EEC 1752 MEDSURGE FINAL REVIEW- Miami Dade College, Miami

____ 2. A nurse is performing an admission assessment of a client with a diagnosis of cirrhosis.
What technique should the nurse use to palpate the client's liver?
C) Place hand under right lower rib cage and press down lightly with the other hand.
____ 4. A nurse educator is teaching a group of recent nursing graduates about their occupational
risks for contracting hepatitis B. What preventative measures should the educator promote?
Select all that apply.
A) Immunization
B) Use of standard precautions


____ 35. A client with type 1 diabetes mellitus is seeing the nurse to review foot care. What would
be a priority instruction for the nurse to give the client?
C) Avoid hot-water bottles and heating pads.

____ 39. A client with diabetes calls the clinic reporting a “flu bug.” What should the nurse tell the
client to do? Select all that apply.
B) “Try to eat small amounts of carbs, if possible.”
E) “Take your usual dose of insulin.”

____ 11. The nurse is performing a shift assessment of a client with aldosteronism. What
assessments should the nurse include? Select all that apply.
A) Urine output
B) Signs or symptoms of venous
thromboembolism
C) Peripheral pulses
D) Blood pressure
E) Skin integrity

____ 35. A client with Cushing syndrome as a result of a pituitary tumor has been admitted for a
transsphenoidal hypophysectomy. What would be most important for the nurse to monitor
before, during, and after surgery?
A) Blood glucose
B) Assessment of urine for blood
C) Weight
D) Oral temperature

____ 38. A client has been assessed for aldosteronism and has recently begun treatment. What are
priority areas for assessment that the nurse should frequently address? Select all that apply.
A) Pupillary response
B) Creatinine and BUN levels

, C) Potassium level
D) Peripheral pulses
E) Blood pressure


____ 3. A nurse is caring for a client with impaired renal function. A creatinine clearance
measurement has been ordered. The nurse should facilitate collection of what samples?
A) A fasting serum potassium level and a
random urine sample
B) A 24-hour urine specimen and a serum
creatinine level midway through the
urine collection process
C) A BUN and serum creatinine level on
three consecutive mornings
D) A sterile urine specimen and an electrolyte
panel, including sodium, potassium,
calcium, and phosphorus values

____ 12. The nurse caring for a client with suspected renal dysfunction calculates that the client's
weight has increased by 5 pounds (2.27 kg) in the past 24 hours. The nurse estimates that
the client has retained approximately how much fluid?
A) 1300 mL of fluid in 24 hours
B) 2300 mL of fluid in 24 hours
C) 3100 mL of fluid in 24 hours
D) 5000 mL of fluid in 24 hours


____ 37. A nurse is working with a client who will undergo invasive urologic testing. The nurse has
informed the client that slight hematuria may occur after the testing is complete. The nurse
should recommend what action to help resolve hematuria?
A) Increased fluid intake following the test
B) Use of an over-the-counter (OTC) diuretic
after the test
C) Gentle massage of the lower abdomen
D) Activity limitation for the first 12 hours
after the test

____ 6. A client has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m2. Based on this GFR,
the nurse interprets that the client's chronic kidney disease is at what stage?