NSG 330 MED SURG INTEGRATED TEST QUESTIONS & ANSWERS

  Client has vomiting and diarrhea. ABG analysis results are ph 7.48 paco2 40mmhg, hcos 35, pa02 95, sao2 98%. Which IV solution does nurse anticipate for client? Normal saline 3% Normal saline 0.9% Dextrose 5% in water Ringer solution Client comes with difficultly breathing, runny nose, pulse of 100, sneezing and coughin. Diagnosis of asthma is made. Which information is most important for nurse to obtain? Select all that apply Any previous attacks like this Exposure to known allergans Family history of allergies Any symptoms while exercising Past history of psychological problems Current list of medications Client reports difficultly moving right arm. Numbness and tingling in arm. Clitn has difficulty speaking and diagnosis of stroke is made. The nurse understands this is what type of stroke? Double hemisphere stroke Hemmorhagic stroke Lef t brain stroke R right brain stroke Nurse teaches client who had stapedectomy. Teaching is understood when which client request is made. Physical therapy for vertigo Neck brace with padding Diet sheet that lists high protein foods Prescription for stool softener Client diagnoses with pulmonary embolism. Which priority does nurse apply? Give supportive care during healin Cardiac monitoring Prevent further embolism Administer thrombolytic agents Client diagnoses with meniere disease. Client has sudden attack of vertigo, nausea, vomiting, and sweating. Nurse provides which interventions? Select all that apply GLYCEROL TEST D diet high in dosium and caffeine Warm, moist environment Dark quiet environment Lorazepam and meclizine IV lfuids and medications Client has respiratory failure. Client becomes agitate, restless, and disoriented. Client has nasal flaring and RR of 26. Most important client goal for nurse to activate? Will have clear breath sounds in all lyng areas Will have pao2 of 90mmHg Will have heart rate of at least 110 bpm Will cough and deep breath 10 tims an hour Client in middle stage of Parkinson. Client no long able to work at job held for years and gave up hand crafts. Client cries and says” this is to hard I cant do the things I want to do. I never thought I would be like this.” Which is the most important goal for this client? Will indicate reduced feeling of depression Will oibtain new job in preferred field of work Will join Parkinson support group Will maintain independence in activities of daily living Clikent diagnoses with bell palsy. Client is concerned because facial appearance has changed. Feelings of fear and qanxiety are expressed to the nurse. Which is the best goal for this client? Client will take meds as ordered Client will state understanding of disease process Client will share prognosis with spouse Client will express decrease in fear and anxiety Client has hypertension. Client says “I think I can stop taking my medication now. I don’t have those headcahces anymore, so I am over this.” Which is the nurses best response? Remember, you can have hyptertension and not have any symptoms Don’t you remember, I told you the medication would needc to be taken for life We will see what your BP is. Maytbe you can stop. How about your diet? Tell me thwat you remember from our conversation about hypertension Client reports sharp burngin pain in lower gums and jaw. Client diagnoses with trigeminal neuralgia. Eating and brushing teeth often trigger pain. Carbamazepine is prescribed. Nurse knows the medication has the anticipated effects when the client makes which statement? I have to have two new cavities filled in my back molars I have regained the 10 punds lost before the treatment I wish I could use my fan when the house gets hot I miss seeing my friends at my bridge club every week Client receives hearing aid because of decreased hearing in both ears. Nurse speak softly and high- pitched to turn right and go up the stairs. The client turns left and goes down the stairs. Which interpretation does the nurse make? Hearing aid needs volume adjustment Different type of hearing aid is needed Mental changes should be assessed Loud-speaking voice is needed Client who is HIV positive receives a Mantoux test. Nurse identifies a 7mm induration at test site. Which interpretation does nruse make? False positive, previous bacilli Calmette-guerin vaccine Negative reaction, less than 10 mm Negative ractio, less than 15 mm Posititve reaction, greater than 5 mm Client diagnosed with liver cancer has partial hepatectomy. Client has anorexia, nauseam and vomiting with weight loss prior to surgery. The nurse communicates which intervention to the client? Select all Here is a sheet we wily se to track I and O and calories for the day We will ask the dietitian to help you select foods that are low in protein and calories We will help you plan your diet around foods you like Let ys plan for 6 small meals each day to help with the nausea Lets talk about how to decrease your fluid intake to 1000 ml per day You can help us watch your skin to make sure it is not excoriated or sore