NURSING NUR 241 KAPLAN MED SURG 2 PAGES 2 LATEST 2021/2022

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NURSING NUR 241 KAPLAN MED SURG 2 PAGES 2 LATEST 2021/2022 The nurse instructs a client diagnosed with SLE. Which statement by the client indicates understanding of instructions? "Stress and fatigue... may make my symptoms worse" The client recently diagnosed with Type 1 diabetes mellitus reports awakening with headache, frequent nightmares... Instruct the client to check blood glucose between 0200 and 0400 The client diagnosed with lung cancer tells the nurse that he has replaced his prescribed medication with an herbal syrup recommended by an herbalist. Which is the initial action the nurse should take? Tell the client to discuss the herbal syrup with the client's health care provider The nurse cares for the client in the emergency department diagnosed with a traumatic amputation of the left leg and hypovolemic shock... Administer Lactated Ringer's solution intravenously The nurse instructs the client scheduled for cataract removal with a multifocal intraocular lens implant... "Some itching and reddening of the eye is expected after the surgery" The nurse cares for the 78-year old client with C. Diff... "Wear a gown and gloves while assisting the client with bathing" The nurse cares for the client immediately after a colonoscopy. Which action does the nurse take first? Asks the client to describe the location and intensity of pain. The nurse cares for the client with a diagnosis of acute adrenal insufficiency (Addison's crisis)... Muscle cramps, fatigue, hypotension The nurse instructs the adult client. The client is newly diagnosed with cystic fibrosis. The nurse should include... SATA -An aerobic exercise is an important part of your treatment -You should notify your health care provider if your exercise tolerance decreases -The cystic fibrosis may cause you to have fertility problems The nurse cares for the client diagnosed with BPH. Which clinical manifestation... Difficulty initiating voiding The nurse cares for the client who had a generalized tonic-clonic seizure lasting 90 seconds... Administer diazepam as ordered The nurse instructs the client who reports a frequent history of UTIs... This study source was downloaded by 100000802531269 from CourseHero.com on 03-11-2022 12:50:14 GMT -06:00 https://www.coursehero.com/file/59980579/Kaplan-Med-Surg-2pages-2pdf/ You should drink at least 2000 mL of fluid every day The nurse cares for the client diagnosed with a stroke 48 hours ago. What is the most appropriate position? Supine with the head of the bed elevated 15-30º The nurse cares for the client diagnosed with full-thickness burns of both legs... Charred, waxy, white appearance The nurse cares for the client starting peritoneal dialysis. Which action should the nurse take first? Weigh the client The nurse cares for the client diagnosed with right pneumothorax... Rapid shallow respirations The nurse cares for the client diagnosed with multiple sclerosis... Forgetfulness and fatigue The nurse cares for the client diagnosed with a left-sided stroke... Impaired speech The nurse cares for the client diagnosed with a closed head injury after a car accident. Which observation made after 48 hours requires an immediate intervention? The client complains of dizziness and headache The nurse instructs the client diagnosed with GERD... Sleep with head and shoulders elevated on pillows The nurse instructs the client starting hemodialysis. The client has an arteriovenous fistula in the right arm. SATA -Your blood pressure should be checked on the left arm only -You should not use your right arm to carry heavy objects The nurse performs CPR on the 62 year old man. Which is the correct compression depth? 2 or more inches? 1.5-2 inches? The nurse cares for the client with a chest tube drainage system. Which observation requires an intervention? Continuous bubbling in the water-seal chamber is observed The nurse instructs the client who had a subtotal gastrectomy. Which statement should be included? Eat a low carbohydrate diet every day This study source was downloaded by 100000802531269 from CourseHero.com on 03-11-2022 12:50:14 GMT -06:00 https://www.coursehero.com/file/59980579/Kaplan-Med-Surg-2pages-2pdf/ The nurse instructs the client scheduled for a transesophageal echocardiogram (TEE) I will not be able to eat or drink for several hours after the test is completed The nurse cares for the client diagnosed with severe acute pancreatitis SATA -Nausea and vomiting -Localized right quadrant abdominal pain -Serum glucose 148 mg/dL Serum calcium 5.8 mg/dL The nurse cares for the client immediately after a cardiac catheterization using the left femoral artery. Which finding requires immediate intervention by the nurse? The left extremity is cooler to touch than the right extremity The nurse cares