Questions And Answers- All Correct.
a nurse is caring for a client who has hepatic encephalopathy that is
being treated with lactulose. the client is experiencing excessive stools.
which of the following findings is an adverse effect of the medication?
Correct ans -
hypokalemia
a nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. the client appears anxious and restless, and the high-
pressure alarm is sounding. which of the following actions should the nurse
take first? Correct ans - instruct the client to allow the machine to
breathe for them
a nurse is teaching a client who has a family history of colorectal cancer. to
help mitigate this risk, which of the following dietary alterations should the
nurse recommend? Correct ans - add cabbage to the diet
a home health nurse is assigned to a client who was recently discharged
from a rehabilitation center after experiencing a right-hemispheric stroke.
which of the following neurological deficits should the nurse expect to find
when assessing the client? Correct ans - visual spatial deficits
left hemianopsia
one-sided neglect
a nurse is caring for a client who has viral pneumonia. the client's pulse
oximeter readings have fluctuated between 79% and 88% for the last 30
min. which of the following oxygen delivery systems should the nurse initiate
to provide the highest concentration of oxygen? Correct ans -
nonrebreather mask
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of
85%. the client has dyspnea with a productive cough and is using
accessory muscles to breathe. which of the following actions should the
nurse take first? Correct ans - place the client in high-fowler's
position
a nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. which of the following precautions should the nurse
include in the plan of care to prevent a Pseudomonas aeruginosa infection.
Correct ans - avoid placing plants or flowers in the client's room
an older adult client is brought to an emergency department by a family
member. which of the following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration?
Correct ans -
Urine specific gravity of 1.045
, RN Adult Medical Surgical Online Practice 2022 –
Questions And Answers- All Correct.
a nurse in an emergency department is reviewing the providers prescriptions
for a client who sustained a rattlesnake bite to the lower leg. which of the
following prescriptions should the nurse expect? Correct ans -
administer an opioid analgesic to the client
a nurse is assessing a client who has had a suspected stroke. the nurse
should place the priority on which of the following findings? Correct ans
- dysphagia
a nurse is teaching a young adult client how to perform testicular self-
examination. which of the following instructions should the nurse include?
Correct ans - roll each testicle between the thumb and fingers
a nurse is providing instructions to a client who has type 2 diabetes
mellitus and a new prescription for metformin. which of the following
statements by the client indicates an understanding of the teaching?
Correct ans - I
should take this medication with a meal
a nurse is teaching a client who has venous insufficiency about self-care.
which of the following statements should the nurse identify as an indication
that the client understands the teaching? Correct ans - I will wear
clean graduated compression stockings every day
a nurse is assessing a client who has acute cholecystitis. which of the
following findings is the nurse's priority? Correct ans - tachycardia
a nurse is reviewing the health record of a client who is scheduled for allergy
skin testing. the nurse should postpone the testing and report to the provider
with if the following findings? Correct ans - current medications
a nurse is caring for a group of clients. the nurse should plan to make a
referral to physical therapy for which of the following clients? Correct
ans - a client who is receiving preoperative teaching for a right knee
arthroplasty
a nurse is caring for a client who has DKA. which of the following laboratory
findings should the nurse expect? Correct ans - BUN 32 mg/dl
a nurse is planning teaching for a client who has bladder cancer and is to
undergo a cutaneous diversion procedure to establish a ureterostomy. which
of the following statements should the nurse include in the teaching
Correct ans - you should cut the opening of the skin barrier one-eighth inch
wider than the stoma