Exam (elaborations)
Medsurg EAQ Exam 4
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Exam of 17 pages for the course MED. at MED. (Medsurg EAQ Exam 4)
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STUVIA 2024/2025Medsurg EAQ Exam 4
- ✔✔when a spirometry testing for a patient with chronic obstructive pulmonary disease (COPD)
shows a forced expiratory volume of 55% which treatment will the clinic nurse anticipate?
"eat ice cream every day" - ✔✔which instruction will the nurse include in the diet plan for a patient
with chronic obstructive pulmonary disease (COPD)?
"I have to do the physical therapy exercises several times a day" - ✔✔the nurse provides discharge
instructions for a patient who has undergone arthroplasty. which statement by the patient indicates
understanding of the instructions?
"I need to keep in close contact with my health care provider because I need frequent blood tests to
adjust the medication dose." - ✔✔the nurse is providing education on the drug clopidogrel for a pt.
who experienced a TIA. which pt. statement indicates a need for further teaching?
"I should avoid beans and cabbage.""I can enjoy eating more cold foods and desserts.""I am glad I
can have a peanut butter and jelly sandwich at lunch every day." - ✔✔After the nurse has completed
diet and nutrition teaching for a patient with chronic obstructive pulmonary disease (COPD), which
patient statements indicate effective learning? Select all that apply.
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"I should avoid high altitudes"
"I should start screening for retinopathy at age 10." - ✔✔The nurse provides discharge teaching to a
patient with sickle cell disease (SCD). Which statements made by the patient indicate understanding
of the teaching? Select all that apply.
"I will perform suctioning as needed." - ✔✔The registered nurse is teaching a student nurse about
airway management for a patient who is at risk of aspiration. Which statement made by the student
nurse indicates effective learning?
"It is designed to minimize the spread of germs to you from sources outside your environment." -
✔✔A patient with neutropenia asks how the prescribed protective (reverse) isolation helps prevent
the spread of organisms. Which response by the nurse is appropriate?
"it prevents staining of the teeth" - ✔✔While taking undiluted liquid iron that was prescribed, a patient
asks the nurse why it must be drunk through a straw. How should the nurse respond?
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"Large amounts of fluid should be provided." - ✔✔The registered nurse is teaching a student nurse
about acute care for a patient with ischemic stroke. The patient's blood pressure is 230/120 mm Hg.
Which statement made by the student nurse indicates the need for further teaching?
"Now that the blood loss is controlled and as your blood volume is replaced, the anemia corrects
itself, so no long-term treatment is needed" - ✔✔the nurse is providing discharge instructions to a
patient who has anemia secondary to acute blood loss. which instruction would the nurse include in
the discharge teaching?
"smoking in the house should be avoided"
"I should avoid paint thinners in the house"
"I can clean the oxygen concentrator with a damp cloth"
"Liquid soap should b used to wash the nasal cannula" - ✔✔which statements made by the patient
indicate that teaching about safety measures for home oxygen therapy has been successful? select
all that apply
"take it one hour before breakfast, with orange juice" - ✔✔which instruction would the nurse include
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when teaching a patient about the administration of an oral iron substitute?
"The drug requires close monitoring."
"Do not stop the drug without informing the doctor." - ✔✔A patient diagnosed with atrial fibrillation
has been put on the oral anticoagulant warfarin. What instructions should the nurse give the patient?
"The patient should be placed in a supine position." - ✔✔A registered nurse is teaching a student
nurse about the management of increased intracranial pressure in a patient who sustained a stroke.
Which statement made by the student nurse indicates the need for further teaching?
"tPA should be administered within 12 hours of the onset of a stroke." - ✔✔A registered nurse is
teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with
ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?
"When did the facial drooping begin?" - ✔✔A patient is admitted to the emergency department with
right-sided facial drooping. When taking the patient's history, which information would be most
significant?
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1 hour before a meal - ✔✔when would the nurse schedule postural drainage for a patient who has
COPD
1045
the nurse must hang the unit cells within 30 min of signing them out from the blood bank - ✔✔if a
unit of packed RBCs picked up from the lab at 1015, the nurse would plan to hang the unit to begin
infusion no later than which time?
23-year-old African American man who has a diagnosis of sickle cell disease - ✔✔which patient is
most likely to experience anemia related to an increased destruction RBCs
A 70-year-old with blood sugar levels of 110 mg/dLA
40-year-old with history of head injury six months ago
A 25-year-old with history of cholecystectomy two years previously - ✔✔A nurse is screening
patients to determine if administering tissue plasminogen activator (tPA) for fibrinolytic therapy is an
appropriate intervention. Which patients may be administered tPA safely? Select all that apply.
A chronic, intermittent cough - ✔✔Which of these is a clinical manifestation of early chronic
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obstructive pulmonary disease (COPD)?
adjust oxygen flow rate to keep oxygen saturation at 90% - ✔✔which action will the nurse include in
the plan of care for a patient with an exacerbation of chronic obstructive pulmonary disease (COPD)
who is receiving oxygen at 1 L/min by nasal cannula?
administer if HR is greater than 60beats/min - ✔✔which intervention would the nurse take for a
patient who has been prescribed nimodipine
air hunger
clammy skin
decreased central venous pressure - ✔✔the nurse expects to observe which manifestations in a
patient who experience acute blood loss of 2000 mL? Select all that apply
Allows more room for normal alveoli to expand - ✔✔Which is the purpose of lung reduction surgery
for the patient with chronic obstructive pulmonary disease (COPD)?
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