Nur 212: Life Span 2 (Practice Exam)

Front 1

Symptom most likely present in a preschooler who is depressed?

Back 1

social withdrawl

Front 2

A patient with depression is sudedenly happy, and active on the unit, what is the nurses response to this behavior?

Back 2

Reassess for suicial potential

The pt is exhibiting warning s/s of potential suicide therefore needs to be reassessed

Front 3

It is most important to evaluate a pt who is manic in which area?

Back 3

nutritional status

*if the pt is dehydrated or malnourished, along with poor judgement the pt will be at risk for injury.

Front 4

Proper teaching to parents of a school age child with ADHD, who is recieving CNS stimulant?

Back 4

give medication early in the day

Front 5

At which age will a child with autism show signs of the disease?

Back 5

as early as 4 months;

but definitivley diagnised by age 3

Front 6

low levels of seratonin are associated with_____________?

Back 6

depression

Front 7

which diagnostic tool is used to determine structural and biochemical abnormaities associated with mental illness?

Back 7

PET

*Positron Emission Tomography

Front 8

A pt admitted with Bipolar begins to sing and dance during a group meeting, the best nurses response is too?

Back 8

take patient to a quieter location

*pt requires assistance to provide external controls on destructive behavior and to maintain saftey

Front 9

what synptoms woud the nurse expect to find in a pt with neuroleptic malignant syndrome?

Back 9

high fever and muscle ridgidity; which are s/s of a potential fatal side effect of antipshychotic meds

Front 10

Tegretol dosage should be maintained at a blood serum level of__________?

Back 10

6-8 mg/L

Front 11

A person with borderline personality would most likely engage in self-destructive behavior if faced with what stressor?

Back 11

Rejection or threat of separation

Front 12

Which nursing measure is most important for a pt who is experiencing acute phase of mania?

Back 12

Preventing physical exhaustion would be priority.

Front 13

What info is given to an outpatient prior to recieving ECT (electroconvulsive therapy)

Back 13

You make feel groggy and confused upon awakening.

Front 14

Regular engagment in what activity will most likely lower the anxiety of a person dealing with chronic acute anxiety?

Back 14

Regular physical exercise

Front 15

What Symptom is associated with PTSD?

Back 15

persistant feelings of detachment from others

Front 16

a nearly continuous flow of rapid speech that jumps from topic to topic, usually based on discernible associations, distractions, or plays on words, but in severe cases so rapid as to be disorganized and incoherent. It is most commonly seen in manic episodes but may also occur in other mental disorders such as in manic phases of schizophrenia

Back 16

Flight of Ideas

Front 17

A thought or communication pattern disorder characterized by loose or odd connections between ideas. A person having this disorder is unable to express a set of well-structured, logically related ideas. In effect, the person expresses a rather diffuse, vague, confusing, and without clear logic and connections between one idea to the next.


Supplement

For example: I like to dance; all people have hands.

Back 17

Loose associations

Front 18

During a family therapy session, which statment is the nurse most likley to hear onr family member to the other if the family boundries are enmeshed?

Back 18

"you should of known what i really meant when i said that"

*

Front 19

The best candidate for short-term dynamic pshycho-therapy would be?

Back 19

pt suffering from PTSD

* best option for pt who is relitivley well functioning who has a specific area of difficulty

Front 20

What is most imortant to consider when makeing a care plan for a person with unresolved anger?

Back 20

"when anger is turned inward, it may turn into depression"

Front 21

True or False

Imbalanced nutrition is priority for a person suffering from major depression

Back 21

True

Front 22

A patient taking Litium may need to be monitored for?

Back 22

-N/V-dehydration may rise lithium levels causing toxicity
-Monitor NA levels; low NA intake casues lithium retention causing toxicity
-Monthly Lithium Levels
-Avoid OTC

Front 23

A behavior that indicates impaired impulse control?

Back 23

An adult rapildy loses temper when traffic signal turns yellow.

