PN Med Surg Prac. 2017 A. Questions with accurate answers, Graded A+

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PN Med Surg Prac. 2017 A. Questions with accurate answers, Graded A+ A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. Which of the... following should the nurse include in the teaching? - ✔✔Report purulent drainage to the provider A nurse is caring for a client who has bacterial meningitis. Upon monitering the client which of the following findings should the nurse expect? - ✔✔Red macular rash A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? - ✔✔Encourage weight-bearing exercises A nurse is collecting data from a client and notices several skin lesions. Which of the following findings should the nurse report as melanoma? - ✔✔Irregular borders A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial gastrectomy for ulcers. Which of the following information should the nurse include in the teaching? - ✔✔Avoid liquids at meal times A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should review prior to the procedure? - ✔✔BUN A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the followinh statements indicates that the client understands the teaching? - ✔✔" I will have my HbA1c checked twice per year." A nurse is examining a client's IV site and notes a red line up his arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of iv therapy? - ✔✔Thrombophlebitis A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following should th include in the teaching? - ✔✔Increase intake of fiber rich foods A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take? - ✔✔Position pillows between the bony prominences. A nurse is contributing to the plan of care for a client who has peripheral arterial disease (PAD) of the lower extremities. Which of the the following interventions should the nurse include? - ✔✔Dangle the extremities off the side of the bed. The nurse should include in the plan of care to have the client dangle the lower extremities off the side of the bed to aid in reducing pain by increasing arterial blood flow. The client should not raise the lower extremities above the level of the heart when resting in bed because it impairs arterial blood flow. A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use? - ✔✔Mask A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent postprocedure complications? (Select all that apply.) - ✔✔Monitor the insertion site for bleeding. Maintain the pressure dressing. Check the clients peripheral pulses. A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as thr priority? - ✔✔Dyspnea A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a client. Which of the following statements indicates an understanding of the teaching? - ✔✔"I should wait at least two hours after eating before going to bed." A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following information should the nurse include teaching? - ✔✔"This type of insulin should be given at the same time every day." A nurse is preparing to administer phytonadione 7 mg subeutaneously to a dlient who has an INR of 4. Available is phytonadione 10 mg/ml How many mL should the nurse administer? (Round the answer to the nearest tenth, Use a leading zero if it applies Do not use a trailing zero.) - ✔✔.7 mL A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the following statements by t demonstrates an understanding of the teaching? - ✔✔I understand it testicular cancer is painless A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the following interventions should t identify as the priority? - ✔✔Determine the clients understanding of the procedure. A nurse is reinforcing teaching about home care with a client who had a knee arthroplasty. Which of the following factors should the nurse identify as an indication that a barrier to learning might be present? - ✔✔The client stops the nurse and asks for pain medication A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the statements should the nurse make? - ✔✔"Avoid bending your hips more than 90°." A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days age of the following actions should the nurse take? - ✔✔Perform pin site care daily A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include? - ✔✔Dispose of the radiation implants in a lead container A nurse in a long-term care facility is collecting data from a client who reports fullness in the rectum and abdominal cramping. Whi following findings should indicate to the nurse that the client might have a fecal impaction? - ✔✔Small liquid stools A nurse is providing discharge teaching for the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? - ✔✔Remind the client to avoid watching her feet when walking A home health nurse is reinforcing teaching with a client about preventing complications of peripheral vascular disease. Which of the following statements indicates that the client is adhering to the nurse's instructions? - ✔✔I don't cross my legs anymore A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following findings should the nurse report to the provider prior to the procedure? - ✔✔Creatinine 1.9 mg/dL A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the information should the nurse plan to share with visitors - ✔✔Visitors must don gown and gloves before entering the room A nurse is reinforcing teaching about dietary changes with a client who has cardiovascular disease. Which of the following images indicates type of cooking fat the nurse should recommend the client use when preparing meals? - ✔✔Olive oil A nurse is reinforcing teaching with a client who has heart failure and a new prescription for hydrochlorothiazide. Which of the following findings should the nurse instruct the client to report to the provider? - ✔✔Onset of nausea A nurse is preparing to suction a client who has a tracheostomy, Which of the following actions should the nurse take first? - ✔✔Ventilate with 100% oxygen A nurse is reinforcing teaching with a client who is on low sodium diet and asked about how to improve the taste of bland food. Which of the following should the nurse recommend? - ✔✔Lemon juice A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the following findings should the nurse report to the provider? - ✔✔Urinary retention A nurse is caring for a client who is three days postoperative following a total right hip arthroplasty. Which of the following actions should the nurse take? - ✔✔Encourage the client to perform passive range of motion exercises ??? (Unsure of this answer) A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse identify as an adverse effect of this medication? - ✔✔Abdominal cramps A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoitin alpha. The nurse should identify that which of the laboratory values and indicates the treatment is effective? - ✔✔HGB 11 g/dL A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should the nurse communicating with the client? - ✔✔Rephrase the client instructions when not understood A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these findings indicate which of the following complications? - ✔✔Pulmonary embolism Manifestations of a pulmonary embolism include hypotension, tachycardia, and tachypnea. placed on the right lower extremity for a bone fracture. Which of the following findings A nurse is monitoring a client who recently had a cast should the nurse recognize as abnormal? - ✔✔Loss of sensation between the first and second toes A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about birth control. Which of the following methods of birth control is contraindicated for this client? - ✔✔Combination oral contraceptives A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from the medication should the nurse expect - ✔✔Decreased shortness of [Show More]

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