for the client diagnosed with thrombophlebitis receiving a heparin infusion... PTT The nurse cares for the client receiving parenteral nutrition. Which laboratory test should the nurse monitor... Blood glucose The nurse supervises the nursing assistive personnel caring for the client immediately following a radioactive implant for uterine cancer. Which observation requires an intervention by the nurse? The NAP leaves the door open when leaving the room The nurse instructs the client diagnosed with chronic kidney disease. Which foods are most appropriate for this client? Rice cereal and strawberries The nurse cares for the 75-year old client who has limited mobility. Which finding would most concern the nurse? An area over the coccyx blanches with pressure? The nurse evaluates client's compliance with the diabetic diet, insulin, and activity regimen over 2 month period... Obtain HbA1c A total hip arthroplasty is scheduled for the client diagnosed with degenerative joint disease of the left femoral head... Abduct with the toes pointing upward The nurse cares for the client just admitted after a car accident. The family reports that the client hit his head on the dashboard... Clear fluid is dripping from the ear The nurse plans care for the client who is recovering from a gunshot wound This study source was downloaded by 100000802531269 from CourseHero.com on 03-11-2022 12:50:14 GMT -06:00 https://www.coursehero.com/file/59980579/Kaplan-Med-Surg-2pages-2pdf/ Turkey meat, mashed potatoes, oranges, and ice cream. The nurse teaches the client after a surgical repair of a detached retina... Avoid reading and writing for one week The nurse cares for the client diagnosed with ulcerative colitis. Which finding should the nurse expect the client to report? Mild lower abdominal pain with episodes of diarrhea The nurse cares for the client after a subtotal thyroidectomy procedure... Ask the client to speak The nurse cares for the client who had a tracheostomy performed the previous day. Which most concerns the nurse? The client's secretions from the tracheostomy are thick, yellow, and dry The nurse notes the client's cardiac rhythm suddenly shows ventricular tachycardia... Lidocaine The nurse cares for the client with atrial fibrillation... Are you experiencing any dizziness at this time? The nurse cares for the client recently diagnosed with a tumor in the frontal lobe of the brain. Which statement would the nurse expect the client to make? I feel like my concentration is not very good Hip fracture The left leg is shorter than right leg and is externally rotated Lyme Disease Raised rash on palms of hands Bell’s Palsy Nurse states “you seem upset”, therapeutic communication Sickle Cell Anemia Patient states they will restrict fluid intake (further education) Thrombophlebitis Patient should flex/extend leg Q2h Abdominal Pain Ask the patient to show the nurse where it hurts Bone marrow biopsy Patient in prone position This study source was downloaded by 100000802531269 from CourseHero.com on 03-11-2022 12:50:14 GMT -06:00 https://www.coursehero.com/file/59980579/Kaplan-Med-Surg-2pages-2pdf/ Buck’s Traction Used to reduce muscle spasms Acute Kidney Injury Potassium is 6.2, monitor heart rate and rhythm Cast care Intervene if patient states toes are tingling Pain management Best indicator f pain is to ask patient their pain level Migraine headache Unilateral eye pain ABG Puncture Apply pressure to puncture site for 3-5 minutes Glomerulonephritis Protein in the urine Meningitis Patient temperature is 101.2 F Cardiac dysrhythmias Patient in A fib, need to assess level of consciousness Fluid volume overload 82 year old female given 125 mL/hr, weigh the patient daily Meniere’s disease Vertigo, tinnitus, unilateral hearing loss Appendicitis Contact physician if patient has increase in pain Closed head injury Priority intervention if apical pulse rate drops from 88 to 60 Fluid volume deficit 25ml of urine per hour Type 2 diabetes Nurse is concerned that sores on feet heal slowly This study source was downloaded by 100000802531269 from CourseHero.com on 03-11-2022 12:50:14 GMT -06:00 https://www.coursehero.com/file/59980579/Kaplan-Med-Surg-2pages-2pdf/ Hepatitis A Wash hands Alzheimer’s disease Give patient teddy bear from home Iron deficiency anemia Take supplement before meals Care after death Nurse should wash patient, remove secretions, insert dentures before family views body Ileal conduit Ureters attached to intestine and to outside of the body into urine bag COPD Further teaching is the patient states they will cut down to only smoking 3 packs a day EGD NPO 8 hours prior to procedure Paralytic ileus Abdominal distention and pressure Parkinson’s disease Increased salivation Fat emboli syndrome Patient is post fracture and confused, contact the doctor [Show More]

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