NSG-3250 EXAM 1 with 100% correct solutions, Exams of Nursing

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NSG-3250 EXAM 1 with 100% correct solutions

Medical-surgical |nursing |- |correct |answer |-a |specialty |area |of |practice |that |provides |nursing |services |to |patients |from |adolescence |through |the |end-of-life |in |hospital |medical-surgical |units, |clinics, |ambulatory |care |units, |urgent |care |centers, |home |health |care |agencies, |and |long-term |care |facilities

Rehospitalization |- |correct |answer |-admission |to |the |hospital |within | 30 |days |of |a |prior |discharge |from |a |hospitalization

transitional |care |- |correct |answer |-coordinated |services |and |supports |during |the |interval |between |preparing |a |patient |to |leave |one |setting |and |enter |another

A |home |health |nurse |is |conducting |an |assessment |of |a |client |who |may |qualify |for |Medicare. |Consequently, |the |nurse |is |utilizing |the |Outcome |and |Assessment |Instrument |Set |(OASIS). |When |performing |an |assessment |using |this |instrument, |the |nurse |should |assess |what |domain |of |the |client's |current |status? |- |correct |answer |-Functional |status

Critical |Care |Nursing |- |correct |answer |-a |specialty |area |of |practice |that |provides |nursing |services |to |critically |ill |patients |across |the |lifespan |in |acute |care |settings |such |as |the |hospital |intensive |unit; |current |practice |settings |have |expanded |to |include |virtual |care |and |community |settings

Rehabilitation |nursing |- |correct |answer |-returning |patients |to |optimal |functionality |through |a |holistic |approach |to |care |that |is |based |on |scientific |evidence.

Home |health |- |correct |answer |-skilled |nursing |in |a |persons |home

community-based |nursing |- |correct |answer |-promoting |and |maintaining |the |health |of |individuals |and |families, |preventing |and |minimizing |the |progression |of |disease, |and |improving |quality |of |life

activities |of |daily |living |(ADLs) |- |correct |answer |-basic |self-care |tasks |such |as |eating, |bathing, |toileting, |walking, |and |dressing

instrumental |activities |of |daily |living |(IADLs) |- |correct |answer |-tasks |necessary |to |conduct |the |business |of |daily |life |and |also |requiring |some |cognitive |competence, |such |as |telephoning, |shopping, |food |preparation, |housekeeping, |and |paying |bills

nurse |navigator |- |correct |answer |-assist |clients |with |transitions |in |different |levels |of |care, |such |as |from |the |hospital |to |a |rehabilitation |facility

case |manager |- |correct |answer |-ensure |cost-effective |care |and |to |communicate |with |the |medical |insurance |company

Medicare, |Medicaid, |and |third |party |payers |require |- |correct |answer |-documentation |of |the |client's |homebound |status |and |the |need |for |skilled |professional |nursing |care

When |is |discharge |planning |started? |- |correct |answer |-Upon |admission

preoperative |phase |- |correct |answer |-period |of |time |from |when |the |decision |for |surgical |intervention |is |made |to |when |the |patient |is |transferred |to |the |operating |room |table

intraoperative |phase |- |correct |answer |-period |of |time |that |begins |with |transfer |of |the |patient |to |the |operating |room |area |and |continues |until |the |patient |is |admitted |to |the |postanesthesia |care |unit

postoperative |phase |- |correct |answer |-period |of |time |that |begins |with |the |admission |of |the |patient |to |the |postanesthesia |care |unit |and |ends |after |follow-up |evaluation |in |the |clinical |setting |or |home

perioperative |phase |- |correct |answer |-period |of |time |that |constitutes |the |surgical |experience; |includes |the |preoperative, |intraoperative, |and |postoperative |phases |of |nursing |care

ambulatory |surgery |- |correct |answer |-includes |outpatient, |same-day, |or |short-stay |surgery |that |does |not |require |an |overnight |hospital |stay

