MDC 2 FINAL STUDY GUIDE 1. What symptoms would the nurse expect to find for a client with appendicitis? Select all that apply.  right lower quadrant pain  anorexia  nausea  hypothermia  projectile vomiting 2. The nurse is admitting a client with a diagnosis of myxedema. During the initial assessment, which findings would the nurse be most concerned about?  Hypertension and weight loss  Heat intolerance and emotional lability  Corneal ulcerations and increased appetite  Bradycardia and decreased intellectual function 3. True or False? A patient that is post-op day four from a hysterectomy is at risk for developing a mechanical bowel obstruction? T or F 4. What symptoms would the nurse expect to find for a client with cholecystitis? Select all that apply.  epigastric pain  right shoulder pain  nausea  fever  hypotension 5. The nurse is teaching a client diagnosed with hypothyroidism. Which statement should the nurse include in the teaching?  “Your adrenal glands will need to be assessed.”  “We will need to measure your parathyroid hormone.”  “It will take about 2 weeks for you to feel improvement after starting your medication.”  “A CT scan is necessary to determine the cause of your problem.” 6. The nurse is caring for a postoperative client who has undergone surgical removal of the pituitary gland and has now developed diabetes insipidus (DI). The nurse should assess for:  hypertension and bradycardia  polyuria and severe dehydration  fluid overload and hyponatremia  glucosuria and weight gain 7. How would the nurse expect a client with appendicitis to describe the pain? • “I have aching in my lower abdomen” • “The pain comes on very quickly and goes away just as quickly” • “The pain occurs every hour for just a few minutes” • “The pain is steady and is a 7 on a scale of 1 to 10” 8. Which assessment findings should the nurse expect in a patient with Addison’s disease?  Weight gain and loss of skin pigment  Fatigue and muscle weakness  Hypertension and hypernatremia  Increased appetite and hypokalemia 9. What is the priority nursing intervention for a client with acute appendicitis?  Teaching the client about surgery  Encouraging oral intake of clear fluids  Maintaining the client on bedrest  Assessing for symptoms of peritonitis 10. Which test should the nurse anticipate for a client experiencing weight gain, intolerance to cold, constipation, and lethargy?  Liver function tests  Hemoglobin A1C  T3, T4, and TSH  24-hour urine free cortisol measurement 11. The nurse is providing education to a client diagnosed with hyperparathyroidism. The nurse determines further teaching is necessary when the client states that they will continue to:  Take acetaminophen  Take aspirin  Eat fresh fruit  Drink milk 12. Care of the patient with an anorectal abscess should include which of these nursing interventions? Select all that apply:  Analgesics  Bed rest  Antidiarrheals