CJE MS II Benchmark – Accurate Solutions For
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Terms in this set (72)
A client admitted with ulcerative colitis it is expected that the client will have several loose
is weak and requires assistance for stools daily
activities of daily living. In the clients
plan of care, the nurse has
documented the need for UAP to
provide frequent perneal care and
apply a skin barrier to the perineum.
why has the nurse included these
interventions in the clients plan of
care?
An older adult client has a lower Surgical site infection
extremity amputation due to
peripheral vascular disease. the nurse
elevates the residual limb and
administers pain medication. Which
condition is associated with the
highest morbidity for this client?
the nurse cares for a client with set the room temp to 85
second and third degree burns
covering 40% of the total body
surface area. when performing a
dressing change which action should
the nurse perform?
,A client on the hospice unit with - It is unsafe to feed her as she is no longer able to
terminal cancer is actively dying, and swallow
the family is sad and crying. the clients - At this stage your sister is really not experiencing
sister says "shes starving. you havent hunger
fed her since yesterday. can i give her
water or a nutritional milkshake? how
should the nurse respond? select all
that apply
the nurse administers amoxicillin 1225
70/mg/kg/day to a client with an ear
infection. the drug is to be
administered in two divided doses. the
client weighs 77 pounds. how many
milligrams will the nurse administer
with each does?
The nurse assesses a client with acute Metabolic acidosis
renal failure. the lab findings show a
decrease in PH, a decrease in bicarb
and a decrease in serum carbon
dioxide. the client is experiencing
kussmaul breathing and acidic urine.
which acid base complication is this
client experiencing?
The nurse cares for a client with chest Radial pulse is 110 beats per minute and irregular
pain. Which assessment finding
requires immediate action?
A client who had surgery for lung Pooling of thick secretions in the respiratory tract
cancer has an established short-term
goal of "Client will experience no
impairment in breathing pattern for
the next three postoperative days."
Which finding indicates the goal has
not been achieved?
, A client's stump is healing after a Vasoconstriction, platelet aggregation, and fibrin
below-the-knee amputation, and the deposition
client asks the nurse detailed
questions about the healing process.
What step does the nurse describe
when teaching about the inflammatory
phase of wound healing?
A postoperative client develops insert an indwelling foley catheter
urinary retention and voids in small
amounts every 15-30 minutes. Which
intervention should the nurse
implement first?
The health care provider orders serial pH 7.24, PaCO₂ 56 mmHg, HCO₃ 22 mEq/L
arterial blood gases (ABGs) for a
client with chronic obstructive
pulmonary disease (COPD) who is
experiencing respiratory acidosis. At
0800, the client's ABG results were pH
7.28, PaCO2 66 mmHg, and HCO3 22
mEq/L. Which ABG results drawn at
1000 indicate the client's condition is
declining?
A client with a history of diabetes Hyperglycemic-hyperosmolar state
mellitus type II develops gastritis and
severe dehydration. The client is
brought to the emergency
department by a family member and
responds only to painful stimuli. Labs
reveal hyperglycemia,
hyperosmolarity, and negative serum
ketones. Which complication is the
client most likely experiencing?