Front 24

Somatization disorder

Back 24

is a long-term (chronic) condition in which a person has physical symptoms that are caused by psychological problems, and no physical problem can be found.

Front 25

Social isolation and loss in interest in usual activities in a teenager may be a sign of___________?

Back 25

Suicidal thoughts

Front 26

Antipshycotic med used to treat the positive signs of schitzophrenia, such as dilusions, hallucinations, disordered thinking and paranoia?

Back 26

Haldol

Front 27

Antipshycotic meds used to treat the negative signs of schitzophrenia, such as flat affect, social withdrawl, lack of motivation ?

Back 27

Olanzapine, Risperidone or Clozapine

Front 28

Setting limits with a pt who is manipulative, benefits the pt in which way?

Back 28

gaining self-empowerment in relationships with others

Front 29

A pt admitted for substance abuse treatment says, " I am only here to save my marriage, i can stop anytime i want" would most likely have what nursing diagnosis?

Back 29

ineffeective denial

Front 30

Most appropriate outcome for a person suffering from depersonalization disorder who has a nursing diagnosis of social isolation?

Back 30

the pt will express satisfaction with interaction with others

Front 31

Which action should be the focus of therapy for a nurse working with a family witha pt with anorexia nervousa?

Back 31

improve communication among family members

Front 32

A patient taking Lithium for 2 weeks, has a serum level of 1.2 mEq/L; what would be an expected behavior?

Back 32

modulation of mood and ability to solve problems

Front 33

Lithium maintenence levels

Back 33

0.4 Meq/L -1.3 Meq/L

Front 34

Which manifestations of an 18 month old are clinical manifestations of Autism?

Back 34

preoccupation with objects, self stimulating behaviors, absence of attachment

Front 35

______________-is the development of change of behavior, that is externally controlled, to behavior that is controlled by internal standards and principles

Back 35

Internalization

Front 36

Which Nursing measure should be used to address the vegetative signs of depression?

Back 36

monitor eating and sleeping

Front 37

To date which disorder has the strongest evidence of genetic involvment?

Back 37

Alzhiemers

Front 38

During the nurses cognitive assessment the pt repeativley says "What is this why am i here? this is an example of what behavior?

Back 38

Preservation- which involves repeated behavior esp. when stressed

Front 39

What nursing measure should a nurse perform for a pt with ascites?

Back 39

check abd girth daily

Front 40

Uses of Pancrease:

Back 40

Pancrease is used to treat pancreatic enzyme deficiency.
Pancrease is also used for people who have had all or part of their stomach surgically removed (gastrectomy)
It is also used for surgical removal of the pancreas (pancreatectomy).
For Cystic fibrosis.

Front 41

What is the rationale for using Ideral (propranolol hydrochloride) in managment for a patient with cirrhosis of the liver

Back 41

to prevent bleeding from esophageal varicies

Front 42

Which clinical manifestation is most indicative of impending hepatic encephalopathy in a pt with liver failure?

Back 42

diorientation is the most early sign

Front 43

Which nursing intervention will most likely achieve the goal of improving respiratory function for a pt with acute pancreatitis?

Back 43

Keep pt in Semi-Fowlers position to keep pressure of the diaghram; caused by distended stomach.

Front 44

Which form of Vitamin A, D and E, should be administered to a pt suffereing from Steatorrhea?

Back 44

water-soluble due to malabsorbtion

Front 45

Which co-existing condition should a nurse recognize as a problem with a pt with acute pancreatitis?

Back 45

pluerel effusion

Front 46

While reviewing a patients orders, with pancreatitis, you come across an order for Demoral. your initial response should be to__________?

Back 46

Seek clarification. Demerol causes CNS irritability and even SZ

Front 47

Which type of medication should the nurse question in the order for a patient with end stage hepatic dysfunction?

Back 47

Sedatives- precipitate hepatic encephalopathy, should be used sparingly

Front 48

Which test provides the most information when diagnosing chronic pancreatitis?

