Chamberlain College of Nursing
NR341 Complex Adult Health
Required Uniform Assignment: Interdisciplinary Care
1.A nurse is assessing a patient with an acoustic neuroma who has been recently admitted to an
oncology unit. What symptoms is the nurse likely to find during the initial assessment?
Loss of hearing, tinnitus, and vertigo
Loss of vision,
1.The nurse is assessing a patient suspected of having developed acute glomerulonephritis. The
nurse should expect to address what clinical manifestation that is characteristic of this health
Precipitous decrease in ser
1.The ED nurse is caring for a patient who has been brought in by ambulance after sustaining a fall
at home. What physical assessment finding is suggestive of a basilar skull fracture?
Bruising over the mast
1.A patient is being admitted to the neurologic ICU following an acute head injury that has resulted
in cerebral edema. When planning this patient's care, the nurse would expect to administer what
1.A patient is brought to the ER following a motor vehicle accident in which he sustained head
trauma. Preliminary assessment reveals a vision deficit in the patient's left eye. The nurse should
associate this abnormal finding with trauma to wh
1.A female patient has been experiencing recurrent urinary tract infections. What health education
should the nurse provide to this patient?
Bathe daily and keep the perineal region clean.
Avoid voiding immediately after sexual intercours
1.A patient has had an ischemic stroke and has been admitted to the medical unit. What action
should the nurse perform to best prevent joint deformities?
Place the patient in the prone position for 30 minutes/day.
Assist the patient in ac
1.The care team is considering the use of dialysis in a patient whose renal function is progressively
declining. Renal replacement therapy is indicated in which of the following situations?
When the patient's creatinine level drops below 1.2
1.The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimoto's
thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?
1.A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurse's most plausible conclusion based on this assessment finding?
The patient should withhold his next scheduled dose
1. The nurse is taking a health history of a new patient. The patient reports experiencing
pain in his left lower leg and foot when walking. This pain is relieved with rest. The
nurse notes that the left lower leg is slightly edematous and is hairless. Wh
1. An oncology nurse is providing health education for a patient who has recently been
diagnosed with leukemia. What should the nurse explain about commonalities between
all of the different subtypes of leukemia?
The different leukemias all involve unr
1. A clinic nurse is caring for a patient who has just been diagnosed with chronic
obstructive pulmonary disease (COPD). The patient asks the nurse what he could have
done to minimize the risk of contracting this disease. What would be the nurse's best
1. The nurse is caring for a patient who has had an ECG. The nurse notes that leads I, II,
and III differ from one another on the cardiac rhythm strip. How should the nurse best
Recognize that the view of the electrical current changes in rela
1. A perioperative nurse is caring for a postoperative patient. The patient has a shallow
respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should
address the patient's increased risk for what complication?
1. You are caring for a patient who has a diagnosis of syndrome of inappropriate
antidiuretic hormone secretion (SIADH). Your patient's plan of care includes
assessment of specific gravity every 4 hours. The results of this test will allow the nurse
1. A patient is having her tonsils removed. The patient asks the nurse what function the
tonsils normally serve. Which of the following would be the most accurate response?
The tonsils separate your windpipe from your throat when you swallow.
1. In the past three to four decades, nursing has moved into the forefront in providing care
for the dying. Which phenomenon has most contributed to this increased focus of care
of the dying?
Increased incidence of infections and acute illnesses
1. The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an extended time. What
symptoms should the nurse anticipate if the patient were experiencing oxygen toxicit
1. The nurse who is a member of the palliative care team is assessing a patient. The
patient indicates that he has been saving his PRN analgesics until the pain is intense
because his pain control has been inadequate. What teaching should the nurse do wit
1. An elderly patient has presented to the clinic with a new diagnosis of osteoarthritis. The
patient's daughter is accompanying him and you have explained why the incidence of
chronic diseases tends to increase with age. What rationale for this phenomeno
1. You are providing care for an 82-year-old man whose signs and symptoms of Parkinson
disease have become more severe over the past several months. The man tells you that
he can no longer do as many things for himself as he used to be able to do. What fa
1. A baby is born with what the physician believes is a diagnosis of trisomy 21. This
means that the infant has three number 21 chromosomes. What factor describes the
etiology of this genetic change?
The mother also has genetic mutation of chromosome 2
A nurse is meeting with a young woman who has recently lost her job after moving
with her husband to a new city. She describes herself as being anxious and pretty
1. depressed. What principle of stress and adaptation should be integrated into the nurse's
1. A community health nurse has scheduled a hypertension clinic in a local shopping mall
in which shoppers have the opportunity to have their blood pressure measured and learn
about hypertension. This nursing activity would be an example of which type of