Med Surg 214 Exam 1 Questions & Answers

Med Surg 214 Exam 1 Questions & Answers A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? Maintain abduction of the affected extremity. A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching? "You will not be able to eat or drink after the procedure until you are able to cough." A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their signature on the informed consent form. The nurse determines that the client does not understand what the procedure will involve. Which of the following actions should the nurse take? Contact the provider who will be performing the procedure. A nurse is providing discharge teaching to a client who has COPD. Which of the following instructions should the nurse include in the teaching? "Consume a diet that is high in calories." The nurse should instruct the client to avoid foods that are gas forming, such as cauliflower and cabbage. These foods can increase the client's abdominal discomfort. "Select desserts such as angel-food cake." A nurse is monitoring a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a manifestation of Cushing's triad? Increase in blood pressure from 130/80 mm Hg to 180/100 mm Hg A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? "I am aware that my diabetes is caused by an autoimmune disorder." A nurse is caring for a client who has a small bowel obstruction and an NG tube in place. Which of the following actions should the nurse take? Maintain low intermittent suction. A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system. Which of the following findings should the nurse report to the provider? Constant bubbling in the water seal chamber A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.) "I will avoid crowds "I will take my temperature daily A nurse is preparing to administer propranolol to several clients. For which of the following clients should the nurse clarify the prescription with the provider before administration? A client who has a history of asthma A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the following mechanisms should the nurse identify as responsible for this acid-base imbalance? Retention of carbon dioxide A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client? Airborne precautions A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of hypovolemia. Which of the following findings should the nurse identify as a manifestation of hypovolemia? Rapid pulse rate A nurse is caring for a client who has a prescription for lactated Ringer's by continuous IV infusion to replace output from an NG tube. Which of the following findings should indicate to the nurse that this therapy is effective? Urine specific gravity 1.020 A nurse in an emergency department is caring for a client who is confused, has a temperature of 40° C (104° F), a BP of 74/52 mm Hg, and a diagnosis of exertional heat stroke. Which of the following actions should the nurse take first? Administer oxygen using a high-concentration mask. A nurse is providing teaching to a client about strategies to manage menopausal symptoms. Which of the following instructions should the nurse include in the teaching? "Use water-based lubricant during intercourse to reduce discomfort." A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching? Place a small pillow under the head while lying supine. A home health nurse is inspecting a client's residence for electrical hazards as part of the agency's quality improvement plan. Which of the following findings should the nurse identify as a safety hazard? An IV pump is plugged into an outlet near a sink. A nurse is providing teaching to a group of clients about the prevention of coronary artery disease. Which of the following information should the nurse include in the teaching? Walk 30 min daily at a comfortable pace. A nurse is performing a risk assessment for a client. Which of the following factors should the nurse identify as increasing the client's risk for falls? The client had cataract surgery 1 day ago. A nurse is planning care for a client who is receiving intermittent IV fluids via a peripherally inserted central catheter (PICC). Which of the following information should the nurse include in the client's plan of care? Assess the PICC infusion system systematically. A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse implement to decrease the client's risk for ventilator-associated pneumonia (VAP)? (Select all that apply.) Monitor for oral secretions every 2 hr. Provide oral care every 2 hr. Assess the client daily for readiness of extubation. A nurse is providing teaching for a client who has constipation-predominant irritable bowel syndrome (IBS-C). Which of the following statements should the nurse include in the teaching? "Take psyllium in the evening." A nurse is planning care for a client who has a lump in their right breast. Which of the following findings increases the client's risk of developing breast cancer? Oral contraceptives were taken for the last 6 years A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the following quadrants should the nurse anticipate the client to be experiencing abdominal pain? Left lower quadrant A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching? "If my heart starts racing, my provider might need to adjust my dosage." A nurse is providing preoperative teaching about stool consistency to a client who will undergo a colectomy with the placement of an ileostomy. Which of the following information about stool consistency should the nurse include in the teaching? The stool will have a high volume of liquid. A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take? Place monitoring cords and tubes in a stockinette. A nurse is assessing a client who has a central venous catheter (CVC) with intravenous (IV) fluids infusing. The client suddenly develops shortness of breath, and the nurse notes that the IV tubing and needleless connector device are disconnected. Which of the following actions should the nurse take first? Close the pinch clamp on the CVC. A nurse is assessing a client for fluid volume deficit following lumbar spinal surgery. The nurse should identify which of the following findings as an indication the client is at risk for fluid volume deficit? Surgical drain output 300 mL during an 8-hr shift A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client? Surgical mask A nurse in a long-term care facility is caring for a client who has dementia. Which of the following actions should the nurse take? Provide finger food at mealtime. A nurse is caring for a client who has multiple leg fractures and is 24 hr postoperative following placement of skeletal traction. Which of the following actions should the nurse take? Inspect the pin sites at least every 8 hr. A nurse is teaching a client about preventing the transmission of HIV. Which of the following information should the nurse include? Medication is available that will reduce the risk for HIV transmission. A nurse is assessing a client who recently had a myocardial infarction. Which of the following findings indicates that the client might be developing pulmonary edema? (Select all that apply.) Excessive somnolence