Med Surg 1 Final Exam Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf

Med Surg 1 Final Exam Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! Instant Download Pdf 1. The nurse educator is giving a lecture to nursing students on Hodgekinds disease. The nurse should discuss which of the following clinical manifestations as most likely observed in the client diagnosed with the disease A. difficulty swallowing B. painless, enlarged cervical lymph nodes C. difficulty breathing D. feeling of fullness in the upper right quadrant. - Correct Answer: B. 2. A client is admitted to the emergency department with suspected carbon monoxide poisoning. Assessment findings indicate the patient's color is Rudy, not canonic, the nurse should associate that the client is at risk for decreased oxygen-carrying capacity of blood because carbon monoxide does which of the following A. stimulates hyperventilation causing respiratory alkalosis B. forms a strong bond with hemoglobin, creating a functional anemia C. stimulates hypoventilation, causing respiratory acidosis D. causes alveoli to over infiltrate, leading to atelectasis - Correct Answer: B 3. When caring for a client diagnoses with metastatic cancer, the nurse notes a hemoglobin level of 8.7 g/dl and hematocrit of 26. The nurse would place highest priority ob initiating interventions that will reduce which of the following factors. A. thirst B. fatigue C. headache D. abdominal pain - Correct Answer: B 4. The nurse is providing care for a client diagnosed with HIV several years ago. Which assessment finding most definitely indicates the acute exasperation of the disease. A. presence of mononucleosis like symptoms B. a share decrease in the clients CD+ count C. an increase in the clients WBC count. D. a decrease in the clients RBC count - Correct Answer: B 5. A client diagnosed with anemia is prescribed folic acid supplementation. which labartory finding is important prior to administration of the medication. A. vitamin B12 B. Vitamin B6 C. CBC D. basic metabolic panel (BMP) - Correct Answer: A 6. On the first day after surgery a client has been breathing room air. The vital signs are within normal limits, and the O2 saturation is 89%. which nursing actions should the nurse perform first. A. lower head of the bed 15 degrees B. notify the healthcare provider of the changes C. instruct on proper technique for pulmonary hygiene. D. administer oxygen via nasal cannula a 2 L/min - Correct Answer: C 7. The nurse is admitting a client with a left lower extremity fracture for open reduction interval fixator surgery. Which assessment is priority for the nurse to perform? A. the area proximal to the fracture B. the actual fracture site C. the area distal to the fracture D. the opposite extremity for baseline comparison - Correct Answer: C 8. The nurse is preparing a client status post a total knee replacement with a metal joint for discharge. the nurse should include which discharge instructions related to the surgery? select all that apply. A. notify other health care providers about the joint prior to invasive procedures. B. avoid MRI scans C. notify airport security that the joint may set off alarms or metal detectors D. refrain from carrying items weighing more than 5 lbs. E. limit fluid intake to 1,000 ml/day for the next 4 weeks. - Correct Answer: ABC 9. The nurse is assessing a client for neurologic impairment after a total hip replacement. Which of the following would indicate impairment in the affected extremity? A. decreased distal pulse B. inability to move the extremity C. diminished capillary refill D. coolness to touch - Correct Answer: B. being unable to move is a neurological issue. 10. The nurse is caring for an older adult male who had an open reduction internal fixture (ORIF) of the right hip 24 hours ago. the client is now experiencing shortness of breath and chest tightness. the nurse reviews the recent lab results. the nurse should report which of the following to the physician. A. hematocrit 43% B. serum glucose 120 mg/dl C. troponin 1.4 mcg/dl D. erythrocyte sedimentation rate 22 mm/h E. WBC 4200 per mcl of bloow - Correct Answer: C. troponin is a cardiac biomaker and is normally not detectable within the blood.