helping discharge a client with a new ileostomy. Which instruction should the nurse reinforce? Avoid high residue foods Eat plenty of raw vegetablesEat plenty of raw fruits Add spices to increase appetite 46. A client on prolonged steroid therapy presents to the clinic with facial swelling, enlarged abdomen, and hypertension. Which condition does the nurse suspect? Cushing syndrome Eat plenty of raw vegetablesEat plenty of raw fruits Add spices to increase appetite47. The provider has ordered a 100 mg/day IM divided into to doses. The medication is available in 50 mg/mL. How many mL will you administer per dose? 1 mL2 mL 0.5 mL 4 mL      48. In a healthcare setting institution, what is the most common way to communicate past and current information regarding clients? Through the medical record Face-to-faceWrite all information down and present to the shift charge nurseSpeak directly to the attending physician49. Which antibiotic classification is not a cell wall synthesis inhibitor? Carbapenems Penicillin TetracyclinesCephalosporins 50. Which of the following hormones are secreted by the pituitary gland? Select all that apply. Growth hormone Thyroid-stimulating hormone Adrenocorticotropic hormone Glucagon Insulin 51. A client is to revive IV vancomycin 1 g in 200 mL D5W at a rate of 10 mg/min. At what rate will you set the IV infusion pump? 120 mL/hr48 mL/hr30 mL/hr20 mL/hr  Health Science Science Nursing PRN 1032LL Share QuestionEmailCopy link Comments (0)
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