Medical Surgical Assessment A Questions And Answers Graded A+ 2024.

Medical Surgical Assessment A Questions And Answers Graded A+ 2024. A mnurse mis mreviewing mthe mlaboratory mresults mof ma mclient mwho mis mscheduled mfor ma mCT mscan mwith man mIV mcontrast magent. mWhich mof mthe mfollowing mlaboratory mfindings mshould mthe mnurse mreport mto mthe mprovider mprior mto mthe mprocedure? A) mSodium m136 mmEq/L B) mPotassium m4.8 mmEq/L C) mCreatinine m1.9 mmg/dL D) mCalcium m10 mmg/dL m- m m m mcorrect manswer.C) mCreatinine m1.9 mmg/dL Creatinine m1.9 mmg/dL mis mnot mwithin mthe mexpected mreference mrange. mTherefore, mthe mnurse mshould mreport mthe mfinding mto mthe mprovider mbefore mthe mclient mhas ma mCT mscan mwith man mIV mcontrast magent. mThis mfinding mplaces mthe mclient mat mrisk mfor mdeveloping mcontrast-induced mnephropathy. A mnurse mis mmonitoring ma mclient mwho mis mtaking macarbose. mWhich mof mthe mfollowing mfindings mshould mthe mnurse midentify mas man madverse meffect mof mthe mmedication? A) mPolyuria B) mAbdominal mcramps C) mRenal minsufficiency D) mInsomnia m- m m m mcorrect manswer.B) mAbdominal mcramps Acarbose maffects mthe mgastrointestinal msystem. mTherefore, mthe mnurse mshould mmonitor mthe mclient mfor mabdominal mcramping, mrumbling mbowel msounds, mand mdiarrhea mas madverse meffects mof mthis mmedication. A mnurse mis massisting mwith mthe mcare mof ma mclient mwho mhad ma mcardiac mcatheterization mvia mthe mright mfemoral martery. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mto mprevent mpostprocedure mcomplications? m(Select mall) A) mMonitor mthe minsertion msite mfor mbleeding B) mPosition mthe maffected mextremity mat ma m45 mdegree mangle C) mRestrict mthe mclient's mfluid mintake D) mMaintain mthe mpressure mdressing E) mCheck mthe mclient's mperipheral mpulses m- m m m mcorrect manswer.A) mMonitor mthe minsertion msite mfor mbleeding The mnurse mshould mmonitor mthe mclient's minsertion msite mfor mmanifestations mof mhemorrhaging. D) mMaintain mthe mpressure mdressing. The mnurse mshould mmaintain mthe mclient's mpressure mdressing mto mprevent mhemorrhaging mand mallow mfor mthe mcannulation msite mto mheal. E) mCheck mthe mclient's mperipheral mpulses. The mnurse mshould massess mthe mclient's mperipheral mpulses mto mhelp midentify msigns mof marterial mocclusion. A mnurse mis mcontributing mto mthe mplan mof mcare mfor ma mclient mwho mhas mchronic mobstructive mpulmonary mdisease m(COPD) mand mis mdyspneic. mWhich mof mthe mfollowing minterventions mshould mthe mnurse minclude min mthe mplan? A) mEncourage mabdominal mbreathing B) mDirect mthe mclient mto minhale mwith mpursed mlips C) mSet mthe moxygen mtherapy mat m5L/min D) mInstruct mthe mclient mto mlean mback mwhile mcoughing m- m m m mcorrect manswer.A) mEncourage mabdominal mbreathing The mnurse mshould mencourage mabdominal mbreathing, mwhich mreduces mthe mworkload mon mthe maccessory mmuscles mof mrespiration mduring mdyspneic mepisodes. A mnurse mis mpreparing mto madminister mphytonadione m7 mmg msubcutaneously mto ma mclient mwho mhas man mINR mof m4. mAvailable mis mphytonadione m10 mmg/mL. mHow mmany mmL mshould mthe mnurse madminister? m(Round mthe manswer mto mthe mnearest mtenth. mUse ma mleading mzero mis mit mapplies. mDo mnot muse ma mtrailing mzero. m- m m m mcorrect manswer.7mg/10 mmg m*1mL= m0.7 mmL A mnurse mis mexamining ma mclient's mIV msite mand mnotes ma mred mline mup mhis marm. mThe mclient mreports ma mthrobbing, mburning mpain mat mthe mIV msite. mThe mnurse mshould midentify