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RNSG MISC Final Medsurg 3 Exam Questions and Answers Best Rated A+ Guaranteed Success Latest Update 2022/2023 GRADED A+
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A client is devastated by the results of his genetic testing, stating, “How am I ever going to get health insurance with these kinds of risks?” What is the nurse's best response? HINKLE A. I’m sure there are jobs that will still be very appropriate for you. B. There’s legislation that outlaws that kind of discrimination. Genetic Information Nondiscrimination Act C. Nearly everyone has results like this when they undergo testing. D.I know it’s distressing but try to wait until your employer responds. A client is distressed at body changes related to kyphosis. What response by the nurse is best? IGGY A. Ask the client to explain more about these feelings. B. Explain that these changes are irreversible. C. Offer to help select clothes to hide the deformity. D.Tell the client safety is more important than looks.
A client presents to the Emergency Department reporting increasing shortness of breath. The nurse assessing the client notes a history of left-sided heart failure. The client is agitated and occasionally coughing up pink-tinged, foamy sputum. The nurse should recognize the signs and symptoms of what health problem? HINKLE A. Right-sided heart failure B. Acute pulmonary edema C. Pneumonia D. Cardiogenic shock A nurse is caring for a client who has suffered a hip fracture and who will require an extended hospital stay. The nurse should ensure that the client does what action to prevent common complications associated with a hip fracture? (The nurse should ensure that the patient does which of the following in order to prevent common complications associated with a hip fracture?) TB wording HINKLE
A. Use supplementary oxygen when transferring or mobilizing. B. Avoid requesting analgesia unless pain becomes unbearable. C. Increase fluid intake and perform prescribed foot exercises. D. Remain on bed rest for 14 days or until instructed by the orthopedic surgeon. Emergency medical technicians arrive at the emergency department with an unresponsive client who has an oxygen mask in place. Which action should the nurse take first? IGGY A. Assess that the client is breathing adequately. B. Insert a large-bore intravenous line. C. Place the client on a cardiac monitor. D.Assess for the best neurologic response. A client has sustained a long bone fracture and the nurse is preparing the client care plan. Which of the following should the nurse include in the care plan?
A. Administer vitamin D and calcium supplements as prescribed. B. Monitor temperature and pulses of the affected extremity. C. Perform passive range of motion exercises as tolerated. D. Administer corticosteroids as prescribed. A client was brought to the emergency department after a fall. The client is taken to the operating room to receive a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize? HINKLE A. Make sure you don't bring your knees close together. B. Try to lie as still as possible for the first few days. C. Try to avoid bending your knees until next week. D.Keep your legs higher than your chest whenever you can. A client's decreased mobility has been attributed to
an autoimmune reaction originating in the synovial tissue, which caused the formation of pannus. This patient has been diagnosed with what health problem? HINKLE A. Rheumatoid arthritis (RA) B. Systemic lupus erythematosus C. Osteoporosis D.Polymyositis A client is being treated for bites suffered during an assault. After the bites have been examined and documented by a forensic examiner, the nurse should perform what action? HINKLE A. Apply a dressing saturated with chlorhexidine. B. Wash the bites with soap and water. C. Arrange for the client to receive a hepatitis B vaccination. D. Assess the client’s immunization history.
A patient with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse knows that the patient has understood health education when the patient makes what statement? HINKLE A. I'll make sure I get enough exposure to sunlight to keep up my vitamin D levels. B. I'll try to be as physically active as possible between flare-ups. C. I'll make sure to monitor my body temperature on a regular basis. D. I’ll stop taking my steroids when I get relief from my symptoms. A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client’s care, what goal should the nurse include? HINKLE A. The patient will express satisfaction with her ability to perform ADLs. B. The patient will recover from OA within 6 months. C. The patient will adhere to the prescribed plan of care. D.The patient will deny signs or symptoms of OA.