Geriatric |concerns |with |surgery |- |correct |answer |-Increased |comorbidities

Cardiac |reserves |are |lower |

renal |and |hepatic |functions |are |depressed |

GI |activity |is |likely |reduced

Geriatric |pre |op |considerations |- |correct |answer |-blood |tests, |EKG, |and |monitoring |BP |can |help |identify |potential |risks |for |cardiac |related |risks |during |surgery

bariatric |surgery |complications |- |correct |answer |-Increased |subQ |tissue |makes |IV |access |difficult |and |delays |wound |healing |

Joint |replacement |failure |

Shallow |respirations |while |laying |supine

emergency |surgery |- |correct |answer |-surgery |that |must |be |performed |immediately |to |save |the |person's |life |or |a |body |organ

little |time |for |preparation

diagnostic |surgery |- |correct |answer |-determines |or |confirms |a |diagnosis

Ablative |surgery |- |correct |answer |-To |remove |a |diseased |body |part

curative |surgery |- |correct |answer |-cures; |alleviates |a |problem

informed |consent |- |correct |answer |-an |ethical |principle |that |research |participants |be |told |enough |to |enable |them |to |choose |whether |they |wish |to |participate |in |a |surgical |procedure

What |distance |should |the |nurse |keep |between |their |person |and |the |sterile |field? |- |correct |answer |- 1 |foot

If |the |patient |is |experiencing |pre-hypothermia |like |symptoms |during |surgery, |what |can |the |nurse |do? |- |correct |answer |-Warm |the |IV |fluids |to |body |temp

Optimal |nutrition |is |an |essential |factor |in |- |correct |answer |-promoting |healing |and |resisting |infections |and |other |surgical |complications

Any |protein |deficiency |should |be |corrected |before |surgery |to |- |correct |answer |-help |provide |adequate |healing

If |a |patient |reports |of |history |of |anorexia |nervosa, |the |nurse |should |perform |a |_____________. |- |correct |answer |-Detailed |analysis |of |the |clients |electrolyte |levels.

If |the |client |is |taking |immunosuppressants |after |a |transplant, |what |will |the |client |be |susceptible |to? |- |correct |answer |-Infection

Dentures, |dental |caries, |or |partial |plates |are |important |to |let |the |ologist |or |CRNA |know |about |because |- |correct |answer |-rotten |teeth |or |prostheses |can |become |dislodged |and |occlude |the |airways

Drug |or |alcohol |use/disuse |before |and |after |surgery |can |cause |- |correct |answer |-complications |during |surgery |and |or |have |complications |with |drug |metabolism

Heavy |cigarette |smoking |intraoperative |and |post-op |can |cause |- |correct |answer |-atelecasis |and |hypoxia

How |long |should |a |healthy |patient |stop |smoking |for |before |a |surgery? |

Chronic |patient? |- |correct |answer |-2 |days |

3-4 |weeks

Before |administering |pre |op |drugs, |what |should |be |completed |first |- |correct |answer |-the |informed |consent |form

Respiratory, |cardiovascular, |hepatic |and |renal, |endocrine, |and |immune |systems |should |be |assessed |throughly |especially |if |- |correct |answer |-the |patient |has |a |chronic |condition

The |purpose |of |being |NPO |before |surgery |is |to |- |correct |answer |-prevent |possible |aspirations

Preoperative |skin |preparation |is |to |- |correct |answer |-decrease |bacteria |without |injuring |the |skin

A |patient |with |an |active |GI |bleed |that |produces |"coffee-ground" |like |emesis |should |anticipate |surgery |when? |- |correct |answer |-Without |any |delay

What |teaching |should |the |nurse |use |when |going |over |deep |breathing |post-op? |- |correct |answer |- The |client |should |take |a |deep |breath |in |through |the |mouth |and |exhale |through |the |mouth, |take |a |short |breath, |and |cough |from |deep |in |the |lungs