mthat mthe mclient's mmanifestations mindicate mwhich mof mthe mfollowing mcomplications mof mIV mtherapy? A) mThrombophlebitis B) mInfiltration C) mHematoma D) mVenous mspasms m- m m m mcorrect manswer.A) mThrombophlebitis The mnurse mshould midentify mpain, mwarmth, mand ma mred mstreak mup mthe marm mas mindications mof mthrombophlebitis. A mnurse mis mreinforcing mteaching mabout mmanagement mof mconstipation mwith ma mclient mwho mhas mhypothyroidism. mWhich mof mthe mfollowing mshould mthe mnurse minclude min mthe mteaching? A) mIncrease mintake mof mfiber-rich mfoods B) mTake ma mlaxative mevery mmorning C) mMaintain ma mfluid mintake mof m1200 mmL mper mday D) mLimit mactivity mto mpreserve menergy m- m m m mcorrect manswer.A) mIncrease mintake mof mfiber-rich mfoods The mnurse mshould minstruct mthe mclient mto mincrease mthe mamount mof mfiber-rich mfoods min mhis mdiet. mDried mbeans mand mbrown mrice mare mexamples mof mfiber-rich mfoods. A mnurse mis mcaring mfor ma mclient mwho mhas ma mcompound mfracture mof mthe mfemur mand mwas mplaced min mbalanced msuspension mskeletal mtraction m4 mdays mago. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake? A) mPerform mpin msite mcare mdaily B) mRemove mthe moverbed mtrapeze C) mRemove mthe mboot mevery m2 mhr D) mKeep mthe mweights mon ma mstable, mflat msurface m- m m m mcorrect manswer.A) mPerform mpin msite mcare mdaily The mnurse mshould mperform mpin msite mcare mdaily mwith mchlorhexidine msolution mor muse ma msolution maccording mto mfacility mprotocol. mThe mnurse mshould malso mmonitor mthe mpin msites mfor mmanifestations mof minfection. A mnurse mobserves ma mclient mwho mis mlying min mbed mexperiencing ma mtonic-clonic mseizure. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake? A) mLower mthe mside mrails mof mthe mclient's mbed B) mApply mwrist mrestraints mto mthe mclient C) mPosition mthe mclient min mthe msemi-Fowler's mposition D) mLoosen mclothing maround mthe mclient's mneck m- m m m mcorrect manswer.D) mLoosen mclothing maround mthe mclient's mneck The mnurse mshould mloosen mclothing maround mthe mclient's mneck mto mmaintain man mopen mairway mand mprevent maspiration. A mnurse mis mcontributing mto mthe mplan mof mcare mfor ma mclient mwho mhas mmultiple msclerosis mand mis mtaking mdantrolene mto mmanage mmuscle mspasms. mWhich mof mthe mfollowing minterventions mshould mthe mnurse minclude? A) mApply mhot mpacks mto mthe mclient's mmuscles B) mSchedule mphysical mtherapy min mthe mafternoon C) mEncourage mthe mclient mto mcomplete mADLs D) mAdminister mvalerian mto mpromote msleep m- m m m mcorrect manswer.C) mEncourage mthe mclient mto mcomplete mADLs The mnurse mshould mencourage mthe mclient mto mcomplete mADLs mand mprovide massistance mas mneeded. mPerforming mself-care mincreases mthe mclient's mindependence, mstrength, mand mlevel mof mfunctioning. A mnurse mis mreinforcing mdischarge mteaching mto mprevent mdumping msyndrome mfor ma mclient mfollowing ma mpartial mgastrectomy mfor mulcers. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude min mthe mteaching? A) mAvoid mliquids mat mmealtimes B) mExclude meating mstarchy mvegetables C) mAvoid meating mhigh-protein mmeals D) mPlan mto mincrease mintake mof msweetened mfruits m- m m m mcorrect manswer.A) mAvoid mliquids mat mmealtimes The mnurse mshould mremind mthe mclient mto mavoid mdrinking mliquids mat mmealtimes mto mprevent mthe mfood mfrom memptying minto mthe msmall mbowel mtoo mquickly. A mnurse mis mcollecting mdata mfrom ma mclient mwho mhas mheart mfailure