Back 48

ERCP (Endoscopic Retrograde Cholangiopancreatography

Front 49

ERCP (Endoscopic Retrograde Cholangiopancreatography

Back 49

-patient will be given sedative
-followed by oral insertion of scope into the GI tract

Front 50

What is the rationale for incorparating massage into a patient suffering with impaired liver function?

Back 50

to promote mobilization of edema

Front 51

Warning signs of Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)?

Back 51

Blood sugar level over 600 mg/dl
Dry, parched mouth
Extreme thirst (although this may gradually disappear)
Warm, dry skin that does not sweat
High fever (over 101 degrees Fahrenheit, for example)
Sleepiness or confusion
Loss of vision
Hallucinations (seeing or hearing things that are not there)
Weakness on one side of the body
If you have any of these symptoms, call someone on your health care team.

Front 52

Approx. wht % of food should be Carbohydrates for a pt suffering from Diabetes Mellitus?

Back 52

50%-60%

Front 53

Pt is admitted with Dx of cirrhosis of the liver r/t ETOH abuse, presents with classis manifestation of the disease; the nurse should formulate what nursing dx for the patient?

Back 53

fluid volume excess

Front 54

A pt with hyperparathyroidism is encouraged to remain as physically active as possible to b/c decreased mobility may cause what problem?

Back 54

Kidney involvement is a common threat in hyperpraythyroidism; this coupled with excessive Calcium Secretion and immobility put the patient at risk for Renal Calculi

Front 55

What clinical manifestation may a nurse expect to find in a pt with decreased erythropoietin production secondary to end stage renal disease. (ESRD)

Back 55

decreased erythropoietin production secondary to end stage renal disease would result in SOB

Front 56

What is Pheochromocytoma ?

Back 56

Pheochromocytoma is a rare tumor of the adrenal gland that causes too much release of epinephrine and norepinephrine -- hormones that regulate heart rate and blood pressure.

Symptoms
Abdominal pain
Chest pain
Flushing
Increased appetite
Irritability
Nervousness
Palpitations
Rapid heart rate
Severe headache
Sweating
Weight loss
Other symptoms that can occur with this disease:

Hand tremor
High blood pressure
Sleeping difficulty

Front 57

Following a thyroidectomy, it is most important for the nurse to ask the patient which question to assess for bleeding?

Back 57

Ask about a feelingof fullness; this may lead to acute respiratory obstruction

Front 58

What finding should the nurse expect to find in a pt with hyperparathyroidisn?

Back 58

Fatigue is common due to Calcium build up in the bloodstream.

Front 59

What finding should the nurse expect to find in a pt with Graves DX, (hyperthyroidism)

Back 59

Nervousness is the most common problem associated with Graves

Front 60

Caring for a pt with edema associated with nephrotic syndrome, the nurse must carefully monitor use of diuretics b/c?

Back 60

reduced plasma volume may precipitate Acute renal failure

Front 61

A patient with Renal calculi should be advised to __________ taking multi-vitamins and minerals?

Back 61

stop; to prevent further sone formation

Front 62

What is the expected effect of epoetin alfa in a pt with chonic renal failure?

Back 62

Epoetin alfa is used to treat anemia in CRF pts therefore an increase in HCT should be expected.

Front 63

Exophthalmos

Back 63

(also called exophthalmia or proptosis) is a bulging of the eye anteriorly out of the orbit. Exophthalmos can be either bilateral (as is often seen in Graves' disease)

Front 64

Older pts with hyperthyroidism commonly present with what clinical manifestation?

Back 64

diffuse pruitis (itching) is common; in younger population with hyperthyroidism present with moist flushed skin

Front 65

A pt with thyroid storm has a nursing dx of altered body temp; the nurse should give priority to what intervention?

Back 65

apply hypothermia blanket

Front 66

pt with adrenal insufficiency is dizzy,and experiencing neuromuscular irritability and confusion; the nurse should associate these findings with what laboratory finding?

