2024 RN Adult Medical Surgical Practice Form A Complete Answers 100% Correct

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1. A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effe... ct of this medication? Hypokalemia Hypercalcemia Gastrointestinal bleeding Confusion ANSWER: Hypokalemia Lactulose works by stimulating the production of excess stools to rid the body of excess ammonia. These excessive stools can result in hypokalemia and dehydration. 2. A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should thenurse take first? Obtain ABGs. Administer propofol to the client. Instruct the client to allow the machine to breathe for them. Disconnect the machine and manually ventilate the client. ANSWER: Instruct the clientto allow the machine to breathe for them. When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions and emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness when trying to "fight the ventilator." 3. A nurse is teaching a client who has a family history of colorectal cancer.To help mitigate this risk, which of the following dietary alterations should the nurse recommend? Add full-fat yogurt to the diet. Add cabbage to the diet. Replace butter with coconut oil. Replace shellfish with red meat. ANSWER: Add cabbage to the diet. [Show More]

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