mand mis mtaking mdigoxin. mWhich mof mthe mfollowing moutcomes mfrom mthe mmedication mshould mthe mnurse mexpect? A) mIncreased mweight B) mIncreased mheart mrate C) mDecreased murinary moutput D) mDecreased mshortness mof mbreath m- m m m mcorrect manswer.D) mDecreased mshortness mof mbreath The mnurse mshould mexpect mthe mclient mto mhave mdecreased mshortness mof mbreath. mDigoxin mincreases mthe mcontractility mof mthe mheart, mwhich mdecreases mpulmonary mcongestion. A mnurse mis mreinforcing mdischarge mteaching mwith ma mclient mwho mhas mhearing mloss. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mwith mcommunicating mwith mthe mclient? A) mRephrase mclient minstructions mwhen mnot munderstood B) mCup mhands maround mthe mmouth mand mdirect mspeech mtoward mthe mclient C) mAccentuate mvowel msounds mby musing ma mhigher mpitch mwhen mspeaking D) mSit mto mthe mside mof mthe mclient mand mspeak minstructions minto mher mbest meat m- m m m mcorrect manswer.A) mRephrase mclient minstructions mwhen mnot munderstood When mcommunicating mwith ma mclient mwho mhas mhearing mloss, mthe mnurse mshould mrephrase, mrather mthan mrepeat, mdischarge minstructions mwhen mthey mare mnot munderstood. A mnurse mis mpreparing mto mremove ma mclient's mNG mtube. mWhich mof mthe mfollowing minterventions mshould mthe mnurse mtake mto mdecrease mthe mrisk mof maspiration? A) mInstill m10mL mof mair mthrough mthe mNG mtube B) mPlace mthe mclient min msupine mposition C) mIrrigate mthe mNG mtube D) mPinch mthe mNG mtube m- m m m mcorrect manswer.D) mPinch mthe mNG mtube The mnurse mshould mpinch mthe mNG mtube mto mprevent msecretions mfrom mdraining minto mthe mclient's mthroat, mwhich mcan mcause maspiration. A mnurse mis mcontributing mto mthe mplan mof mcare mfor man molder madult mclient mwho mis mat mrisk mfor mosteoporosis. mWhich mof mthe mfollowing minterventions mshould mthe mnurse minclude mto mprevent mbone mloss? A) mIncrease mfluid mintake B) mEncourage mrange mof mmotion mexercises C) mMassage mbony mprominences D) mEncourage mweight-bearing mexercises m- m m m mcorrect manswer.D) mEncourage mweight-bearing mexercises Weight-bearing mexercises, msuch mas mwalking, mcan mmaintain mbone mmass mby mreducing mbone mdemineralization, mthus mhelping mto mprevent mosteoporosis. A mhome mhealth mnurse mis mreinforcing mteaching mwith ma mclient mabout mpreventing mcomplications mof mperipheral mvascular mdisease. mWhich mof mthe mfollowing mstatements mindicates mthat mthe mclient mis madhering mto mthe mnurse's minstructions? A) m"I mapply mrubbing malcohol mto mmy mfeet mevery mday mto mprevent minfection" B) m"I mwill mwear mclean, mknee-high mwool msocks meveryday mto mhelp mimprove mmy mcirculation" C) m"I muse mhot mwater mbottles mto mkeep mmy mfeet mwarm mat mnight" D) m"I mdon't mcross mmy mlegs manymore" m- m m m mcorrect manswer.D) m"I mdon't mcross mmy mlegs manymore" Clients mwho mhave mperipheral mvascular mdisease mshould mnot mcross mtheir mlegs mbecause mit mcan mimpede mcirculation. A mnurse mis mreinforcing mteaching mabout mglycosylated mhemoglobin m(HbA1c) mtesting mwith ma mclient mwho mhas mdiabetes mmellitus. mWhich mof mthe mfollowing mstatements mindicates mthat mthe mclient munderstands mthe mteaching? A) m"The mHbA1c mtest mshould mbe mperformed m2 mhr mafter mI meat ma mmeal mthat mis mhigh min mcarbohydrates" B) m"The mHbA1c mtest mcan mhelp mdetect mthe mpresence mof mketones min mmy mbody" C) m"I mwill mhave mmy mHbA1c mchecked mtwice mper myear" D) m"I mwill mplan mto mfast mbefore mI mhave mmy mHbA1c mtested" m- m m m mcorrect manswer.C) m"I mwill mhave mmy mHbA1c mchecked mtwice mper myear" An mHbA1c mtest mprovides mthe mclient's maverage mglucose mlevel mfor mthe mpreceding m3 mmonths. mThe mnurse mshould minstruct mthe mclient mto mhave mher mHbA1c mtested mtwice myearly mto mmanage mher mglucose. A mnurse mis massisting mthe mcharge mnurse mwith mdeveloping man min-service mabout mcaring mfor mclients mwho mhave minternal msealed mradiation mimplants. