Exam (elaborations)
TIMBY-S MED-SURG FINALS QUESTIONS & ANSWERS
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TIMBY-S MED-SURG FINALS QUESTIONS & ANSWERS
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TIMBY'S MED-SURG FINALS QUESTIONS &ANSWERS
A complete Blood count indicates that a client is anemic. What disorder in the client's
health history is most likely contributing to the reduction in red blood cells? - Answers-
Renal failure
When the nurse reviews the client's complete blood cell count, what finding is most
suggestive that a client is at risk for acquiring an infection? - Answers- Loan number of
agranulocytes
A physician tells a client that her body is not making enough blood cells. After the
physician leaves, the client appears very upset and states, "I do not even know how my
body is supposed to make blood cells." What is the simplest, yet correct, instruction for
the nurse to give the client at this time? - Answers- The bone marrow produces blood
cells.
What blood type could be transfused into anyone if there is no time to perform a type
and crossmatch of the recipient's blood? - Answers- O, Rh negative
After completion of a bone marrow aspiration, what is most important for the nurse to
monitor? - Answers- Bleeding from the puncture site.
A client arrives at the emergency department after a motorcycle accident. Vital signs are
T, 97.7F; P, 122; R, 28; and BP, 96/54. The client has suffered profuse blood loss. From
the clinical picture, what position is best for the nurse to place the client? - Answers-
Reverse Trendelenburg
A hospitalized client with Hodgkin's disease is at risk for ineffective airway clearance
and impaired gas exchange related to compression of the trachea by enlarged lymph
nodes. What measures should the nurse take first to help ensure that breathing and
blood oxygen saturation remain adequate? - Answers- Place the client in semi- to high-
Fowler's position.
When performing a physical assessment of the client in the early stages of Hodgkin's
disease, what is the most likely finding when the nurse palpates the client's lymph
nodes? - Answers- The lymph nodes are enlarged and painless
A nurse is asked to assist the physician with a diagnostic Romberg test, what nursing
intervention is most appropriate to ensure client safety? - Answers- Stand close to the
client in case the client should begin to sway
What level of consciousness (LOC) is correct for a nurse to document when calling a
client's name causes the client to awaken temporarily, followed by drifting back to
sleep? - Answers- Somnolent
, When a nurse uses the Glasgow coma scale to assess a client, what method should the
nurse use to determine the "best verbal response" from the client? - Answers- Note the
client's responses to general orientation questions
Immediately following a lumbar puncture, a client asks to ambulate to the restroom.
What nursing action is most correct? - Answers- Explained that the client must
temporarily lie flat and use a urinal
Because older adults often do not exhibit the typical signs and symptoms of meningitis,
what assessment findings should the nurse be especially vigilant for an older clients
with suspected meningitis? - Answers- -Low-grade fever
-Nuchal rigidity
-Altered mental status
When the nurse select the equipment to place in the room of a client who has been
diagnosed with Guillain-Barre syndrome, what item is essential to managing the client's
care? - Answers- Supplemental oxygen
To promote adequate nutrition and reduce the risk for aspiration when caring for a client
with Parkinson's or Huntington's disease, what nurse measures are appropriate? -
Answers- -Modify the texture and consistency of food
-Have the client flex the chin when swallowing
-Position the client in a sitting position
A client arrives at the headache center for an initial evaluation. The client describes
flashing lights in the field of vision before the headache begins. What nursing
interpretation of the assessment data is most correct? - Answers- The client is
experiencing an aura prior to a migraine headache
What assessment findings suggest to a nurse that the client is having TIAs? - Answers-
Brief periods of unilateral weakness
When providing a dietary trade to a client with right hemianopia, what is the best nursing
action? - Answers- Place the tray on the right side of the client to allow for self-feeding
What nursing intervention is most appropriate to decrease the frustration experienced
by client with expressive aphasia? - Answers- Offer support by telling the client you
know how frustrating this must be.
When is it most important for the nurse to intervene while caring for a client with a
leaking cerebral aneurysm? - Answers- The client is not sleeping well
A 65-year-old client asks the nurse why his vision is not as sharp as it once was. What
is the nurse's best response? - Answers- "Vision in older adults gradually worsens with
age"
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