Exam (elaborations)
med surg ati proctored exam set correct questions and answers verified A+
med surg ati proctored exam set correct questions and answers verified A+med surg ati proctored exam set correct questions and answers verified A+
a A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse pla...
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Med surg
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Med surg
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med surg ati proctored exam set correct q
lh lh lh lh lh lh lh
uestions and answers verified A+
lh lh lh lh
alhAlhnurselhinlhanlhemergencylhdepartmentlhislhpreparinglhtolhperformlhanlhocularlhirrigationlhforlhalhclient.lhWhic
hlhoflhthelhfollowinglhactionslhshouldlhthelhnurselhplanlhtolhtake?
a.lhAssesslhthelhclient'slhvisuallhacuitylhpriorlhtolhirrigation
b.lhHavelhthelhclientlhturnlhtheirlhheadlhtowardlhthelhunaffectedlheye
c.lhHoldlhthelhirrigatorlhsyringelh3.81lhcmlh(1.5lhin)lhabovelhthelheye
d.lhPerformlhthelhirrigationlhwithlhsterilelhwaterlhforlhirrigationlh-
lhd.lhPerformlhthelhirrigationlhwithlhsterilelhwaterlhforlhirrigation
Alhnurselhislhpreparinglhtolhadministerlhlactatedlhringer'slhvialhcontinuouslhIVlhinfusionlhatlh200lhml/hr.lhThelhIVlhtu
binglhhaslhalhdroplhfactorlhoflh10lhdrops/ml.lhHowlhmanylhgtt/minlhshouldlhthelhnurselhsetlhthelhIVlhpumplhtolhadmi
nister?lhRoundlhtolhnearlhwholelhnumberlh-lh33lhgtt/min
Alhnurselhislhprovidinglhdischargelhteachinglhtolhalhclientlhwholhhaslhalhnewlhprescriptionlhforlhsublinguallhnitrogly
cerin.lhWhichlhoflhthelhfollowinglhclientlhstatementslhindicateslhanlhunderstandinglhoflhthelhteaching?
a.lhIlhcanlhkeeplhmylhmedicationslhforlh1lhyearlhbeforelhreplacinglhit
b.lhIlhshouldlhlielhdownlhwhenlhIlhtakelhthislhmedication
c.lhIlhshouldlhdiscontinuelhthislhmedicationlhiflhIlhdeveloplhalhheadache
d.lhIlhcanlhtakelhuplhtolhfivelhtabletslhinlh15lhminuteslhbeforelhseekinglhmedicallhattentionlh-
lhb.lhIlhshouldlhlielhdownlhwhenlhIlhtakelhthislhmedication
Alhnurselhislhprovidinglhdischargelhteachinglhtolhanlholderlhadultlhclientlhfollowinglhalhleftlhtotallhhiplharthroplasty.l
hWhichlhoflhthelhfollowinglhinstructionslhshouldlhthelhnurselhincludelhinlhthelhteaching?
a.lhCleanlhthelhincisionlhdailylhwithlhhydrogenlhperoxide
b.lhYoulhcanlhcrosslhyourlhlegslhthelhankleslhwhenlhsittinglhdown
c.lhYoulhshouldlhuselhanlhincentivelhspirometerlheverylh8lhhours
d.lhInstalllhalhraisedlhtoiletlhseatlhinlhyourlhbathroomlh-lhd.lhInstalllhalhraisedlhtoiletlhseatlhinlhyourlhbathroom
Alhnurselhislhplanninglhcarelhforlhalhclientlhfollowinglhalhcardiaclhcatheterization.lhWhichlhoflhthelhfollowinglhaction
slhshouldlhthelhnurselhtake?
a.lhKeeplhthelhclientlhonlhbedlhrestlhforlh24lhhours
b.lhLimitlhthelhclient'slhfluidlhintakelhtolh1lhllhperlhday
,c.lhMaintainlhthelhclient'slhaffectedlhextremitylhinlhextension
d.lhChangelhthelhclient'slhdressinglheverylh8lhhourlh-lhc.lhMaintainlhthelhclient'slhaffectedlhextremitylhinlhextension
Alhnurselhislhcaringlhforlhalhclientlhwholhhaslhalhlowerlhextremitylhfracturelhandlhalhprescriptionlhforlhcrutches.lhWhi
chlhoflhthelhfollowinglhclientlhstatementslhindicateslhthatlhthelhclientlhislhadaptinglhtolhtheirlhrolelhchange?
a.lhIlhwilllhneedlhtolhhavelhmylhpartnerlhtakelhoverlhshoppinglhforlhgrocerieslhandlhcookinglhthelhmealslhforlhus
b.lhTheselhcrutcheslhwilllhmakelhitlhimpossiblelhtolhcarelhforlhmylhchild
c.lhIlhfeellhbadlhthatlhIlhhavelhtolhasklhmylhpartnerlhtolhkeeplhthelhhouselhclean
d.lhItslhgoinglhtolhbelhdifficultlhtolhtelllhmylhparentslhIlhcantlhtakelhthemlhtolhtheirlhappointmentslhanymorelh-
lha.lhIlhwilllhneedlhtolhhavelhmylhpartnerlhtakelhoverlhshoppinglhforlhgrocerieslhandlhcookinglhthelhmealslhforlhus
Alhnurselhislhcaringlhforlhalhclientlhwholhhaslhgastroenteritis.lhWhichlhoflhthelhfollowinglhassessmentlhfindingslhsho
uldlhthelhnurselhrecognizelhaslhanlhindicationlhthatlhthelhclientlhislhexperiencinglhdehydration?
