Adult Medical Surgical B (2022/2023) Questions And Answers.

Adult Medical Surgical B (2022/2023) Questions And Answers. A nurse is receiving report on a client who is postoperative following an open repair of Zenker's Diverticulum. The nurse should anticipate the surgical incision to be in which of the following locations? Correct Ans:- Throat A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect? Correct Ans:- Hypoactive bowel sounds A nurse is providing discharge instructions to a client who has a partial thickness burn of the hand. Which of the following instructions should the nurse include? Correct Ans:- Wrap fingers with individual dressings A nurse is assessing a client following the administration of magnesium sulfate 1g IV bolus. For which of the following adverse effects should the nurse monitor? Correct Ans:- Respiratory Paralysis A nurse is assessing a client's hydration status. Which of the following findings indicate fluid volume overload? Correct Ans:- Distended neck veins A nurse is assessing a client following the administration of IV penicillin G. Which of the following findings should indicate to the nurse that the client is experiencing an anaphylactic reaction? Correct Ans:- Flushing A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? Correct Ans:- My joints ache because I have Lyme Disease A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food after a meal. Which of the following actions should the nurse take first? Correct Ans:- Obtain vital signs A nurse is assessing a client following IV urography. Which of the following findings is the priority? Correct Ans:- swollen lips A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following statements by the client indicates an understanding of the teaching? Correct Ans:- I will count my heart beats before taking this medication. A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? Correct Ans:- I will monitor my blood pressure while taking this medication. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? Correct Ans:- Regular insulin 20 units IV bolus A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify which of the following findings as an indication of a myocardial infarction(MI)? Correct Ans:- Troponin 8 ng/mL A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? Correct Ans:- Remain with the client for the first 15 minutes of the infusion. A nurse is assessing a client who had extracorporeal shock wave lithotripsy(ESWL) 6 hr ago. Which of the following findings should the nurse expect? Correct Ans:- Stone fragments in the urine A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Correct Ans:- Ibuprofen can cause gastrointestinal bleeding in older adult clients. A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? Correct Ans:- Loosen restrictive clothing A nurse is assessing a client who has Cushing's disease. Which of the following findings should the nurse expect? Correct Ans:- Muscle atrophy A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure ulcer. Which of the following actions should the nurse take? Correct Ans:- Use a 30 mL syringe A nurse is reviewing the laboratory results of a client who had a recent exposure to hepatitis C virus. Which of the following tests should the nurse identify as indicating the presence of hepatitis C antibodies? Correct Ans:- Enzyme immunoassay (EIA) A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the nurse expect the client to report? Correct Ans:- It's like a curtain closed over my eye. A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify which of the following sounds the nurse should document in the client's medical record by listening to audio clip. Correct Ans:- Pericardial friction rub A nurse is caring for a client who has active bleeding from peptic ulcer disease. Which of the following findings is an indication that the client is experiencing compensatory shock? Correct Ans:- Increased heart rate.