N1 FINAL EXAM REVIEW TEST BANK

• Question 29 1 out of 1 points An 82-year-old client is admitted for dehydration. The daughter asks the nurse why this may have happened. The nurse educates the family about how the elderly are at an increased risk for fluid and electrolyte imbalances. What is the best explanation for the risk of this imbalance to the family? Correct Answer: C. Decreased thirst sensations Response Feedback : The elderly are at an increased risk for fluid and electrolyte imbalances as a result of decreased thirst sensations. Increased frequency of urination, increased body temperature, or loss of water through increased sweating is not a factor specifically associated with the elderly that can cause fluid imbalances.Cognitive Level: Application NCLEX Blueprint: Heath promotion and maintenance • Question 30 1 out of 1 points The nurse is reviewing the health history of a client diagnosed with glomerulonephritis. Which of the medical conditions would be a risk factor for developing glomerulonephritis? Correct Answer: C. Recent “strep throat” Response Feedback: Recent Streptococcus infection can lead to the development of glomerulonephritis. Hypertension and renal failure does not cause glomerulonephritis, but they can result from glomerulonephritis. Asthma is unrelated.Cognitive Level: analysisNCLEX Blueprint: Reduction of risk • Question 31 1 out of 1 points A nurse in a delivery room is assisting with the delivery of a newborn. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: Correct Answer: C. drying the infant with a warm blanket Response Feedback: Evaporation of moisture from a wet body dissipates heat along with the moisture. Keeping the newborn dry by drying the wet newborn at birth prevents hypothermia via evaporation. Hypothermia caused by conduction occurs when the newborn is on a cold surface, such as a cold pad or mattress and heat from the newborn’s body is transferred to the colder object (direct contact). Warming the crib pad assists in preventing hypothermia by conduction. Convection occurs as air moves across the newborn’s skin from an open door and heat is transferred to the air. Radiation occurs when heat from the newborn radiates to a colder surface (indirect contact).Cognitive level: applicationNCLEX Blueprint: basic care and comfort • Question 32 0 out of 1 points Which of the following interventions would be appropriate for a client who has a fever? Choose all that apply. Correct Answers: A. Put an ice pack on the client’s neck and axillae. C. Offer the client fluids to drink every 1 to 2 hours. Response Feedback : If ice packs are used, they are applied to the groin, neck, or axillae. A fever increases metabolic needs, so fluids are necessary to prevent dehydration. A blanket would help with heat retention. A tympanic thermometer is not appropriate when an accurate temperature is needed, as when a client has a fever.Cognitive level: applicationNCLEX Blueprinting: Health promotion and maintenance • Question 33 1 out of 1 points A nurse in a delivery room is assisting with the delivery of a newborn. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: Correct Answer: C. drying the infant with a warm blanket Response Feedback : Evaporation of moisture from a wet body dissipates heat along with the moisture. Keeping the newborn dry by drying the wet newborn at birth prevents hypothermia via evaporation. Hypothermia caused by conduction occurs when the newborn is on a cold surface, such as a cold pad or mattress and heat from the newborn’s body is transferred to the colder object (direct contact). Warming the crib pad assists in preventing hypothermia by conduction. Convection occurs as air moves across the newborn’s skin from an open door and heat is transferred to the air. Radiation occurs when heat from the newborn radiates to a colder surface (indirect contact).Cognitive level: applicationNCLEX Blueprint: basic care and comfort • Question 34 1 out of 1 points A patient is being treated with an antibiotic. The nurse explains to the patient that this medication is required for the reduction of inflammation at the injury site because this medication Correct Answer: B. helps to kill the infection causing the inflammation. Response Feedback : Antimicrobials treat the underlying cause of the infection which leads to inflammation. Analgesics and nonsteroidal antiinflammatory drugs (NSAIDs) help to treat pain. NSAIDs and other antipyretics are cyclooxygenase inhibitors. Antipyretics help to reduce fever.Cognitive Level: ApplicationNCLEX Blueprint: Pharmacological and Parenteral Therapies