Med-Surg:
A nurse is caring for a client who have a lower extremity fracture and a prescription for crutches. Which of the following client statements indicate that client is adapting to the role of change?
-I will need my partner to take over shopping for groceries
A nurse is assessing a cl...
A nurse is caring for a client who have a lower extremity fracture and a prescription
for crutches. Which of the following client statements indicate that client is adapting
to the role of change?
-I will need my partner to take over shopping for groceries
A nurse is assessing a client who has a new diagnosis of colon cancer. Which of
the following findings should the nurse expect?
a)hematochezia
b) weight gain
C) elevated hemoglobin
D) Steatorrhea
A nurse is caring for a client who is receiving TPN. The prime infusion is almost
complete and the new solution is not available. Which of the following actions
should the nurse take?
Infuse dextrose 10% in water
A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter.
Which of the following findings should the nurse expect?
A saw tooth pattern
A nurse is caring for a client admitted with a skull fracture. Which of the following
assessment findings should be the greatest concern to the nurse?
Glasgow coma scale score changes from 14 to 9
A nurse is completing an assessment of an older adult client and notes redness
areas over the bony prominences, but the client’s skin is intact. Which of the
following interventions should the nurse include in the plan of care?
Support bony prominences with pillows
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes the client had bounding peripheral pulses, hypertension, and distended
jugular vein. The nurse should anticipate administering which of the following
prescribed medications?
Furosemide
A nurse is caring for a patient who has a sealed radiation implant. Which of the
following actions should the nurse take?
Limit family member visits to 30 mins/day
A nurse is providing discharge teaching for a client who is receiving treatment for
genital herpes. Which of the following statements by the client indicates
effectiveness of the teaching?
I should expect my lesions to heal in 6 weeks
A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet
,and cooperative, becomes agitated and restless. Which of the following
assessments should the nurse perform first?
Blood glucose
Blood pressure I
think? Urinary output
Motor responses *wrong answer*
A nurse is reviewing the medical record of a client who is to undergo open heart
surgery. Which of the following findings should the nurse report to the provider as a
contraindication for receiving heparin?
Thrombocytopenia
A charge nurse receives a call from the house supervisor requesting room
assignments for four new clients. Based on the admission diagnoses, which of the
following clients requires a private room?
A client who reports having fever, night sweats, and cough for 2 days
A nurse is planning to teach a client whose provider has prescribed a low purine
diet. The nurse should plan to instruct the client that he can include which of the
following foods in his diet.
SATA
-sardines -apricots -nuts -liver -scallops
A nurse is assessing a client following the insertion of a central venous catheter.
Which of the following findings indicates a pneumothorax?
Diminished breath sounds
A nurse is caring for a client who has pancreatitis and has been receiving total
parenteral nutrition. Which of the following laboratory tests should the nurse
monitor for overall nutritional status?
Prealbumin
A nurse is caring for a client in diabetic ketoacidosis. Which of the following is
the priority intervention by the nurse?
Check potassium levels
A nurse is preparing to administer furosemide to a client who has acute heart
failure. Which of the following laboratory results should the nurse identify as a
contraindication for receiving the medication?
Potassium 3.2
A nurse in the emergency department is preparing a client for emergency
surgery. The client’s alcohol level is 180. Which of the following action is the
nurse priority?
Insert an NG Tube
, A nurse is caring for a client who has bladder cancer and a WBC of 900. Which of
the following action should the nurse take?
Use Contact isolation while providing care
A nurse is teaching a client who has asthma about the use of a peak flow meter.
After setting the meter to the zero baseline, what is the sequence of steps the nurse
should instruct the client to take? (Use all steps) *this is the correct steps… I found
the correct sequence. *
“Stand upright.”1
“Fill your lungs with a deep breath.”3
“Seal your lips around the mouthpiece.”2
“Exhale forcefully and quickly.”4
“Record the highest of three consecutive readings.”5
A nurse is preparing to perform ocular irrigation for a client following a chemical
splash to the eye. Which of the following actions should the nurse plan to take?
Collect information about the irritant that caused injury *I think this is
correct* Administer proparacaine eyedrop into the infected eye
Place a strip of ph paper onto the colder sac of the infected
eye Instill 0.9% sodium chloride into the affected eye *do
not choose this*
A nurse is providing instructions about foot care for a client who has peripheral
arterial disease. The nurse should identify that which of the following statements
by the client indicates an understanding of the teaching?
I rest in my recliner with my feet elevated for about an hour every afternoon
A nurse is caring for older client with dementia, which of the following finding
questions should the nurse ask to assess the clients abstract thinking?
Can you tell me the state where you were born?
Can you count backwards? Do not choose this answer… got it wrong
“what do a dog and cat have in common” ask what two traits are similar but not identical
A nurse is caring for a client who is scheduled for an abdominal paracentesis. The
nurse should plan to take which of the following actions?
Ask client to empty his bladder prior to the procedure
A nurse is caring for a client who has hypotension, cool and clammy skin,
tachycardia, and tachypnea. In which of the following positions should the
nurse place the client? Reverse Trendelenburg *
Side Lying
High
Fowlers
Feet
elevated
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