In |order |to |there |to |be |informed |consent, |the |doctor |must |do |what |in |the |pre-op? |- |correct |answer |-explain |the |procedure |and |inform |the |client |of |the |benefits, |alternatives, |possible |risks, |complications, |disfigurement, |disability, |and |removal |of |body |parts |as |well |as |what |to |expect |in |the |early |and |late |postoperative |periods

When |is |teaching |most |effective? |- |correct |answer |-before |the |surgery

After |preoperative |medications |are |given, |the |patient |should |_____ |in |bed. |- |correct |answer |-stay. |

These |meds |can |cause |light-headedness |or |drowsiness

When |teaching |patients |about |pre-op |smoking |cessation, |the |best |thing |to |say |is |- |correct |answer |- try |and |stop |smoking |entirely |to |reduce |the |changes |of |respiratory |infections |or |pneumonia

Most |common |complications |during/after |surgery |- |correct |answer |-VTE/ |DTV

Surgical |site |infections |

pulmonary |complications/infections |

anesthesia |reaction

What |happens |before |surgery? |- |correct |answer |-PAT |assessment |

admission |

assessment |

risk |of |complication |

verify |consent |to |treat |

confirm |code |status |

education |

IV |

Pre-op |meds |

surgical |site |marking |

comfort

Educate |the |patient |to |discontinue |_______ |before |surgery |- |correct |answer |-St. |Johns |wart |due |to |its |ability |to |interact |with |anesthesia

Which |arm |do |you |not |use |for |an |IV |placement? |- |correct |answer |-The |side |with |a |mastectomy. |If |bilateral, |side |with |the |least |lymph |nodes

Purpose |of |bowel |prep |- |correct |answer |-To |decrease |risk |for |contamination |of |the |peritoneum

Pt |should |lay |flat |in |bed |for |________ |if |spinal |anesthesia |is |used |to |prevent |a |spinal |headache |- |correct |answer |-6-8 |hours |

keep |patient |supine

What |should |the |PACU |nurse |do |after |a |client |got |a |epidural? |- |correct |answer |-Check |vitals |frequently. |

Laying |in |a |flat |position |for |an |epidural |is |NOT |necessary. |For |a |spinal, |it |is.

A |transsacral |block |would |provide |anesthesia |for |- |correct |answer |-the |perineum |and |lower |abdomen

What |is |the |first |sign |of |malignant |hyperthermia? |- |correct |answer |-tachycardia

The |role |of |a |circulating |nurse |would |be |to |- |correct |answer |-document |everything

Which |form |of |PPE |is |always |required |in |the |OR |during |surgery? |- |correct |answer |-A |mask |covering |the |mouth |and |nose

Which |position |has |the |greatest |chance |of |inducing |nerve |damage |during |surgery |- |correct |answer |- trendelenburg

During |the |excitement |phase |of |anesthesia, |which |intervention |should |the |nurse |perform? |- |correct |answer |-Patient |safety

Malignant |hyperthermia |- |correct |answer |-A |hereditary |condition |of |uncontrolled |heat |production |that |occurs |when |susceptible |people |receive |certain |anesthetic |drugs. |High |levels |of |calcium |and |potassium |leading |to |acidosis |and |cardiac |dysrthmyias

Early |signs |include |a |rise |in |end |total |CO2 |and |decreased |O2 |sat |with |tachycardia

Dantrolene |- |correct |answer |-Drug |of |choice |to |treat |malignant |hyperthermia |from |reaction |to |anesthetics

Care |in |post-op |includes |- |correct |answer |-Resumption |of |motor |and |sensory |function

Oriented |

Stable |VS

Shows |no |evidence |of |hemorrhaging |or |other |complications |of |surgery

What |should |the |first |thing |the |PACU |nurse |assesses |on |a |patient |that |just |retuned |from |the |OR |- |correct |answer |-Airway |patency