client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the patient about what process? HINKLE A. Injection of a contrast agent into the knee joint prior to ROM exercise B. Aspiration of synovial fluid for serologic testing C. Injection of corticosteroids into the client’s knee joint to facilitate ROM D.Replacement of the client’s synovial fluid with a synthetic substitute A nurse plans care for a client who has chronic obstructive pulmonary disease and thick, tenacious secretions. Which intervention should the nurse include in the client’s plan of care? (Select all that apply.) IGGY A. Ask the client to drink 2 liters of fluids daily is not contraindicated B. Add humidity to the prescribed oxygen C. Suction the client every 2 to 3 hours
D.Use a vibrating positive expiratory pressure device or chest physiotherapy E. Encourage diaphragmatic breathing A client with diabetes is attending a class on the prevention of associated diseases. What action should the client perform to reduce the risk of osteomyelitis? HINKLE A. Increase calcium and vitamin intake B. Perform meticulous foot care C. Exercise 3 to 4 times weekly for at least 30 minutes D. Take corticosteroids as prescribed A client tells the nurse that he has pain and numbness to his thumb, first finger, and second finger of the right hand. The nurse discovers that the client is employed as an auto mechanic and that the pain is increased while working. This may indicate that the client could possibly have what health problem? HINKLE
A. Tendonitis B. Dupuytren contracture C. Carpel tunnel syndrome D. Impingement syndrome The nurse is caring for a patient who is receiving oxygen therapy for pneumonia. How should the nurse best assess the effectiveness of the oxygen therapy? By monitoring the client’s: (How should the nurse best assess whether the patient is hypoxemic?) TB wording HINKLE A. level of consciousness (LOC). B. extremities for signs of cyanosis. C. oxygen saturation level. D. hemoglobin, hematocrit, and red blood cell levels. A patient has had a cast placed for the treatment of a humeral fracture. The nurses most recent assessment
shows signs and symptoms of compartment syndrome. What is the nurses most appropriate action? HINKLE A. Arrange for a STAT assessment of the patients serum calcium levels. B. Perform active range of motion exercises. C. Assess the patients joint function symmetrically. D. Contact the primary care provider immediately. A client (patient) with heart failure (HF) is placed on a low-sodium diet. Which statement by the patient indicates that the nurses nutritional teaching plan has been effective? HINKLE A. I will have a ham and cheese sandwich for lunch. B. I will have a baked potato with broiled chicken for dinner and will season my drink with lemon juice. C. I will have a tossed salad with cheese and croutons for lunch and will take Alka-Seltzer if I have a stomach ulcer. D. I will have seasoned chicken noodle soup with
crackers and an apple for lunch. A 16-year-old male client comes to the free clinic and is subsequently diagnosed with primary syphilis. What health problem most likely prompted the client to seek care? HINKLE A. The emergence of a chancre on his penis B. Painful urination C. Signs of a systemic infection D.Unilateral testicular swelling A client is being prepared for a total hip arthroplasty, and the nurse is providing relevant education. The client is concerned about being on bed rest for several days after the surgery. The nurse should explain what expectation for activity following hip replacement? HINKLE A. Actually, clients are only on bed rest for 2 to 3 days before they begin walking with assistance. B. The physical therapist will likely help you get up
using a walker the day after your surgery. C. Our goal will actually be to have you walking normally within 5 days of your surgery. D.For the first two weeks after the surgery, you can use a wheelchair to meet your mobility needs. An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to LEWIS A. keep the head elevated slightly and flex the knees when resting in bed. B. twist gently from side to side to maintain range of motion in the spine. C. avoid the use of cold packs because they will exacerbate the muscle spasms. D.keep both feet flat on the floor when prolonged standing is required
A nurse is caring for a client who is 12 hours postoperative following foot surgery. The nurse assesses the presence of edema in the foot. What nursing measure will the nurse implement to control the edema? HINKLE A. Elevate the foot on several pillows. B. Apply warm compresses intermittently to the surgical area. C. Administer a loop diuretic as ordered. D.Increase circulation through frequent ambulation. A nurse is caring for a client who is receiving a loop diuretic for the treatment of heart failure. What assessment should the nurse prioritize? Otu’s brain A. Monitor liver function studies B. Blood pressure C. Vitamin D intake D. Monitoring Troponin levels Which assessment finding about a patient who has been using naproxen (Naprosyn) to treat osteoarthritis is likely
to require a change in medication? most important for the nurse to report to the health care provider? TB wording LEWIS A. The patient has gained 3 pounds. B. The patient has dark- colored stools. C. The patient's pain has become more severe. D. The patient is using capsaicin cream (Zostrix). The Registered nurse on an orthopedic trauma unit is reviewing the safe and effective use of traction with some recent nursing graduates. What principle should the educator promote? HINKLE A. Weights should rest against the bed rails. B. Skeletal traction may be removed for brief periods to facilitate the client’s independence. C. Knots in the rope should not be resting against pulleys. D. The end of the limb in traction should be braced by the footboard of the bed.
