A Nurse Is Reviewing the Laboratory Results of a Client Who Is Scheduled
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Exam (elaborations)
Medical surgery complete class A+
NURS 406 Capstone Med Surg Cess 1. A nurse is education a client about using a continuous positive airway pressure level (CPAP) device to treat obstructive sleep apnea. Which of the following information should the nurse include in the pedagogy? Information technology delivers a nowadays amount of airway pressure throughout the animate bicycle two. A nurse is providing discharge teaching to a client following a heart transplant. Which of the following data should the nurse include in the teaching? Shortness of breath might exist an indication of transplant rejection three. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3 % sodium chloride via continuous Iv. Which of the following laboratory finding should the nurse place as an indication that the SIADH is resolving? Urine specific gravity ane.020 four. A nurse is educational activity a client most fecal occult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching? You should avoid taking corticosteroids prior to testing 5. A nurse is preparing a client for a colonoscopy. Which of the post-obit medications should the nurse conceptualize the provider to prescribe every bit an anesthetic for the procedure? Propofol 6. A nurse is planning intendance for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the clients programme? Select all that apply. Monitor blood glucose levels Maintain NPO status until pain-costless Manage acute pain 7. A nurse is teaching a customer who has hypertension virtually dietary modifications to assistance command blood pressure. Which of the post-obit nutrient choices should the nurse recommend as the client to include in their diet? 3 oz of chicken breast 8. A nurse is reviewing the medical tape of a client who has unstable angina. Which of the findings should the nurse study to the provider? Jiff Sounds 9. A nurse is providing discharge instructions to a customer who has GERD. Which of the post-obit statements past the client demonstrates an understanding of the teaching? I will limit activities that require bending at the waist. x. A nurse at a provide office is interviewing a client who has multiple sclerosis and has been taking dantrolone for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective? I don't have muscle spasms equally frequently eleven. A nurse is assessing a client who reports a possible exposure to HIV. Which of the following finding should the nurse identify as an early on manifestation of HIV infection? Fatigue 12. A nurse is teaching a customer who has blazon 1 diabetes mellitus nearly hypoglycemia .which of the following statements past the client indicates an understanding of the didactics? I can drink 4 ounces of soda if my claret sugar is low thirteen. A nurse is providing discharge pedagogy to a customer who has heart failure and a prescription for furosemide twenty mg PO two times daily. Which of the post-obit instructions should the nurse include in the didactics? Increase intake of loftier-potassium foods fourteen. A nurse is caring for a client who has burn down injuries covering their upper torso and is concerned about their altered advent .Which of the following statements should the nurse brand? Information technology could be helpful for you to attend a support grouping for people who have burn injuries. xv. A nurse is developing a plan of care for a customer who volition be placed in halo traction post-obit surgical repair of the cervical spine .Which of the following interventions should the nurse include in the programme? Monitor the customer peel nether the halo belong. 16. A nurse is caring for a client who has a traumatic encephalon injury. Which of the following finding should indicate to the nurse the need for firsthand intervention? Respiratory rate xxx/min 17. A nurse is assessing a client who has meningitis. The nurse should identify which of the following finding as a positive Kerning s sign? Later on stroking the lateral area of the foot, the client's toes contract and describe together. Later hip flexion, the client is unable to extend their leg completely without hurting 18. A nurse is teaching a group of assistive personnel (AP) about caring for client who take Alzheimer'due south disease. Which of the following information should the nurse include in the teaching? Provide supervision to forbid a client from becoming injured or lost. nineteen. A dwelling health nurse is providing instruction to the family of a client who has a seizure disorder. Which of the following interventions should the nurse include in the educational activity? Go along a padded natural language bract nigh the bedside. Identify a pillow nether the client's head while in bed during a seizure. Administer diazepam orally at the onset of seizures. Position the client on their side during a seizure. 20. A nurse is contributing to the plan of care for a client who has pyelonephritis. Which of the following interventions should the nurse include? Encourage the client to consume caffeinated beverages Avoid the use of acetaminophen for discomfort Monitor the clients the urine for color changes Begin antibiotic therapy after civilisation and sensitivity results are obtained 21. Nurse is assessing a client who has a herniated lumbar disc. Which of the following findings should the nurse await? The client reports relief from pain when lying in the prone position. The client reports that her low-back pain radiates upward toward one scapula. The client reports tingling and a burning sensation in one foot. The customer reports decreased pain when the afflicted leg is raised and straightened 22. A nurse is caring for a client who has acute gastritis and is NPO. The customer