Exam (elaborations)
TIMBY-S MED SURG MID TERM STUDY QUESTIONS
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TIMBY-S MED SURG MID TERM STUDY QUESTIONS
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TIMBY'S MED SURG MID TERM STUDY QUESTIONSA client diagnosed with parathormone deficiency is admitted to the hospital. As the
nurse initiate the care plan, what body system should be the focus of care? - Answers-
Skeletal
The nurse take vital signs for a client scheduled for open heart surgery in the next few
minutes and notes that the client's pulse, respirations and blood pressure are slightly
elevated. The nurse explains to the client that the elevations are a normal response to
stress and anxiety and are because of the release of what hormone? - Answers-
Epinephrine
The nurse gently palpate the neck of a client diagnosed with thyroid disorder.The client
asks why the nurse's touch is so gentle.What response by the nurse is most
appropriate? - Answers- "Forceful palpation can result in excessive release of thyroid
hormone from the gland"
When assessing a client with a suspected thyroid disorder prior to a nuclear scan, what
type of allergy is most important for the nurse to report? - Answers- Shellfish
Nursing assessment indicates that a client with DI is experiencing a therapeutic
response to treatment? - Answers- The client's urine output is a normal amount
What items should the nurse have available when a client recovers after a
thyroidectomy? - Answers- -Pulse oximeter
-Oral airway
-Tracheostomy tray
-Calcium gluconate
A nurse assesses a client immediately following a thyroidectomy and documents that
the dressing over the incision is dry and intact. In what other location shared the nurse
check for signs of bleeding and hemorrhage? - Answers- At the back of the neck with a
gloved hand
Prior to discharge from the hospital, the nurse instructs the client who will be taking
thyroid replacement medication to report any side effects of the drug, such as chest
pain, insomnia, and hyperactivity. What is the best explanation for the nurse's
instruction? - Answers- The side effects of thyroid replacement often mimic those of
hyperthyroidism
A client who has been on long-term corticosteroid therapy is unhappy with the
accompanying weight gain and changes in her appearance, and confides to the nurse
that she intends to stop taking her prescribed medication. What is the best nursing
response to the client's statement? - Answers- Discontinuing this medication should be
done under the direction of the physician
, The prescribed treatment for a client with diabetes involves the self-administration of a
combination of two insulins, short-acting insulin (Humulin R) and intermediate acting
insulin (Humulin N). What action indicates that the client needs more practice? -
Answers- The client withdraws the intermediate-acting insulin first and then the short-
acting insulin
In what location should the nurse recommend injecting a bedtime injection of glargine
(Lantus) insulin? - Answers- Abdomen
What signs will the nurse detect if a diabetic client develops hypoglycemia? - Answers-
-Confusion
-Drowsiness
-Hunger
-Tremors
When a client with long-standing diabetes comes to the clinic for a routine visit, what
statement best indicates that the nurse is assessing for a complication related to the
disease? - Answers- "Have you had your eyes checked recently?"
The nurse instruct a group of young adults to a community center about behaviors that
can decrease the risk of cancer. Which information is most applicable for this age
group? - Answers- Avoid smoking and prolong sun exposure
A client newly diagnosed with cancer receives external radiation therapy. Which nursing
instruction regarding bathing is most appropriate? - Answers- Use a soft washcloth to
wash the irradiated skin
A client is receiving chemotherapy for cancer. After several treatments, blood studies
demonstrate that the client is experiencing bone marrow suppression. The licensed
practical nurse (LPN) can expect that the client will exhibit which of the following signs
and symptoms? - Answers- -Bleeding from the gums
-Easy bruising
-Fatigue
The nurse is caring for a client who is experiencing a poor appetite while receiving
chemotherapy. Which of the following strategies is most appropriate for the nurse to use
to increase the patient's nutritional intake? - Answers- Add instant breakfast or milk
powder, cheese, or peanut butter to selected foods
What instruction is most important for the nurse to include in the teaching plan for a
client with right-sided heart failure? - Answers- Elevate the legs while sitting
Prior to giving a client the morning dose of digoxin (Lanoxin), the nurse determines that
the apical pulse is less than 55 beats/minute. What nursing action is the priority? -
Answers- Hold the drug and assess for toxic effects
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