PN Adult Medical Surgical Online Practice 2024 A GUARANTEED GRADE A+
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Course
PN Adult Medical Surgical Online Practice A
Institution
PN Adult Medical Surgical Online Practice A
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following findings should the nurse report before administering the medication?
Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitate...
PN Adult Medical Surgical Online
Practice 2024 A GUARANTEED GRADE
A+
A nurse is preparing to administer furosemide to a client who has
heart failure. Which of the following findings should the nurse
report before administering the medication?
Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an
adrenal crisis, which was precipitated by the client not taking their
medication for several days. The nurse should identify that
withdrawal from which of the following medications potentiated the
adrenal crisis?
Prednisone
A nurse is assisting with the care for a client who has a
prescription for digoxin 0.25 mg PO daily. While taking the client's
apical pulse, the nurse notes a rate of 58/min. Which of the
following actions should the nurse take?
Withhold the dose.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c)
testing with a client who has diabetes mellitus. Which of the
following statements indicates that the client understands the
teaching?
"I will have my HbA1c checked twice per year."
A nurse is providing information regarding transmission-based
precautions for a client who has Clostridium difficile to an
assistive personnel (AP). Which of the following instructions should
the nurse include? (Select all that apply.)
"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room."
"Clean contaminated surfaces with a bleach solution."
A nurse is reinforcing teaching with a client who has coronary artery
disease. Which of the following instructions should the nurse include
in the teaching?
"Add oily fish to your diet twice weekly."
A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?
Mohs surgery is a horizontal shaving of thin layers of the tumor.
,A nurse is collecting data from an older adult client who has several
concerns. Which of the following concerns should the nurse recognize
as an expected change associated with aging?
"My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary teaching with a client about
increasing the intake of foods containing vitamin C to enhance
absorption of oral iron supplements. Which of the following food
choices should the nurse include in the teaching?
1 cup of boiled broccoli
A nurse is assisting with the care for a client who is 2 hr
postoperative following the amputation of a foot. Which of the
following actions should the nurse take first?
Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative
following abdominal surgery.
Exhibit 1
Nurses' Notes
1100:
Client received from PACU; initial vital signs recorded. Client is
drowsy but arouses to verbal stimuli. Oriented to person, place, and
time. Client is able to move all extremities. Normal sinus rhythm
noted. Breath sounds are clear upon auscultation. Dressing to abdomen
is intact with a small amount of serosanguinous drainage noted and
marked. No bowel sounds in all four quadrants. Indwelling urinary
catheter is in place and draining clear, yellow urine. Lactated
Ringer's is infusing at 100 mL/hr via IV catheter in the right
forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10.
Abdominal dressing is intact with no further drainage noted. Urine
output of 15 mL noted since arrival from PACU. Analgesic and
antiemetic were administered as prescribed.1230:
Client reports relief from nausea, and pain as a 4 on a scale of 0 to
10. Oxygen saturation is 96%. Client was repositioned for comfort and
encouraged to turn, cough, and deep breathe.1300:
No additional urine output noted since 1200.
Which of the following actions should the nurse take?
Select all that apply.
Instruct the client to splint their abdomen with a pillow when
coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving
dialysis treatment.
Exhibit 1
, Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right
forearm with thrill palpated and auscultated for bruit. Breath sounds
are clear upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3 seconds; +2
bilateral pedal and radial pulses.AVF access prepared and cannulated
twice with no difficulty. Lines are taped and secured; treatment is
initiated.0600:Client is reading a book. Access is visible, and lines
are secure. Client reports no discomfort or pain.0630:Client reports
feeling warm, nauseated, and lightheaded; appears restless and
slightly confused.
Exhibit 2
Vital Signs
0530:Current weight 88 kg (194 lb)Temperature 37° C (98.6° F)Blood
pressure• Lying - 152/92 mm Hg• Sitting - 148/90 mm Hg• Standing -
144/88 mm HgHeart rate 90/minRespiratory rate 20/minOxygen saturation
98% on room air0600:Temperature 36.9° C (98.4° F)Blood pressure
120/80 mm HgHeart rate 96/minRespiratory rate 20/minOxygen saturation
97% on room air0630:Temperature 36.2° C (97.1° F)Blood pressure
88/50 mm HgHeart rate 110/minRespiratory ra
For each potential nursing intervention, click to specify if the
intervention is indicated or not indicated.
Nursing Intervention
Request a chest x-ray - not indicated
Place the client in reverse Trendelenburg position - indicated
Assist with administering a 0.9% sodium chloride 200 mL IV bolus -
indicated
Apply oxygen at 2 L/min via nasal cannula - indicated
Notify the charge nurse immediately - indicated
Obtain the client's blood glucose level - not indicated
A nurse is contributing to the plan of care for a client who has a
new prescription for nystatin suspension for oral candidiasis. Which
of the following interventions should the nurse include in the plan?
Remind the client to swish the medication in their mouth.
A nurse is reinforcing teaching with the caregiver of a client who
has a cervical injury and has a halo vest in place. Which of the
following safety precautions should the nurse include in the teaching?
Change the sheepskin liner weekly.
A nurse is assisting in the care of a client who is receiving a
continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories
will the client receive in 12 hr? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
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