Back 66

hyponatremia

Front 67

What is the physiological effect of Thyroxine (T4)

Back 67

-increase basal metabolic rate
-increase neuromuscular response
-

Front 68

A patient with hypothyroidism is being taught about Synthroid, and asks how long will it take to have a full effect?

Back 68

10 days

Front 69

The nurse should monitor_______________ in a pt with hyperthyroidism taking Inderal?

Back 69

pule and B/P

Front 70

A pt with hypothyroidism is taking HRT (hormone replacement therapy) what health problem my they be at risk for?

Back 70

Hyperglycemia-Thyroid hormones increase blood sugar levels

Front 71

Thyroid Hormones effect on Potassium levels?

Back 71

No effect

Front 72

What is an appropriote expected outcome for a 5 y/o child who is autistic with a nursing dx of social isolation. The child will?

Back 72

make attempts to offer toys to peers

Front 73

Theraputic level of Lithium, a patient would feel, fine hand tremors and slight thirst and the serum lithium level would be?

Back 73

0.4 Meq/L- 1.0Meq/L

Front 74

Which charachteristic is most common in successful resolution of the grief response. The person who is grieving?

Back 74

has a healthy self-esteem

Front 75

Which disorder is associated with an excesse of neurotransmitter dopamine?

Back 75

schizophrenia

Front 76

Which behavior is charachteristic of all types of personality disorders?

Back 76

inflexible response to stress

Front 77

What behavioral charachteristic would you see in a patient who is narccisistic?

Back 77

Lack of empathy

Front 78

What behavioral charachteristic would you see in a patient who is anti-social personality disorder?

Back 78

Lack of Remorse

Front 79

What is cognitive therapy?

Back 79

Cognitive therapy seeks to help the patient overcome difficulties by identifying and changing dysfunctional thinking, behavior, and emotional responses

Front 80

Sublimination is

Back 80

transforming impulses into something constructive

*For example, a person experiencing extreme anger might take up kick boxing as a means of venting frustration

Front 81

Displacement is

Back 81

moving an impulse from one target object to another

*Rather than express our anger in ways that could lead to negative consequences (like arguing with our boss), we instead express our anger towards a person or object that poses no threat (such as our spouses, children, or pets).

Front 82

Which child behavior who is emotionally disturbed is most indicitive of a severe problem?

Back 82

unresponsive to the enviroment would be a severe behavior

Front 83

What is the goal of family therapy as a component for treatment with a pt with schizophrenia?

Back 83

Reduce familys stress level

Front 84

A pt who has anorexia nervosa is likely to experience difficulty with which developmental achievment?

Back 84

establishing individual autonomy

Front 85

Which lab test does a nurse need to evaluate for apatient recieving Valproic Acid therapy for Bipolar disorder?

Back 85

baseline liver functions should be tested

Front 86

Which daignostic criterion is specific for anorexia nervosa, but not for bulemia nervosa?

Back 86

Amennorhea can only occur with Aorexia Nervosa

Front 87

What is the Primary focus of Cognitive Therapy?

Back 87

Current problems

Front 88

According to pshychodynamic theory, a person who places high value on self-control, is most likey going to experience which initial response when that control is threatened?

Back 88

Anxiety

Front 89

Which are vegetative signs of depression?

Back 89

A set of signs in depression which includes loss of appetite, sleep disorder, loss of sexual drive, loss of weight, and constipation. May also indicate an eating disorder.

Front 90

What is Conversion disorder ?

Back 90

Conversion disorder is a condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained.

Symptoms of a conversion disorder include the loss of one or more bodily functions, such as:

Blindness
Inability to speak
Numbness
Paralysis

Front 91

A patient recieving tricyclic antidepressants, the nurse should abserve for which side effect?

Back 91

Orthostatic hypotension

Front 92

The most important nursing intervention when a pt c/o hearing voices is to?

Back 92

Ask the patient what the voices are saying to him

*this may give insight to any violence or harm, so precautions can be taken

Front 93

Agnosia is?

Back 93

Inability to recognize objects or people.

