RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A Latest Copy

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RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A A nurse is preparing to admit a client who has dysphasia. The nurse should plan to place which of the following items at bedside? Suction machine A... nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse’s priority? Turn the client to the side A nurse is providing teaching to a client who was hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfare with the effectiveness of this medication? Calcium A nurse is providing teaching to a female client who has a history of UTI’s. Which of the following information should nurse teach? Take daily cranberry supplements A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? “I will use my hands rather than a washcloth to clean the radiation area” A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse’s priority? Apply firm pressure to the insertion site A nurse is caring for a client who has emphysema and is receiving medication ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? Instruct the client to allow the machine to breathe for him A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? Elevated bilirubin level A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching? “I will wear clean graduated compression stockings every day” A nurse is caring ofr a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? Hgb 8 g/dL A nurse is caring ofr a client who has a stage III pressure injury. Which of the following findings contributes to delayed wound healing? Urine output 25 mL/hr A nurse is caring for a client who is undergoing hemodialysis to treat ESKD. The client reports muscle cramps and tingling sensation in their hands. Which of the following should the nurse plan to administer? Calcium carbonate A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client’s plan of care? Wear a lead apron while providing care to the client A nurse is preparing to administer a unite of packed RBC’s to a client. Which of the following actions should the nurse take? Remain with the client for the first 15 minutes of the infusion A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure? Sleepiness exhibited by client, widening pulse pressure, decerebrate posturing A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct to withhold for 48 hr prior to cardioversion? Digoxin A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse’s priority? Tachycardia A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure (view chart) Heart rate of 55/min A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect? Hypoactive bowel sounds A nurse is providing dietary teaching to a client who is postoperative following a thyriodectomy with removal of the parathyroid glands. The nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet? 12 almonds A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? Aged cheese A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings indicate to the nurse that the client is experiencing fluid volume deficit? Heart rate of 110/min A nurse is providing instructions to a client who has type 2 diabetes and a new prescription of metformin. Which of the following statements by the client indicates an understanding of the teaching? “I should take this medication with a meal” A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago. Which fo the following actions should the nurse take first after hearing the following sound? Listed with the client on their left side A nurse is caring or a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with . Which of the following assessment findings is the nurse’s priority? Increased respiratory secretions A nurse is conduction an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? History of asthma A nurse is providing discharge instruction so to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? Wrap fingers with individual dressings A nurse is caring for a client who has a bilateral pneumonia and an SaO2 of 85%. The client has dyspnea with a productive cough and is using accessory muscles to breathe. Which of the following actions should the nurse take first? Place the client in high-Fowler’s position A nurse is providing teaching for a female client who has recurrent UTI. Which of the following actions should the nurse include in her teaching? Void before and after intercourse A nurse is reviewing the health records of a client who is schedules for allergy skin testing. The nurse should postpone testing based on what in his chart? Current medications A nurse and an AP are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? Wear a mask 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 effect of this medication? Hypokalemia A nurse in the emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. After ensuring a patient airway and administering oxygen, which of the following items should the nurse prepare to administer first? IV fluids A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new back is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? Administer dextrose 10% sodium chloride until the new bag arrives A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? Ensure that the client has a patent IV 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 cabbage to the diet A nurse in a provider’s office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? Naproxen A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? “ I will monitor my blood pressure while taking this medication” A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? Orthostatic hypotension An older adult client is brought to an ED by a family member. Which of the following assessment findings should cause the nurse to suspect the client has hypertonic dehydration? Urine specific gravity 1.045 A nurse is caring for a client while experiencing a seizure. Which of the following actions should the nurse take? (3 words…I think it starts with L…last option) A nurse is evaluation a client who has a new diagnosis of type 1 diabetes. Which of the following client statements indicates the client is successfully coping with the change? “I used to never worry about my feet. Now, I inspect my feet every day with a mirror” A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food after a meal. Which of the following actions should the nurse take first? Obtain vital signs A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching? Tyr to walk at least three times per week for exercise A nurse is providing to a client following an upper gastrointestinal …with barium contrast. Which of the following information should the nurse provide? Increase fluid intake A nurse is providing teaching to an older adult who has cancer and