A nurse is performing a shift assessment on an elderly client who is recovering after surgery for a hip fracture. The client reports chest pain, has an increased heart rate, and increased respiratory rate. The nurse further notes that the client is febrile and hypoxic, coughing, and producing large amounts of thick, white sputum. The nurse recognizes that this is a medical emergency and calls for assistance, recognizing that this client is likely demonstrating symptoms of what complication? HINKLE A. Avascular necrosis of bone B. Compartment syndrome C. Fat embolism syndrome D. Complex regional pain syndrome Which statements by the client indicate good understanding of foot care in peripheral vascular disease? (Select all that apply.) IGGY
A. A good abrasive pumice stone will keep my feet soft. B. I'll always wear shoes if I can buy cheap flip-flops. C. I will keep my feet dry, especially between the toes. D. Lotion is important to keep my feet smooth and soft. E. Washing my feet in room- temperature water is best. Which client should the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined below? HINKLE A. A client with a blunt chest trauma with some difficulty breathing B. A client with a sore neck who was immobilized in the field on a backboard with a cervical collar C. A client with a possible fractured tibia with adequate pedal pulses D.A client with an acute onset of confusion A nurse and a physical therapist are helping plan exercise program for a client who just had surgical
intervention for obesity, both providers understand that for a client to be compliance, they should instruct the client to consider the following when planning an exercise program? (Select all that apply) Otu’s brain A. Establishing realistic goals B. Committing time for consistent regular exercise C. Purchasing weights D.Wearing clothing appropriate to the type of exercise E. Considering membership in a health club A 91-year-old client is slated for orthopedic surgery and the nurse has integrated gerontologic considerations into the client's plan of care. What intervention is most justified in the care of this Patient? HINKLE A. Administration of prophylactic antibiotics B. Total parenteral nutrition (TPN) C. Use of a Foley catheter until discharge D. Use of
a pressure-relieving mattress
While assessing a client the nurse notes that the client’s ankle-brachial index (ABI) of the right leg is 0.40. How should the nurse best respond to this assessment finding? HINKLE A. Assess the client’s use of over-the- counter dietary supplements. B. Implement interventions relevant to arterial narrowing. C. Encourage the client to increase intake of foods high in vitamin K. D. Adjust the client’s activity level to accommodate decreased coronary output. A nurse is providing an educational class to a group of older adults at a community senior center. In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended adequate intake of what nutrients? Select all that apply HINKLE A. Vitamin B B. Potassium
C. Calcit onin D. Calcium E. Vitamin D After the health care provider has recommended amputation for a patient who has non healing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best? LEWIS A. You are upset, but you may lose the foot anyway. B. Many people are able to function with a foot prosthesis. C. Tell me what you know about your options for treatment. D. If you do not want an amputation, you do not have to have it.
A 47-year-old client with osteoarthritis and hypertension is diagnosed with breast cancer. She tells the nurse that her mother also suffered from osteoarthritis and hypertension, and she developed breast cancer at the age of 51 years. The nurse should recognize that this client's health status may be the result of what phenomenon? HINKLE A. X-linked inheritance B. Autosomal recessive inheritance C. Autosomal dominant inheritance D. Multifactorial inheritance The nurse is caring for (a 68-year-old) an adult client whom the nurse suspects has digoxin toxicity. In addition to physical assessment, the nurse should collect what assessment datum? HINKLE A. Skin turgor B. Potassium level C. White blood cell count
D.Peripheral pulses A nurse's assessment of a client’s knee reveals edema, tenderness, muscle spasms, and ecchymosis. The client states that 2 days ago he ran in a long-distance race and now it “really hurts to stand up.” The nurse should plan care based on the belief that the client has experienced what? HINKLE A. A first-degree strain B. A second-degree strain C. A first-degree sprain D.A second-degree sprain The nurse is caring for a patient who is to be discharged from the hospital 4 (5) days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction? LEWIS A. I should not cross my legs while sitting. B. I will use a toilet elevator on the toilet seat. C. I will have someone else put on
my shoes and socks. D. I can sleep in any position that is comfortable for me. A nurse is caring for a client who has suffered an unstable thoracolumbar fracture. Which goal should the nurse prioritize during nursing care? HINKLE A. Preventing skin breakdown B. Maintaining spinal alignment
C. Maximizing function D. Preventing increased intracranial pressure The nurse is planning the care of a client with heart failure. The nurse should identify what overall goals of this client's care? Select all that apply HINKLE A. Improve functional status B. Prevent endocarditis. C. Extend survival. D. Limit physical activity. E. Relieve patient symptoms. A client has recently been admitted to the orthopedic unit following total hip arthroplasty. The client has a closed suction device in place and the nurse has determined that there were 320 mL of output in the first 24 hours. How should the nurse best respond to this assessment finding? HINKLE A. Limit the client's fluid intake to 2 liters for the next 24
hours. B. Inform the primary care provider promptly. C. Document this as an expected assessment finding. D.Administer a loop diuretic as prescribed. . Six weeks after an above-the-knee amputation (AKA), a client returns to the outpatient office for a routine postoperative checkup. During the nurses assessment, the client reports symptoms of phantom pain. What should the nurse tell the client to do to reduce the discomfort of the phantom pain? HINKLE A. Apply intermittent hot compresses to the area of the amputation. B. Avoid activity until the pain subsides. C. Take opioid analgesics as ordered. D. Elevate the level of the amputation site. The surgical nurse is admitting a client from postanesthetic recovery following the clients below-the-