Med Surg Ati Proctored Exam (Sent) Questions And Answers Well Illustrasted.

Med Surg Ati Proctored Exam (Sent) Questions And Answers Well Illustrasted. A hnurse hin han hemergency hdepartment his hpreparing hto hperform han hocular hirrigation hfor ha hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse hplan hto htake? a. hAssess hthe hclient's hvisual hacuity hprior hto hirrigation b. hHave hthe hclient hturn htheir hhead htoward hthe hunaffected heye c. hHold hthe hirrigator hsyringe h3.81 hcm h(1.5 hin) habove hthe heye d. hPerform hthe hirrigation hwith hsterile hwater hfor hirrigation h- h h h hcorrect hanswer.d. hPerform hthe hirrigation hwith hsterile hwater hfor hirrigation A hnurse his hpreparing hto hadminister hlactated hringer's hvia hcontinuous hIV hinfusion hat h200 hml/hr. hThe hIV htubing hhas ha hdrop hfactor hof h10 hdrops/ml. hHow hmany hgtt/min hshould hthe hnurse hset hthe hIV hpump hto hadminister? hRound hto hnear hwhole hnumber h- h h h hcorrect hanswer.33 hgtt/min A hnurse his hproviding hdischarge hteaching hto ha hclient hwho hhas ha hnew hprescription hfor hsublingual hnitroglycerin. hWhich hof hthe hfollowing hclient hstatements hindicates han hunderstanding hof hthe hteaching? a. hI hcan hkeep hmy hmedications hfor h1 hyear hbefore hreplacing hit b. hI hshould hlie hdown hwhen hI htake hthis hmedication c. hI hshould hdiscontinue hthis hmedication hif hI hdevelop ha hheadache d. hI hcan htake hup hto hfive htablets hin h15 hminutes hbefore hseeking hmedical hattention h- h h h hcorrect hanswer.b. hI hshould hlie hdown hwhen hI htake hthis hmedication A hnurse his hproviding hdischarge hteaching hto han holder hadult hclient hfollowing ha hleft htotal hhip harthroplasty. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude hin hthe hteaching? a. hClean hthe hincision hdaily hwith hhydrogen hperoxide b. hYou hcan hcross hyour hlegs hthe hankles hwhen hsitting hdown c. hYou hshould huse han hincentive hspirometer hevery h8 hhours d. hInstall ha hraised htoilet hseat hin hyour hbathroom h- h h h hcorrect hanswer.d. hInstall ha hraised htoilet hseat hin hyour hbathroom A hnurse his hplanning hcare hfor ha hclient hfollowing ha hcardiac hcatheterization. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hKeep hthe hclient hon hbed hrest hfor h24 hhours b. hLimit hthe hclient's hfluid hintake hto h1 hl hper hday c. hMaintain hthe hclient's haffected hextremity hin hextension d. hChange hthe hclient's hdressing hevery h8 hhour h- h h h hcorrect hanswer.c. hMaintain hthe hclient's haffected hextremity hin hextension A hnurse his hcaring hfor ha hclient hwho hhas ha hlower hextremity hfracture hand ha hprescription hfor hcrutches. hWhich hof hthe hfollowing hclient hstatements hindicates hthat hthe hclient his hadapting hto htheir hrole hchange? a. hI hwill hneed hto hhave hmy hpartner htake hover hshopping hfor hgroceries hand hcooking hthe hmeals hfor hus b. hThese hcrutches hwill hmake hit himpossible hto hcare hfor hmy hchild c. hI hfeel hbad hthat hI hhave hto hask hmy hpartner hto hkeep hthe hhouse hclean d. hIts hgoing hto hbe hdifficult hto htell hmy hparents hI hcant htake hthem hto htheir happointments hanymore h- h h h hcorrect hanswer.a. hI hwill hneed hto hhave hmy hpartner htake hover hshopping hfor hgroceries hand hcooking hthe hmeals hfor hus A hnurse his hcaring hfor ha hclient hwho hhas hgastroenteritis. hWhich hof hthe hfollowing hassessment hfindings hshould hthe hnurse hrecognize has han hindication hthat hthe hclient his hexperiencing hdehydration? a. hPitting, hdependent hedema b. hDistended hjugular hveins c. hIncreased hBP d. hDecreased hBP h- h h h hcorrect hanswer.d. hDecreased hBP A hnurse his hcaring hfor ha hclient hwho hhas ha hcontusion hof hthe hbrainstem hand hreports hthirst. hThe hclient's hurinary houtput hwas h4,000 hml hover hthe hpast h24 hhour. hThe hnurse hshould hanticipate ha hprescription hfor hwhich hof hthe hfollowing hIV hmedication? a. hDesmopressin b. hEpinephrine c. hFurosemide d. hNitroprusside h- h h h hcorrect hanswer.a. hDesmopressin A hnurse hin ha hclinic hreceives ha hphone hcall hfrom ha hclient hwho hrecently hstarted htherapy hwith han hACE hinhibitor hand hreports ha hnagging hdry hcough. hWhich hof hthe hfollowing hresponses hby hthe hnurse his happropriate? a. h"your hcough hmay hrequire hthat hyou hstop hor hchange hyour hmedication" b. h"Increasing hyour hdaily hfluid hintake hmay heliminate hyour hcough" c. h"sucking hon hlozenge hmay hreduce hthe hfrequency hof hyour hcough" d. hYou hcough hshould hgo haway hin htime" h- h h h hcorrect hanswer.a. h"your hcough hmay hrequire hthat hyou hstop hor hchange hyour hmedication" A hnurse his htaking han hadmission hhistory hfrom ha hclient hwho hreports hRaynaud's hdisease. hWhich hof hthe