PN Adult Medical Surgical Online Practice-with 100% verified solutions-2024.docx, Exams of Nursing

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PN Adult Medical Surgical Online Practice-with 100%

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A nurse is caring for a female client who is being treated for dehydration due to nausea and vomiting. Which of the following findings should the nurse report to the provider? Heart rate 120/min A nurse is reinforcing teaching with a client about increasing dietary fiber. The nurse should recommend which of the following foods has the best source of fiber? Half cup cooked kidney beans A nurse is reinforcing teaching about insulin injections with an adult client who weighs 45.4 kg. which of the following statements by the client indicates an understanding of the teaching? "I should give my shot in my belly tissue" A Nurse is reviewing the plan of care for an older client who is one day post operative following a total hip arthroplasty. Which of the following interventions should the nurse contribute to the plan of care? Keep an abduction pillow between the clients legs We have an expert-written solution to this problem! A nurse is caring for a client who has intestinal obstruction and reports a new onset of nausea. The client had an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. which of the following actions should the nurse take first? Check for links in the NG tube A nurse in a clinic is assisting with the development of a pamphlet about STIs. which of the following information should the nurse recommend to include in the pamphlet?

Women have a higher risk of contracting STIs than men A nurse is changing the dressing for a client who has abdominal incision and a hemovac drain. which of the following actions should the nurse take? cleanse the drainage plug with alcohol Swabs A nurse is monitoring a client who has a wrist cast and reports intense itching underneath the cast. which of the following actions should the nurse take? blow cool air into the cast using a blow dryer on a cool setting A nurse is caring for a client who is 2 hour postoperative following an amputation of the foot. which of the following actions should the nurse take first? check the incisional dressing A nurse is assisting in the care of a client who has AIDS related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. which of the following findings should indicate to the nurse that the clients therapeutic regimen is effective? Decrease in exertional dyspnea A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. which of the following interventions should the nurse include in the plan of care? Keep bed linens off of the affected areas A nurse is reinforcing teaching with an older adult client who has osteoporosis. which of the following instructions should the nurse include in the teaching? Take calcium supplements with meals

A nurse is reinforcing teaching with a client who had osteoporosis and a new prescription for Calcitonin. which of the following statements should the nurse make to describe the effect of calcitonin in treating osteoporosis? calcitonin will slow the breakdown of bone in your body. A nurse is reinforcing teaching with a client who has coronary artery disease and is taking a statin medication to lower cholesterol levels. which of the following instructions should the nurse include in the teaching? Add oily fish to your diet twice weekly A nurse is contributing to the plan of care for a client who has Tuberculosis. which of the following interventions should the nurse include? place the client in a negative-pressure airflow room A nurse is caring for a client who had dementia due to Alzheimer's disease. which of the following actions should the nurse take to reduce the clients confusion? Encourage reminiscence of past experiences. a nurse in a health clinic is reinforcing teaching with a client who has tuberculosis about transmission of a disease. which of the following client statements indicate an understanding of the teaching? "I inhaled the infected droplets that were in the air" A nurse is reinforcing teaching with a client who has circulatory compromise in the lower extremities due to peripheral vascular disease. which of the following actions should the nurse take? Educate the client about choosing low-fat, low-cholesterol foods

A nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. which of the following statements by the client indicates an understanding of the teaching? " I will limit my daily intake of protein" A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. which of the following information should the nurse include in the teaching? (select all that apply) •your knee is flexed and extended and prescribed by your provider. •the machine is padded with sheep skin. A nurse is reinforcing teaching with a client who has asthma and a new prescription for a corticosteroid. which of the following should the nurse include as an adverse effect of the medication? frequent colds A nurse is reviewing the medication administration record of a client who has osteoporosis. which of the following analgesics prescriptions should the nurse expect to administer when the client reports pain? Acetaminophen A nurse is preparing a client for a cardiac catheterization. which of the following actions should the nurse take first? Verify the client has given informed consent. a nurse is contributing to the plan of care for a client who has a head injury and is at risk for increased intracranial pressure. which of the following actions should the nurse include in the plan? Use a turn sheet to reposition the client

a nurse is reinforcing teaching with a client prior to removal of a leg cast. which of the following statements should indicate to the nurse that the client understandings the teaching? "I will feel vibrations on my leg from the cast cutter." A nurse is contributing to the plan of care for a client who has just transferred to the med surg unit from the PACU following a right total knee arthroplasty. which of the following interventions should the nurse include in the plan? Assist the client to change positions every 2 hours a nurse is reviewing the medication record of a client who is taking digoxin. which of the following medications should the nurse Identify as increasing the risk for the client to develop digoxin toxicity? Furosimide A nurse is preparing to assist a client out of bed 4 hours following a laparoscopic cholecystectomy. which of the following actions should the nurse take first? obtain the clients blood pressure a nurse is caring for a client who has Cushing syndrome and expresses concern regarding body image changes. which of the following should the nurse recognize as a physical change caused by the disease? truncal obesity