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude? A) mRestrict mthe mtime mpregnant mwomen mare mallowed min mthe mclient's mroom mto m15 mmin B) mPick mup ma mradiation mimplant mwith ma mdouble-gloved mhand mif mit mbecomes mdislodged C) mLimit mtime mspent min mthe mclient's mroom mto m2 mhr mduring man m8 mhr mshift D) mDispose mof mradiation mimplants min ma mlead mcontainer m- m m m mcorrect manswer.D) mDispose mof mradiation mimplants min ma mlead mcontainer Lead mimpairs mthe memission mof mradiation. mTherefore, mthe mnurse mshould mdispose mof mradiation mimplants min ma mlead mcontainer min maccordance mwith mfacility mprotocol. A mnurse mis mcaring mfor ma mclient mwho mhad man macute mischemic mstroke m1 mday mago. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mto mreduce mthe mrisk mfor maspiration? A) mAllow mfor m30 mmin mof mrest mbefore mmeals B) mProvide ma mstraw mfor mdrinking mliquids C) mServe mfoods mat mroom mtemperature D) mPlace m2 mtsp mof mfood min mthe mclient's mmouth mat ma mtime m- m m m mcorrect manswer.A) mAllow mfor m30 mmin mof mrest mbefore mmeals The mnurse mshould mallow mthe mclient mto mrest mfor m30 mmin mbefore mmeals mto mprevent maspiration. A mnurse mis mcaring mfor ma mclient mwho mis m1 mday mpostoperative mfollowing ma mhip marthroplasty. mThe mclient mis mexhibiting mhypotension, mtachycardia, mand mtachypnea. mThe mnurse mshould mrecognize mthat mthese mfindings mindicate mwhich mof mthe mfollowing mcomplications? A) mWound minfection B) mPulmonary membolism C) mThrombophlebitis D) mParalytic mileus m- m m m mcorrect manswer.B) mPulmonary membolism Manifestations mof ma mpulmonary membolism minclude mhypotension, mtachycardia, mand mtachypnea. A mnurse mis mreinforcing mteaching mwith ma mclient mwho mhas mgonorrhea. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude? A) m"Your mpartner mwill mnot mrequire mtreatment mfor mthis minfection" B) m"You mcan mresume msexual mactivity mas msoon mas myou mbegin mtreatment" C) m"You mare mat mrisk mfor minfertility mwith mthis minfection, mregardless mof mtreatment" D) m"You mwill mnot mbe mat mfurther mrisk mfor mthis minfection mfollowing mtreatment" m- m m m mcorrect manswer.C) m"You mare mat mrisk mfor minfertility mwith mthis minfection, mregardless mof mtreatment" The mnurse mshould minform mthe mclient mthat mthere mis ma mrisk mfor minfertility mas ma mresult mof mthis minfection. A mnurse mis mcontributing mto mthe mplan mof mcare mfor ma mclient mwho mwas madmitted mto mthe mneurological munit mfollowing ma mstroke m3 mhr mago. mWhich mof mthe mfollowing minterventions mshould mthe mnurse midentify mas mthe mpriority? A) mEncourage mthe mclient mto mparticipate min mself-care B) mAssist mthe mclient mwith mactive mrange-of-motion mexercises C) mKeep mthe mclient min ma mside-lying mposition D) mMaintain mthe mclient's mbody malignment m- m m m mcorrect manswer.C) mKeep mthe mclient min ma mside-lying mposition The mgreatest mrisk mto mthe mclient mfollowing ma mstroke mis maspiration. mThe mnurse mshould mposition mthe mclient min ma