PN Adult Medical Surgical Online Practice 2023 A Questions and Answers Updated
9 views 0 purchase
Course
PN Adult Medical Surgical .
Institution
PN Adult Medical Surgical .
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? - Correct Ans-Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which ...
PN Adult Medical Surgical Online Practice 2023 A
Questions and Answers Updated 2024-2025
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? -
Correct Ans-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? - Correct Ans-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? - Correct Ans-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? - Correct Ans-"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.) - Correct Ans-"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? - Correct Ans-"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? - Correct Ans-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? - Correct Ans-"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? - Correct Ans-1 cup of
boiled broccoli
PN Adult Medical Surgical Online
, PN Adult Medical Surgical Online
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? -
Correct Ans-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 rel - Correct Ans-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/minRespir - Correct Ans-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
PN Adult Medical Surgical Online
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestzone. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
