Exam (elaborations)
Medsurg Capstone Pre-assessment quiz with complete solutions
Medsurg Capstone Pre-assessment quiz with complete solutions
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2. Exam (elaborations) - Medsurg capstone pre-assessment quiz with complete solutions
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Medsurg Capstone Pre -assessment quiz with complete solutions A nnnurse nnis nnreinforcing nndischarge nnteaching nnwith nna nnclient nnwho nnhas nnundergone nna nntransurethral nnresection nnof nnthe nnprostate nn(TURP). nnWhich nnof nnthe nnfollowing nnstatements nnshould nnthe nnnurse nninclude nnin nnthe nnteaching? nn- nnANSWER: nn nn➡ nn"Increase nnfluid nnintake nnif nnurine nnbecomes nnblood nntinged" Rationale: nnThe nnnurse nnshould nnreinforce nnthat nnstrenous nnactivity, nnstraining nnto nnhave nna nnbowel nnmovement, nnand nncoughing nnmay nncause nnthe nnurine nnto nnbecome nnblood nntinged. nnIf nnthis nnshould nnoccur, nnthe nnclient nnshould nnbe nninstructed nnto nnstop nnthe nnactivity, nnrest, nnand nnincrease nnfluid nnintake. nnIf nnurine nnbecomes nnincreasingly nnblood nntinged nnor nndoes nnnot nnclear, nnor nnthe nnclient nnhas nndifficulty nnvoiding, nnhe nnshould nnbe nninstructed nnto nnnotify nnthe nnprovider. A nnnurse nnis nncaring nnfor nna nnclient nnwho nnis nnsuspected nnto nnhave nnactive nnlaryngeal nntuberculosis nn(TB). nnWhich nnof nnthe nnfollowing nnactions nnshould nnthe nnnurse nnplan nnto nntake nnto nnsafely nncare nnfor nnthis nnclient? nn- nnANSWER: nn nn➡ nnPlace nnthe nnclient nnin nna nnprivate nnroom nnwith nna nnspecial nnventilation nnsystem Rationale: nnClients nnsuspected nnto nnhave nnactive nnlaryngeal nntuberculosis nnare nnplaced nnin nnprivate nnrooms nnwith nnnegative -pressure nnairflow nnvia nnHEPA nnfiltration nnsystems. nnNegative nnpressure nnpulls nnair nnaway nnfrom nnthe nnhallway nnand nnexhausts nnit nnout nnof nnthe nnroom nnto nnareas nnaway nnfrom nnthe nnintake nnvents. A nnnurse nnis nnreinforcing nnteaching nnwith nna nnclient nnwho nnhas nna nnfamily nnhistory nnof nnhypertension. nnThe nnnurse nnshould nninform nnthe nnclient nnthat nnhis nnblood nnpressure nnreading nnof nn124/84 nnmm nnHg nnplaces nnhim nnin nnwhich nnof nnthe nnfollowing nncategories? nn- nnANSWER: nn nn➡ nnPrehypertension nn Rationale: nna nnblood nnpressure nnreading nnof nn124/84 nnmm nnHg nnplaces nnthis nnclient nnin nnthe nnprehypertension nncategory. nnThis nnincludes nna nnsystolic nnpressure nnof nn120-130 nnmm nnHg nnand nndiastolic nnpressure nnof nn80-89 nnmm nnHg A nnnurse nnis nncaring nnfor nna nnchild nnwho nnis nnexperiencing nnan nnacute nnasthma nnattack. nnWhich nnof nnthe nnfollowing nnmedications nnshould nnthe nnnurse nnadminister nnfirst? nn- nnANSWER: nn nn➡ nnAlbuterol Rationale: nnAlbuterol nnis nnconsidered nna nnrescue nnmedication nndue nnto nnits nnrapid nnonset nnof nnaction. nnAlbuterol nnis nna nnbeta2 nnadrenergic nnagonist nnused nnfor nnthe nntreatment nnof nnacute nnexacerbations nnof nnasthma. nnAlbuterol nnpromotes nnbroncho nndilation nnand nnsuppresses nnhistamine nnrelease nnin nnthe nnlungs A nnnurse nnis nnreinforcing nnteaching nnwith nna nnclient nnwho nnhas nnneutropenia. nnWhich nnof nnthe nnfollowing nninstructions nnshould nnthe nnnurse nninclude nnin nnthe nnteaching? nn- nnANSWER: nn nn➡ nnAvoid nncrowded nnplaces nn Rationale: nnThe nnnurse nnshould nninform nnthe nnclient nnto nnavoid nncrowds nndue nnto nna nnsuppressed nnimmune nnsystem A nnnurse nnis nncollecting nndata nnfrom nnan nnolder nnadult nnclient nnwho nnhad nna nnfemoral nnhead nnfracture nn24 nnhr nnago nnand nnis nnin nnBuck's nntraction. nnWhich nnof nnthe nnfollowing nnfindings nnis nnan nnindication nnof nnfat nnembolism nnsyndrome? nn- nnANSWER: nn nn➡ nnpetechiae nnon nnthe nnchest Rationale: nna nnred nnrash nnon nnthe nnclients nnabdomen, nnchest, nnneck nnor nnupper nnarms nnis nna nnmanifestation nnof nnfat nnembolism A nnnurse nnis nnreinforcing nndischarge nnteaching nnon nnactions nnthat nnimprove nngas nnexchange nnto nna nnclient nndiagnosed nnwith nnemphysema. nnWhich nnof nnthe nnfollowing nninstructions nnshould nnbe nnincluded nnin nnthe nnteaching? nn- nnANSWER: nn nn➡ nnBreathe nnin nnthrough nnher nnnose nnand nnout nnthrough nnpursed nnlips rationale: nnThe nnnurse nnshould nnreinforce nnthat nnpursed -lip nnbreathing nnslows nnexpiration, nnprevents nncollapse nnof nnalveoli, nnand nnhelps nnthe nnclient nnto nncontrol nnthe nnrate nnand nndepth nnof nnrespirations A nnnurse nnis nncaring nnfor nna nnclient nnwho nnhas nncirrhosis nnand nna nnprescription nnfor nnlactulose. nnFollowing nnadministration, nnthe nnnurse nnshould nnmonitor nnthe nnclient nnfor nnwhich nnof nnthe nnfollowing nnadverse nneffects? nn- nnANSWER: nn nn➡ nnDiarrhea Rationale: nnThe nnnurse nnshould nnmonitor nnfor nndiarrhea. nnLactulose nnis nna nnsynthetic nndisaccharide nnthat nnthe nnsmall nnintestine nncannot nnutilize. nnIt nncauses nndiarrhea nnby nnlowering nnthe nnpH, nnso nnthe nnbacterial nnflora nnare nnchanged nnin nnthe nnbowel