South Texas University MEDSURG Nclex practive 100 Prepu

Question 1: (see full question) A client with acquired immunodeficiency syndrome (AIDS) develops Pneumocystis carinii pneumonia. Which nursing diagnosis has the highest priority? Impaired oral mucous membranes Impai ...

Question 1: (see full question) A client with acquired immunodeficiency syndrome (AIDS) develops Pneumocystis carinii pneumonia. Which nursing diagnosis has the highest priority? Impaired oral mucous membranes Impaired gas exchange Although all of these nursing diagnoses are appropriate for a client with AIDS, Impaired gas exchange is the priority nursing diagnosis for a client with P. carinii pneumonia. Airw ... (more) Pneumocystis jiroveci (carinii) pneumonia Pneumocystis carinii pneumonia You selected: Incorrect Correct response: Explanation: Remediation: Question 2: (see full question) Adolescents and adults who were sexually abused as children commonly mutilate themselves. The nurse interprets this behavior as: You selected: use of physical pain to avoid dealing with emotional pain. Correct Explanation: Dealing with the physical pain associated with mutilation is viewed as easier than dealing with the intense anger and emotional pain. The client fears an aggressive outburst when a ... (more) Remediation: Self-mutilation Question 3: (see full question) A client with diabetes mellitus asks the nurse to recommend something to remove corns from his toes. The nurse should advise the client to: You selected: consult a health care provider (HCP) about removing the corns. Correct Explanation: A client with diabetes should be advised to consult a HCP or podiatrist for corn removal because of the danger of traumatizing the foot tissue and potential development of ulcers (more) Remediation: Foot care Diabetes Question 4: (see full question) You selected: A nurse is developing a care plan for a client recovering from a serious thermal burn. What does the nurse determine is the priority goal of therapy? Maintaining the client's fluid and electrolyte balance Correct Explanation: Remediation: After maintaining respirations, the most important and immediate goal of therapy for a client with a serious thermal burn is to maintain fluid, electrolyte, and acid-base balance t ... (more) Fluid assessment Burn wound care Question 5: (see full question) You selected: Correct Explanation: Remediation: A distraught father is waiting for his son to come out of surgery. He accidentally backed the car into his son, causing multiple fractures and a serious head injury. Which statement by the father would most alert the nurse to the need for a psychiatric consultation? "If he dies, there will be nothing for me to do but join him." The statement about joining the son if he dies indicates potential for self-harm and subsequent suicide, always a risk during crisis. Although the father may be charged with reckle ... (more) Suicide precautions Question 6: (see full question) You selected: Correct Explanation: Remediation: A nurse is completing discharge teaching for the client who has left-sided hemiparesis following a stroke. When investigating the client's home environment, the nurse should focus on which nursing diagnosis? Risk for injury Because of decreased physical mobility, a client with recent left-sided hemiparesis is at risk for falls in the home setting. His ability to cope with the stroke is important, but ... (more) Stroke Question 7: (see full question) You selected: Correct Explanation: Remediation: At which time should the nurse instruct the client to take ibuprofen, prescribed for left hip pain secondary to osteoarthritis, to minimize gastric mucosal irritation? immediately after a meal Drugs that cause gastric irritation, such as ibuprofen, are best taken after or with a meal, when stomach contents help minimize the local irritation. Taking the medication on an e ... (more) Ibuprofen