PACU |nurse |functions |- |correct |answer |-Protect |ABCs |

Resp

LOC, |TRP, |O2 |sat, |BP

Examine |surgical |area |

Discharge

Nursing |interventions |in |PACU |- |correct |answer |-Controlling |nausea |and |vomiting |

relieving |pain |and |anxiety |

assess |systems |

indicators |of |hypovolemic |shock, |hemorrhage

Nursing |interventions |for |a |client |who |has |received |anesthesia |- |correct |answer |-Place |client |on |a |pulse |ox |and |cardiac |monitor

If |the |patients |fail |to |ambulate, |if |they |are |cleared |to, |what |is |a |possible |complication |- |correct |answer |-atelectasis

Steroids |- |correct |answer |-impair |wound |healing

If |a |patient |has |type | 1 |DM |going |into |a |same |day |surgery, |the |nurse |should |_________ |- |correct |answer |-assess |blood |glucose |levels |regularly

If |the |client |signed |a |consent |form |but |was |recently |diagnoses |with |alzheimers, |who |is |legally |responsible |for |signing |- |correct |answer |-the |client

What |do |you |do |if |the |client |has |not |signed |the |consent |form, |but |is |being |medicated |for |a |surgery? |- |correct |answer |-Tell |the |physician

Who |should |know |if |the |patient |has |a |latex |allergy? |- |correct |answer |-The |anesthesiologist

Will |an |older |adult |experience |sedative |effects |over |a |longer |or |shorter |period? |- |correct |answer |- Longer

In |PACU, |an |increased |respiratory |rate |with |the |use |of |accessory |muscles |should_______ |- |correct |answer |-be |reported |immediately

If |a |patient |is |having |surgery |in |the |lower |abdomen, |what |is |the |client |at |risk |for? |- |correct |answer |-Thrombophlebitis

If |a |client |has |a |cholecystectomy, |what |does |the |patient |have |at |risk. |- |correct |answer |-Pneumonia. |Because |you |cannot |be |taking |big |deep |breaths

Which |cardiac |medication |is |given |before |surgery? |- |correct |answer |-Beta |blocker

If |any |of |the |packing |tape |touches |the |patient |during |packing, |what |should |you |do? |- |correct |answer |-Remove |all |of |that |packing |strip

What |medication |can |cause |a |risk |of |dehiscence |- |correct |answer |-corticosteroids

How |long |is |a |concert |good |for? |- |correct |answer |-6 |weeks

Which |lab |is |required |to |rule |out |infection |before |a |total |joint |replacement? |- |correct |answer |- Urinalysis

Which |analgesic |should |be |held |if |the |patient |has |a |history |of |liver |failure? |- |correct |answer |- Tylenol

Which |lab |panel |should |be |checked |to |see |if |there |is |a |risk |of |bleeding? |- |correct |answer |-CBC

Patients |on |dialysis |should |have |this |lab |checked |before |surgery? |- |correct |answer |-Potassium

If |a |patient |is |on |warfarin, |what |lab |should |be |checked |before |surgery? |- |correct |answer |-INR/PT

Which |electrolytes |are |you |monitoring |when |administering |large |amounts |of |insulin? |- |correct |answer |-Potassium

Pre-diabetes |- |correct |answer |-A |condition |in |which |a |person's |blood |glucose |levels |are |above |normal |but |not |high |enough |for |a |diagnosis |of |type | 2 |diabetes.

Previous |hyperglycemia |

Family |history |of |diabetes

type | 1 |diabetes |mellitus |- |correct |answer |-diabetes |in |which |no |beta-cell |production |of |insulin |occurs |and |the |patient |is |dependent |on |insulin |for |survival

Ketosis |prone |when |insulin |absent

type | 2 |diabetes |- |correct |answer |-Diabetes |of |a |form |that |develops |especially |in |adults |and |most |often |obese |individuals |and |that |is |characterized |by |high |blood |glucose |resulting |from |impaired |insulin |utilization |coupled |with |the |body's |inability |to |compensate |with |increased |insulin |production.

