RN ADULT MEDICAL SURGICAL NUR/2023 REAL TESTBANK
RN ADULT MEDICAL SURGICAL NUR/2023 REAL TESTBANK A nurse is assessing a client who has a diagnosis on colon cancer which of the following should thenurse expect? a. Steatorrhea b. Elevated hemoglobinc. Hematochezia d. Weight gain A nurse is assessing a client admitted with peripheral vascular disease. Which of the following findingsindicates a venous vascular disorder? a. An ulcer at the tip of a toe b. Hair loss distal to the client’s calves c. Leg pain at rest d. Edema of the ankle A nurse is monitoring a client who is receiving two units packed RBC's. Which of the followingmanifestation indicates a hemolytic transfusion reaction? a. Back pain b. Hypertension c. Chills – page 260 d. Bradycardia A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructionshould the nurse include? a. Use a heating pad to keep your feet warm at night b. Wear loose-fitting slippers around the house c. Where cotton rather than nylon socks – page 551 d. Wash your face twice per day with antibacterial soap and hot water A nurse is providing teaching to a client who has a deep vein thrombosis (DVT). Which of the followingfindings should the nurse identify as a risk factor for the development of the DVTs? a. NSAID use b. Hypertension c. Oral contraceptive use d. Cirrhosis A nurse is administering furosemide 80 mg PO twice-daily to a client who has pulmonary edema. Whichof the following assessment findings indicates to the nurse that the medication is effective? a. Respiratory rate of 24/min b. Adventitious breath sounds c. Weight loss of 1.8 kg (4 lb) in the past 24 hours d. Elevation in blood pressure A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contradiction for receiving the medication? a. Creatinine 0.8 mg/dL b. Sodium 136 mEq/L c. Potassium 3.2 mEq/L d. BUN 18 mg/dL A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which ofthe following actions should the nurse take? a. Place the dosimeter film badge on a client's door b. Wear a lead apron when providing client care – Page 606 c. Leave the door to the client’s room open d. Allow visitors to hold the clients hand A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3months which of the following results should the nurse monitor to determine long-term glycemic control? a. Glycosylated hemoglobin level b. fasting blood glucose level c. oral glucose tolerance test results d. post-prandial blood glucose level A nurse is assessing a client who has pericarditis. In which of the following areas of the client’s chestshould the nurse place the stethoscope to best hear a pericardial friction rub? (select HOT spot) Answer: D A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-sealchamber rises and falls. Which of the following statements should the nurse make? a. “This means your lung is fully expanded “ b. “This indicates a possible leak” c. “Suction pressure that is too high causes this” d. “Your breathing pattern causes this” – page 111 A community health nurse is reviewing home care instructions with an older
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