Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Test Bank for Advantage for Understanding
Medical-Surgical Nursing Nur 372 Verified 350
Questions And Answers With Detailed Rationales
Already Graded A+ Guaranteed Pass – Ace your
Exam
A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a liver biopsy. Which
intervention should the nurse perform after the procedure?
Progress activity as soon as possible.
Assess for signs of bleeding and hypovolemia.
Place the client in the left lateral position.
Monitor blood pressure, pulse and breathing every 4 hours.
A+ TEST BANK 1
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Assess for signs of bleeding and hypovolemia.
Rationale
Assessment for signs of bleeding should be implemented because internal bleeding is the greatest risk
following a liver biopsy. Having the client placed a right lateral position, not left the left side applies
pressure at the biopsy site.
The nurse is completing the health assessment of a 79-year-old male client who denies any significant
health problems. Which finding requires the most immediate follow-up assessment?
Kyphosis with a reduction in height.
Dilated superficial veins on both legs.
External hemorrhoids with itching.
Yellowish discoloration of the sclerae.
Yellowish discoloration of the sclerae.
Rationale
In a geriatric client, a yellowish discoloration (jaundice) of the sclerae is not a normal finding and may
indicate liver damage and requires further assessment.
The home health nurse is assessing a client with terminal lung cancer who is receiving hospice care.
Which activity should be assigned to the hospice practical nurse (PN)?
Administer medications for pain relief, shortness of breath, and nausea.
Clarify family members' feelings about the meaning of client behaviors and symptoms.
Develop a plan of care after assessing the needs of the client and family.
Teach the family to recognize restlessness and grimacing as signs of client discomfort.
A+ TEST BANK 2
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Administer medications for pain relief, shortness of breath, and nausea.
Rationale
Hospice care provides symptom management and pain control during the dying process and
enhances the quality of life for a client who is terminally ill. Administering medication and monitoring
for therapeutic and adverse effects is within the scope of practice for the PN.
The nurse is preparing an adult client for an upper gastrointestinal (UGI) series. Which information
should the nurse include in the teaching plan?
The xray procedure may last for several hours.
A nasogastric tube (NGT) is inserted to instill the barium.
Enemas are given to empty the bowel after the procedure.
Nothing by mouth is allowed for 6 to 8 hours before the study.
Nothing by mouth is allowed for 6 to 8 hours before the study.
Rationale
The client should be NPO, to include smoking or chewing gum for at least 6 hours before the UGI
study.
The unlicensed assistive personnel (UAP) reports that an 87-year-old female client who is sitting in a
chair at the bedside has an oral temperature of 97.2 F ( 36.4 C). Which intervention should the nurse
implement?
Document the temperature reading on the vital sign graphic sheet.
Report the temperature to the healthcare provider immediately.
Instruct the UAP to take the client's temperature again in 30 minutes.
Advise the UAP to assist the client in returning to her bed.
A+ TEST BANK 3
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Document the temperature reading on the vital sign graphic sheet.
Rationale
A subnormal temperature of 97.2 F (36.4 C) (orally) is a common finding in elderly clients, so the nurse
should document the findings and continue with the plan of care.
A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating signs and
symptoms of a febrile, nonhemolytic reaction. What assessment finding is most important for the
nurse to identify?
Increased anxiety since the transfusion began.
Drowsiness after receiving diphenhydramine (Benadryl).
Complaints of feeling cold.
Flushed skin and headache.
Flushed skin and headache.
Rationale
The most common type of reaction is a febrile, nonhemolytic blood transfusion reaction related to
leukocyte incompatibility, which causes chills, fever, headache, and flushing.
When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what
information is important to include?
Dry, itchy skin changes may occur.
There is a possibility of long bone pain.
Permanent pigment changes to the breast may result.
