RN Med Surg B (Answered) Verified
Solution
Nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic and has crackles noted to lung bases. Which of the
following actions should the nurse anticipate taking?
Slow the infusion rate
A nurse is caring for a client who is 4 hr postoperative following an open
reduction internal fixation of rt ankle. Which of the following assessment findings
should the nurse report to the provider.
Extremity cool upon palpation
A nurse is caring for a client who has increased ICP and is receiving mannitol.
The nurse should rport which of the following adverse effects of this medication
Crackles heard on ausclultation
A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of
undergoing continuous telemitry monitoring. Which of the follwing statements
refelcts understanding of the teaching
This identifies if the pacemaker cells of my heart are working properly.
A nurse is caring for a client who has a potassium level of 3. Which of the
following assessment findings should the nurse expect?
Hypoactive bowel sounds
A nurse is caring for a client who is receiving TPN and is NPO. When receiving an
orer: capillary blood glucose AC and HS. Which action should the nurse take?
Contact the primary care to clarify the prescription.
A nurse is reviewing lab results of a client who has AIDS and is taking
amphotericin B for a fungal infection. The nurse should identify which is an
adverse effect of the medication
BUN 34
A nurse is assessing a client who has Cushing's disease. Which should nurse
expect?
Muscle atrophy
Nurse is caring for a client who has DKA. Which should the nurse plan to admin?
Regular insulin 20 u IV bolus
A nurse is caring for ALS pt.Which assessment finding is the nurse's priority
Increased resp secretions
Nurse caring for client who has pneumothorax and closed chest drainage system.
Which finding is indication of lung re-expansion?
Bubbling in water seal chamber has ceased.
Nurse caring for client with gastric hemorrhage and is going into shock. Identify
nurse's sequence
Administer oxygen, IV, NG, then ranitidine
A home health nurse is assigned to client who recently discharged after CVA.
Which of the following neurological deficits should the nurse expect?
visual spatial deficits, Left hemionopsia, and one sided neglect
Solution
Nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic and has crackles noted to lung bases. Which of the
following actions should the nurse anticipate taking?
Slow the infusion rate
A nurse is caring for a client who is 4 hr postoperative following an open
reduction internal fixation of rt ankle. Which of the following assessment findings
should the nurse report to the provider.
Extremity cool upon palpation
A nurse is caring for a client who has increased ICP and is receiving mannitol.
The nurse should rport which of the following adverse effects of this medication
Crackles heard on ausclultation
A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of
undergoing continuous telemitry monitoring. Which of the follwing statements
refelcts understanding of the teaching
This identifies if the pacemaker cells of my heart are working properly.
A nurse is caring for a client who has a potassium level of 3. Which of the
following assessment findings should the nurse expect?
Hypoactive bowel sounds
A nurse is caring for a client who is receiving TPN and is NPO. When receiving an
orer: capillary blood glucose AC and HS. Which action should the nurse take?
Contact the primary care to clarify the prescription.
A nurse is reviewing lab results of a client who has AIDS and is taking
amphotericin B for a fungal infection. The nurse should identify which is an
adverse effect of the medication
BUN 34
A nurse is assessing a client who has Cushing's disease. Which should nurse
expect?
Muscle atrophy
Nurse is caring for a client who has DKA. Which should the nurse plan to admin?
Regular insulin 20 u IV bolus
A nurse is caring for ALS pt.Which assessment finding is the nurse's priority
Increased resp secretions
Nurse caring for client who has pneumothorax and closed chest drainage system.
Which finding is indication of lung re-expansion?
Bubbling in water seal chamber has ceased.
Nurse caring for client with gastric hemorrhage and is going into shock. Identify
nurse's sequence
Administer oxygen, IV, NG, then ranitidine
A home health nurse is assigned to client who recently discharged after CVA.
Which of the following neurological deficits should the nurse expect?
visual spatial deficits, Left hemionopsia, and one sided neglect