mlateral, mor mside-lying mposition, mwhich mwill mallow many msecretions mto mdrain mout mof mthe mmouth, mdecreasing mthe mrisk mfor maspiration. mAdditionally, mthe mnurse mshould mhave msuction mavailable min mthe mevent mthat many msecretions mare mpresent min mthe moral mcavity. A mnurse mis massisting min mthe mcare mof ma mclient mwho mhas mmanifestations mof msepsis. mWhich mof mthe mfollowing mprovider mprescriptions mshould mthe mnurse mimplement mfirst? A) mCollect ma msputum mculture B) mAdminister mceftriaxone mby mintermittent mIV mbolus C) mInitiate moxygen mat m4 mL/min mvia mnasal mcannula D) mObtain mblood mcultures m- m m m mcorrect manswer.C) mInitiate moxygen mat m4 mL/min mvia mnasal mcannula When musing mthe mairway, mbreathing, mcirculation mapproach mto mclient mcare, mthe mfirst maction mthe mnurse mshould mtake mis mto minitiate moxygen. mClients mwho mhave mmanifestations mof msepsis mare moften mhypoxic, mtachypneic, mor mhave ma mPaCO2 mlevel mless mthan m32 mmm mHg. mThe mnurse mshould mprovide msupplemental moxygen mto mkeep mthe mclient's moxygen msaturation mlevels mat m95% mor mgreater, mwhich mwill mmaximize mthe mability mof mthe mhemoglobin mto msupport mthe moxygen mneeds mof mthe mbody. A mnurse mis mreinforcing mteaching mwith ma mclient mwho mis mtaking minsulin mglargine. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude min mthe mteaching? A) m"This mtype mof minsulin mshould mbe mgiven mat mthe msame mtime meveryday" B) m"This minsulin mcan mbe mmixed mwith mshort-acting minsulin min ma msingle msyringe" C) m"This mtype mof minsulin mcan mbe mused min ma mpump" D) m"This minsulin mhas man mincreased mrisk mfor mhypoglycemia" m- m m m mcorrect manswer.A) m"This mtype mof minsulin mshould mbe mgiven mat mthe msame mtime meveryday" Insulin mglargine mis mreleased min mthe mbody mover ma m24 mhr mperiod. mThe mnurse mshould minstruct mthe mclient mto madminister mthe minsulin mat mthe msame mtime meach mday mto mmaintain mconsistent mserum mlevels mfor moptimal mtherapeutic meffect. A mnurse mis mcollecting mdata mfrom ma mclient mwho mhas mhypothyroidism. mWhich mof mthe mfollowing mmanifestations mshould mthe mnurse manticipate? A) mBlurred mvision B) mInsomnia C) mBradycardia D) mWeight mloss m- m m m mcorrect manswer.C) mBradycardia The mnurse mshould midentify mthat mbradycardia mis ma mmanifestation mof mhypothyroidism mthat mis mcaused mby ma mdecrease min mthe mclient's mmetabolic mrate. A mnurse mis mcollecting mdata mfrom ma mclient mwho mhas mchronic mkidney mdisease mwith mhyperkalemia. mWhich mof mthe mfollowing mfindings mshould mthe mnurse mexpect mrelated mto mhyperkalemia? A) mPolyuria B) mConstipation C) mAnorexia D) mBradycardia m- m m m mcorrect manswer.D) mBradycardia The mclient mwho mhas mhyperkalemia mcan mhave man mirregular, mslow mheart mrate, mknown mas mbradycardia. A mnurse menters mthe mroom mof ma mclient mwhose mtransfusion mof mpacked mRBCs mwas minitiated m15 mmin mago mby mthe mRN. mThe mclient mreports mdyspnea mand murticaria. mWhich mof mthe mfollowing mactions mshould mthe mnurse mperform mfirst? A) mCount mthe mclient's mrespiratory mrate B) mAsk mthe mclient mif mchest mpain mis mpresent C) mStop mthe minfusion D) mAdminister man mantihistamine m- m m m mcorrect manswer.C) mStop mthe minfusion Evidence-based mpractice mindicates mthe mnurse mshould mstop mthe minfusion mof mthe mblood mproduct mas msoon mas mmanifestations moccur mbecause mthey mcan mindicate ma mtransfusion mreaction. A mnurse mis mcollecting mdata mfrom ma m55 myr mold mfemale