Questions 15

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Fundamental Concepts and Skills for Nursing Test Questions Questions

Question 1 of 5

The nurse identifies the diagnosis of Excess Fluid Volume as appropriate for a client with cardiomyopathy. Which interventions should the nurse emphasize when planning this client's care? Select all that apply.

Correct Answer: A

Rationale: A. Monitoring B-type natriuretic peptide (BNP) level is important in a client with Excess Fluid Volume due to cardiomyopathy. BNP is a hormone secreted by the heart in response to fluid overload, so elevated levels can indicate increased fluid volume in the body.

Question 2 of 5

The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?

Correct Answer: A

Rationale: Understanding human growth and development is crucial when discussing the risks of alcohol consumption for the developing fetus. Alcohol can have profound negative effects on the developing fetus, leading to a range of physical, cognitive, and behavioral abnormalities known as Fetal Alcohol Spectrum Disorders (FASDs). These effects can impact the fetus at various stages of development, making it important for pregnant clients to be aware of the risks associated with alcohol consumption during pregnancy. By focusing on human growth and development, the nurse can help pregnant clients grasp the critical importance of avoiding alcohol to ensure the healthy growth and development of their babies.

Question 3 of 5

The nurse is caring for an infant diagnosed with hypoplastic left heart syndrome. The client has recently been scheduled for surgery to repair the defect. Which procedure does the nurse anticipate needing to provide client teaching about to the client's family?

Correct Answer: A

Rationale: The Norwood procedure is a surgical technique used to treat hypoplastic left heart syndrome, a congenital heart defect where the left side of the heart is underdeveloped. In this procedure, the surgeon creates a new functional aorta and reconstructs the right ventricle to take over pumping blood to both the lungs and the body. This procedure is typically performed in 3 stages, with the first stage usually done in the first week of life. Providing client teaching about the Norwood procedure is important for the family to understand the surgery, postoperative care, and potential complications. It helps prepare them for what to expect and how to best support their infant through the surgical and recovery process.

Question 4 of 5

A nurse is caring for a pregnant client who is hypertensive. Which additional clinical manifestations leads the nurse to believe that the client is experiencing early preeclampsia?

Correct Answer: D

Rationale: Early preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, commonly the liver and kidneys. Severe epigastric pain is a common symptom of this organ involvement. It is caused by liver distention due to the breakdown of red blood cells and platelets, which can lead to a condition known as HELLP syndrome. This manifestation is a significant indicator of early preeclampsia and requires prompt evaluation and intervention to prevent complications for both the mother and the baby. While the other options may be present in preeclampsia, severe epigastric pain is a more specific and concerning symptom requiring immediate attention.

Question 5 of 5

The nurse is assessing the musculoskeletal status of a 70-year-old patient. What findings should the nurse consider as expected age-related changes in this body system? Select all that apply.

Correct Answer: A

Rationale: A. Decreased muscle mass: As individuals age, there is a natural decline in muscle mass known as sarcopenia. This can lead to overall decreased muscle strength and functional ability.

Similar Questions

The nurse is caring for a pregnant woman with a suspected pulmonary embolism without DVT. With regard to diagnostic tests to confirm the diagnosis what should the nurse anticipate being ordered for the client? Select all that apply.
A nurse is preparing to discharge a client who experienced a myocardial infarction. The client will have to make many lifestyle changes, and the nurse is providing instruction on how to implement a heart-healthy lifestyle. Which is the best description of the client education the nurse is presenting to this client?
The nurse is preparing a teaching session for community members on osteoporosis and osteomalacia. What should the nurse include as a potential complication for both of these health problems?
A client with a suspected transient ischemic attack (TIA) presents to the emergency department with aphasia. Based on this data, the nurse plans care based on ischemia to which portion of the brain?
A client with peripheral vascular disease (PVD) is experiencing pain. Which nursing intervention addresses the client's pain?

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