Oral |antidiabetic |medications

gestational |diabetes |- |correct |answer |-a |form |of |diabetes |mellitus |that |occurs |during |some |pregnancies. |

Macrosomia |

Placental |hormones |inhibit |insulin |action

Osmotic |diuresis |- |correct |answer |-When |excessive |glucose |is |excreted |in |the |urine |cuz |the |kidneys |cannot |filter |all |of |the |glucose, |it |is |accompanied |by |excessive |loss |of |fluids |and |electrolytes

Diabetic |Ketoacidosis |(DKA) |- |correct |answer |-deficiency |of |insulin |and |highly |acidic |ketone |bodies |are |formed, |and |metabolic |acidosis |occurs

metabolic |syndrome |- |correct |answer |-A |syndrome |marked |by |the |presence |of |usually |three |or |more |of |a |group |of |factors |(as |high |blood |pressure, |abdominal |obesity, |high |triglyceride |levels, |low |HDL |levels, |and |high |fasting |levels |of |blood |sugar) |that |are |linked |to |increased |risk |of |cardiovascular |disease |and |Type | 2 |diabetes.

Risk |factors |for |diabetes |- |correct |answer |-overweight, |poor |diet, |little |daily |exercise, |close |relative |with |diabetes, |ethnicity( |African |American, |latin, |Native |American)

Best |way |to |diagnose |diabetes |- |correct |answer |-***checking |A1C |(Typically |over |6.4%)

A1C |is |a | 3 |month |average |of |your |blood |sugar

Classic |symptoms |of |diabetes |- |correct |answer |-polyuria, |polydipsia |(thirst), |polyphagia |(hunger)

Long |term |effects |of |metabolic |syndrome |- |correct |answer |-Atherosclerosis, |ischemic |heart |disease, |left |ventricular |heart |hypertrophy, |type | 2 |DM

Diabetic |complication |prevention |- |correct |answer |-retinopathy, |nephropathy, |and |neuropathy

Combining |starchy |foods |with |protein |and |fat |slows |- |correct |answer |-absorption |and |glycemic |response

Normal |A1C |levels |- |correct |answer |-4-6%

Normal |triglyceride |levels |- |correct |answer |-below | 150

Raw |or |whole |foods |tend |to |have |_________ |response |than |cooked, |chopped, |or |pureed |foods. |- |correct |answer |-lower

Eating |whole |fruits |rather |than |juices |- |correct |answer |-decreases |glycemic |index |because |of |the |fiber

Nursing |care |for |DM |- |correct |answer |-Avoid |moisturizer |in |already |moist |areas |

trim |nails |straight |across |

Dry |feet |well |after |washing |

do |not |soak

Inspect |feet |

Wear |well |fitted |shoes

How |to |draw |up |Insulin: |- |correct |answer |-Nicole |Richie |RN:

Air |into |NPH, |then |air |into |Regular, |draw |up |regular |then |draw |up |NPH.

Dawn |phenomenon |- |correct |answer |-***Early |morning |glucose |elevation |produced |by |the |release |of |growth |hormone, |which |decreases |peripheral |uptake |of |glucose |resulting |in |elevated |morning |glucose |levels. |Admin |of |insulin |at |a |later |time |in |day |will |coordinate |insulin |peak |with |the |hormone |release.

