RN Adult Med Surg B exam 2023 with 100% correct answers

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a nurse is providing teaching to a client who has AIDS. Which of following states by the client indicates an understanding? I will take my temperature once a day. A client who has AIDS is immunoco... mpromised and is at risk for infection. The client should check their temperature daily to identify a temperature greater than 37.8° C (100° F), which is an early manifestation of an infection. How long should pt hold breath after inhaling meter dosage inhaler? 10 seconds after inhaling R: The client should hold their breath for 10 seconds after inhaling so the medication can move deep into the airways. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction(MI)? Troponin 8 ng/mL R: Troponins are proteins present in skeletal and cardiac muscle that are involved with muscle contraction. The elevation of either troponin T or troponin I is an indication of cardiac injury. The client's laboratory value is above the expected reference range for troponin I, indicating an MI has occurred. A nurse is caring for a client who had a nephrostomy tube inserted 12hr ago. Which of the following findings should the nurse report to the provider? The client is reporting back pain. R: The nurse should notify the provider if the client reports back pain, which can indicate that the nephrostomy tube is dislodged or clogged. A nurse is providing teaching about infection prevention to a client who had AIDS. Which of the following is true? I will no longer floss my after brushing my teeth. R: The nurse should instruct the client to avoid flossing teeth to prevent gum inflammation, which could create the opportunity for infection A nurse is performing preoperative teaching for a client scheduled to have a right modified radical mastectomy. Which of the following should the nurse include in the client's plan of care? numbness can occur along the inside of the affected arm. R: The nurse should instruct the client that numbness can occur near the incision and along the inside of the affected arm due to nerve injury. do after total knee arthroplasty? flex the foot every hour when awake. R: The nurse should instruct the client to flex the foot every hour to reduce the risk for thromboembolism and promote venous return. a nurse is providing education to clients who is at risk for osteoporosis. walk for 30 min 4 times per week preop teaching for mastectomy I will refer u to community resources that can provide support R: The nurse should provide the client with support resources, including community programs, to assist the client with acceptance of body image changes. hypothyroidism c/m constipation R: A client who has hypothyroidism can experience constipation due to the decrease in the client's metabolism, resulting in slow motility of the gastrointestinal tract. The nurse should instruct the client to increase fiber and fluid intake to reduce the risk for constipation. a nurse is caring for a client who has terminal cancer. The client tells the nurse, " I wish i could stop these treatments. I an ready to die discontinuing w/ treatment is your choice if it is your wish to do so. R: The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. [Show More]

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