BIOLOGY 102. Medical-Surgical Nursing Critical Thinking in Client Care, 4th Edition Priscilla LeMon

Medical-Surgical Nursing Critical Thinking in Client Care, 4th Edition Priscilla LeMon

CHAPTER 21

Chapter 21

1. A teen client in an outpatient setting who is moderately overweight confides plans to the nurse to cut all fat from dietary intake. What initial action by the nurse is indicated?

1. Contact the physician.

2. Notify the client’s parents.

3. Refer the client to a dietitian.

4. Discuss the role of fat in daily intake.

2. A client reports to the clinic with skin lesions. The health history notes the client is currently on a strict diet to lose weight. Based upon your knowledge, which of the following dietary imbalances is the client experiencing?

1. The client is experiencing inadequate fat intake.

2. The client’s intake of water-soluble vitamins is exaggerated.

3. The client’s intake of fatty acids is elevated.

4. The client’s intake of potassium-containing foods is too low.

3. The client is planning to begin trying to conceive a child. What food should the nurse recommend be included in the client’s daily intake?

1. Potatoes, tomatoes, and sweet potatoes

2. Dark green vegetables, lean beef, and eggs

3. Liver, legumes, and citrus fruits

4. Whole grains, yeast breads, and milk

4. A client who is concerned about promoting skin health reports ingesting excessive amounts of vitamin A. What response by the nurse is indicated?

1. “This is a great idea.”

2. “This will not be overly beneficial, as you will excrete it in your urine.”

3. “What foods and supplements are you using?”

4. “Too much vitamin A can become toxic to your body.”

5. A liver biopsy is scheduled. What should be included in the preoperative plan of care?

1. The client will be n.p.o. at least 8 hours prior to the procedure.

2. The client must eat a low-fat diet 1–3 days prior to the procedure.

3. Blood tests will be ordered prior to the procedure.

4. Activity will be limited for 4–6 weeks after the procedure.

6. When taking the client’s health history, which of the following questions will provide the greatest amount of information about the client’s pattern of elimination?

1. “Are you having any bowel problems?”

2. “Have you had any recent difficulties with your stools?”

3. “Can you tell me about your usual bowel habits?”

4. “Are your bowel movements normal?”

7. When performing an assessment of the abdomen, which of the following is the correct sequence of events?

1. Palpation, percussion, auscultation, inspection

2. Inspection, auscultation, percussion, palpation

3. Percussion, auscultation, inspection, palpation

4. Inspection, percussion, palpation, auscultation

8. A client who has been on a recent diet undergoes an assessment of body mass index. The findings are 22 kg/m². Which of the following evaluations is most correct?

1. The client’s recent weight reduction has been effective.

2. Further weight reduction is still needed to ensure health.

3. The client is mildly obese.

4. The client’s body mass index is below normal.

9. The client reports disappointment when using height and weight charts. The client states she is “big-boned”. She reports disappointment about this not being taken into consideration. What response by the nurse is indicated?

1. “A number of variables should be taken into consideration when reviewing your height and weight.”

2. “You have to realize that the charts differ for men and women when reviewing your height and weight.”

3. “You also have to assess your age in addition to your weight when reviewing the tables for height and weight.”

4. “Do you think you are overweight?’

10. Several older adult clients reported growing concerns about their dental health. They state they have been experiencing the need to have dental work done despite employing the same hygiene habits. They inquire about the underlying cause for these changes. What information should be given to these clients?

1. Dental health begins to decline with aging.

2. The loss of bone density with aging will result in tooth decay and breakage.

3. Increases in saliva production increase exposure of the tooth’s enamel to corrosive agents.

4. Metabolism changes in aging contribute to dental destruction.

11. A client has been experiencing changes in bowel habits. A tumor is suspected. Which of the following tests will likely be ordered?

1. Liver biopsy

2. Cholecystography

3. Gastric emptying studies

4. Computed tomography

12. The client reports feeling pain in the right lower quadrant. Which of the following questions will be indicated in the data collection to gain related information?

1. “Can you tell me about your voiding habits?”

2. “Do you have a history of diabetes?”

3. “When you eat, do you experience any nausea?”

4. “Have your periods been normal?”

13.  An abdominal assessment is being performed on the client. When the client is turned on the side, a sound of dullness is heard with percussion. What is the best interpretation of this finding?

1. This is normal.

2. The client is exhibiting signs consistent with ascites.

3. The client is exhibiting signs consistent with a bowel obstruction.

4. The client is exhibiting signs consistent with hepatomegaly.