Adult Medical Surgical
"Avoid bending your hips more than 90 degrees." - ANS-A nurse is reinforcing discharge
instructions with a client who is postoperative following a right hip arthroplasty. Which of the
following statements should the nurse make?
"You may cross your legs in 60 days."
"Avoid lying on your operative side."
"Avoid bending your hips more than 90 degrees."
"You may sleep on a soft mattress."
"Do not allow visitors to smoke cigarettes in your home." - ANS-A home health nurse is
reinforcing teaching about preventing asthma attacks with a client who has asthma. Which of
the following instructions should the nurse include in the teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air flow."
"I never forget to rinse my mouth after using my budesonide inhaler."
"Between office visits, I keep a record of how many times I use my albuterol inhaler."
"I use my albuterol inhaler before I go swimming." - ANS-A nurse is reinforcing teaching with a
client who has asthma. Which of the following client statements indicates an understanding of
the use of budesonide and albuterol inhalers? (Select all that apply.)
"I should expect to feel sleepy after using my albuterol inhaler."
"I never forget to rinse my mouth after using my budesonide inhaler."
"Between office visits, I keep a record of how many times I use my albuterol inhaler."
"I use my albuterol inhaler before I go swimming."
"I should use my budesonide inhaler before using my albuterol inhaler."
"I should wait at least 2 hours after eating before going to bed." - ANS-A nurse is reinforcing
teaching about gastroesophageal reflux disease (GERD) with a client. Which of the following
statements by the client indicates an understanding of the teaching?
"I should wait at least 2 hours after eating before going to bed."
"I should eat three meals a day without eating snacks between meals."
"I should season my food with garlic."
"I should drink my liquids through a straw."
,"Limit contact with large groups of people." - ANS-A nurse is reinforcing teaching with a client
who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally.
Which of the following statements should the nurse include in the teaching?
"Take the medication on an empty stomach."
"Limit contact with large groups of people."
"Avoid taking over-the-counter calcium supplements."
"Follow a low-protein diet."
"Use rapid-acting insulin in the infusion device." - ANS-A nurse is reinforcing teaching with a
client who is to begin using an insulin pump. Which of the following instructions should the nurse
include?
"Insert the infusion needle into intramuscular tissue."
"Change the needle every 5 days."
"Calculate the insulin for each meal by using an insulin-to-protein ratio."
"Use rapid-acting insulin in the infusion device."
"You are at risk for infertility with this infection, regardless of treatment." - ANS-A nurse is
reinforcing teaching with a client who has gonorrhea. Which of the following information should
the nurse include?
"Your partner will not require treatment for this infection."
"You can resume sexual activity as soon as you begin treatment."
"You are at risk for infertility with this infection, regardless of treatment."
"You will not be at further risk for this infection following treatment."
"You feel like you want to discontinue treatment?" - ANS-A nurse is caring for a client who has
terminal pancreatic cancer. The client states, "I don't think I can go on any longer." Which of the
following responses should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?"
0.7 - ANS-A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who
has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use
a trailing zero.)
Abdominal cramps - ANS-A nurse is monitoring a client who is taking acarbose. Which of the
following findings should the nurse identify as an adverse effect of the medication?
Administer an antiemetic to the client - ANS-A nurse is contributing to the plan of care for a
client who has Ménière's disease. Which of the following interventions should the nurse include
in the plan of care?
Increase the client's fluid intake.
Assist the client with changing positions often.
Encourage the client to rest in a well-lit room.
Administer an antiemetic to the client
Administer epinephrine.
Greatest risk to the client is death from anaphylaxis. Therefore, the nurse should administer
epinephrine to reduce bronchospasms and laryngeal edema. - ANS-A nurse is caring for a client
and administers penicillin IM. The client begins exhibiting hives and has severe difficulty
breathing. After establishing a patent airway, which of the following actions should the nurse
take next?
Allow for 30 min of rest before meals. - ANS-A nurse is caring for a client who had an acute
ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the
risk for aspiration?
Allow for 30 min of rest before meals.
Provide a straw for drinking liquids.
Serve foods at room temperature.
Place 2 tsp of food in the client's mouth at a time.
Apply a mask on the client if transport is needed. • - ANS-A nurse is planning to implement
droplet precautions for a client who has manifestations of pertussis. Which of the following
interventions should the nurse include when contributing to the plan of care?
Apply a mask on the client if the transport is needed.
Wear a mask when working within 1.2 m (4 feet) of the client
Don a gown when visiting with the client
Wear an N95 mask when entering the client's room.
Apply cold packs to the inamed joints.
Use both warm and cold packs on inflamed joints to decrease pain.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AnswersCOM. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
