Med surg Practice predictor A 2020
a nurse is reinforcing teaching a client who has mitral valve disease. which of the
following statements by the client indicates an understanding of the disease process? -
Answer "I should call my doctor if my ankles swell."
R-Swelling of the ankles can indicate heart failure. The client should report this finding
to the provider.
a nurse is reinforcing teaching about joint protection with a client who has an acute
exacerbation of rheumatoid arthritis. Which of the following information should the nurse
include in the teaching? - Answer apply cold packs to the inflamed joints.
R-The nurse should instruct the client to use both warm and cold packs on inflamed
joints to decrease pain.
a nurse is collecting data from a client who has hypothyroidism. which of the following
manifestation should the nurse anticipate? - Answer bradycardia
r- The nurse should identify that bradycardia is a manifestation of hypothyroidism that is
caused by a decrease in the client's metabolic rate.
a nurse is reinforcing teaching with an adolescent client regarding testicular self-
examination. which of the following statements by the client demonstrates an
understanding of the teaching? - Answer "I understand that testicular cancer is typically
painless."
r-Clients should report a lump that is not painful because testicular cancer is typically
painless.
a nurse is contributing to the plan of care for the client who is at risk for osteoporosis.
which of the following interventions should the nurse include to prevent bone loss? -
Answer Encourage weight-bearing exercises.
r-Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone
demineralization, thus helping to prevent osteoporosis.
a nurse is reinforcing teaching about management of constipation with a client who has
hyperthyroidism. which of the following instructions should the nurse include in the
teaching? - Answer increase intake of fiber-rich foods. r-The nurse should instruct the
client to increase the amount of fiber-rich foods in their diet. Dried beans and brown rice
are examples of fiber-rich foods.
a home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. which of the following statements indicates that the client
is adhering to the nurses instruction? - Answer "I don't cross my legs anymore."
r-clients who have peripheral vascular disease should not cross their legs because it
can impede circulation.
a nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure.
which of the following actions should the nurse take? - Answer Loosen clothing around
the client's neck
r-Loosen clothing around the client's neck.
, Med surg Practice predictor A 2020
a nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestation of impending death. which of the following manifestations should the
nurse include? - Answer Incontinence of the bowel and bladder
r-The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension,
bradycardia, restlessness, and coolness of the skin.
a nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. which of the following should the nurse include in the teaching? -
Answer Mohs surgery is a horizontal shaving of thin layers of the tumor.
r-Mohs surgery is performed to treat basal and squamous cell carcinoma. The
procedure, which involves a horizontal shaving of thin layers of a tumor, has a high
success rate.
a nurse is assisting in the plan of care for client who had a recent Left hemispheric
stroke, which of the following should the nurse include in the plan? - Answer Use simple
verbal cues when directing tasks.
r-he nurse should expect a client who had a left hemispheric stroke to manifest some
degree of expressive and/or receptive aphasia. Using simple verbal cues will assist the
client in understanding spoken communication.
a nurse is caring for a client who reports stomatitis, which of the following dietary
recommendations should the nurse make? - Answer eat soft foods
r- The nurse should instruct a client who has stomatitis to eat soft, nonirritating foods to
decrease irritation to the oral mucosa.
a nurse is reviewing the lab results of a client who has chronic kidney failure and is
receiving epoetin alfa. the nurse should identify that which of the following lab values
indicates the treatment is effective?Hgb 11 g/dL - Answer Hgb 11 g/dL
r-Epoetin alfa stimulates the production of erythropoietin and red blood cells, resulting in
increased hemoglobin levels. Therefore, a hemoglobin level of 11 g/dL indicates the
epoetin alfa treatment is effective.
a nurse is assisting in the care of client who has manifestation of sepsis. which of the
following provider prescriptions should the nurse implement first? - Answer Initiate
oxygen at 4 L/min via nasal cannula.
r-When using the airway, breathing, circulation approach to client care, the first action
the nurse should take is to initiate oxygen. Clients who have manifestations of sepsis
are often hypoxic, tachypneic, or have a PaCO2 level less than 32 mm Hg. The nurse
should provide supplemental oxygen to keep the client's oxygen saturation levels at
95% or greater, which will maximize the ability of the hemoglobin to support the oxygen
needs of the body.
a nurse is reinforcing teaching a client who has mitral valve disease. which of the
following statements by the client indicates an understanding of the disease process? -
Answer "I should call my doctor if my ankles swell."