a nurse is caring for a client who has end stage liver disease and just underwent an abdominal paracentesis. for which of the following manifestations should the nurse monitor as an adverse effect of the procedure. Decreased blood pressure a nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by the client not taking her medication for several days. the nurse should Identify that withdrawal from which of the following medications potentiated the adrenal crisis? Prednisone A nurse is caring for a client who has been taking enalapril. the nurse should monitor the client for which of the following adverse effects? cough a nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. which of the following statements by the client indicates a therapeutic response of the medication. "I have gained 3 pounds since my last appointment." a nurse is reviewing the medical record for an older adult client who is experiencing nausea and vomiting. based on the clients data, which of the following actions should the nurse take? notify the charge nurse of the clients BUN level

a nurse is providing information regarding transmission based precautions for a client who had Clostridium difficult to an assistive personnel. 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 clients room. •clean contaminated surfaces with bleach solution. a nurse is caring for a client following a gastrectomy. which of the following actions should the nurse take to decrease Episodes or dumping syndrome? place the client in the supine position after meals. a nurse is reinforcing teaching with a client who is taking levithyroxine. which of the following statements by the client indicates an understanding of the teaching. "the medication should be taken before I eat breakfast every morning " a nurse is contributing to the plan of care to promote a restful nights sleep for a client who has Alzheimer's disease. which of the following interventions should the nurse include in the plan? offer a small snack at bedtime a nurse is contributing to the plan of care for a client who had a cerebrovascukar accident (CVA). for which of the following interdisciplinary team members should the nurse recommend a referral prior to initiating oral intake for the client? speech language pathologist

a nurse is reviewing the laboratory reports of a client who reports chest pain. which of the following laboratory results indicates the client is experiencing myocardial infarction elevated troponin a nurse is caring for a client who has prostate cancer. the client asks the nurse why he is having difficulty with urination. which of the following responses should the nurse take? the tumor causes obstruction of urine from the urethra a nurse is collecting data from a client who is receiving sumatriptan. which of the following is an expected outcome? Diminished headache a nurse is caring for a client who reports shortness of breathe and had an oxygen saturation if 90%. which of the following actions should the nurse take? administer oxygen via Nasal cannula a nurse is reinforcing teaching about nutrition choices with a client who has leukemia and is receiving chemotherapy. the nurse should identify that which of the following statements by the client indicates an understanding of the teaching? "I drink bottled water"

a nurse is reinforcing teaching with a client who has diabetes and a new prescription for regular and NPH insulin. which of the following instructions on preparing the insulin's should the nurse include? withdraw the regular insulin before withdrawing the NPH insulin. a nurse is assisting in the plan of care for for a client who had recent left hemispheric stroke. which of the following actions should the nurse include in the plan? use simple verbal cues when directing tasks. a nurse is caring for a client who has restricted movement of the chest due to burn injury. the nurse should anticipate preparing the client for wish of the following procedures? escharotomy a nurse is collecting date from a client who has obstructive pulmonary disorder. the nurse should document the sounds as which of the following? wheezes a nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive personnel. which of the following instructions should the nurse give the AP? Allow the weights to hang freely a nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherapy. which of the following statements should the nurse include? you should place your toothbrush in hydrogen peroxide overnight

a nurse is planning for a group of clients after receiving change of shift report. which of the following clients should the nurse plan to see first? a client who is dehydrated, had mental confusion, and was found getting out of bed several times during the night a nurse is caring for a client who is postoperative following a transurethral resection if the prostate (TURP) and is receiving continuous bladder irrigation. the nurse notes decreased output from the urethral catheter. which of the following providers prescriptions should the nurse expect? irrigate the urethral catheter with 0.9% sodium chloride a nurse is caring for a client who is in bucks traction for a fractured hip. the client reports increased pain at the site of the fracture. which of the following actions should the nurse take? reposition client a nurse is caring for an adult client who has age related macular degeneration. which of the following findings should the nurse expect? Distorted central vision of the eyes We have an expert-written solution to this problem! a nurse is contributing to the plan of care for a client who has pericarditis. in which of the following positions should the nurse plan to place the client to decrease pain? Upright, leaning forward