Front 94

Reminiscence therapy is?

Back 94

Reminiscence therapy is used to counsel and support older people, and is an intervention technique with brain-injured patients. This form of therapeutic intervention respects the life and experiences of the individual with the aim to help the patient maintain good mental health.

Front 95

Delirium is?

Back 95

Delirium involves a quick change between mental states (for example, from lethargy to agitation and back to lethargy).

Front 96

Referral for homecare for a pt recovering from acute pancreatitis, what nursing interventtion would be priority to maintain?

Back 96

maintian importance of fluid and nutritional intake

Front 97

Dietary needs of a pt recovering from Pancreatitis?

Back 97

Avoid Caffiene-b/c it increases pancreratic and gastric juices

-High Carb, low-Protien, Low Fat

Front 98

Clay colored stool after choledochostomy is?

Back 98

NO BUENO... may indicate complications

Front 99

A pt with diabetes mellitus type I, is experiencing poor glycemic control, other than poor dietary managment, what else may be the cause?

Back 99

Lypodystrophy-the localized reaction to the injections may cause scar tissue and impede absorption of the insulin

Front 100

A patient with thrombocytopenia is at risk for?

Back 100

bleeding and petechiae

Front 101

A patient with diabetes mellitus is at risk for?

Back 101

choleolithiasis

Front 102

Precose is?

Back 102

-a medication that should be take with first biteof every meal.

-delays absorbtion of glucose in the intestinal tract

Front 103

Glucotrol(Glipizide), Micronase(Glybubride) and Dymelor(Acetohexamide) act by ?

Back 103

directly stimulating Pancrease to excrete insulin

Front 104

A patient with thrombocytopenia is at risk for?

Back 104

bleeding and petechiae

Front 105

A patient with diabetes mellitus is at risk for?

Back 105

choleolithiasis

Front 106

A pt displaying the clinical manifestations of cholecystitis should be questioned about the recent ingestion of what medication?

Back 106

Erythromycin Estolate(Ilosone)-the most common side effect of this drug mimics cholecystiys

Front 107

A patient with pancreatic dysfucntion may exhibit?

Back 107

hypocalcemia

Front 108

A baseline nursing assessment of a pt recieving Pancrease is to see if ?

Back 108

pt is experienceing pain with food

Front 109

A patient experiencing symptoms of hepatic encephelopathy is given lactulose to reduce which component?

Back 109

Ammonia

Front 110

What causes pruritis in patients with cirrhosis of the liver?

Back 110

retention of bile salts

Front 111

Which vital sign is monitored closely in a patient recieving epotein alfa (Epogen) for the treatment of anemia associated with CRF?

Back 111

B/P; Epogen may cause hypertension early in treatment

Front 112

What laboratory findings support the nursing diagnosis of fluid volume deficit in a pt with diabetes insipidus?

Back 112

increase serum sodium- due to it not being excreted in urine, DI patients excrete high volumes of uring with little mineral content

Front 113

Gigantism is ?

Back 113

over-secreation of a growth hormone during childhood

Front 114

Whty is it important to gradually introduce thyroid supplements to an older adult patinet who has hypothyroidism?

Back 114

this is necessary to avoid caridiac and neurogenic problems

Front 115

A masklike face is a charachteristic of?

Back 115

Sever hypothyroidism-
The most serious is called Hashimoto's

Front 116

What nursing intervention is priority with patient with pheochromocytoma?

Back 116

HA, Daiphoresis and palpitations are common with this DZ, so Vitals signs monitoring should be Priority

Front 117

Prepare a room for partial thyroidectomy, supplies should include?

Back 117

Tracheostomy tray, Suction, IV calcium gluconate

Front 118

What statment by the pt describes clinical manifestations of Addison?

Back 118

lightheadedness-due to hypotension

Front 119

What manifestations of Cushings?

Back 119

severe fatigue
weak muscles
high blood pressure
high blood glucose
increased thirst and urination
irritability, anxiety, or depression
a fatty hump between the shoulders
facial hair
acne

Front 120

A patient with Graves Dz, may need what kind of diet?