a new prescription for an opioid analgesic for pain management Which of the following information should the nurse include in the teaching? “ You should void every 4 hours to decrease the risk of urinary retention” A nurse is providing preoperative teaching for a client who is schedules for an open cholecystectomy. Which of the following actions should the nurse take? Demonstrate way to deep breathe and cough A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? A client should sign an informed consent before receiving a placebo during a research trial A nurse in an emergency department is assessing a client who has a detached retina. Which of the following actions should the nurse ….report? “it’s like a curtain closed over my eye” A home health care nurse is assigned to a client who was recently discharged from a rehab center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? Visual spatial deficits, left hemianopsia, one-sided neglect A nurse is caring for a client who has type 1 diabetes mellitus and has had an acute bronchitis for the past 3 days. Which of the following statements should the nurse including when instructing the client? “Take insulin eve if you are unable to eat your regular diet” A nurse in an emergency department is reviewing the provider’s prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which fo the following rx should the nurse expect? Administer an opioid analgesic to the client A nurse is to provide discharge teaching for a family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? Remind the client to scan their complete range of vision during ambulation A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following? A client who is receiving preoperative teaching for a right knee arthroplasty A nurse is assessing a client who had extracorporeal shop wave lithotripsy (ESWL) 6 hours ago. Which of the following findings should the nurse expect? Stone fragments in the urine A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? A client who had a myocardial infarction 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse is assessing a client who has had a plaster cast applied to their leg 2 hr ago. Which of the following actions should the nurse take? Check that one finger fits between the cast and the leg Calculation: 167 ml/hr A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching? “I am dieting to lose weight” A nurse is caring for a client who has had a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? Blood pressure 170/80 mm Hg A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: HR 200/min, BP 78/40 mm Hg, and RR 30/min. Which of the following actions should the nurse take? Perform synchronized cardioversion. A nurse is providing teaching to a client who has chronic kidney diease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? “ I am taking this medication ti increase my energy level” A nurse is teaching a young adult client how to perform testicular self-examination. Which of the following instructions should the nurse include? Roll each testicle between the thumb and fingers A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which fo the following adverse effects should the nurse monitor? Respiratory paralysis A nurse is caring for a client who has DKA. Which of the following laboratory findings should the nurse expect? BUN 32 mg/dL A nurse in a provider’s office is assessing a client who has hypertension and takes propranolol. Which of the following findings indicate to the nurse that the client is experiencing an adverse reaction to the medication? Report of a night cough A nurse is caring for a client who has viral pneumonia. The client’s pulse oximeter readings have fluctuated between 79% and 88% for the last 30 mins. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? Nonrebreather mask A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for CKD. Which of the following interventions should the nurse include in the plan? Tell the client that it is possible to return to similar previous levels of activity A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, “I don’t want any more morphine because I don’t want to get addicted.” Which of the following actions should the nurse take? Instruct the client on alternative therapies for pain reduction A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? Dysphagia A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment? Decreased viral load A nurse in an ED is caring for a client who is experiencing a thyroid storm. Which of the following manifestations should the nurse expect? Fever, Hypertension, Tachycardia A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? Hyperkalemia A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing’s triad? Bradicardia A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? Monitor the client’s temperature every 4 hours A nurse is planning care for a client who has extensive burn injuries and immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent Pseudomonas aeruginosa infection? Avoid placing plants or flowers in the client’s room A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? “You should cut the opening of the skin barrier one-eighth inch wider than the stoma” A nurse is teaching a young adult client to perform testicular self-exam. Which of the following instructions should the nurse include? Rolle each testable between your thumb and fingers A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. Which of the following adverse effects should the nurse monitor? Respiratory paralysis A nurse is caring for a client who has DKA. Which of the following laboratory findings should the nurse expect? BUN 32 mg/dl A nurse in a provider’s office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? Reports of night cough A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? “You will not be able to use sildenafil if you are taking nitroglycerin” A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include in the teaching? Increase fiber intake to a least 30 g per day. A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? Inject the medication into the anterolateral abdominal wall A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? Calcium A nurse is assessing a group of clients for indication of role changes. The nurse should identify that which of the following clients is at risk for expecting a role change? A client who has multiple sclerosis and is experiencing progressive difficult ambulating A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Places body weight on the crutches Advances the unaffected lg onto the stair Shifts weight from the crutches to the unaffected leg Brings the crutches and the affected leg up the stair [Show More]

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