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Medical Surgical Nursing Test Prep 1

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Medical Surgical Nursing Test Prep 1 #8: A diabetic client exhibits the following symptoms; pulse rate 120 beats per minute, drop in blood pressure from 120/80 to 90/56 within 30 minutes, rapid shallow breathing. The client is 1 hour post op. You would expect from the following symptoms that.... A.The client is going into shock, possibly due to internal post operative bleeding. B.The client is a going into a diabetic coma. C.The client is dehydrated. - CORRECT ANSWERS A.The client is going into shock, possibly due to internal post operative bleeding. #1: Your client has just returned from a cardiac catheterization. Upon arriving to the floor you take a set of vital signs. What sign would alert you to the fact that there is something wrong? A.Weak left pedal pulse, and bounding right pedal pulse with toes that are cool. B.The client complains of pain in their groin area, rating it at a 10 on the visual analogue scale. C.The client's blood pressure has dropped from 145/90 to 138/85 in one hour. - CORRECT ANSWERS A.Weak left pedal pulse, and bounding right pedal pulse with toes that are cool. #2: You are teaching a client about taking the medication Digoxin. What is the most important aspect that you need the client to understand regarding this medication? A.To always take their pulse rate before taking the medication, and if their pulse is less than 60 beats per minute, not to take the medication, and to call their doctor. B.You are empathetic to their concerns, and that while their blood sugar may possibly drop some, Lantus has no pronounced peak time C.To take their pulse and blood pressure before taking the pill. If their blood pressure and pulse is too low, then withhold taking the medication D.That this medication can cause a drop in blood pressure, and they need to get up slowly from a sitting to standing position - CORRECT ANSWERS

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Medical Surgical Nursing Test Prep 1
#8: A diabetic client exhibits the following symptoms; pulse rate 120 beats per minute,
drop in blood pressure from 120/80 to 90/56 within 30 minutes, rapid shallow breathing.
The client is 1 hour post op. You would expect from the following symptoms that....

A.The client is going into shock, possibly due to internal post operative bleeding.
B.The client is a going into a diabetic coma.
C.The client is dehydrated. - CORRECT ANSWERS A.The client is going into shock,
possibly due to internal post operative bleeding.

#1: Your client has just returned from a cardiac catheterization. Upon arriving to the
floor you take a set of vital signs. What sign would alert you to the fact that there is
something wrong?

A.Weak left pedal pulse, and bounding right pedal pulse with toes that are cool.
B.The client complains of pain in their groin area, rating it at a 10 on the visual analogue
scale.
C.The client's blood pressure has dropped from 145/90 to 138/85 in one hour. -
CORRECT ANSWERS A.Weak left pedal pulse, and bounding right pedal pulse with
toes that are cool.

#2: You are teaching a client about taking the medication Digoxin. What is the most
important aspect that you need the client to understand regarding this medication?

A.To always take their pulse rate before taking the medication, and if their pulse is less
than 60 beats per minute, not to take the medication, and to call their doctor.
B.You are empathetic to their concerns, and that while their blood sugar may possibly
drop some, Lantus has no pronounced peak time
C.To take their pulse and blood pressure before taking the pill. If their blood pressure
and pulse is too low, then withhold taking the medication
D.That this medication can cause a drop in blood pressure, and they need to get up
slowly from a sitting to standing position - CORRECT ANSWERS A.To always take their
pulse rate before taking the medication, and if their pulse is less than 60 beats per
minute, not to take the medication, and to call their doctor.
B.You are empathetic to their concerns, and that while their blood sugar may possibly
drop some, Lantus has no pronounced peak time

#3: You are reading the client's labs and you notice that their neutrophil count is
elevated. You interpret this finding as a sign that the....

A.Client has a recent infection
B.Client has a long term infection.

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