hfollowing hassessment hfindings hshould hthe hnurse hidentify has ha hpotential htrigger hfor hexacerbations of hRaynaud's? a. hEating ha hstrict hvegetarian hdiet b. hA hhistory hof hherpes hzoster c. hTaking hamiodipine hfor hhypertension d. hUsing ha hnicotine htransdermal hpatch h- h h h hcorrect hanswer.d. hUsing ha hnicotine htransdermal hpatch A hnurse his hcaring hfor ha hclient hwho hhas ha hcentral hvenous haccess hdevice hand hnotes hthe htubing hhas hbecome hdisconnected. hThe hclient hdevelops hdyspnea hand htachycardia. hWhich hof hthe hfollowing actions hshould hthe hnurse htake hfirst? a. hPerform han hECG b. hObtain hABG hvalues c. hTurn hthe hclient hto hhis hleft hside d. hClamp hthe hcatheter h- h h h hcorrect hanswer.d. hClamp hthe hcatheter A hnurse his hcompleting han hassessment hof han holder hadult hclient hand hnotes hreddened hareas hover hthe hbony hprominences, hbut hthe hclient's hskin his hintact. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude hin hthe hplan hof hcare? a. hTurn hand hreposition hthe hclient hevery h4 hhr b. hApply han hocclusive hdressing c. hSupport hbony hprominences hwith hpillows d. hMassage hthe hreddened hareas hthree htimes ha hday h- h h h hcorrect hanswer.c. hSupport hbony hprominences hwith hpillows A hhome hhealth hnurse his hmaking han hinitial hvisit hto ha hclient hwho hhas hmultiple hsclerosis. hWhich hof hthe hfollowing hactions his hthe hpriority hfor hthe hnurse hto htake? a. hDiscuss hrecommendations hfor heating hand hswallowing htechniques b. hList hstrategies hfor hfamily hcoping hwhen hdealing hwith hpossible hrole hchanges c. hReview hthe huse hof hadaptive hgrooming hdevices hto hpromote hclient hindependence d. hGive hthe hclient hinformation habout hthe hlocal hnational hmultiple hsclerosis hsociety h- h h h hcorrect hanswer.a. hDiscuss hrecommendations hfor heating hand hswallowing htechniques A hnurse hin hthe hemergency hdepartment his hassessing ha hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst? hExhibit a. hObtain ha hsputum hsample hfor hculture b. hAdminister hondansetron c. hInitiate hairborne hprecautions d. hPrepare hthe hclient hfor ha hchest hx-ray h- h h h hcorrect hanswer.c. hInitiate hairborne hprecautions A hnurse his hreviewing hthe hmedical hrecord hof ha hclient hto hidentify hrisk hfactors hfor hcolorectal hcancer. hThe hnurse hshould hidentify hwhich hof hthe hfollowing hfindings has hincreasing hthe hclient's hrisk? a. hHistory hof hCrohn's hdisease b. hBMI hof h24 c. hDiet hhigh hin hfiber d. hAge h46 hyears h- h h h hcorrect hanswer.a. hHistory hof hCrohn's hdisease A hnurse his hcaring hfor ha hclient hwho his hscheduled hfor ha hmastectomy. hThe hclient htells hthe hnurse, h"I'm hnot hsure hI hwant hto hhave ha hmastectomy." hWhich hof hthe hfollowing hstatements hshould hthe hnurse hmake? a. h"I hcan hgive hyou ha hlist hof hother hpeople hwho hhad hthe hsame hprocedure" b. h"You hwill hbe hcancer-free hif hyou hhave hthe hprocedure" c. h"I hcan hgive hyou hadditional hinformation habout hthe hprocedure" d. h"You hshould hshould hget ha hsecond hopinion hregarding hthe hprocedure" h- h h h hcorrect hanswer.c. h"I hcan hgive hyou hadditional hinformation habout hthe hprocedure" A hnurse his hpreparing hto hadminister ha hunit hof hpacked hRBCs hto ha hclient hwho his hanemic. hIdentify hthe hsequence hof hsteps hthe hnurse hshould hfollow. h e. hRemain hwith hthe hclient hfor hthe hfirst h15 hto h30 hmin hof hthe hinfusion a. hObtain hvenous haccess husing h19-gauge hneedle c. hVerify hblood hcompatibility hwith hanother hnurse d. hInitiate htransfusion hof hthe hunit hof hpacked hRBCs b. hObtain hthe hunit hof hpacked hRBCs hfrom hblood hbank h- h h h hcorrect hanswer.a. hObtain hvenous haccess husing h19-gauge hneedle b. hObtain hthe hunit hof hpacked hRBCs hfrom hblood hbank c. hVerify hblood hcompatibility hwith hanother hnurse d. hInitiate htransfusion hof hthe hunit hof hpacked hRBCs e. hRemain hwith hthe hclient hfor hthe hfirst h15 hto h30 hmin hof hthe hinfusion A hnurse his hpreparing ha hteaching hplan hfor ha hclient hwho hhas hmucositis hrelated hto hchemotherapy htreatment. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude? a. h"rinse hyour hmouth hwith hhydrogen hperoxide" b. h"brush hyour hteeth hfor h60 hseconds htwice hdaily" c. h"wear hyour hdentures honly hduring hmeals" d. h"floss hyour hteeth hfollowing heach hmeals" h- h h h hcorrect hanswer.d. h"floss hyour hteeth hfollowing heach hmeals" A hcritical hcare hnurse his hassessing ha hclient hwho hhas hsevere hhead hinjury. hIn hresponse hto hpainful hstimuli, hthe hclient hdoes hnot hopen hher heyes, hdisplays hdecerebrate hposturing, hand hmakes hincomprehensible hsounds. hWhich hof hthe hfollowing hGlasgow hComa hScale hscores hshould hthe hnurse hassign hthe hclient? a. h5 b. h2 c. h13 d. h10 h- h h h hcorrect hanswer.a. h5 A hnurse his hproviding hdischarge hteaching hto ha hclient hwho hhas hheart hfailure hand hinstructs hhim hto hlimit hsodium hintake hto h2 hg hper hday. hWhich hof hthe hfollowing hstatements hby hthe hclient hindicates han hunderstanding hof hthe hteaching? a. h"I hcan hseason hmy hfoods hwith hgarlic hand honion hsalts" b. h"I hcan hhave hmayonnaise hon hmy hsandwiches" c. h"I hcan hhave ha hfrozen hfruit hjuice hbar hfor hdessert" d. h"I hcan hdrink hvegetable hjuice hwith ha hmeal" h- h h h hcorrect hanswer.c. h"I hcan hhave ha hfrozen hfruit hjuice hbar hfor hdessert" A hnurse his hpreparing hto hperform hocular hirrigation hfor ha hclient hfollowing hchemical hsplash hto hthe heye. hWhich hof hthe hfollowing hactions hshould hthe hnurse hplan hto htake hfirst? a. hInstill h0.9% hsodium hchloride hsolution hinto hthe haffected heye b. hAdminister hproparacaine heyedrops hinto hthe haffected heye c. hCollect hinformation habout hthe hirritant hthat hcaused hthe hinjury h- h h h hcorrect hanswer.c. hCollect hinformation habout hthe hirritant hthat hcaused hthe hinjury A hnurse his hassessing ha hclient hfollowing hextubation hfrom ha hventilator. hFor hwhich hof hthe hfollowing hfindings hshould hthe hnurse hintervene himmediately? a. hRhonchi b. hSaO2 h92% c. hSore hthroat d. hStridor h- h h h hcorrect hanswer.d. hStridor A hnurse his hreviewing hthe hlaboratory hreports hof ha hclient hwho hhas hacute hpancreatitis. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hexpect? a. hElevated hserum hcalcium b. hElevated hblood hglucose c. hDecreased hserum hamylase d. hDecreased herythrocyte hsedimentation hrate h- h h h hcorrect hanswer.b. hElevated hblood hglucose A hnurse his hreviewing hthe hmedical hrecord hof ha hclient hwho hhas hdiabetes hinsipidus. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hexpect? a. hHypothermia b. hUrine hspecific hgravity h1.001 h(1.005) c. hElevated hblood hpressure d. hBUN h15 hmg/dl h- h h h hcorrect hanswer.b. hUrine hspecific hgravity h1.001 h(1.005) A hnurse his hplanning hcare hfor ha hclient hwho hhas hpulmonary hembolism. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude? a. hInitiate ha hcontinuous hIV hheparin hinfusion b. hInstruct hthe hclient hto hmassage hthe hlower hextremities c. hPosition hthe hclient hon hthe hleft hside d. hMeasure hvital hsigns hevery h4 hhour h- h h h hcorrect hanswer.a. hInitiate ha hcontinuous hIV hheparin hinfusion A hnurse his hproviding hdischarge hteaching hto ha hclient hwho his hrecovering hfrom ha hsickle hcell hcrisis. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude? a. hAvoid hextremely hhot hor hcold htemperatures b. hLimit hfluids hto h1.5 hL hper hday c. hLimit halcohol hintake hto hone hdrink hper hday d. hAvoid hgetting ha hflu hvaccination h- h h h hcorrect hanswer.a. hAvoid hextremely hhot hor hcold htemperatures A hnurse hin hthe hemergency hdepartment his hcaring hfor ha hclient hwho his hin hhypovolemic hshock. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst? a. hObtain ha hblood hspecimen hfor htype hand hcrossmatch b. hInsert ha hlarge-bore hIV hcatheter c. hAdminister hIV htherapy d. hMonitor hurine houtput h- h h h hcorrect hanswer.b. hInsert ha hlarge-bore hIV hcatheter A hnurse his hcaring hfor ha hclient hwho hhas han harteriovenous hgraft. hWhich hof hthe hfollowing hfindings hindicates hadequate hcirculation hof hthe hgraft? a. hDilated happearance hof hthe hgraft b. hAbsence hof ha hbruit c. hNormotensive hblood hpressure d. hPalpable hthrill h- h h h hcorrect hanswer.d. hPalpable hthrill A hnurse his hassessing ha hclient hwho hhas hheart hfailure hand his hreceiving ha hloop hdiuretic. hWhich hof hthe hfollowing hfindings hindicates hhypokalemia? a. hOliguria b. hHypertension c. hMuscle hweakness d. hPositive hchvostek's hsign h(CHEEK) h- h h h hcorrect hanswer.c. hMuscle hweakness A hnurse his hcaring hfor ha hclient hwho hhas ha hfull-thickness hburn hinjury hcovering h15% hof htheir hbody. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hWeigh hthe hclient honce hper hweek b. hProvide hthe hclient hwith ha hprotein hintake hof h1g/kg/day c. hMaintain ha hdaily hcount hof hthe hclient's hcalorie hintake d. hPlace hthe hclient hon ha hlow-carb hdiet h- h h h hcorrect hanswer.c. hMaintain ha hdaily hcount hof hthe hclient's hcalorie hintake A hnurse his hproviding hdischarge hteaching hto ha hclient hwho hhas han hileostomy. hWhich hof hthe hfollowing hclient hstatements hindicates han hunderstanding hof hthe hteaching? a. h"I hwill hexpect hmy hstools hto hbe hloose" b. h"I hwill heat ha hhigh hfiber hdiet' c. h"I hwill htake ha hlaxative hwhen hI'm hconstipated" d. h"I hwill hempty hmy hbag hwhen hit his hfull" h- h h h hcorrect hanswer.a. h"I hwill hexpect hmy hstools hto hbe hloose" A hnurse his hcaring hfor ha hclient hwho his hreceiving htotal hparental hnutrition hthrough ha hcentral hline. hThe hcurrent hbag his hnearly hempty, hand ha hnew hbag his hunavailable hfrom hthe hpharmacy. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hSwitch hthe hinfusion hto ha h10% hdextrose hsolution b. hDiscontinue hthe hinfusion hand hflush hthe hline c. hDecrease hthe hrate hof hinfusion hto hlast huntil hthe hnew hbag his havailable d. hStart han hinfusion hof h0.45% hsodium hchloride hsolution h- h h h hcorrect hanswer.a. hSwitch hthe hinfusion hto ha h10% hdextrose hsolution A hnurse his hcaring hfor ha hclient hwho his h6 hhr hpostoperative hfollowing ha hthyroidectomy. hThe hclient hreports htingling hand hnumbness hin hthe hhands. hThe hnurse hshould hidentify hthis has ha hsign hof hwhich hof hthe hfollowing helectrolyte himbalances? a. hHypocalcemia b. hHypokalemia c. hHypermagnesemia d. hHypernatremia h- h h h hcorrect hanswer.a. hHypocalcemia A hnurse his hcaring hfor ha hclient hwho his hcaregiver hfor ha hrelative hwho hhas hchronic hdisease. hWhich hof hthe hfollowing hstatements hindicates hthe hclient his hadapting hto hthe hrole hchange? a. h"I hhad hto hreschedule hmy hdoctor's happointment hlast hweek" b. h"I hhave hlunch hwith hmy hfriends honce ha hweek" c. h"I've hlost h15 hpounds hin hthe hpast h2 hmonths" d. h"I hneed hto hget hmy hblood hpressure hmedicine hrefilled" h- h h h hcorrect hanswer.d. h"I hneed hto hget hmy hblood hpressure hmedicine hrefilled" A hnurse his hreviewing hmedications htaken hat hhome hwith ha hclient hwho hhas hangina. hWhich hof hthe hfollowing hstatements hby hthe hclient hindicates han hunderstanding hof hthe hteaching? a. h"I hshould hwithhold hmy hmetoprolol hif hmy hheart hrate his habove h100 hbpm" b. h"I hshould htake hmy hdaily haspirin hon han hempty hstomach" c. h"I hshould hlie hdown hbefore htaking hdose hof hisosorbide hdinitrate" d. h"I hshould hplace ha hnitroglycerin htablet hunder hmy htongue hevery h10 hminutes hfor hup hto hfour hdoses" h- h h h hcorrect hanswer.c. h"I hshould hlie hdown hbefore htaking hdose hof hisosorbide hdinitrate" A hnurse hin hthe hpost-anesthesia hcare hunit his hassessing ha hclient hfollowing han happendectomy hand hfinds ha h2-cm h(3/4in) harea hof hblood hon hthe hpostoperative hdressing. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hApply hpressure b. hLoosen hthe hdressing c. hCircle hthe hdrainage d. hApply ha hnew hdressing h- h h h hcorrect hanswer.c. hCircle hthe hdrainage A hnurse his hcaring hfor ha hclient hwho his hreceiving hmechanical hventilation. hWhich hof hfollowing hinterventions hshould hthe hnurse himplement? a. hEmpty hwater hfrom hthe hventilator htubing hdaily b. hSuction hthe hclient's hairway hevery h4 hhour c. hMaintain hthe hclient hin hsupine hposition d. hPerform horal hcare hevery h2 hhour h- h h h hcorrect hanswer.a. hEmpty hwater hfrom hthe hventilator htubing hdaily A hnurse his ha hplanning hcare hfor ha hclient hwho hhas hfull-thickness hburns hon hthe hlower hextremities. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude? a. hApply hnew hgloves hwhen halternating hbetween hwound hcare hsites b. hProvide ha hdiet hof hfresh hfruits hand hvegetables hfor hthe hclient c. hLimit hvisitation htime hfor hthe hclient's hchildren hto h40 hmin hper hday d. hClean hthe hequipment hin hthe hclient's hroom honce hper hweek h- h h h hcorrect hanswer.a. hApply hnew hgloves hwhen halternating hbetween hwound hcare hsites A hnurse his hproviding hteaching hfor ha hclient hwho hhas htuberculosis hand ha hnew hprescription hfor hpyrazinamide. hThe hnurse hshould hinstruct hthe hclient hto hnotify hthe hprovider hif hwhich hof hthe hfollowing hadverse heffects hoccurs? a. hHair hloss b. hPolyuria c. hWeight hgain d. hJaundice h- h h h hcorrect hanswer.d. hJaundice A hnurse his hplanning hcare hfor ha hclient hwho hhas hleft-sided hhemiplegia hfollowing ha hstroke. hWhich hof hthe hfollowing hactions hshould hthe hnurse hinclude hin hthe hplan hof hcare? a. hPosition hthe hbedside htable hon hthe hclient's hleft hside b. hPlace hthe hplate hguard hon hthe hclient's hmeal htray c. hProvide hthe hclient hwith ha hshort hhandled hreacher d. hRemind hthe hclient hto huse ha hcane hon hleft hside hwhile hambulating h- h h h hcorrect hanswer.b. hPlace hthe hplate hguard hon hthe hclient's hmeal htray A hnurse his hperforming han hear hirrigation hfor ha hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hUse ha hcool hfluid hfor hirrigation b. hInsert hthe htip hof hthe hsyringe h2.5cm h(1in) hinto hthe hear hcanal c. hTilt hthe hclient's hhead h45 hdegrees d. hPoint hthe htip hof hthe hsyringe htoward hthe htop hof hthe