Question

What patient behavior would best indicate they understood the nurse's teaching about self-management for their new asthma diagnosis?

Answer 1

Correct Answers:

Patient receives the influenza vaccine

Rationale :

⭐ Receiving the influenza vaccine demonstrates understanding of asthma management because viral infections are common triggers for exacerbations.

⭐ Preventing respiratory infections helps maintain airway stability and reduces hospitalizations.

⭐ Keeping windows open during pollen season, smoking, or only seeking care during exacerbations indicates poor self-management.

⭐ Vaccination reflects a proactive approach to health and prevention.

⭐ This aligns with patient education goals of reducing triggers and promoting wellness.

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Answer 2

Correct Answers:

Liver

Rationale :

🔵 Normal fluid elimination routes are through the kidneys (urine), GI tract (stool), lungs (water vapor), and skin (sweat).

🔵 The liver metabolizes and detoxifies but does not directly eliminate fluids.

🔵 Chronic kidney disease compromises renal excretion, but other routes continue to compensate.

🔵 Recognizing routes of fluid loss is important in assessing fluid balance.

🔵 This knowledge helps anticipate complications in patients with kidney dysfunction.

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Answer 3

Correct Answers:

It allows the medication to be absorbed properly

Rationale :

🟢 The Right Time principle ensures medications are given at the correct intervals for safe and effective absorption.

🟢 Timing is critical for drugs with narrow therapeutic windows (e.g., antibiotics, insulin).

🟢 Giving meds too early or too late can cause subtherapeutic effects or toxicity.

🟢 Maintaining consistency supports drug efficacy and patient safety.

🟢 This principle is one of the “5 Rights of Medication Administration.

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Answer 4

Correct Answers:

Hypokalemia

Rationale :

🟠 NG suctioning removes gastric secretions rich in potassium, hydrogen, and chloride ions.

🟠 Loss of potassium predisposes patients to hypokalemia, leading to weakness, arrhythmias, and muscle cramps.

🟠 Nurses must closely monitor electrolyte levels and anticipate replacement.

🟠 Acid-base imbalances such as metabolic alkalosis can also develop with prolonged suctioning.

🟠 Early recognition helps prevent serious complications.

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Answer 5

Correct Answers:

Cyanosis

Rationale :

🔴 Cyanosis in extremities occurs when hypoxia leads to reduced oxygen saturation of hemoglobin.

🔴 It presents as bluish discoloration of lips, fingers, or toes.

🔴 Pallor may indicate poor perfusion, but cyanosis is a more direct sign of low oxygen levels.

🔴 Nurses must respond immediately, as cyanosis signals severe oxygen deficit.

🔴 Monitoring oxygenation ensures timely intervention.

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Answer 6

Correct Answers:

Children and the elderly

Rationale :

💎 Both groups have an impaired thirst mechanism and are more vulnerable to dehydration.

💎 Children lose a higher percentage of fluids due to higher metabolic rate and surface area.

💎 Older adults have reduced kidney function and may limit fluid intake intentionally.

💎 These populations are at risk for fluid imbalance complications.

💎 Nurses must monitor hydration status closely.

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Answer 7

Correct Answers:

Cool, clammy skin

Rationale :

🟣 Dehydration typically causes warm, dry skin, not clammy skin.

🟣 Common findings include fatigue, hypotension, tachycardia, poor skin turgor, and dry mucous membranes.

🟣 Cool, clammy skin is more consistent with shock or hypoglycemia.

🟣 Recognizing expected vs unexpected signs is vital for accurate diagnosis.

🟣 This ensures correct prioritization of care.

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Answer 8

Correct Answers:

Start a walking regimen - 20 minutes 3-4 times per week
Add high fiber foods to his or her diet
Drink at least 8 glasses of water per day
Avoid holding defecation and practice toileting on a regular basis

Rationale :

🟤 Walking regularly stimulates peristalsis, preventing constipation.

🟤 High-fiber foods increase stool bulk and promote bowel regularity.

🟤 Adequate water intake softens stool and prevents impaction.

🟤 Toileting regularly and not ignoring urge prevents chronic constipation.

🟤 Increasing dairy (milk) is not effective, as it may worsen constipation.

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Answer 9

Correct Answers:

Bounding, increased pulse rate

Rationale :

⚪ Fluid volume excess increases preload and cardiac output, resulting in a bounding pulse.

