RN Adult Medical Surgical Online Practice 2019 B for NGN questions and answers latest top score.

RN Adult Medical Surgical Online Practice 2019 B for NGN questions and answers latest top score. A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should recognize that an UNEXPECTED finding for which of the following LABORATORY VALUES is a manifestation of OSTEOMYELITIS and should be reported to the provider? - correct answers.An increased sedimentation rate occurs when a client has any type of inflammatory process, such as osteomyelitis A nurse is reviewing the medical records of a client who is taking WARFARIN for chronic arterial fibrillation. Which of the following values should the nurse identify as a desired outcome for this therapy? - correct answers.INR 2.5 Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction (MI), or pulmonary emboli (PE) from blood clots. Since warfarin is an anticoagulant, the medication must be monitored to ensure the anticoagulation is within the therapeutic range and prevent hemorrhage (levels of anticoagulation) or stroke, MI, PE (low levels of anticoagulation). An INR 2.5 is within the targeted therapeutic range of 2 to 3 for a client who has atrial fibrillation. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Which of the following disorders presents the greatest risk to this group of clients? - correct answers.Hypertension When using the safety/risk reduction approach to client care, the nurse should determine that the disorder with the greatest risk for this group of clients is hypertension. The prevalence of hypertension is highest among African American clients, followed by Caucasian clients, and then Hispanic clients. A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? - correct answers.WBC count 2,000/mm3 A WBC count of 2,000/mm3 is below the expected reference range and indicates a risk for severe immunosuppression A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. The client is agitated and is attempting to remove the IV catheter. Which of the following actions should nurse take to avoid restraining the client? - correct answers.Keep the client occupied with a manual activity. The nurse should provide the client with a manual activity such as a puzzle or an art project. This can help to distract the client from the IV catheter. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the following interventions should the nurse include in the plan of care? - correct answers.Keep a lead-lined container in the client's room The nurse should keep a lead-lined container and forceps in the client's room in case of accidental dislodgement of the implant. A nurse reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect? - correct answers.PaCO2 56 mm Hg A client who has COPD retains PaCO2 duet to the weakening and the collapse of the alveolar sacs, which is decreases the area in the lings for gas exchange and causes the PaCO2 to increase above the expected reference range. A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? - correct answers.Hair loss on the lower legs The nurse should expect a client who has a peripheral arterial disease to have hair loss on the lower legs as a result of impaired arterial circulation affecting follicular growth. A nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture because it provides greater relief than pain medication Which of the following statements should the nurse make? - correct answers." I can speak to the provider about incorporating acupuncture into your treatment plan." The nurse should serve as an advocate for the client by acting on behalf of the client and offering to speak with the provider. The client has the right to make choices and decisions about their treatment and the nurse should support these decisions and assist the client to carry them out. A nurse is providing teaching to a client who has hypertension and a NEW prescription for verapamil. Which of the following information should the nurse include in the teaching? - correct answers." Increase fiber intake to avoid constipation."