has a new prescription to resume oral intake. Which of the post-obit items should the nurse offered the client? Lemonade Tomato soup Gelatin Blackness coffee 23. A triage nurse nds a school-historic period kid lying in the road following a schoolhouse motorcoach crash with multiple casualties. The child has a respiratory charge per unit of 8/min, is unresponsive to verbal commands, and groans to painful stimuli. The nurse should assign the client which of the following triage tags? Scarlet Yellowish Green Black 24. A nurse is teaching a client who has a new diagnosis of polycystic kidney disease. Which of the post-obit statements should the nurse include in the teaching? "Take aspirin as needed to reduce your pain." "Reduce your dietary beer intake." "Apply dry heat to your belly when needed." "Check your weight once per week." 25. A nurse is assessing a client who has right lower lobe pneumonia. Which of the following findings should the nurse expect? Dull percussion sounds Increased anterior posterior chest diameter Distended neck veins Pitting edema 26. A nurse is providing teaching to the caregivers of a client who has Alzheimer'due south disease. Which of the following instructions should the nurse give? (Select all that utilize.) Install safety locks and warning systems. Place nightlights throughout the home. Supercede carpeted flooring with tile. Institute a predictable daily routine for the customer. Remind the client of scheduled activities 1 day in advance. 27. A nurse is caring for a client who is hyperventilating and has the following ABG results: pH 7.50, PaCO 29 mm Hg, and HCO 25 mEq/L. The nurse should recognize that the client has which of the following acrid-base imbalances? 2 iii – Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis 28. A nurse is providing discharge educational activity for a customer who has COPD near nutrition. Which of the following instructions should the nurse include? Swallow three large meals daily. Eat high-calorie foods. Limit caffeinated drinks to two per day. Drink fluids during mealtime 29. A nurse is caring for a client who has a right-sided pneumothorax. Post-obit breast tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly? Gentle bubbling in the suction chamber Crepitus effectually the insertion site Constant bubbling in the water seal chamber Absence of breath sounds on the right side xxx. A nurse is caring for customer who has a new diagnosis of tuberculosis. Which of the following precautions should the nurse initiate to present manual of the affliction? Contact precautions Airborne precautions Droplet precautions Protective environs 31. A nurse is planning care for a client who has Ménière's illness and is experiencing episodes of vertigo. Which of the post-obit interventions should the nurse include in the program? Maintain strict bed remainder. Restrict uid intake to the morn hours. Administer aspirin. Provide a depression-sodium nutrition. 32. A nurse reviewing laboratory reports for customer who is taking NSAISs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible agin effect of NSAID therapy? Increased erythrocyte sedimentation rate Elevated creatinine clearance Increased serum potassium Positive fecal occult blood test 33. A nurse is assessing a client who is receiving a blood transfusion. Which of the post-obit findings indicates the client might be experiencing a hemolytic transfusion reaction. Hypertension Report of urticarial Distended neck veins Report of breast pain 34. A nurse is caring for a client who had surgery 2 days agone and reports incisional pain. Which of the following actions should the nurse take first? Make up one's mind the fourth dimension the last dose of pain medication was administered. Reposition the client to aid with reduction of pain. Ask the client to describe the pain and rate it on a calibration of 0 to x. Para mi Check the client's medical tape for type of PRN pain medication. 35. A nurse is educational activity strategies to prevent carpal tunnel syndrome to a group of oce workers. Which of the post-obit instructions should the nurse include? (Select all that apply.) "Raise your chair acme so that you lean over to type." "Use a wrist rest when working at a computer station." "Stretch your ngers and wrists periodically while working." "Position your keyboard at shoulder pinnacle." "Accept breaks from the repetitive activeness." 36. A nurse is assessing a customer who has a tension pneumothorax following edgeless chest trauma. Which of the following findings should the nurse expect? Tracheal deviation to the unaffected side Pleural friction rub Frothy, pink-tinged sputum Increased breath sounds on the afflicted side 37. A nurse is caring for an developed client who asks nigh vaccinations against communicable diseases. The nurse should inform the client that which of the following vaccines are available? (Select all that apply) Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine Hepatitis C vaccine Helicobacter pylori vaccine 38. A nurse is didactics a client who has angina pectoris nearly nitroglycerin sublingual tablets. Which of the following statements should indicate to the nurse that the client understands the teaching? "I will proceed the tablets in the original container." "I should keep the container in my shirt or pants pocket." "I should brainstorm to feel relief inside xx minutes of taking the medication." "I will drive myself to the emergency room if three nitroglycerin tablets do not relieve my hurting." 39. A nurse is preparing to administer epoetin to a client who has anemia due to chemotherapy. Which of the post-obit actions should the nurse programme to have? Review the client'south Hgb level prior to administration. Use the Z-tract method when administering the medication.
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