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*NURSING > STUDY GUIDE > Med surg 2 final study guide (All)

Med surg 2 final study guide

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Med surg 2 final study guide 1. A nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure. What action by the nurse is best? -ask the client to describe current feelings 2. A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery, which result warrants immediate communication with the surgical team? -potassium 2.9 mEq/L 3. A nurse Is caring for a client who is experiencing moderate metabolic alkalosis. Which action should the nurse take? -teach the client fall prevention measures 4. Which newly written prescription does the nurse administer first? -oral potassium chloride to a client whose serum potassium is 3 mEq/L 5. A postoperative client has an abdominal drain. What assessment by the nurse indicates that foals for the priority client problems related to the drain are being met? -there is no redness, warmth, or drainage at the insertion site 6. A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98mm Hg, PaCO2 28 mm Hg, and HCO3 -22 mEq/L, which client condition should the nurse correlate with these results? -anxiety induced hyperventilation 7. An older adult client is admitted with dehydration. Which nursing assessment data identify that the client is at risk for falling? -orthostatic blood pressure changes 8. When caring for a client with a pulse oximetry level of 89%, which action does the nurse take first? -apply oxygen as prescribed 9. A preoperative client smokes a pack of cigarettes a day. What is the nurses teaching priority for the best physical outcomes? -teach the importance of incentive spirometry 10. The charge nurse on a medical surgical unit is completing assignments for the day shift. Which client is assigned to the LPN/LVN? -a 76 year old with poor skin turgor who has a serum osmolarity of 300 mOsm/L 11. A nurse is assessing clients for fluid and electrolyte imbalances. Which client should the nurse assess first for potential hyponatremia? – a 34-year-old on NPO status who is receiving intravenous D5W 12. During a preoperative assessment, which statement by a client requires further investigation by the nurse to asses’ surgical risks? – “I had a heart attack 4 months ago” 13. In going through the preoperative checklist, the nurse notices that the clients armband does not match the handwritten name on the informed consent, but it matches the stamped name. what does the nurse do first? -talk to the operating team 14. A 90-year-old client with hypermagnesemia is seen in the emergency department (ED). The ED nurse prepares the client for admission to which inpatient unit? -telemetry/cardiac stepdown 15. After teaching a client to increase dietary potassium intake, a nurse assesses the clients understanding. Which dietary meal selection indicates the client correctly understands the teaching? -sausage, one slice of whole wheat toast, half cup of raisins and a glass of milk 16. After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the clients understanding. Which food choice for lunch indicates the client correctly understood the teaching? -grilled chicken breast with glazed carrots 17. A nurse is caring for a client who is experiencing excessive diarrhea. The clients arterial blood gas values are pH 7.28, PaO2 45 mm Hg, and HCO3 -16 mEq/L. which provider order should the nurse expect to receive? – sodium bicarbonate 100 mEq/L diluted in 1 L of D5W

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