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Med surg 1 nursing questions & answers 2021/22

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A nurse is preparing to administer potassium chloride 20 mEq PO four times a day for a client with hypokalemia. The amount available is 10 mEq/tablet. How many tablets should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 8tablets 8 Med surg 1 A nurse is assigned to a patient who has been a very close family friend for many years. What statement would be most appropriate for the nurse to maintain a therapeutic relationship under these circumstances? “You may feel uncomfortable about my caring for you. Although everything that happens here is considered to be confidential, would you prefer another caregiver?” “This is a very busy unit, but I will make sure that you get lots of attention, and I will come back after my shift to help you.” “Don’t worry about a thing. I will see that extra care is given to you on the other shifts, because you are my friend.” “I’m so sorry that you are hospitalized, but I will tell all my friends to take special care of you for me.” A nurse is preparing to administer potassium chloride 20 mEq PO four times a day for a client with hypokalemia. The amount available is 10 mEq/tablet. How many tablets should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 8tablets 8 The nurse notes that the oxygen saturation is 88% in an unconscious patient who was transferred to the postanesthesia care unit (PACU) 10 minutes previously. Which action should the nurse take first? Increase the oxygen flow rate. Elevate the patient’s head. Suction the patient’s mouth. Perform the jaw-thrust maneuver. A nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS) unit and how it works. What is the most appropriate information for the nurse to relay? “The mechanism for use of this unit is well known and can be read.” “The stimulation of the skin seeks to localize the acute pain and will last for several minutes after the unit is applied.” “During those days when using the TENS unit, no analgesic can be given.” “This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain.” A client is dehydrated and needs an infusion of isotonic fluids to correct dehydration. Which intravenous fluid is appropriate for the client? Dextrose 10% in water Dextrose 5% in 0.9% Sodium Chloride Dextrose 5% in Lactated Ringer's Dextrose 5% in water A nurse is assessing the client who is experiencing a severe diarrhea. Which of the following characteristics is consistent with fluid volume deficit? A 1 lb. weight loss in 10 days, pale yellow urine dry mucous membrane, thready pulse, tachycardia Bounding radial pulse, distended neck vein when in supine position engorged neck vein when in upright position With the exposure to an antigen, a nurse explains that the initiator of the inflammatory response is the presence of histamine. What is responsible for releasing histamine? Basophils Neutrophils Eosinophils Monocytes A nurse is caring for a client who suddenly fell from the floor and starts having a tonic-clonic seizure. Which of the following actions should the nurse take? 2/2 Points Immediately leave the client to call the provider. Restrain the client's extremities. Try to put the client back in bed by lifting. Stay with the client and call for help. A nurse is discussing the body’s first and second lines of defense against infection with a community group. What does the body’s first line of defense include? 2/2 Points Sweat T lymphocytes White blood cells Teeth A nurse is discussing risk factors associated with electrolyte imbalance with a group of newly licensed nurses. Which of the following clients has the greatest risk for hypermagnesemia? 0/2 Points a client with renal failure a client with dysrhythmia a client with asthma and morbidly obese a client who has acetaminophen overdose A nurse assesses that a patient’s urine has become much more concentrated. What is the most likely cause for the change? 2/2 Points Antidiuretic hormone (ADH) Insulin

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A nurse is preparing to administer potassium chloride 20 mEq PO four times a day for a client with hypokalemia. The
amount available is 10 mEq/tablet. How many tablets should the nurse administer per day? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
8tablets
8
Med surg 1
A nurse is assigned to a patient who has been a very close family friend for many years. What statement would be
most appropriate for the nurse to maintain a therapeutic relationship under these circumstances?

“You may feel uncomfortable about my caring for you. Although everything that happens here is considered to be
confidential, would you prefer another caregiver?”

“This is a very busy unit, but I will make sure that you get lots of attention, and I will come back after my shift to help
you.”

“Don’t worry about a thing. I will see that extra care is given to you on the other shifts, because you are my friend.”

“I’m so sorry that you are hospitalized, but I will tell all my friends to take special care of you for me.”



A nurse is preparing to administer potassium chloride 20 mEq PO four times a day for a client with hypokalemia. The
amount available is 10 mEq/tablet. How many tablets should the nurse administer per day? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
8tablets
8




The nurse notes that the oxygen saturation is 88% in an unconscious patient who was transferred to the
postanesthesia care unit (PACU) 10 minutes previously. Which action should the nurse take first?

Increase the oxygen flow rate.

Elevate the patient’s head.

Suction the patient’s mouth.

Perform the jaw-thrust maneuver.




A nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS) unit and how it works.
What is the most appropriate information for the nurse to relay?

“The mechanism for use of this unit is well known and can be read.”

“The stimulation of the skin seeks to localize the acute pain and will last for several minutes after the unit is applied.”

,“During those days when using the TENS unit, no analgesic can be given.”

“This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain.”




A client is dehydrated and needs an infusion of isotonic fluids to correct dehydration. Which intravenous fluid is
appropriate for the client?

Dextrose 10% in water

Dextrose 5% in 0.9% Sodium Chloride

Dextrose 5% in Lactated Ringer's

Dextrose 5% in water




A nurse is assessing the client who is experiencing a severe diarrhea. Which of the following characteristics is
consistent with fluid volume deficit?
A 1 lb. weight loss in 10 days, pale yellow urine

dry mucous membrane, thready pulse, tachycardia

Bounding radial pulse, distended neck vein when in supine position

engorged neck vein when in upright position




With the exposure to an antigen, a nurse explains that the initiator of the inflammatory response is the presence of
histamine. What is responsible for releasing histamine?
Basophils

Neutrophils

Eosinophils

Monocytes




A nurse is caring for a client who suddenly fell from the floor and starts having a tonic-clonic seizure. Which of the
following actions should the nurse take?
2/2 Points

,Immediately leave the client to call the provider.

Restrain the client's extremities.

Try to put the client back in bed by lifting.

Stay with the client and call for help.




A nurse is discussing the body’s first and second lines of defense against infection with a community group. What does
the body’s first line of defense include?
2/2 Points

Sweat

T lymphocytes

White blood cells

Teeth




A nurse is discussing risk factors associated with electrolyte imbalance with a group of newly licensed nurses. Which of
the following clients has the greatest risk for hypermagnesemia?
0/2 Points

a client with renal failure

a client with dysrhythmia

a client with asthma and morbidly obese

a client who has acetaminophen overdose




A nurse assesses that a patient’s urine has become much more concentrated. What is the most likely cause for the
change?
2/2 Points

Antidiuretic hormone (ADH)

Insulin

, Adrenaline

Aldosterone




An elderly client had 3 episodes of vomiting for the last 12 hours. Which of the following acid-base imbalance would
most likely result as a complication of the client's illness?
0/2 Points

respiratory acidosis

metabolic acidosis

metabolic alkalosis

respiratory alkalosis




Which of the following instructions about safer sex practices are appropriate for the nurse to discuss with the client?
Select all that apply.
0/2 Points

Do not reuse condoms.

Avoid anal intercourse.

Reduce the number of sexual partners to one.

Engage in nonpenetrating sexual activities

Brush teeth after oral intercourse.




The nurse explains that when oxygen is directed out of the arteries and into the capillaries, this process is called:
2/2 Points

Active transport

Osmosis

Filtration

Diffusion

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