Medical Surgical Nursing > EXAM > RN ADULT MEDICAL SURGICAL ONLINE PRACTICE B COMPLETE STUDY QUESTIONS WITH VERIFIED ANSWERS (100% VER (All)
1. A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care? - Answer>... >>Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. 2. A nurse is performing a preoperative assessment for a client. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? - Answer>>>Avocados. Rationale: Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. shellfish allergy = allergic reaction to povidone-iodine. peanut allergy = allergic reaction to propofol. egg allergy = allergic reaction to propofol. 3. A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? - Answer>>>Glucose 272 Rationale: A glucose reading less than 300 mg/dL indicates improvement in the client's status. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? - Answer>>>Regular insulin 20 units IV. Rationale: DKA is a complication of diabetes mellitus that results in dehydration, ketosis, metabolic acidosis, and elevated blood glucose levels. Management of DKA involves providing hydration, correcting acid-base imbalances, and decreasing blood glucose levels. Regular insulin is a fast-acting insulin that can be effective within 10 min when administered intravenously. The nurse is caring for the client who is preoperative for an exploratory laparotomy. Select the 4 actions that the nurse should take. - Answer>>>Administer phenytoin with a sip of water prior to the surgery is correct. Medications for cardiac disease, respiratory disease, and seizure disorders should be administered before surgery. Administer gentamicin 100 mg IV is correct. The nurse should administer a broad-spectrum antibiotic for clients who have peritonitis. Administer dextrose 5% in lactated Ringer's is correct. Hypertonic IV fluid should be administered to clients who have peritonitis to restore fluid volume balance. Dextrose 5% in lactated Ringer's (D5LR) is a hypertonic IV solution. Contact the wound, ostomy, and continence nurse is correct. The nurse should collaborate with the certified wound, ostomy, and continence nurse to discuss wound management, if necessary. Provide the client with high-flow supplemental oxygen is incorrect. The nurse should identify that the client's oxygen saturation is in the expected reference range; therefore, they do not need supplemental oxygen at this time. [Show More]
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