a.lhPitting,lhdependentlhedema
b.lhDistendedlhjugularlhveins
c.lhIncreasedlhBP
d.lhDecreasedlhBPlh-lhd.lhDecreasedlhBP
Alhnurselhislhcaringlhforlhalhclientlhwholhhaslhalhcontusionlhoflhthelhbrainstemlhandlhreportslhthirst.lhThelhclient'slhur
inarylhoutputlhwaslh4,000lhmllhoverlhthelhpastlh24lhhour.lhThelhnurselhshouldlhanticipatelhalhprescriptionlhforlhwhic
hlhoflhthelhfollowinglhIVlhmedication?
a.lhDesmopressin
b.lhEpinephrine
c.lhFurosemide
d.lhNitroprussidelh-lha.lhDesmopressin
AlhnurselhinlhalhcliniclhreceiveslhalhphonelhcalllhfromlhalhclientlhwholhrecentlylhstartedlhtherapylhwithlhanlhACElhinhi
bitorlhandlhreportslhalhnagginglhdrylhcough.lhWhichlhoflhthelhfollowinglhresponseslhbylhthelhnurselhislhappropriate
?
a.lh"yourlhcoughlhmaylhrequirelhthatlhyoulhstoplhorlhchangelhyourlhmedication"
b.lh"Increasinglhyourlhdailylhfluidlhintakelhmaylheliminatelhyourlhcough"
c.lh"suckinglhonlhlozengelhmaylhreducelhthelhfrequencylhoflhyourlhcough"
d.lhYoulhcoughlhshouldlhgolhawaylhinlhtime"lh-
lha.lh"yourlhcoughlhmaylhrequirelhthatlhyoulhstoplhorlhchangelhyourlhmedication"
AlhnurselhislhtakinglhanlhadmissionlhhistorylhfromlhalhclientlhwholhreportslhRaynaud'slhdisease.lhWhichlhoflhthelhfoll
owinglhassessmentlhfindingslhshouldlhthelhnurselhidentifylhaslhalhpotentiallhtriggerlhforlhexacerbations
, oflhRaynaud's?
a.lhEatinglhalhstrictlhvegetarianlhdiet
b.lhAlhhistorylhoflhherpeslhzoster
c.lhTakinglhamiodipinelhforlhhypertension
d.lhUsinglhalhnicotinelhtransdermallhpatchlh-lhd.lhUsinglhalhnicotinelhtransdermallhpatch
Alhnurselhislhcaringlhforlhalhclientlhwholhhaslhalhcentrallhvenouslhaccesslhdevicelhandlhnoteslhthelhtubinglhhaslhbeco
melhdisconnected.lhThelhclientlhdevelopslhdyspnealhandlhtachycardia.lhWhichlhoflhthelhfollowing
actionslhshouldlhthelhnurselhtakelhfirst?
a.lhPerformlhanlhECG
b.lhObtainlhABGlhvalues
c.lhTurnlhthelhclientlhtolhhislhleftlhside
d.lhClamplhthelhcatheterlh-lhd.lhClamplhthelhcatheter
Alhnurselhislhcompletinglhanlhassessmentlhoflhanlholderlhadultlhclientlhandlhnoteslhreddenedlhareaslhoverlhthelhbon
ylhprominences,lhbutlhthelhclient'slhskinlhislhintact.lhWhichlhoflhthelhfollowinglhinterventionslhshouldlhthelhnurselhi
ncludelhinlhthelhplanlhoflhcare?
a.lhTurnlhandlhrepositionlhthelhclientlheverylh4lhhr
b.lhApplylhanlhocclusivelhdressing
c.lhSupportlhbonylhprominenceslhwithlhpillows
d.lhMassagelhthelhreddenedlhareaslhthreelhtimeslhalhdaylh-lhc.lhSupportlhbonylhprominenceslhwithlhpillows
Alhhomelhhealthlhnurselhislhmakinglhanlhinitiallhvisitlhtolhalhclientlhwholhhaslhmultiplelhsclerosis.lhWhichlhoflhthelhfol
lowinglhactionslhislhthelhprioritylhforlhthelhnurselhtolhtake?
a.lhDiscusslhrecommendationslhforlheatinglhandlhswallowinglhtechniques
b.lhListlhstrategieslhforlhfamilylhcopinglhwhenlhdealinglhwithlhpossiblelhrolelhchanges
c.lhReviewlhthelhuselhoflhadaptivelhgroominglhdeviceslhtolhpromotelhclientlhindependence
d.lhGivelhthelhclientlhinformationlhaboutlhthelhlocallhnationallhmultiplelhsclerosislhsocietylh-
lha.lhDiscusslhrecommendationslhforlheatinglhandlhswallowinglhtechniques
Alhnurselhinlhthelhemergencylhdepartmentlhislhassessinglhalhclient.lhWhichlhoflhthelhfollowinglhactionslhshouldlhth
elhnurselhtakelhfirst?lhExhibit
a.lhObtainlhalhsputumlhsamplelhforlhculture
b.lhAdministerlhondansetron
c.lhInitiatelhairbornelhprecautions