Med surg proctored exam 2022. FINAL REVIEW EXAM

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A nurse is assisting with he care of a client following a left femoral cardiac angiography. Thee nurse should place a sandbag on the client over which of the following areas? - left groin A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas ABG values include: pH 7.22 PaCO2 68 mm Hg base excess -2 PaO2 78 mm Hg oxygen saturation 80% Bicarbonate 28 mEq/L. - respiratory acidosis A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? - I will abstain from sexual intercourse A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance which of the following actions should the nurse take first? - cover the clients wound with a moist sterile dressing Based on a clients recent history a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause? - Do you sleep well at night A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at Mcburneys point? - Mcburneys point is found between the naval and the anterior iliac crest (left lower) A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? - I should avoid injecting insulin into my thigh if I am going to go running A nurse is caring for a client who is postoperative following a tracheostomy and has copies and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the clients secretions? - provide humidified oxygen A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant. Which of the following lab findings should the nurse identify as the most important to report to the provider? - increase in serum creatinine A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching? - breath in through nose and out through pursed lips A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long term goals is appropriate with regard to the clients mobility? - propel a wheelchair equipped with knobs on the wheels A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching? - you will remain NPO for 8 hours before the procedure A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect? - drop is systolic BP more than 10 mm Hg on inspiration A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to section. Which of the following is the priority finding the nurse should report to the provider? - abdomen i

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