Fundamental Concepts and Skills for Nursing Test Bank

Questions 15

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Fundamental Concepts and Skills for Nursing Test Bank Questions

Question 1 of 5

A nurse is educating a client with cardiomyopathy about diet choices that are appropriate for the client's condition. Which statement is inappropriate for the nurse to include in the teaching session?

Correct Answer: B

Rationale: While it is important for individuals with cardiomyopathy to maintain a well-balanced diet that includes adequate protein, stating that increasing dietary protein specifically helps with cardiac cell repair may not be entirely accurate. The primary focus for individuals with cardiomyopathy should be on overall heart-healthy choices such as monitoring sodium intake, avoiding high-fat, high-cholesterol foods, and following a well-rounded diet plan. Protein can be a part of this plan but it should not be emphasized as the main component for cardiac cell repair. Consulting with a dietitian who can provide personalized guidance and recommendations based on the individual's specific condition is crucial.

Question 2 of 5

A client is scheduled for temporary pacemaker insertion. What instruction will this client need prior to discharge?

Correct Answer: D

Rationale: The correct instruction for a client who is scheduled for temporary pacemaker insertion is to use battery-powered equipment. This is because temporary pacemakers are powered by an external power source, typically a battery pack worn by the client. Therefore, it is important for the client to be aware of this and ensure that they have access to the necessary battery-powered equipment at home for the pacemaker to function properly. The other options are not appropriate instructions for a client with a temporary pacemaker.

Question 3 of 5

A patient is being treated for a condition where the pituitary gland is producing an increased amount of antidiuretic hormone (ADH). What finding would the nurse most likely assess in this patient?

Correct Answer: B

Rationale: An increased amount of antidiuretic hormone (ADH) leads to the condition known as syndrome of inappropriate antidiuretic hormone (SIADH). This condition results in the kidneys absorbing more water, which leads to decreased urine output (oliguria) and concentrated urine. The increased ADH levels cause the body to retain fluid, leading to a decrease in urine output and potential complications such as hyponatremia (low sodium levels), which can be harmful. Increased facial hair growth or decreased testosterone production are not directly related to an overproduction of ADH.

Question 4 of 5

The nurse is instructing an older adult client about atorvastatin (Lipitor) to treat elevated cholesterol. Which side effects should the nurse advise the client to report to the healthcare provider?

Correct Answer: B

Rationale: Atorvastatin (Lipitor) is a medication commonly used to treat high cholesterol levels. One of the serious side effects associated with atorvastatin use is muscle pain and weakness. This could be a sign of a rare but serious condition known as rhabdomyolysis, which is the breakdown of muscle tissue that can lead to kidney damage. Therefore, it is crucial for the client to report any muscle pain or weakness promptly to their healthcare provider to prevent any serious complications. Headaches and nausea are common side effects that may not require urgent attention. Bruising and excessive bleeding usually indicate a different issue, such as a bleeding disorder or anticoagulant medication effect. Shortness of breath and coughing are not typically associated with atorvastatin use and may suggest other health problems that require evaluation by a healthcare provider.

Question 5 of 5

The nurse is teaching a patient self-care approaches for a sprained ankle. For which reason should the nurse emphasize the use of ice after this type of injury?

Correct Answer: D

Rationale: The nurse should emphasize the use of ice after a sprained ankle because it helps decrease the diameter of blood vessels. By applying ice to the injured area, vasoconstriction occurs, which means the blood vessels constrict and become narrower. This helps reduce swelling, inflammation, and pain associated with the injury. Cold therapy through the application of ice is a common approach used in the immediate management of sprains and strains to promote healing and alleviate discomfort.

Similar Questions

The nurse is teaching a patient self-care approaches for a sprained ankle. For which reason should the nurse emphasize the use of ice after this type of injury?
The nurse provides medication teaching for a client who will be going home on new medications. Which statement by the client best illustrates compliance with the medication plan?
The nurse is assessing a client being treated for congestive heart failure (CHF). Which physical findings would indicate that the client's condition is not improving? Select all that apply.
A client is receiving intravenous nitroprusside (Nipride) for shock. Which adverse reactions will the nurse assess this client for when administering the infusion? Select all that apply.
What characteristic of veins increases the risk for the development of a thrombus?

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