3 |am |to |7am, |blood |glucose |levels |rise |dramatically |

Result |from |nocturnal |surges |of |sugar |and |growth |hormone |(type | 1 |DM)

Somogyi |effect |- |correct |answer |-nocturnal |hypoglycemia |rebound |resulting |in |hyperglycemia |at |night

Insulin |lipodystrophy |- |correct |answer |-loss |of |subcutaneous |fat |and |appears |as |slight |dimpling |or |more |serious |pitting |of |subcutaneous |fat; |the |use |of |human |insulin |helps |prevent |this |complication

Resulting |from |insulin |injections |in |one |localized |area

Glipizide, |glyburide |- |correct |answer |-NURSING |CONCIDERATION: |

Check |renal |functions. |Creatinine |levels. |Anything |over | 2 |is |concerning

Stress |can |cause |- |correct |answer |-hyperglycemia

Latent |autoimmune |diabetes |in |adults |(LADA) |- |correct |answer |-also |known |as |Type |1.5 |diabetes, |is |a |condition |in |which |type | 1 |diabetes |develops |in |adults

progression |of |autoimmune |beta |cell |destruction |in |the |pancreas |is |slower |than |in |types | 1 |and | 2

A |BMI |over |______ |is |a |risk |factor |for |diabetes |- |correct |answer |-

Native |americans |are |more |at |risk |for |- |correct |answer |-Diabetes

The |age |over |_____ |is |a |risk |factor |- |correct |answer |-

Inability |to |satisfy |hunger |is |_______

and |is |a |S/S |of |______ |- |correct |answer |-Dysphagia |

Diabetes

Do |not |______ |the |finger |before |doing |blood |glucose |check |- |correct |answer |-massage/ |rub

Do |not |advise |pts |to |have |foods |_____________ |on |the |glycemic |index |- |correct |answer |-HIGH

Check |creatinine |levels |if |pt |is |on |_______ |- |correct |answer |-Metformin

Glyburide |- |correct |answer |-Helps |bodies |insulin |attach |to |the |receptors

Food |should |be |administered |around |the |_______________ |of |NPH |insulin |- |correct |answer |-Onset |peak

NPH |insulin |- |correct |answer |-long |acting |insulin

First |sign |of |severe |hyperglycemia |- |correct |answer |-Rapid |deep |breath |respirations |(Kussmauls)

For |symptoms |of |nausea |and |vomiting, |the |nurse |should |ask |- |correct |answer |-What |their |current |blood |sugar |is

Fruity |breath |- |correct |answer |-diabetic |ketoacidosis

acetone |in |breath

When |the |patient |starts |asking |questions |about |what |is |appropriate |for |their |DM |management |- |correct |answer |-the |patient |is |ready |to |learn

Manifestation |of |hypoglycemia |- |correct |answer |-BG |below | 70

cold, |clammy |skin

numbness |of |fingers, |toes, |mouth

increased |HR

emotional |changes

HA

nervousness, |tremors

faintness, |dizziness |

unsteady |gait, |slurred |speech

hunger

changes |in |vision

seizures, |coma

ALWAYS |treat |the |patient |with |_________ |first |over |______ |- |correct |answer |-HYPOglycemia |

hyperglycemia

Gerontology |diabetes |concerns |- |correct |answer |-Hypoglycemia |concerns |cuz |they |live |alone |

Decreased |renal |function |

may |skip |meals

Macrovascular |- |correct |answer |-accelerated |atherosclerotic |changes, |coronary |artery |disease, |cerebrovascular |disease, |and |peripheral |vascular |disease

Microvascular |- |correct |answer |-diabetic |retinopathy |and |nephropathy

Neuropathic |- |correct |answer |-peripheral |neuropathy, |autonomic |neuropathies, |hypoglycemic |unawareness, |neuropathy, |sexual |dysfunction

ways |to |diagnose |diabetes |- |correct |answer |-A1C, |fasting |glucose, |and |GTT |test

A |patient |who |has |been |taking |a |sulfonylurea |antidiabetic |medication |will |begin |taking |metformin |(Glucophage). |The |nurse |understands |that |this |patient |is |at |increased |risk |for |which |condition? |- |correct |answer |-renal |failure

