Medical Surgical Nursing > EXAM > Medical-Surgical Assignment Exam - Questions and Answers (All)

Medical-Surgical Assignment Exam - Questions and Answers

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Medical-Surgical Assignment Exam - Questions and Answers The practical nurse (PN) is preparing a male client for discharge when he begins to complain of dyspnea. The client's vital signs are pulse a... t 90 beats/minute, respirations 24 breaths/minute, blood pressure 140/70, and oxygen saturation of 91%. After supplemental oxygen is provided, the client's oxygen saturation is 99%. Which assessment provides the best indication that the client is ready for discharge? Oxygen saturation without oxygen. A client with type II diabetes mellitus (DM) is admitted with an infected foot ulcer. Which prescription should the practical nurse (PN) implement first? Intravenous antibiotics. A client who is involved in a motor vehicle collision (MVC) is admitted for evaluation. After a chest xray, the practical nurse (PN) reports that the client is dyspneic, has decreased right breath sounds, normal left field breath sounds, and tracheal deviation. After notification of the healthcare provider, what priority action should the PN implement? Prepare for emergency chest tube insertion. The practical nurse (PN) is caring for a group of clients on a telemetry unit. Which client requires immediate follow-up by the PN? A client with multiple premature ventricular contractions (PVC)/minute after receiving atropine. A client who is hit on the head with a baseball bat is admitted for observation. The practical nurse (PN) notes clear liquid leaking from the client's ear. What action should the PN take? Observe the collected fluid for blood surrounded by a yellow ring. The practical nurse (PN) is transferring a client to the in-patient dialysis unit for hemodialysis scheduled for today. Which information is essential for the PN to report to the receiving nurse? Today's hemoglobin result of 8.0 grams. A client is found pulseless and unresponsive with the telemetry showing a rapid, wide QRS complex. What should the practical nurse do first? Initiate cardiac compressions. The practical nurse (PN) is caring for an elderly client with a history of heart failure (HF) who suddenly wakes up in the middle of the night complaining of being unable to breathe. What action should the (PN) implement? Listen to bilateral lung fields. A client presents to the emergent care center with symptoms on an acute brain attack and right sided facial drooping. Which action should the practical nurse (PN) implement first? Maintain the client NPO. The practical nurse (PN) is caring for a client who had a lumbar laminectomy 4 hours ago. Which finding should the PN report to the healthcare provider? Leg muscle strength grade 2. A client receives pulmonary resuscitation with an Ambu bag for 10 minutes before being intubated with a endotracheal tube (ET). The practical nurse (PN) notes that the client's stomach is distended. What action should PN implement? Prepare to insert a nasogastric tube. A female client arrives at the clinic holding her abdomen and reports diffuse abdominal pain and a frothy greenish vaginal discharge. What intervention is most important for the practical nurse (PN) to implement? Check urine with early pregnancy test. A client who is 12-hours postoperatively for a total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAHBSO) is refusing to turn and perform postoperative leg exercises. What action should the practical nurse take? Apply bilateral compression stockings (TEDs). A male client calls the clinic and reports he is having heavy chest pressure after exercising. He tells the practical nurse (PN) that he took three nitroglycerin sublingual (SL) tablets without relief. What instruction should the PN provide? Call 911 immediately. A client with a ventriculoperitoneal shunt has large bruises on the forehead and arm. The practical nurse (PN) at the outpatient clinic determines that the client received the bruises accidentally while walking through the doorways at home. What action should the PN take? Evaluate the client's pupillary response to light. A client who is 12 hours postoperative for a right total knee replacement (TKR) is receiving epidural pain management. Which finding requires additional follow-up by the practical nurse (PN)? Right dorsal pedal pulse absent upon palpation. The practical nurse (PN) is reviewing the complete blood count results for a male client with a wound infection and determines the results indicate leukocytosis. What intervention should the PN implement? Recognize this is an indication of the body's response to fighting the infection. [Show More]

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