Back 120

High Protien, High Calorie-due to increase metabolic rate and increase peristalisis

Front 121

mental status of a patient suffering from Cushings?

Back 121

emotional lability-a condition of excessive emotional reactions and frequent mood changes(also found in

Front 122

A patient recieveing hemodialysis in an outpt clinic, what problem must the nurse identify related to this procedure?

Back 122

Leg Cramps-due to rapid fluid and electrolyte loss from extracellular space

Front 123

A pt with renal failure is given aluminum hydroxide gel (Amphojel) after meals and at HS, the nurse would expect which effect from this therapy. Management of?

Back 123

Hyperphosphatemia

Front 124

Polycystic Kindey Dz?

Back 124

-chronic condition with no specific tx.
-common inherited disorder
-worsens with age
-heating pad to abd or flank is appropriate

Front 125

what factor contributes to DM in pts with Cushings?

Back 125

Excessive cortisol causes increase glucogenesis

Front 126

decrease eryhtropoietin production in End Stage Renal Disease (ESRD, what is priority nursing dx?

Back 126

activity intolerance r/t fatigue-

*decrease eryhtropoietin production in ESRD causes waste products to accumulate in the blood causing fatigue

Front 127

An evaluation of a patient’s life stresses might include which of the following tools? (

Back 127

Social Readjustment Rating Scale

Front 128

Which of the following is a true statement?

Antisocial behaviors are more common in women than in men
Men are more prone to gallbladder disease than are women.
Women are more prone to thyroid disease than are men.
Type I diabetes only occurs prior to age thirty.

Back 128

Women are more prone to thyroid disease than are men

Front 129

Which of the following patients might benefit the most from a highly structured environment with familiar objects

Back 129

An older adult with dementia of the Alzheimer’s type

Front 130

All of the following are characteristic of Alzheimer’s dementia except?

sundowning.
catastrophic reactions.
depression.
periods of plateaus.

Back 130

periods of plateaus.

Front 131

Teaching for a patient who is taking tricyclic antidepressants might include

Back 131

information about alcohol-antidepressant interactions.

Front 132

In the morning, a patient who is taking zolpidem tartrate (Ambien) tells the nurse that he is more tired than ever. What might be the rationale for his statement?

Back 132

Deprivation of rapid eye movement (REM) sleep results in abnormal sleep patterns

Front 133

Which of the following vitamins might be given to a patient with Alzheimer’s dementia

Back 133

Vitamin E

Front 134

The endocrine gland primarily involved in calcium regulation is the

Back 134

thyroid

Front 135

A patient is admitted to the hospital with a diagnosis of pheochromocytoma. This is related to hypersecretion of which of the following hormones

Back 135

Epinephrine and norepinephrine

Front 136

Which of the following should a patient avoid prior to diagnostic testing for catecholamines?

Back 136

Aspirin, cough medicine, and coffee

Front 137

Which of the following sets of symptoms is indicative of thyrotoxicosis?

Back 137

Lagophthalmos
diplopia
photophobia

Front 138

Twitching and tingling of the extremities following thyroidectomy is indicative of which of the following?

Back 138

Hypocalcemia

Front 139

If a patient who is on dialysis suddenly experiences chest pain and a drop in blood pressure, what should the nurse do?

Back 139

Turn the patient to his or her left side and lower the head of the bed

Front 140

If a patient who is on dialysis suddenly experiences chest pain and a drop in blood pressure, what should the nurse do?

Back 140

Turn the patient to his or her left side and lower the head of the bed

Front 141

Which of the following is a gastrointestinal symptom associated with cirrhosis?


Steatorrhea
Clay-colored stools
Weight gain
Dyspepsia

Back 141

Dyspepsia

Front 142

A nurse might observe which of the following symptoms in a patient with advanced portal-systemic encephalopathy?

