Name: D444 Adult Health I
Price: 10.00 USD
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D444 Adult Health I

Question 1
Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?
Use salt tablets after strenuous exercise.
Drink plenty of water whenever thirsty.
Monitor daily urine output volume.
Review food labels for sodium content.

Question 2
A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client’s respiratory acidosis?
Hyperventilation is eliminating carbon dioxide rapidly.
High levels of carbon dioxide have accumulated in the blood.
Carbon dioxide is converted in the kidneys for elimination.
Blood oxygen levels are stimulating the respiratory rate.

Question 3

A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?
Determine the client’s last dose of corticosteroids.
Determine neurological baseline prior to the fall.
Administer a PRN IV antiemetic as prescribed.
Complete head-to-toe neurological assessment.

Question 4
A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?
Reduction in number of liquid stools.
Improved mental status.
Increase in urine output.
Ability to ambulate independently.

Question 5

Which approach is best for the nurse to use when directing a client with Huntington’s disease to the hospital cafeteria?
Provide step-by-step verbal directions.
Escort the client to the cafeteria.
Use the hospital map to show the client where the cafeteria is located.
Orient the client to the color-coding system used for locating hospital services.

Question 6
A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?
Advise the client that healing typically takes several weeks to occur.
Confirm that the client is taking the medication one hour after meals.
Notify the healthcare provider that the client may need a change in dosage.
Auscultate the client’s bowel sounds and measure the abdominal girth.

Question 7

A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?
Topical corticosteroids.
Topical analgesics.
Topical antifungal.
Colloidal oatmeal-based lotion.

Question 8
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?
For long-term control of pain and swelling.
Until a smaller angle can be restored.
For long-term control of normal eye pressure.
Until the excess pressure is reduced.

Solution

Review food labels for sodium content.
(Hypernatremia is often caused by high sodium intake or low water intake. Clients should avoid sodium-rich foods.)
High levels of carbon dioxide have accumulated in the blood.
(This defines respiratory acidosis: CO₂ retention leads to acid buildup.)
Complete head-to-toe neurological assessment.
(Post-fall with confusion and vomiting = suspect head injury. Assess first.)

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