A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. a nurse is caring for four clients. which of the following conditions should the nurse identify as a risk for developing vascular disease? diabetes mellitus a nurse is assisting with the care of a client who had a stroke and is unable to speak. the nurse should identify that the clients injury occurred in which of the following lobes of the brain? Frontal Lobe a nurse is caring for 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 hours? 864 a nurse is reinforcing teaching with a client who has a new diagnosis of tuberculosis and a prescription for isoniazid and rifampin. which of the following information should the nurse include in the teaching? household family members should be tested for TB

a nurse is collecting data from an older adult client who has several concerns. which of the following concerns should the nurse recognize as a normal change associated with aging? "My food tastes bland even after I add seasoning" a nurse is repositioning a client who has lower back pain. which of the following positions is appropriate for the client? semi fowlers with knees flexed a nurse is reinforcing teaching about pursed lip breathing with a client who has a new diagnosis of COPD. the nurse should identify which of the following clients statements indicate an understanding of the teaching? "pursed lip breathing works best for activities like walking up stairs" a nurse is reinforcing teaching with a client about testicular self examination. which of the following instructions should the nurse include in the teaching? Perform testicular self-exam after taking a warm shower a nurse is reinforcing discharge teaching for a client who had a mechanical mitral valve replacement. which of the following statements by the client indicates an understanding of the teaching? I" will notify my dentist about this procedure" a nurse is reinforcing teaching to a client about preventing osteoporosis. which of the following statements indicates and understanding of the teaching? "i will limit my coffee intake"

a nurse is reinforcing teaching with a client who has type 1 diabetes about glycosylated hemoglobin (HBA1c) testing. which of the following information should the nurse include in the teaching? HbA1C results measure glucose control for the prior 3 months. a nurse is reviewing the medical record of a client who is postoperative. which of the following findings should the nurse identify as a complication of surgery? WBC count of 15, a nurse is caring for a client who has a new cast on her left forearm and reports severe pain in the affected arm with numbness in the fingers. the nurse finds the skin is pale and cold with sluggish capillary refill. which of the following fracture complications should the nurse expect? compartment syndrome a nurse is caring for a client undergoing testing for multiple sclerosis. which of the following findings should the nurse expect? muscle spasticity a nurse is caring for a client who begins to have a seizure while ambulating in the hall. identify the sequence of actions the nurse should follow. 1). Lower the client to the floor. 2). Place a pad beneath the client's head. 3). Loosen the clothing around the client's neck.

4). Time the length of the client's seizure. 5). Reorient and reassure the client. a nurse is admitting a client who is suspected of having active TB. which of the following actions should the nurse take first? Institute airborne precautions a nurse is preparing to administer an influenza vaccine to a client. which of the following statements by the client should cause the curse to postpone administration of the vaccine? "I had a low fever this morning" a nurse is reinforcing teaching with a client who is postoperative following a demented total hip arthroplasty. which of the following instructions should the nurse include in the teaching? maintain hip flexion to 90 degrees of less when sitting a nurse is caring for a client who is suspected of having a MI. which of the following actions should the nurse take to prepare the client for ECG? cleanse the clients skin prior to electrode placement a nurse is collecting data from a client who had 30% body surface area partial thickness and full thickness burns. which of the following findings indicates that fluid resuscitation is adequate? urine output 50 ml/hr

a nurse is caring for a client who has neutropenia. which of the following nursing interventions should the nurse implement? Limit visitors to healthy adults a nurse is reinforcing discharge teaching with a client who has Crohn's disease. which of the following statements should the nurse include in the teaching? maintain a low residue diet a nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. which of the following information should the nurse include in the teaching? the virus can be transmitted without lesions present a nurse is caring for a client who is post operative and had a Jackson Pratt drain. which of the following actions should the nurse take? compress the bulb reservoir and then close the drainage valve a nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. while taking the clients 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 preparing to insert a double lumen gastric (salem) sump tube for a client who has peptic ulcer and had developed GI bleeding. which of the following images indicates the tube that the nurse should select? clear tube with dark blue a nurse is caring for a client who had returned to the unit following a bronchoscopy. which of the following findings should the nurse report to the provider? diminished breath sounds a nurse is reinforcing teaching with a client who has microcytic anemia and is prescribed a daily iron supplement. the nurse tells the client to consume foods containing vitamin C when taking the supplants to enhance absorption. which of the following food choices indicates an understanding of the teaching? 1 cup boiled broccoli a nurse is assisting with an educational program for a clients who have been newly diagnosed with Diabetes. which of the following instruction me should the nurse include in the program regarding insulin? opened insulin can be stored on a cool countertop away from light a home health nurse is caring for a clients who has COPD. the client tells the nurse that he becomes short of Breath while eating despite the use of home oxygen. which of the following instructions should the nurse include? drink beverages at the end of meals

a. it's is caring for a client who is 24 hour postoperative following an abdominal surgery. which of the following findings requires immediate attention from the nurse? oxygen Saturation of 88% a nurse is reviewing the medical record of a client who has acute pancreatitis. which of the following findings should the nurse anticipate? Elevated serum amylase level nurse is reinforcing teaching with the parent of a toddler who had type 1 diabetes and who's prescription had been changed from regular insulin to lispro insulin. which of the following information should the nurse include in the teaching? lispro should be given before eating a nurse is caring for a client following thyroidectomy. which of the following findings should alert the nurse to the possibility of parathyroid gland injury? muscle twitching