hear hcanal h- h h h hcorrect hanswer.d. hPoint hthe htip hof hthe hsyringe htoward hthe htop hof hthe hear hcanal A hnurse his hcaring hfor ha hclient hwho hhas ha hhistory hof hchemotherapy-induced hnausea hand hvomiting. hWhich hof hthe hfollowing hmedications hshould hthe hnurse hadminister hprior hto hchemotherapy? a. hOndansetron b. hSertraline c. hMethylprednisolone d. hDiphenhydramine h- h h h hcorrect hanswer.a. hOndansetron 43. hA hnurse his hpreparing hto hdischarge ha hclient hwho hhas hhalo hdevice hand his hreviewing hnew hprescriptions hfrom hthe hprovider. hThe hnurse hshould hclarify hwhich hof hthe hfollowing hprescriptions hwith hthe hprovider? a. hIncrease hintake hof hfiber-rich hfoods b. hMay hplace ha hsmall hpillow hunder hhead hwhen hsleeping c. hMay hoperate ha hmotor hvehicle hwhen hno hlonger htaking hanalgesics d. hTake ha htub hbath hinstead hof hshowers h- h h h hcorrect hanswer.c. hMay hoperate ha hmotor hvehicle hwhen hno hlonger htaking hanalgesics A hnurse his hproviding hdischarge hteaching hto ha hclient hwho hhas htuberculosis. hWhich hof hthe hfollowing hinformation hshould hthe hnurse hinclude hin hthe hteaching? a. h"You hshould hwear han hN95 hrespirator hmask hwhen hyou hare hat hhome" b. h"you hwill hneed hto hreturn hin h2 hweeks hto hprovide ha hsputum hspecimen" c. h"You hcan hdrink halcohol hafter hthe hfirst h6 hweeks hof htreatment" d. h"Your hprovider hwill hdiscontinue hyour hmedications hafter h3 hmonths hof htherapy" h- h h h hcorrect hanswer.b. h"you hwill hneed hto hreturn hin h2 hweeks hto hprovide ha hsputum hspecimen" A hnurse his hassessing ha hclient hwho hhas hleft-sided hheart hfailure. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hexpect? a. hFlushed hskin b. hFrothy hsputum/Hacking hcough c. hJugular hvein hdistention d. hBradycardia h- h h h hcorrect hanswer.b. hFrothy hsputum/Hacking hcough A hnurse his hplanning hcare hfor ha hclient hwho hhas hosteoarthritis hof hthe hknees. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude hin hthe hplan? a. hAvoid husing ha htopical hsalicylate hcream b. hAdminister hacetaminophen hfor hpain hmanagement c. hPlace ha hlarge hpillow hunder hthe hclient's hknees hwhen hresting d. hApply han hice hpack hdirectly hto hclient's hknees h- h h h hcorrect hanswer.b. hAdminister hacetaminophen hfor hpain hmanagement A hnurse his hcaring hfor ha hclient hwho his hreceiving hcontinuous hbladder hirrigation hfollowing ha htransurethral hresection hof hthe hprostate h(TURP). hThe hclient hreports hsharp hlower habdominal hpain. hWhich hof hthe hfollowing hactions hshould hthe hnurse hfirst htake? a. hIncrease hthe hclient's hfluid hintake b. hReposition hthe hclient hin hbed c. hCheck hthe hclient's hurine houtput d. hAdminister hPRN hpain hmedication h- h h h hcorrect hanswer.c. hCheck hthe hclient's hurine houtput A hnurse his hcaring hfor ha hclient hwho hhas hParkinson's hdisease hand his hprescribed ha hlevel h1 hdysphagia hdiet. hWhich hof hthe hfollowing hitems hshould hthe hnurse hremove hfrom hthe hclient's htray? a. hVanilla hmilkshake b. hPeanut hbutter c. hChocolate hpudding d. hApplesauce h- h h h hcorrect hanswer.b. hPeanut hbutter A hnurse hin ha hprovider's hoffice his hteaching ha hclient habout hthe hself-management hof hGERD. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude? a. h"eat ha hlight hmeal h1 hhour hbefore hbedtime" b. h"sleep hwith hhead hof hyour hbed helevated h6 hinches" c. h"increase hyour hcaloric hintake hby h250 hcalories hper hday" d. h"lie hdown hfor h30 hmin hafter heach hmeal" h- h h h hcorrect hanswer.b. h"sleep hwith hhead hof hyour hbed helevated h6 hinches" A hnurse his hcaring hfor ha hclient hwho his hpostoperative hfollowing ha hpartial hthyroidectomy. hWhich hof hthe hfollowing hfindings his hthe hpriority hfor hthe hnurse hto hreport hto hthe hprovider? a. hClient hreport hof hpain hat hthe hincision hsite b. hHigh-pitched hsound hon hinspiration c. hHypoactive hbowel hsounds d. hLoose htracheal hsecretions h- h h h hcorrect hanswer.b. hHigh-pitched hsound hon hinspiration A hnurse his hcaring hfor ha hclient hwho his h2 hdays hpostoperative hfollowing ha hbelow-the-knee hamputation hand hasks habout hthe hpurpose hof hmaintaining han helastic hbandage haround hthe hresidual hlimb hof hthe hextremity. hWhich hof hthe hfollowing his han happropriate hresponse hby hthe hnurse? a. h"the helastic hbandage hwill hprevent ha hpost-op hwound hinfection" b. h"the helastic hbandage hwill hprevent hexcessive hedema" c. h"the helastic hbandage hwill hkeep hthe hsutures hfrom hloosening" d. h"the helastic hbandage hwill hkeep hyou hfrom hseeing hthe hsurgical hsite" h- h h h hcorrect hanswer.b. h"the helastic hbandage hwill hprevent hexcessive hedema" A hnurse his hplanning hcare hfor ha hclient hwho his h8 hhour hpost-op hfollowing ha hcoronary hartery hbypass hgrafting. hWhich hof hthe hfollowing hassessments hshould hthe hnurse hplan hto hperform hfirst? a. hExamine hthe hsurgical hincision hfor hdrainage b. hAuscultate hbreath hsounds c. hPalpate hpulses hdistal hto hthe hgraft hdonor hsite d. hMeasure hthe hclient's hcore hbody htemperature h- h h h hcorrect hanswer.b. hAuscultate hbreath hsounds A hnurse his hproviding hinstructions hto ha hclient hwho hhas hprimary hsyphilis. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude hin hthe hdischarge hplan? a. h"you hwill hneed hcryotherapy hfor h1 hto h2 hweeks" b. h"you hwill hneed hto htake han hantiviral hmedication hfor h6 hmonths" c. h"you hwill hneed h3 hfollow-up hblood htests hwithin h24 hmonth hperiod" d. h"you hwill hneed hto hbe hmonitored hfor h15 hminutes hafter hreceiving heach hmedication hdose" h- h h h hcorrect hanswer.c. h"you hwill hneed h3 hfollow-up hblood htests hwithin h24 hmonth hperiod" A hnurse his hcaring hfor ha hclient hwho hhas hhypotension, hcool hclammy hskin, htachycardia, hand htachypnea. hIn hwhich hof hthe hfollowing hpositions hshould hthe hnurse hplace hthe hclient? a. hReverse hTrendelenburg b. hFeet helevated c. hHigh hfowlers' d. hSide hlying h- h h h hcorrect hanswer.b. hFeet helevated A hnurse his hteaching ha hclient hhow hto huse ha hquad hcane hfor hambulation hfollowing ha hright-hemispheric hstroke. hWhich hof hthe hfollowing hclient hactions hindicates han hunderstanding hof hthe hteaching? a. hClient htakes ha hstep hbefore hadvancing hthe hcane b. hClient hholds hthe hcane hwith hthe hleft hhand c. hClient hmoves hthe hcane h2 hfeet hahead d. hClient hadvances hthe hweaker hleg hforward hfirst h- h h h hcorrect hanswer.d. hClient hadvances hthe hweaker hleg hforward hfirst A hnurse his hproviding hdischarge hteaching hfor ha hclient hwho hhas hnew htracheostomy. hWhich hof hthe hfollowing hstatements hby hthe hclient hindicates han hunderstanding hof hthe hteaching? a. h"ill hremove hthe hsoiled htracheostomy hties hprior hto hcleansing hmy hstoma" b. h"ill hcut ha hslit hin ha hclean hgauze hpad hto huse has ha hstoma hdressing" c. h"ill hinsert hthe hobturator hafter hcleaning hmy hstoma" d. h"ill hcleanse hthe hcannula hwith hhalf-strength hhydrogen hperoxide" h- h h h hcorrect hanswer.c. h"ill hinsert hthe hobturator hafter hcleaning hmy hstoma" A hnurse his hpreparing hto hadminister hfurosemide hto ha hclient hwho hhas hacute hheart hfailure. hWhich hof hthe hfollowing hlaboratory hresults hshould hthe hnurse hidentify has hcontraindications hfor hreceiving hthe hmedications? a. hBUN h18 hmg/dl b. hCreatinine h0.8 hmg/dl c. hPotassium h3.2 hmEq/l d. hSodium h136 hmeEq/l h- h h h hcorrect hanswer.c. hPotassium h3.2 hmEq/l A hnurse his hcaring hfor ha hclient hadmitted hwith ha hskull hfracture. hWhich hof hthe hfollowing hassessment hfindings hshould hbe hof hgreatest hconcern hto hthe hnurse? a. hBilateral hpupil hdiameter hchanges hfrom h4 hto h2 hmm b. hWBC hcount hchanges hfrom h9,000 hto h16,000/mm3 c. hPulse hpressure hchanges hfrom h30 hto h20 hmm hHg d. hGlasgow hComa hScale hscore hchanges hfrom h14 hto h9 h- h h h hcorrect hanswer.d. hGlasgow hComa hScale hscore hchanges hfrom h14 hto h9 A hnurse his hassessing ha hclient hwho hhas hmyasthenia hgravis. hWhich hof hthe hfollowing hclient hstatements hshould hindicate hto hthe hnurse hthat hthe hclient hneeds ha hreferral hfor hoccupational htherapy? a. h"I hhave ha hhard htime hwith hbrushing hmy hhair" b. h"I hwould hrather hbe hin ha hwheelchair hthan huse ha hwalker hto hget haround" c. h"I've hbeen hhaving hproblems hwith hbladder hcontrol" d. h"I hhave hdifficulty hswallowing hfood" h- h h h hcorrect hanswer.a. h"I hhave ha hhard htime hwith hbrushing hmy hhair" A hnurse his hproviding hdischarge hteaching hto ha hclient hwho hwill hbe hself-administering hinsulin hat hhome. hWhich hof hthe hfollowing hinformation hshould hthe hnurse hinclude hregarding hneedle hdisposal? a. h"secure hthe hcap htightly hover hthe hneedle hbefore hyou hdiscard hit" b. h"remove hthe hneedle hfrom hthe hsyringe hbefore hyou hplace hit hin hthe htrash" c. h"you hcan hdiscard hneedles hin han hempty hbleach hbottle hwith ha hlid" d. h"place hyour hstorage hcontainer hin ha hrecycle hbin hwhen hit his hfull" h- h h h hcorrect hanswer.c. h"you hcan hdiscard hneedles hin han hempty hbleach hbottle hwith ha hlid" A hnurse his hassessing ha hclient hwho hhas harteriovenous h(AV) hgraft hin hthe hleft hforearm. hWhich hof hthe hfollowing hfindings hshould hindicate hto hthe hnurse ha hcomplication hof hvascular haccess? a. h2+ hleft hradical hpulse b. hAbsence hof ha hbruit c. hPresence hof ha hpalpable hthrill d. hDilated happearance hof hthe hAV hsite h- h h h hcorrect hanswer.b. hAbsence hof ha hbruit A hclient hwho his hdeaf hand hcommunicates husing hsign hlanguage his hbeing hadmitted hby ha hnurse hwho hdoes hnot hknow hsign hlanguage. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hFamiliarize hthemselves hwith hcommonly hused hsign hlanguage b. hAsk ha hfamily hmember hto hbe hpresent hduring hthe hadmission c. hObtain ha hboard hthat huses hcolored hpictures has hcommunication d. hRequest han hinterpreter hduring hthe hinitial hassessment h- h h h hcorrect hanswer.d. hRequest han hinterpreter hduring hthe hinitial hassessment A hnurse his hplanning hcare hfor ha hclient hwho hhas hunrepaired hintertrochanteric hfracture hand hhas hBuck's htraction hplaced hto hthe haffected hleg. hWhich hof hthe hfollowing hinterventions hshould hthe nurse hinclude? a. hSituate hthe hclient's hheel hin hthe hheel hof hthe htraction hboot b. hApply hweights hof hthe htraction hto htotal h9.1 hkg h(20lb) c. hPlace hthe hfootplate hagainst hthe hfoot hof hthe hbed d. hRemove hthe hboot hfor hskin hinspection hevery h12 hhours. h- h h h hcorrect hanswer.a. hSituate hthe hclient's hheel hin hthe hheel hof hthe htraction hboot A hnurse his hcaring hfor ha hclient hwho hsustained ha hspinal hcord hinjury hin ha hdiving haccident. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? a. hAssess hthe hclient's hneurological hstatus hevery h8 hhour b. hMonitor hurine houtput hhourly c. hProvide hthe hclient hwith ha hlow-fiber hdiet d. hLog hroll hthe hclient hevery h4 hhour h- h h h hcorrect hanswer.b. hMonitor hurine houtput hhourly A hnurse his hplanning hcare hfor ha hclient hwho hhas ha hcentral hvenous haccess hdevice hfor hintermittent hinfusions. hWhich hof hthe hfollowing hactions hshould hthe hnurse hinclude hin hthe hplan hof hcare? a. hFlush hthe hcatheter husing ha h10ml hsyringe b. hChange hthe hdressing hevery h24 hhour c. hUse hclean htechnique hwhen hchanging hthe hdressing d. hCleanse hthe hsite hwith hpovidone-iodine h- h h h hcorrect hanswer.a. hFlush hthe hcatheter husing ha h10ml hsyringe A hnurse hin hthe hemergency hdepartment his hcaring hfor ha hclient hwho hhas ha hgunshot hwound hto hthe habdomen. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst? a. hCheck hthe hcolor hof hthe hclient's hskin b. hRemove hall hof hthe hclient's hclothing c. hAdminister han hopioid hanalgesic d. hPrepare hthe hclient hfor hperiorbital hlavage h- h h h hcorrect hanswer.a. hCheck hthe hcolor hof hthe hclient's hskin A hnurse his hcaring hfor ha hclient hfollowing ha hbronchoscopy. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst? a. hCheck hthe hclient's hgag hreflex b. hInform hthe hclient hthey hmight hexperience ha hlow-grade hfever c. hInstruct hthe hclient hto hreport hbleeding d. hProvide hthe hclient hwith hsips hof hwater h- h h h hcorrect hanswer.a. hCheck hthe hclient's hgag hreflex A hnurse his hdeveloping ha hplan hof hcare hfor ha hclient hwho his hreturning hfrom hthe hPACU hfollowing ha hleft hbelow-the-knee hamputation. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude hin hthe hplan? a. hProvide hthe hclient hwith ha hfirm hmattress b. hWrap hthe hclient's hresidual hlimb hwith helastic hbandage hin ha hdistal hto hproximal hdirection c. hPlace hthe hclient's hresidual hlimb hin ha hdependent hposition hwhen hpossible d. hKeep hthe hclient hin ha hsupine hposition hfor h48 hhours h- h h h hcorrect hanswer.a. hProvide hthe hclient hwith ha hfirm hmattress A hnurse his hinstructing ha hclient hwho hhas ha hnew hdiagnosis hof htype h1 hdiabetes hmellitus habout hthe hsick-day hrules. hWhich hof hthe hfollowing hstatements hby hthe hclient hindicates han hunderstanding hof the hteaching? a. h"I hwill hmonitor hmy hblood hglucose hevery h8 hhours" b. h"I hwill hconsume h250 hgrams hof hcarbs hdaily hwhile hI'm hsick" c. h"I hwill hnot htake hmy hdiabetes hmedications hwhile hI ham hsick" d. h"I hwill hcheck hurine hfor hketones hif hmy hblood hglucose his hgreater hthan h240 hmg/dl h- h h h hcorrect hanswer.d. h"I hwill hcheck hurine hfor hketones hif hmy hblood hglucose his hgreater hthan h240 hmg/dl A hnurse his hreviewing hABG hresults hfor ha hclient hwho hhas hCOPD. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hexpect? a. hpH h7.38 b. hPaO2 h85 hmm hHg c. hPaCO2 h48 hmm hHg d. hHCO3- h25 hmEq/l h- h h h hcorrect hanswer.c. hPaCO2 h48 hmm hHg A hnurse his hadmitting ha hclient hto ha hmedical hunit hfollowing hplacement hof ha hpermanent hpacemaker. hWhich hof hthe hfollowing hfindings hrequires hfurther hassessment hby hthe hnurse? a. hSneezing b. hHiccups c. hPresence hof ha hsharp hspike hprior hto hthe hQRS hcomplex hon hthe hECG d. hPresence hof hintrinsic hP hwaves hfollowing ha hQRS hcomplex hon hthe hECG h- h h h hcorrect hanswer.b. hHiccups A hnurse his hcaring hfor ha hclient hwho hexperienced hextensive hburns hto hthe harms hand htorso. