KAPLAN MEDICAL SURGICAL INTEGRATED Latest
Questions and Answers | Professional Verified
Study Guide
A client is diagnosed with myasthenia gravis. The client says, "I am tired all the time and
I don't want to live any more. If I stop taking my medication, I can stop breathing." Which
is the nurse's best response?
a. Ask client about feelings of hopelessness
b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication -✓✓a. Ask client about feelings of
hopelessness
The nurse suctions a client's tracheostomy. Which technique does the nurse use?
(select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning -✓✓a. Routinely instills sterile normal saline before
suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures. The nurse identifies
which client goal as the priority?
a. Client will maintain optimal mental functioning
b. Client will have no injuries during a seizure
c. Client will meet with a counselor as needed
d. Client will take all medications as directed -✓✓d. Client will take all medications as
directed
A client just had an upper GI X-ray procedure. Which information is most important for
the nurse to give the client?
a. Save stool specimen after 48 hours
b. Take a laxative after 72 hours if no stool
c. Clear liquid diet only for 24 hours then a regular diet
, d. Drink large amounts of fluid for 72 hours -✓✓d. Drink large amounts of fluid for 72
hours
A client experiences anaphylactic shock caused by a reaction to a medication. IV
diphenhydramine is administered, and the client appears to be recovering. Which VS is
the most important for the nurse to monitor for the next several hours?
a. Respirations
b. Blood pressure
c. Pulse
d. Temperature -✓✓a. Respirations
A client with heart failure is to be weighed daily. The client asks why this is necessary.
Which is the best information for the nurse to give the client?
a. Helps determine if the medication is working
b. Shows how activity affects activity intolerance
c. Is an indication of the fluid status in the body
d. Determines the number of calories for the diet -✓✓c. Is an indication of the fluid
status in the body
A client is diagnosed with glaucoma. The client asks the nurse why eye drops are
necessary. Which response by the nurse is best?
a. "The drops keep your eye pressure low and help maintain your vision."
b. "How can we help you use the drops better? You need to follow the directions."
c. "Does using the drops bother you? Did you ask your eye care provider?"
d. "Unfortunately, you are not a candidate for the surgery and need the drops." -✓✓a.
"The drops keep your eye pressure low and help maintain your vision."
A client is to receive high-flow oxygen with a concentration of 35%. Which oxygen
delivery system does the nurse anticipate for this client?
a. Venturi mask
b. Non-rebreather mask
c. Tracheostomy T bar
d. Tracheostomy collar -✓✓a. Venturi mask
A client reports recurrent headaches with the following symptoms: headache located in
"hat band" area with squeezing, tight sensation last 2 hours and causing stiff neck
muscles. Which medication prescription does the nurse anticipate?
a. Verapamil
b. Sumatriptan
c. Acetaminophen/butalbital/caffeine
d. Dihydroergotamine mesylate -✓✓c. Acetaminophen/butalbital/caffeine
Questions and Answers | Professional Verified
Study Guide
A client is diagnosed with myasthenia gravis. The client says, "I am tired all the time and
I don't want to live any more. If I stop taking my medication, I can stop breathing." Which
is the nurse's best response?
a. Ask client about feelings of hopelessness
b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication -✓✓a. Ask client about feelings of
hopelessness
The nurse suctions a client's tracheostomy. Which technique does the nurse use?
(select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning -✓✓a. Routinely instills sterile normal saline before
suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures. The nurse identifies
which client goal as the priority?
a. Client will maintain optimal mental functioning
b. Client will have no injuries during a seizure
c. Client will meet with a counselor as needed
d. Client will take all medications as directed -✓✓d. Client will take all medications as
directed
A client just had an upper GI X-ray procedure. Which information is most important for
the nurse to give the client?
a. Save stool specimen after 48 hours
b. Take a laxative after 72 hours if no stool
c. Clear liquid diet only for 24 hours then a regular diet
, d. Drink large amounts of fluid for 72 hours -✓✓d. Drink large amounts of fluid for 72
hours
A client experiences anaphylactic shock caused by a reaction to a medication. IV
diphenhydramine is administered, and the client appears to be recovering. Which VS is
the most important for the nurse to monitor for the next several hours?
a. Respirations
b. Blood pressure
c. Pulse
d. Temperature -✓✓a. Respirations
A client with heart failure is to be weighed daily. The client asks why this is necessary.
Which is the best information for the nurse to give the client?
a. Helps determine if the medication is working
b. Shows how activity affects activity intolerance
c. Is an indication of the fluid status in the body
d. Determines the number of calories for the diet -✓✓c. Is an indication of the fluid
status in the body
A client is diagnosed with glaucoma. The client asks the nurse why eye drops are
necessary. Which response by the nurse is best?
a. "The drops keep your eye pressure low and help maintain your vision."
b. "How can we help you use the drops better? You need to follow the directions."
c. "Does using the drops bother you? Did you ask your eye care provider?"
d. "Unfortunately, you are not a candidate for the surgery and need the drops." -✓✓a.
"The drops keep your eye pressure low and help maintain your vision."
A client is to receive high-flow oxygen with a concentration of 35%. Which oxygen
delivery system does the nurse anticipate for this client?
a. Venturi mask
b. Non-rebreather mask
c. Tracheostomy T bar
d. Tracheostomy collar -✓✓a. Venturi mask
A client reports recurrent headaches with the following symptoms: headache located in
"hat band" area with squeezing, tight sensation last 2 hours and causing stiff neck
muscles. Which medication prescription does the nurse anticipate?
a. Verapamil
b. Sumatriptan
c. Acetaminophen/butalbital/caffeine
d. Dihydroergotamine mesylate -✓✓c. Acetaminophen/butalbital/caffeine
