Medical surgical practice exam With VERIFIED SOLUTIONS

An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? - answers Pulmonary embolism which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) - answers Quality of the pain Signs of inflammation Ankle range of motion Visible deformities of the joint Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - answers Joint pain is worse in the morning and involves symmetric joints Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux disease (GERD)? - answers Hoarseness A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? - answers Bilateral lower leg stasis dermatitis A client has been hospitalized with a femur fracture and is being treated with traction. which action by the nurse is the priority when caring for this client? - answers Assess neurovascular status Which statement made by a client with chronic pancreatitis indicates that further education is needed? - answers I will cut back on smoking cigarettes daily The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply) - answers Do not leave the diaphragm in place longer than 8 hours after intercourse Replace the old diaphragm every 3 months A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. Which information is best for the nurse to provide? (Select all that apply). - answers Alcohol consumption can cause erectile dysfunction Low testosterone levels affect sperm production Cessation of smoking improves general health and fertility Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as early signs of hypovolemic shock? - answers lethargy the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most for the nurse to obtain? - answers Ulcerative colitis A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease process. Which statement by the client conveys an understanding of the etiology of diverticula? - answers Chronic constipation causes weakening of colon wall which results in out pouching sacs The registered nurse (RN) is assessing a client who was discharged home after management of chronic hypertension. Which equipment should the RN instruct the client to use at home? - answers Sphygmomanometer A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is scheduled for radiation therapy (RT). The client expresses concern about becoming infertile. How should the nurse respond? - answers Propose sperm banking before RT then artificial insemination is an option A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's history? - answers Jewish European ancestry Small bowl obstruction is a condition characterized by which finding? - answers Severe fluid and electrolyte imbalances Which client should the nurse recognize as most likely to experience sleep apnea? - answers Obese older male client with a short, thick neck Which milestone indicates to the nurse successful achievement of young adulthood? - answers Completes education and becomes self-supporting A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement? - answers Initiate continuous cardiac monitoring Which postmenopausal client's complaint should the nurse refer to the HCP? - answers episodes of vaginal bleeding The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive. Which information should the nurse provide? - answers Two weeks before menstruation A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. Which response is best for the nurse to provide? - answers Estrogen deficiency causes the vaginal tissue to become dry and thinner Which discharge instruction is most important for a client after a kidney transplant? - answers Use daily reminders to take immunosuppressants The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the nurse to respond to first? - answers Potassium 6.0 mEq Which finding should the nurse identify as most significant for a client diagnosed with polycystic kidney disease (PKD)? - answers 3+ bacteria in urine The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should the nurse identify before beginning the teaching session? - answers Willingness of the client to learn the injections sites When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which home care activity? - answers Elimination of hazards to home safety A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep. Which recommendation by the nurse is most effective to assist the client? - answers Raising the head of the bed on blocks An older adult female client is brought to the clinic by her daughter for a flu shot. She has lost significant weight since the last visit. She has poor personal hygiene and inadequate clothing for the weather. the client states that she lives alone and denies problems or concerns. Which action should the nurse implement? - answers Collect further data to determine whether self-neglect is occuring The nurse is assisting a client out of bed for the first time after surgery. Which action should the nurse do first? - answers Allow the client to sit with the bed in a high Fowler's position After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented? - answers Report the findings to the surgeon A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority? - answers Check the client's gag and swallow reflexes During an interview with a client planning elective surgery, the client asks the nurse, "What is the advantage of having a preferred provider organization insurance plan?" Which response is best for the nurse to provide? - answers An individual may select healthcare providers from outside of the PPO network The nurse is providing dietary instructions to a 69 year old client who is at high risk for development of coronary heart disease (CHD). Which information should the nurse include? - answers Increase intake of soluble fiber to 10 to 25 grams per day A male client receives a local anesthetic during surgery. During the post-operative assessment, the nurse notices the client is slurring his speech. Which action should the nurse take? - answers Evaluate his blood pressure, pulse, and respiratory status A client who is sexually active with several partners requests an intrauterine device (IUD) as a contraceptive method. Which information should the nurse provide? - answers Using an IUD offers no protection against sexually transmitted disease (STD), which increase the risk for pelvic inflammatory disease (PID). A female client requests information about using the calendar method of contraception. Which assessment is most important for the nurse to obtain? - answers An accurate menstrual cycle diary for the past 6 to 12 months A 32 year old female client complains of severe abdominal pain each month before her menstrual period, painful intercourse, and painful defecation. Which additional history should the nurse obtain that is consistent with the client's complaints? - answers Inability to get pregnant A 20 year old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? - answers Most lumps are benign, but it is always best to come in form an examination. The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of the hips. What recommendation should the nurse make that is most beneficial in