The |intensive |care |nurse |is |caring |for |a |client |admitted |in |a |hyperglycemic-hyperosmolar |state. |Which |of |these |prescriptions |made |by |the |primary |health |care |provider |will |the |nurse |question? |- |correct |answer |-1 |ampule |Sodium |Bicarbonate |IV |now

Ketones |in |the |urine |indicates |that |there |is |a |- |correct |answer |-deficiency |of |insulin

A |random |glucose |test |level |- |correct |answer |-should |be |at |or |under | 200

A |fasting |glucose |test |level |- |correct |answer |-Should |be |at |or |under | 126

Short |acting |insulin |should |be |given |______ |mins |before |meals? |- |correct |answer |-

Sulfonylureas |- |correct |answer |-exert |their |primary |action |by |directly |stimulating |the |pancreas |to |secrete |insulin, |and |therefore |require |a |functioning |pancreas |to |be |effective

Biguanides |- |correct |answer |-inhibit |the |production |of |glucose |by |the |liver |and |are |in |used |in |type | 2 |diabetes |to |control |blood |glucose |levels

Thiazolidinediones |- |correct |answer |-enhance |insulin |action |at |the |receptor |site |without |increasing |insulin |secretion |from |the |beta |cells |of |the |pancreas

Alpha-glucosidase |inhibitors |- |correct |answer |-work |by |delaying |the |absorption |of |glucose |in |the |intestinal |system, |resulting |in |a |lower |postprandial |blood |glucose |level

An |important |reminder |to |teach |type | 1 |diabetics |about |"sick |day |rules" |is |to |- |correct |answer |-not |eliminate |insulin |when |nauseated |or |vomiting

Which |lab |is |indicated |when |metformin |is |given |- |correct |answer |-serum |creatinine |levels

What |time |will |the |dawn |phenomenon |occur? |- |correct |answer |-0500-

Should |diabetics |eat |food |higher |on |the |glycemic |index? |- |correct |answer |-YES

When |will |a |type | 1 |diabetic |experience |a |peak |hypoglycemic |episode |- |correct |answer |-Mid- morning.

When |a |type | 1 |diabetic |receives |NPH |insulin |at |7:30, |when |will |they |experience |a |hypoglycemia |reaction? |- |correct |answer |-Mid |afternoon

glyburide/metformin |- |correct |answer |-attaches |to |the |body's |insulin |receptors

When |should |meals |be |eaten |when |NPH |is |administered? |- |correct |answer |-Peak |of |effectiveness

What |are |the |types |of |insulins |that |can |be |given |on |a |subQ |pump |- |correct |answer |-Regular |or |rapid |acting

The |nurse |assesses |the |client |and |finds |that |the |client |is |tachypneic, |has |crackles |on |auscultation, |and |has |frothy |and |pink |sputum. |The |nurse |should |suspect |which |complication? |- |correct |answer |- flash |pulmonary |edema

What |is |almost |always |the |short |term |goal |for |post-op |patients? |- |correct |answer |-adequate |respiratory |function

The |nurse |is |caring |for |a |postoperative |client |with |a |history |of |congestive |heart |failure |and |peptic |ulcer |disease. |The |client |is |highly |reluctant |to |ambulate |and |will |not |drink |fluids |except |for |hot |tea |with |meals. |The |client's |vital |signs |are |slightly |elevated, |and |the |client |has |a |nonproductive |cough. |The |nurse |auscultates |crackles |at |the |base |of |the |lungs. |Which |complication |should |the |nurse |first |suspect? |- |correct |answer |-Hypostatic |pulmonary |congestion

When |assessing |a |postsurgical |client's |risk |for |deep |vein |thrombosis, |the |nurse |should |prioritize |what |assessment |parameter? |- |correct |answer |-hydration |status

The |surgical |nurse |is |caring |for |a |client |whose |wound |is |classified |as |clean |contaminated. |Which |type |of |wound |is |the |nurse |likely |to |assess? |- |correct |answer |-A |wound |with |a |drainage |system