WorksheetsChapter 5
Total questions: 16
Worksheet time: 10mins
A patient has been paralyzed from the chest down for 7 years and is now diagnosed with pneumonia. For which reason would the patient need additional support to cope with the infection?
Coping measures become less effective with advancing age
The patient's available coping resources are already being used to manage the problems of immobility
An acute infectious process requires more adaptive mechanisms than a chronic stressor does
This additional physical stressor places unmanageable demands on the patient's internal and external resources
A patient is admitted to the medical unit with periodic episodes of shortness of breath, choking sensation, and is crying. Which will the nurse do to evaluate the impact of physiologic and psychological components on the patient's illness?
Perform a thorough physical examination and include subjective patient statements as well as objective laboratory data.
Focus primary attention on the respiratory system, because this is the patient's chief complaint
Determine that the patient is not in acute distress, then perform a complete physical examination, including data about the patient's lifestyle and social relationships
Attempt to discover the reasons behind the patient's anxieties, because stress can cause breathing difficulties
The nurse is interviewing a patient with shortness of breath who reveals they are in the process of obtaining a divorce. Which is the priority action by the nurse?
Try to determine whether there is a psychological basis for the patient's physical symptoms
Restrict family members from visiting, because their presence may aggravate the patient's symptoms
Teach the patient specific breathing exercises that can be used to manage symptoms
Request that the health care provider recommend counseling services
A patient is admitted to the emergency department (ED) for observation after a minor automobile crash. In reaction to the sympathetic nervous system's response to stress, which expected finding will be assessed? (Select all that apply.)
Cold, clammy skin
Decreased heart rate
Rapid respirations
Skeletal muscle tension
Seizure activity
A patient is experiencing lower leg pain associated with lactic acid accumulation. When does the nurse expect the pain to decrease?
When aerobic metabolism is reinstated
When anaerobic metabolism becomes the major pathway for energy release
When muscle use and subsequent glucose catabolism increase
When vasoconstriction diminishes blood flow, thereby slowing the removal of waste products
A patient has a diagnosis of hypertrophy of the heart muscle, which correlates with cellular adaptation to injury. Which findings does the nurse expect to occur? (Select all that apply.)
Compromised cardiac output
Muscle mass changes evident on radiologic examination
Cellular alteration compensatory to some stimulus
Decreased cell size, leading to more effective ventricular contractions
Increased cardiac output
A patient who is pregnant is having changes in her breast and asks the nurse if this should be cause for concern. Which does the nurse explain to the patient is the cellular adaptation to stress?
Dysplasia
Hyperplasia
Hypertrophy
Metaplasia
A patient has a hemoglobin level of 7 g/dL. Which is the priority assessment finding by the nurse that should be immediately reported to the health care provider?
Hyperemia
Hypertension
Hypoglycemia
Hypoxia
patient with diabetes is admitted to the hospital with a blood sugar level of 320 mg/dI Why will the nurse monitor fluid intake and output for this patient?
Decreased blood osmolarity causes fluid to shift into the interstitial spaces, resulting in polydipsia
Polydipsia occurs when glucose catabolism is accelerated, thereby increasing the body's need for fluids
Polyuria results from osmotic diuresis, which is compensatory to hyperglycemia
The blood's hypotonicity will result in tissue fluid retention and weight gain
The nurse is caring for a patient with a fever. Care for this patient will be based on what body responses? (Select all that apply.)
Diaphoresis, which is a compensatory mechanism that cools the body
Vasodilation of surface blood vessels, which prevents excessive heat loss
Increased heart rate, which helps to meet increased metabolic demands
Increased nutrient catabolism, which influences the body's caloric needs
Decrease in cellular metabolism, which decreases metabolic demand
The patient wants to be prescribed an anti-infective drug for the flu. The nurse explains to the patient that anti-infective medications would not be useful against which biologic agents?
Bacteria
Fungi
Mycoplasmas
Viruses
The nurse is talking with a patient who is considering becoming pregnant and is concerned about genetic disorders. Which genetic disorders does the nurse inform the patient arise from inherited traits? (Select all that apply.)
Hemophilia
Meningitis
Phenylketonuria
Sickle cell disease
Encephalitis
A nurse is caring for a patient with a localized response to bee stings. Which symptoms will the nurse assess for? (Select all that apply.)
Hyperemia due to increased blood flow
Cool skin around the site of the sting
Blanching due to compensatory vasoconstriction
Pain due to pressure on the nerve endings
Swelling due to increased vascular permeability
The nurse is caring for a patient with an infected surgical incision. Which signs demonstrating systemic response does the nurse observe? (Select all that apply.)
A febrile state caused by the release of pyrogens
Anorexia, malaise, and weakness
Leukopenia owing to increased white blood cell production
Loss of appetite and complaints of aching
Subnormal body temperature caused by vasoconstriction
The nurse is performing an assessment to determine the patient's social support systems. Which question is important for the nurse to ask?
Does the patient believe that they belong to a group that is mutually dependent and communicative?
Does the patient have adequate insurance coverage to take care of health costs?
What does the patient do for a living?
Does the patient have any significant past medical problems?
A patient with a strong history of breast malignancy in her family is scheduled for a breast biopsy in the morning. Which is the nursing priority action when caring for this patient the evening before surgery?
Give a soothing back massage to promote relaxation and decrease stress
Make sure she eats all of her evening meal, because she will be NPO after midnight
Minimize the emotional impact of surgery by encouraging her to socialize with other patients
Sit with her and provide an opportunity for her to talk about her concerns
