Exam (elaborations)
NUR-258 Final Med Surg Questions And Answers Latest Update
- Course
- NUR 258
- Institution
- Michigan State University
NUR-258 Final Med Surg Questions And Answers Latest Update
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Solution 2024/2025Pepper
NUR-258 Final Med Surg Questions And
Answers Latest Update
A gerontologic nurse is teaching students about the high incidence and
prevalence of dehydration in older adults. Which factors contribute to this
phenomenon? Select all that apply. ANS✔✔ Decreased kidney mass,
Decreased renal blood flow, Decreased excretion of potassium
A client has questioned the nurse's administration of intravenous (IV)
normal saline, asking, "Wouldn't sterile water be a more appropriate choice
than saltwater?" Under what circumstances would the nurse administer
electrolyte-free water intravenously? ANS✔✔ Never, because it rapidly
enters red blood cells, causing them to rupture
The nurse in the medical intensive care unit is caring for a client who is in
respiratory acidosis due to inadequate ventilation. Which diagnosis could
the client have that could cause inadequate ventilation? ANS✔✔ Guillain-
Barre syndrome
The nurse is caring for a client who is to receive IV daunorubicin, a
chemotherapeutic agent. The nurse starts the infusion and checks the
insertion site as per protocol. During the most recent check, the nurse
observes that the IV has infiltrated so the nurse stops the infusion. What is
the nurse's priority concern with this infiltration? ANS✔✔ Extravasation of
the medication
A client with hypertension has been prescribed hydrochlorothiazide. What
nursing action will best reduce the client's risk for electrolyte disturbances?
ANS✔✔ Ensure the client has sufficient potassium intake
, Solution 2024/2025
Pepper
A client comes into the emergency department (ED) by ambulance with a
hip fracture after slipping and falling while at home. The client is alert and
oriented but anxious and reports thirst. The client's pupils are equal and
reactive to light and accommodation, and the heart rate is elevated. An
indwelling urinary catheter is inserted, and 40 mL of urine is present. What
is the nurse's most likely explanation for the client's urinary output? ANS✔✔
The client is having a sympathetic reaction, which has stimulated the renin-
angiotensin-aldosterone system, which results in diminished urine output.
The nurse is performing an admission assessment on a 79-year-old client
newly admitted for end-stage liver disease. What principle should guide the
nurse's assessment of the client's skin turgor? ANS✔✔ Inelastic skin turgor
is a normal part of aging.
The nurse is assuming the care of an adult client who has been
experiencing severe and intractable pain. When reviewing the client's
medication administration record, the nurse notes the presence of
gabapentin. The nurse is justified in suspecting which phenomenon in the
etiology of the client's pain? ANS✔✔ Neuropathy
A recent nursing graduate is aware of the differences between nursing
actions that are independent and nursing actions that are interdependent. A
nurse performs an interdependent nursing intervention when performing
which of the following actions? ANS✔✔ Administering an IV bolus of normal
saline to a patient with hypotension
The public health nurse is presenting a health promotion class to a group of
new mothers. How should the nurse best define health? ANS✔✔
, Solution 2024/2025
Pepper
The nurse is preparing a wellness program for seniors at a community
center. Which concept of wellness should the nurse utilize when planning
the program? ANS✔✔
A nurse on a medical-surgical unit has asked to represent the unit on the
hospital's quality committee. When describing quality improvement
programs to nursing colleagues and members of other health disciplines,
what characteristic should the nurse cite? ANS✔✔
The nurse is admitting a client to the medical unit after the client has been
transferred from the emergency department. What is the nurse's priority
action at this time? ANS✔✔
The nurse navigator is coordinating the transition from the hospital to a
rehabilitation facility of a client who had a total hip replacement. Which
activity would be an example of the nurse navigator role for this client?
ANS✔✔
The community health nurse is preparing to conduct a home visit on a client
without an active infection. When performing the home visit, how should the
nurse best implement the principles of infection control?A nurse who has an
advanced degree in primary care for a pediatric population is employed in a
health clinic. In what role is this nurse functioning? ANS✔✔
A nurse is collaborating with a team of community nurses to identify the
vision and mission for community care. What is the central focus of nursing?
ANS✔✔
A community-based case manager is sending a community nurse to perform
an initial home assessment of a newly referred client. To ensure safety, the
, Solution 2024/2025
Pepper
case manager must make the nurse aware of which of the following?
ANS✔✔
The community-health nurse has received a referral for a new client who
resides in a high-crime area. What is the most important request that the
nurse should make of the agency to ensure safety? ANS✔✔
The nurse is performing initial visits to two new clients of the local home
health care service. These clients live within two blocks of each other and
both homes are in a high-crime area. What action best protects the nurse's
personal safety? ANS✔✔
The nurse is planning discharge for a client receiving Medicare. The
Medicare program facilitates what aspect of home health care for the client
ANS✔✔
The home care nurse is assessing a client's use of crutches in the home.
Which of the following actions by the client indicates that the client is using
the crutches effectively? ANS✔✔
A nurse has been working with a client whose poorly controlled type 1
diabetes has led to numerous health problems. Over the past several years
the client has had several admissions to the hospital medical unit, and the
nurse has often carried out health promotion interventions. Who is
ultimately responsible for maintaining and promoting this client's health?
ANS✔✔
A 20-year-old client newly diagnosed with type 1 diabetes needs to learn
how to self-administer insulin. When planning the appropriate educational
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