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RN Adult Medical Surgical Online Practice 2019 A for NGN already graded A+
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RN Adult Medical Surgical Online Practice2019 A for NGN
A nurse in a providers office is caring fro a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? - ANS"You will not be
able to use sildenafil if you are taking nitroglycerin."
The client should not use sildenafil when taking nitroglycerin because both medications can
cause vasodilation and lead to significant hypotension.
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For
which of the following adverse effects should the nurse monitor? - ANSRespiratory paralysis -
The nurse should monitor a client who is receiving magnesium sulfate via IV bolus closely as
the adverse effects can impact the CNS, the cardiovascular system, and the respiratory system.
Respiratory paralysis is a life-threatening adverse effect of magnesium sulfate.
Tachycardia- Magnesium sulfate is used to treat cardiac dysrhythmias, such as torsades de
pointes and refractory ventricular fibrillation. Depressed cardiac function, including heart block,
is an adverse effect of magnesium sulfate.
Increased BP- Magnesium sulfate is used to treat cardiac dysthymias, such as torsades des
pointes and refractory ventricular fibrillation. However, magnesium sulfate administration can
result in systemic vasodilation and subsequent hypotension.
*hyperreflexia- Hyperreflexia is seen in clients who have hypomagnesemia. Depressed or
absent reflexes are an adverse effect of magnesium sulfate.
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription
for erythropoietin. Which of the following statements by the client indicates an understanding of
the teaching? - ANS"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of hematocrit in clients who have
anemia. When the medication is effective, the client should have a decrease in fatigue and an
improvement in activity tolerance.
A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the
following findings should the nurse identify as a manifestation of chronic glomerulonephritis? -
ANSHyperkalemia
,The nurse should identify that a client who has chronic glomerulonephritis can experience
hyperkalemia as a result of kidney failure. Kidney failure results in decreased excretion of
potassium.
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following client
medications interacts with feverfew? - ANSNaproxen
Both naproxen and feverfew impair platelet aggregation and place the client at risk for bleeding.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this
risk, which of the following dietary alterations should the nurse recommend? - ANSAdd cabbage
to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet that is high in
fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage,
cauliflower, and broccoli, are high in fiber.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which
of the following items at the client's bedside? - ANSSuction machine
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia
to clear the client's airway as needed and reduce the risk for aspiration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which of the following findings requires further
assessment? - ANSHistory of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used
during the procedure. Other conditions that can result in a reaction to contrast media include
allergies to foods, such as shellfish, eggs, milk, and chocolate.
A nurse is assessing a client who has Graves' disease. Which of the following images should
indicate to the nurse that the client has exophthalmos? - ANSD (부릅 뜬 눈)
The nurse should identify an outward protrusion of the eyes as exophthalmos, a common
finding of Graves' disease. An overproduction of the thyroid hormone causes edema of the
extraocular muscle and increases fatty tissue behind the eye, which results in the eyes
protruding outward. Exophthalmos can cause the client to experience problems with vision,
including focusing on objects, as well as pressure on the optic nerve.
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the
following precautions should the nurse implement? - ANSEnsure the client has a patient IV.
, The nurse should ensure the client has IV access in the event that the client requires medication
to stop seizure activity.
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to the provider? - ANSHgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below the expected reference range
and is an indicator of postoperative hemorrhage or anemia.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago.
Which of the following findings should the nurse expect? - ANSStone fragments in the urine
ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the
bladder, and through the urethra during voiding. Following the procedure, the nurse should
strain the client's urine to confirm the passage of stones.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive
cough. Which of the following actions should the nurse take first? - ANSInitiate airborne
precautions.
This client is exhibiting manifestations of tuberculosis. The greatest risk in this client situation is
for other people in the facility to acquire an airborne disease from this client. Therefore, the first
action the nurse should take is to initiate airborne precautions.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not
available when the current infusion is nearly completed. Which of the following actions should
the nurse take? - ANSAdminister dextrose 10% in water until the new bag arrives.
TPN solutions have a high concentration of dextrose. Therefore, if a TPN solution is temporarily
unavailable, the nurse should administer dextrose 10% or 20% in water to avoid a precipitous
drop in the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine.
The nurse should instruct the client that which of the following supplements can interfere with
the effectiveness of the medication? - ANSCalcium
Calcium limits the development of osteoporosis in clients who are postmenopausal and works
as an antacid. Calcium supplements can interfere with the metabolism of a number of
medications, including levothyroxine. The nurse should instruct the client to avoid taking calcium
within 4 hr of levothyroxine administration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, and the high-pressure alarm is sounding. Which of the
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