R-Swelling of the ankles can indicate heart failure. The client should report this finding
to the provider.
a nurse is reinforcing teaching about joint protection with a client who has an acute
exacerbation of rheumatoid arthritis. Which of the following information should the nurse
include in the teaching? - Answer apply cold packs to the inflamed joints.
R-The nurse should instruct the client to use both warm and cold packs on inflamed
joints to decrease pain.
a nurse is collecting data from a client who has hypothyroidism. which of the following
manifestation should the nurse anticipate? - Answer bradycardia
r- The nurse should identify that bradycardia is a manifestation of hypothyroidism that is
caused by a decrease in the client's metabolic rate.
a nurse is reinforcing teaching with an adolescent client regarding testicular self-
examination. which of the following statements by the client demonstrates an
understanding of the teaching? - Answer "I understand that testicular cancer is typically
painless."
r-Clients should report a lump that is not painful because testicular cancer is typically
painless.
a nurse is contributing to the plan of care for the client who is at risk for osteoporosis.
which of the following interventions should the nurse include to prevent bone loss? -
Answer Encourage weight-bearing exercises.
r-Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone
demineralization, thus helping to prevent osteoporosis.
a nurse is reinforcing teaching about management of constipation with a client who has
hyperthyroidism. which of the following instructions should the nurse include in the
teaching? - Answer increase intake of fiber-rich foods. r-The nurse should instruct the
client to increase the amount of fiber-rich foods in their diet. Dried beans and brown rice
are examples of fiber-rich foods.
a home health nurse is reinforcing teaching with a client about preventing complications
of peripheral vascular disease. which of the following statements indicates that the client
is adhering to the nurses instruction? - Answer "I don't cross my legs anymore."
r-clients who have peripheral vascular disease should not cross their legs because it
can impede circulation.
a nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure.
which of the following actions should the nurse take? - Answer Loosen clothing around
the client's neck
r-Loosen clothing around the client's neck.
, Med surg Practice predictor A 2020
a nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestation of impending death. which of the following manifestations should the
nurse include? - Answer Incontinence of the bowel and bladder
r-The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension,
bradycardia, restlessness, and coolness of the skin.
a nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. which of the following should the nurse include in the teaching? -
Answer Mohs surgery is a horizontal shaving of thin layers of the tumor.
r-Mohs surgery is performed to treat basal and squamous cell carcinoma. The
procedure, which involves a horizontal shaving of thin layers of a tumor, has a high
success rate.
a nurse is assisting in the plan of care for client who had a recent Left hemispheric
stroke, which of the following should the nurse include in the plan? - Answer Use simple
verbal cues when directing tasks.
r-he nurse should expect a client who had a left hemispheric stroke to manifest some
degree of expressive and/or receptive aphasia. Using simple verbal cues will assist the
client in understanding spoken communication.
a nurse is caring for a client who reports stomatitis, which of the following dietary
recommendations should the nurse make? - Answer eat soft foods
r- The nurse should instruct a client who has stomatitis to eat soft, nonirritating foods to
decrease irritation to the oral mucosa.
a nurse is reviewing the lab results of a client who has chronic kidney failure and is
receiving epoetin alfa. the nurse should identify that which of the following lab values
indicates the treatment is effective?Hgb 11 g/dL - Answer Hgb 11 g/dL
r-Epoetin alfa stimulates the production of erythropoietin and red blood cells, resulting in
increased hemoglobin levels. Therefore, a hemoglobin level of 11 g/dL indicates the
epoetin alfa treatment is effective.
a nurse is assisting in the care of client who has manifestation of sepsis. which of the
following provider prescriptions should the nurse implement first? - Answer Initiate
oxygen at 4 L/min via nasal cannula.
r-When using the airway, breathing, circulation approach to client care, the first action
the nurse should take is to initiate oxygen. Clients who have manifestations of sepsis
are often hypoxic, tachypneic, or have a PaCO2 level less than 32 mm Hg. The nurse
should provide supplemental oxygen to keep the client's oxygen saturation levels at
95% or greater, which will maximize the ability of the hemoglobin to support the oxygen
needs of the body.