⚪ Other findings include hypertension, edema, weight gain, and crackles in lungs.

⚪ A thready pulse and low blood pressure suggest fluid deficit, not overload.

⚪ Nurses should monitor cardiovascular and respiratory status closely.

⚪ Early recognition prevents complications like heart failure or pulmonary edema.

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Answer 10

Correct Answers:

Respiratory Acidosis

Rationale :

⚫ pH 7.30 (low) = acidemia.

⚫ PCO₂ 55 (high) = respiratory origin because CO₂ is retained.

⚫ HCO₃ 23 (normal) indicates no metabolic compensation.

⚫ This pattern matches respiratory acidosis, often due to hypoventilation (COPD, drug overdose).

⚫ Recognizing ABG patterns is essential for guiding interventions like improving ventilation.

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☑️ NUR 2025 Exam 3 SU25

No.

1 :
What patient behavior would best indicate they understood the nurse's teaching about self-management for their new asthma diagnosis?

2 :
The nurse is caring for a patient with chronic kidney disease. Which of the following is NOT a normal route for eliminating body fluids?

3 :
Which of the following best describes the importance of the Right Time in medication administration?

4 :
A nurse is caring for a patient who has been having a large amount of drainage from their nasogastric (NG) tube. What electrolyte imbalance does the nurse expect?

5 :
What finding is commonly associated with hypoxia in a patient's extremities?

6 :
Which of the following populations is most at risk for dehydration?

7 :
A patient is admitted to the Medical-Surgical unit with a diagnosis of dehydration. Which of the following signs would the nurse not expect the patient to exhibit?

8 :
A patient has been identified as a high risk for constipation. What are some of the priority strategies that would be effective in preventing constipation? Drag your answer choices from the box of Possible Answers to the box of Selected Answers

9 :
Which assessment finding should the nurse suspect in a patient with a fluid volume excess?

10 :
The following lab values represent which type of acid-base imbalance: pH 7.30, PCO₂ 55, HCO₃ 23?

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☑️ NUR 2025 Exam 3 SU25

No.

1 : What patient behavior would best indicate they understood the nurse's teaching about self-management for their new asthma diagnosis?

2 : The nurse is caring for a patient with chronic kidney disease. Which of the following is NOT a normal route for eliminating body fluids?

3 : Which of the following best describes the importance of the Right Time in medication administration?

4 : A nurse is caring for a patient who has been having a large amount of drainage from their nasogastric (NG) tube. What electrolyte imbalance does the nurse expect?

5 : What finding is commonly associated with hypoxia in a patient's extremities?

6 : Which of the following populations is most at risk for dehydration?

7 : A patient is admitted to the Medical-Surgical unit with a diagnosis of dehydration. Which of the following signs would the nurse not expect the patient to exhibit?

8 : A patient has been identified as a high risk for constipation. What are some of the priority strategies that would be effective in preventing constipation? Drag your answer choices from the box of Possible Answers to the box of Selected Answers

9 : Which assessment finding should the nurse suspect in a patient with a fluid volume excess?

10 : The following lab values represent which type of acid-base imbalance: pH 7.30, PCO₂ 55, HCO₃ 23?

1 :
What patient behavior would best indicate they understood the nurse's teaching about self-management for their new asthma diagnosis?

2 :
The nurse is caring for a patient with chronic kidney disease. Which of the following is NOT a normal route for eliminating body fluids?

3 :
Which of the following best describes the importance of the Right Time in medication administration?

4 :
A nurse is caring for a patient who has been having a large amount of drainage from their nasogastric (NG) tube. What electrolyte imbalance does the nurse expect?

5 :
What finding is commonly associated with hypoxia in a patient's extremities?

6 :
Which of the following populations is most at risk for dehydration?

7 :
A patient is admitted to the Medical-Surgical unit with a diagnosis of dehydration. Which of the following signs would the nurse not expect the patient to exhibit?

8 :
A patient has been identified as a high risk for constipation. What are some of the priority strategies that would be effective in preventing constipation? Drag your answer choices from the box of Possible Answers to the box of Selected Answers

9 :
Which assessment finding should the nurse suspect in a patient with a fluid volume excess?

10 :
The following lab values represent which type of acid-base imbalance: pH 7.30, PCO₂ 55, HCO₃ 23?