Nursing Process Practice Questions Quizlet

Correct Answer: C

Rationale: The correct answer is C, Excessive fluid volume. In Addison's disease, there is a deficiency of cortisol and aldosterone leading to sodium loss and water retention. This imbalance can result in excessive fluid volume. A) Risk for infection is not directly related to Addison's disease. B) Urinary retention is not a common symptom of Addison's disease. D) Hypothermia is not a typical manifestation of Addison's disease.

Correct Answer: B

Rationale: The correct answer is B: Quadriceps setting. After surgery, quadriceps setting exercises are crucial for preventing muscle atrophy and maintaining joint mobility. Bladder control (A) is important but typically not the major early problem. Client education (C) and use of aids for ambulation (D) are important aspects of care but not the primary concern immediately post-surgery. Quadriceps setting helps prevent complications and promote early mobility.

Correct Answer: B

Rationale: The correct answer is B. Mr. Sy's statement indicates he understands the pre-operative fasting instructions, which is crucial to prevent aspiration during surgery. Not eating after midnight reduces the risk of complications. A: Incorrect. Wearing a pneumatic compression device post-surgery is important, but this statement does not demonstrate understanding of pre-surgery preparations. C: Incorrect. Knowing the skin preparation site size does not indicate understanding of the surgery process. D: Incorrect. Signing the consent form at the operating table may indicate lack of understanding of the consent process and timing. In summary, choice B is correct as it shows Mr. Sy's awareness of the fasting requirement before surgery, which is crucial for a safe operation.

Correct Answer: B

Rationale: The correct answer is B because the patient being able to ambulate in the hallway with crutches indicates that the expected outcome of improved physical mobility due to the fractured leg has been met. This demonstrates progress towards independence and recovery. A is incorrect because the patient still requires assistance, indicating dependency. C is incorrect because denial of pain does not necessarily indicate improved physical mobility. D is incorrect because it is too general and does not directly show achievement of the specific goal related to physical mobility.

Correct Answer: C

Rationale: The correct answer is C: �You may not be able to use desmopressin nasally if you have nasal discharge or blockage.� Rationale: 1. Desmopressin is available in intranasal form for diabetes insipidus. 2. Nasal discharge or blockage may prevent proper absorption of the medication. 3. Instructing the client about this potential issue ensures optimal drug effectiveness. Summary: A: Incorrect. Temperature of desmopressin suspension doesn't affect its efficacy. B: Incorrect. A medical identification bracelet is necessary for chronic conditions like diabetes insipidus. D: Incorrect. Monitoring fluid intake and output is crucial when taking desmopressin.