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hregarding hthe hclient's horal hnutritional hintake? a. hAdhere hto hscheduled hmeal htimes hthree htimes hdaily b. hEncourage hthe hclient hto heat has hmany hcalories has hpossible c. hLimit hthe hclient's hfluid hintake hto h1,500 hml/day d. hAvoid hthe huse hof hsupplemental hfeedings hthroughout hthe hday h- h h h hcorrect hanswer.b. hEncourage hthe hclient hto heat has hmany hcalories has hpossible A hnurse his hplanning hcare hfor ha hclient hwho his h1 hday hpostoperative hfollowing han hopen hcholecystectomy. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude hin hthe hplan hof care? a. hPlace hpillows hunder hthe hclient's hknees b. hApply hcompression hstockings hto hthe hlower hextremities c. hAvoid huse hof hanticoagulants d. hDiscourage hleg hexercises hwhile hin hbed h- h h h hcorrect hanswer.b. hApply hcompression hstockings hto hthe hlower hextremities A hnurse his hcaring hfor ha hclient hwho hhas hduodenal hulcer. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? hExhibit a. hRestrict hthe hclient's hfluid hintake hto h1,000 hml/day b. hInfuse hpacked hRBCs c. hAdminister hthe hclient's hnaproxen hprescription d. hOffer ha hsnack hbefore hbedtime h- h h h hcorrect hanswer.b. hInfuse hpacked hRBCs A hnurse his hassessing han holder hadult hclient hat ha hhealth hfair. hWhich hof hthe hfollowing hstatements hby hthe hclient his hthe hnurse's hpriority? a. h"I hcan't hseem hto hget hreading hmaterials hfar henough haway hto hsee hthe hwords" b. h"I'm hhaving hmore hdifficulty htelling hthe hdifference hbetween hblues hand hgreens" c. h"I've hnoticed hthat hthere his ha hgray hring haround hthe hcolored hpart hof hmy heye" d. h"In hthe hlast hday, hI hhave hhad ha hsevere hheadache hand hpain haround hmy hright heye" h- h h h hcorrect hanswer.d. h"In hthe hlast hday, hI hhave hhad ha hsevere hheadache hand hpain haround hmy hright heye" A hnurse his hcaring hfor han hadolescent hclient hwho hhas han hacute hkidney hinjury. hWhich hof hthe hfollowing hlaboratory hfindings hshould hthe hnurse hanticipate? a. hBUN h8 hmg/dl b. hHgb h20 hg/dl c. hPotassium h6.8 hmEq/l d. hCreatinine h0.4 hmg/dl h- h h h hcorrect hanswer.c. hPotassium h6.8 hmEq/l A hnurse his hplanning hcare hfor han holder hadult hclient hwho hhas hMeniere's hdisease. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse hinclude hin hthe hplan? a. hPerform hrange-of-motion hexercises hto hthe hclient's hneck hevery h4 hhour b. hLimit hthe hclient's hfluid hintake hto h1,500 hml/day c. hEncourage hthe hclient hto hchange hpositions hslowly d. hAdminister haspirin hif hthe hclient hreports ha hheadache h- h h h hcorrect hanswer.c. hEncourage hthe hclient hto hchange hpositions hslowly A hnurse his hpreparing hto hreceive ha hclient hfrom hsurgery hfollowing ha htransverse hcolon hresection hwith hcolostomy hplacement. hThe hnurse hshould hexpect hto hassess hthe hstoma hat hwhich hof hthe hfollowing hlocations? h- h h h hcorrect hanswer.a. hUpper hleft habdomen h(THIS hONE hIS hA hDIAGRAM hCHOOSE hTHE hPOINT hON hTHE hTOP hLEFT hOF ABDOMEN) A hnurse his hadmitting ha hclient hto hthe hemergency hdepartment hafter ha hgunshot hwound hto hthe habdomen. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hto hhelp hprevent hthe honset hof hacute hkidney hfailure? a. hInitiate hbeta hblocker htherapy b. hInsert ha hurinary hcatheter c. hPrepare hthe hclient hfor han hintravenous hpyelogram d. hAdminister hIV hfluids hto hthe hclient h- h h h hcorrect hanswer.d. hAdminister hIV hfluids hto hthe hclient A hnurse his hpreparing hto hadminister h1 hunit hof hpacked hRBCs hto han hadult hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse hplan hto htake? a. hAdminister hthrough ha h22-gauge hIV hcatheter b. hPrime hthe hIV htubing hwith h0.45% hsodium hchloride c. hComplete hthe htransfusion hwithin h2 hhour d. hSlow hthe htransfusion hrate hif hthe hclient hreports hitching h- h h h hcorrect hanswer.c. hComplete hthe htransfusion hwithin h2 hhour A hnurse his hplanning hcare hfor ha hclient hwho hhas hdeveloped hnephrotic hsyndrome. hWhich hof hthe hfollowing hdietary hrecommendations hshould hthe hnurse hinclude? a. hIncrease hphosphorus hintake b. hDecrease hprotein hintake c. hIncrease hpotassium hintake d. hDecrease hcarbohydrate hintake h- h h h hcorrect hanswer.b. hDecrease hprotein hintake A hnurse his hcaring hfor han holder hadult hclient hwho hhas hdementia. hWhich hof hthe hfollowing hquestions hshould hthe hnurse hask hto hassess hthe hclient's habstract hthinking? a. h"can hyou hcount hbackwards hfrom h100 hintervals hof h7?" b. h"what his hmeant hby hthe hsaying, hdon't hbeat haround hthe hbrush?