A+ TEST BANK 4
Understanding Medical-Surgical Nursing
Test Bank for Advantage for Understanding
Medical-Surgical Nursing Nur 372 Verified 350
Questions And Answers With Detailed Rationales
Already Graded A+ Guaranteed Pass – Ace your
Exam
A client with a chronic infection of Hepatitis C virus (HCV) is scheduled for a liver biopsy. Which
intervention should the nurse perform after the procedure?
Progress activity as soon as possible.
Assess for signs of bleeding and hypovolemia.
Place the client in the left lateral position.
Monitor blood pressure, pulse and breathing every 4 hours.
A+ TEST BANK 1
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Assess for signs of bleeding and hypovolemia.
Rationale
Assessment for signs of bleeding should be implemented because internal bleeding is the greatest risk
following a liver biopsy. Having the client placed a right lateral position, not left the left side applies
pressure at the biopsy site.
The nurse is completing the health assessment of a 79-year-old male client who denies any significant
health problems. Which finding requires the most immediate follow-up assessment?
Kyphosis with a reduction in height.
Dilated superficial veins on both legs.
External hemorrhoids with itching.
Yellowish discoloration of the sclerae.
Yellowish discoloration of the sclerae.
Rationale
In a geriatric client, a yellowish discoloration (jaundice) of the sclerae is not a normal finding and may
indicate liver damage and requires further assessment.
The home health nurse is assessing a client with terminal lung cancer who is receiving hospice care.
Which activity should be assigned to the hospice practical nurse (PN)?
Administer medications for pain relief, shortness of breath, and nausea.
Clarify family members' feelings about the meaning of client behaviors and symptoms.
Develop a plan of care after assessing the needs of the client and family.
Teach the family to recognize restlessness and grimacing as signs of client discomfort.
A+ TEST BANK 2
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Administer medications for pain relief, shortness of breath, and nausea.
Rationale
Hospice care provides symptom management and pain control during the dying process and
enhances the quality of life for a client who is terminally ill. Administering medication and monitoring
for therapeutic and adverse effects is within the scope of practice for the PN.
The nurse is preparing an adult client for an upper gastrointestinal (UGI) series. Which information
should the nurse include in the teaching plan?
The xray procedure may last for several hours.
A nasogastric tube (NGT) is inserted to instill the barium.
Enemas are given to empty the bowel after the procedure.
Nothing by mouth is allowed for 6 to 8 hours before the study.
Nothing by mouth is allowed for 6 to 8 hours before the study.
Rationale
The client should be NPO, to include smoking or chewing gum for at least 6 hours before the UGI
study.
The unlicensed assistive personnel (UAP) reports that an 87-year-old female client who is sitting in a
chair at the bedside has an oral temperature of 97.2 F ( 36.4 C). Which intervention should the nurse
implement?
Document the temperature reading on the vital sign graphic sheet.
Report the temperature to the healthcare provider immediately.
Instruct the UAP to take the client's temperature again in 30 minutes.
Advise the UAP to assist the client in returning to her bed.
A+ TEST BANK 3
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Document the temperature reading on the vital sign graphic sheet.
Rationale
A subnormal temperature of 97.2 F (36.4 C) (orally) is a common finding in elderly clients, so the nurse
should document the findings and continue with the plan of care.
A client who is receiving the sixth unit of packed red blood cell transfusion is demonstrating signs and
symptoms of a febrile, nonhemolytic reaction. What assessment finding is most important for the
nurse to identify?
Increased anxiety since the transfusion began.
Drowsiness after receiving diphenhydramine (Benadryl).
Complaints of feeling cold.
Flushed skin and headache.
Flushed skin and headache.
Rationale
The most common type of reaction is a febrile, nonhemolytic blood transfusion reaction related to
leukocyte incompatibility, which causes chills, fever, headache, and flushing.
When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what
information is important to include?
Dry, itchy skin changes may occur.
There is a possibility of long bone pain.
Permanent pigment changes to the breast may result.
A+ TEST BANK 4
