NUR 425 Med Surg Exam 1
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1. A nurse is caring for a pt who has visual Count steps to the bathroom with the pt
impairment/loss. What do you think the
nurse should implement?
2. A nurse is teaching a pt who asks about Avoid taking glucosamine if you have a shell-
taking a glucosamine supplement for os- fish allergy
teoarthritis. What information should the
nurse include in the teaching?
3. A nurse is discussing activity modification Place a pillow between your legs when lying
with a pt who had a right total hip arthro- in bed
plasty. What statement should the nurse
include in the information?
4. A nurse is teaching a newly licensed nurse Ensure the urinary catheter tubing is not
about preventing a catheter-associated kinked
urinary tract infection for a pt who has an
indwelling urinary catheter. What instruc-
tion should the nurse include?
5. A nurse is planning wound management Measure the depth of the wound with a cot-
for a pt who has a stage 3 pressure in- ton-tipped applicator
jury. What intervention should the nurse
include in the plan?
6. A nurse is planning care for four clients fol- A pt who has peptic ulcer disease and a rigid
lowing a change-of-shift report. Which of abdomen
the following clients is the nurse's priority?
7. A nurse is planning care for four pts fol- A client who has a pacemaker and has per-
lowing the change-of-shift report. Which of sistent hiccuping
the following clients should the nurse see
first?
, NUR 425 Med Surg Exam 1
Study online at https://quizlet.com/_fn3c3j
8. A nurse is caring for a pt who is postoper- Shiny areas on the client's ankles and feet
ative and has a history of heart failure. The
pt reports slight dyspnea when ambulat-
ing. What finding should the nurse expect
when performing a skin assessment?
9. A hospice nurse is planning end-of-life Position the client on their side to improve
comfort care for a pt. What intervention breathing
should the nurse include in the plan?
10. A nurse is teaching a pt who has a prescrip- Allow the dialysate to dwell for 4 hr during
tion for continuous ambulatory peritoneal each exchange
dialysis. What instruction should the nurse
include?
11. A nurse is providing hydrotherapy for a pt Wash the pt's burns with mild soap and wa-
who has full-thickness turns on the lower ter
leg. What action should the nurse take?
12. A nurse is assessing a pt who is receiving The client reports a dry mouth, tooth decay
head and neck radiation therapy to treat and dysphagia (difficulty swallowing)
esophageal cancer. The nurse should iden-
tify what finding as an adverse effect of this
treatment?
13. A nurse is assessing a pt who has an endo- Manually ventilate the client using a
tracheal tube and is receiving mechanical bag-valve device
ventilation. The pt is agitated and appears
to be in respiratory distress. What action
should the nurse take first?
14. Weigh the client before the procedure
Study online at https://quizlet.com/_fn3c3j
1. A nurse is caring for a pt who has visual Count steps to the bathroom with the pt
impairment/loss. What do you think the
nurse should implement?
2. A nurse is teaching a pt who asks about Avoid taking glucosamine if you have a shell-
taking a glucosamine supplement for os- fish allergy
teoarthritis. What information should the
nurse include in the teaching?
3. A nurse is discussing activity modification Place a pillow between your legs when lying
with a pt who had a right total hip arthro- in bed
plasty. What statement should the nurse
include in the information?
4. A nurse is teaching a newly licensed nurse Ensure the urinary catheter tubing is not
about preventing a catheter-associated kinked
urinary tract infection for a pt who has an
indwelling urinary catheter. What instruc-
tion should the nurse include?
5. A nurse is planning wound management Measure the depth of the wound with a cot-
for a pt who has a stage 3 pressure in- ton-tipped applicator
jury. What intervention should the nurse
include in the plan?
6. A nurse is planning care for four clients fol- A pt who has peptic ulcer disease and a rigid
lowing a change-of-shift report. Which of abdomen
the following clients is the nurse's priority?
7. A nurse is planning care for four pts fol- A client who has a pacemaker and has per-
lowing the change-of-shift report. Which of sistent hiccuping
the following clients should the nurse see
first?
, NUR 425 Med Surg Exam 1
Study online at https://quizlet.com/_fn3c3j
8. A nurse is caring for a pt who is postoper- Shiny areas on the client's ankles and feet
ative and has a history of heart failure. The
pt reports slight dyspnea when ambulat-
ing. What finding should the nurse expect
when performing a skin assessment?
9. A hospice nurse is planning end-of-life Position the client on their side to improve
comfort care for a pt. What intervention breathing
should the nurse include in the plan?
10. A nurse is teaching a pt who has a prescrip- Allow the dialysate to dwell for 4 hr during
tion for continuous ambulatory peritoneal each exchange
dialysis. What instruction should the nurse
include?
11. A nurse is providing hydrotherapy for a pt Wash the pt's burns with mild soap and wa-
who has full-thickness turns on the lower ter
leg. What action should the nurse take?
12. A nurse is assessing a pt who is receiving The client reports a dry mouth, tooth decay
head and neck radiation therapy to treat and dysphagia (difficulty swallowing)
esophageal cancer. The nurse should iden-
tify what finding as an adverse effect of this
treatment?
13. A nurse is assessing a pt who has an endo- Manually ventilate the client using a
tracheal tube and is receiving mechanical bag-valve device
ventilation. The pt is agitated and appears
to be in respiratory distress. What action
should the nurse take first?
14. Weigh the client before the procedure
