*NURSING > MED-SURG EXAM > Med Surg Questions with accurate answers, Latest update, Rated A (All)
Med Surg Questions with accurate answers, Latest update, Rated A A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion. The client reports... pain and swelling at the IV site. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) - ✔✔Check the IV site. Stop the infusion. Withdraw the IV catheter. Elevate the affected arm. Notify the charge nurse. 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 laboratory findings should the nurse report to the provider prior to the procedure? - ✔✔Creatinine 1.9 mg/dL A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse identify as an adverse effect of the medication? - ✔✔Abdominal cramps A nurse is contributing to the plan of care for a client who has chronic obstructive pulmonary disease (COPD) and is dyspneic. Which of the following interventions should the nurse include in the plan? - ✔✔Encourage abdominal breathing. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client 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.) - ✔✔0.7 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 the nurse include in the teaching? - ✔✔Increase intake of fiber-rich foods. 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 ago. Which of the following actions should the nurse take? - ✔✔Perform pin site care daily. A nurse observes a client who is lying in bed experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? - ✔✔Loosen clothing around the client's neck. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurse include? - ✔✔Encourage the client to complete ADLs. 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 mealtimes. 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 breath A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should the nurse take when communicating with the client? - ✔✔Rephrase client instructions when not understood. A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk of aspiration? - ✔✔Pinch the NG tube. 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 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 reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? - ✔✔"I will have my HbA1c checked twice per year." 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 radiation implants in a lead container. A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration? - ✔✔Allow for 30 min of rest before meals. 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 A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following information should the nurse include? - ✔✔"You are at risk for infertility with this infection, regardless of treatment." A nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? - ✔✔Keep the client in a side-lying position. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following provider prescriptions should the nurse implement first? - ✔✔Initiate oxygen at 4 L/min via nasal cannula. A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following information should the nurse include in the teaching? - ✔✔"This type of insulin should be given at the same time every day." A nurse is collecting data from a client who has hypothyroidism. Which of the following manifestations should the nurse anticipate? - ✔✔Bradycardia [Show More]
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