Back 142

asterixis-flapping tremor

Front 143

All of the following are diagnostic symptoms of diabetes mellitus except?


increased urinary output
increased thirst.
anorexia.
weight loss.

Back 143

anorexia

Front 144

A patient is taking Ultralente insulin. When would the nurse want to be especially careful to observe the patient?

Back 144

In the middle of the night

Front 145

What percent is considered normal carbohydrate intake for an adult diabetic diet?

Back 145

60 percent

Front 146

If a patient is passing uric acid stones, what type of diet is recommended?

Back 146

Alkaline-ash diet

Front 147

The sequential acquisition of physical, mental, and social skills is called:

Back 147

the developmental process

Front 148

A nurse who is interested in applying Caplan’s theory to behavior management would focus on:

Back 148

preventative strategies to help patients cope with anxiety

Front 149

A nurse who is caring for a patient with a cyclothymic affective disorder knows that cyclothymia differs from true bipolar disorder in which of the following ways?

Back 149

Hypomania is a primary characteristic of cyclothymia.

Front 150

What type of reassurance might patients who are experiencing a severe panic attack most need from the nurse?

Back 150

Reassurance that they are not having a heart attack

Front 151

A person who has developed alters may have done so for which of the following reasons?

Back 151

As a means of dealing with anxiety

Front 152

The symptoms of which of the following types of dementia can be treated with medication that may prevent additional pathological changes in the brain?

Back 152

Multi-infarct dementia

Front 153

Which of the following nursing diagnoses would be most appropriate for a patient with Huntington’s chorea?

Back 153

Body image disturbance

Front 154

A patient who is exhibiting negative symptoms of psychosis might benefit most from which of the following medications?

Back 154

Risperdal

Front 155

A patient is taking cyproheptadine hydrochloride (Periactin) to treat depression. The nurse knows that the patient’s depression is probably related to

Back 155

anorexia.

Front 156

A patient who is about to be discharged is given a prescription for phenelzine sulfate (Nardil). Patient teaching should include information about avoiding which of the following foods and/or beverages?

Back 156

Aged cheese, chocolate, bananas, and soy sauce

Front 157

A nurse who is assisting a physician with electroconvulsive therapy (ECT) knows that succinylcholine (Anectine) may be ordered. The purpose of this medication is to:

Back 157

relax the muscles

Front 158

Which of the following symptoms are associated with pheochromocytoma?

Back 158

Hypertension and headache

Front 159

A patient with malignant hypertension might initially be treated with:

Back 159

sodium nitroprusside (Nipride)

Front 160

Which of the following might be a nursing diagnosis appropriate to a patient with Cushing’s syndrome?

Back 160

Disturbance in body image

Front 161

The nurse is assigning a room to a nursing home resident with Addison’s disease. Who would be the best roommate for this resident?

Back 161

A bed-bound resident with a fractured hip

Front 162

Which of the following symptoms of chronic renal failure is related to a buildup of urate crystals in the joints?

Back 162

Gout

Front 163

A patient with oxalate stones should avoid which of the following foods?

Back 163

Tea, chocolate, spinach, strawberries, and nuts

Front 164

Metabolism of what substance produces ketones?

Back 164

Fat

Front 165

A patient is suspected of having cholecystitis. What actions might be most helpful for confirming the diagnosis?

Back 165

Questioning the patient about his recent dietary intake

Front 166

Which of the following would the nurse expect to see in a patient with chronic cirrhosis?

Back 166

Elevated AST and ALT

Front 167

For what purpose would the nurse give a patient lactulose or sorbitol?

Back 167

To reduce bacteria in the bowel

Front 168

Blood analysis of the newborn of a mother with uncontrolled gestational diabetes might reveal:

Back 168

hyperbilirubinemia.

Front 169

After a patient recovers from a hypoglycemic attack and her blood glucose stabilizes, what should she do next?

Back 169

Eat a cheese sandwich

Front 170

All of the following would be included in teaching a diabetic patient about how to prevent renal complications except:

Back 170

a diet high in protein