mclient mwho mreports mvaginal mdryness mand mhot mflashes. mThe mclient mis minterested min mtrying mhormone mreplacement mtherapy m(HRT). mWhich mof mthe mfollowing mshould mthe mnurse mrecognize mas ma mcontraindication mto mHRT? A) m5 myr mhistory mof mmenopause mmanifestations B) mHistory mof mtreatment mfor mblood mclots C) mTopiramate muse mfor mmigraine mheadaches D) mIncreased mserum mcholesterol mlevels m- m m m mcorrect manswer.B) mHistory mof mtreatment mfor mblood mclots Estrogen mincreases mthe mrisk mof mblood mclots. mTherefore, ma mwoman mwho mhas ma mhistory mof mblood mclots mshould mnot mreceive mHRT. A mnurse mis mreinforcing mteaching mwith mthe mfamily mof ma mclient mwho mhas ma mcervical minjury mand mhas ma mhalo mvest min mplace. mWhich mof mthe mfollowing msafety mprecautions mshould mthe mnurse minclude min mthe mteaching? A) mClean mthe mpin msites mevery m72 mhr B) mUse mthe mhalo mring mto mreposition mthe mclient mwhen min mbed C) mChange mthe msheepskin mliner mweekly D) mTighten mthe mtraction mbar mas mneeded m- m m m mcorrect manswer.C) mChange mthe msheepskin mliner mweekly The mnurse mshould mprovide minstruction mregarding mthe mcare mand mmaintenance mof mthe mvest. mThe minstruction mshould minclude mchanging mthe msheepskin mliner mwhen msoiled, mor mat mleast monce mper mweek, mto mprevent mskin mirritation. A mnurse mis mcollecting mdata mfrom ma mclient mwho mhas mhypokalemia. mWhich mof mthe mfollowing mfindings mshould mthe mnurse midentify mas mthe mpriority? A) mMuscle mweakness B) mDysrhythmia C) mAbdominal mpain D) mLethargy m- m m m mcorrect manswer.B) mDysrhythmia When musing mthe mairway, mbreathing, mcirculation mapproach mto mclient mcare, mthe mnurse mshould midentify mthat mthe mpriority mfinding mfor ma mclient mwho mhas mhypokalemia mis mdysrhythmia. A mnurse min ma mlong-term mcare mfacility mis mcollecting mdata mfrom ma mclient mwho mreports mfullness min mthe mrectum mand mabdominal mcramping. mWhich mof mthe mfollowing mfindings mshould mindicate mto mthe mnurse mthat mthe mclient mmight mhave ma mfecal mimpaction? A) mHalitosis B) mHemorrhoids C) mRebound mtenderness D) mSmall mliquid mstools m- m m m mcorrect manswer.D) mSmall mliquid mstools Small mliquid mstools mcan mbe mthe mresult mof mfecal mmaterial mbeing mexpelled maround man mimpaction. A mnurse mis mcaring mfor ma mclient mwho mis mpreoperative mand mis mreceiving man mIV minfusion mof mcefazolin. mTen mminutes mafter mbeginning mthe minfusion, mthe mclient mreports mintense mitching. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mfirst? A) mStop mthe mmedication minfusion B) mNotify mthe mcharge mnurse C) mAdminister ma mPRN mdose mof mdiphenhydramine D) mFollow mfacility mpolicy mfor mappropriate mreporting mof mthe madverse mreaction m- m m m mcorrect manswer.A) mStop mthe mmedication minfusion The mgreatest mrisk mto mthe mclient mis minjury mfrom man mallergic mresponse mto mthe mmedication. mTherefore, mthe mpriority maction mthe mnurse mshould mtake mis mto mstop mthe mmedication minfusion. A mnurse mis mplanning mto mimplement mdroplet mprecautions mfor ma mclient mwho mhas mmanifestations mof mpertussis. mWhich mof mthe mfollowing minterventions mshould mthe mnurse minclude mwhen mcontributing mto mthe mplan mof mcare? A) mApply ma mmask mon mthe mclient mif mtransport mis mneeded B) mWear ma mmask mwhen mworking mwithin m4 mfeet mof mthe mclient C) mDon ma mgown mwhen mvisiting mthe mclient D) mWear ma mN95 mmask mwhen mentering mthe mclient's mroom m- m m m mcorrect manswer.A) mApply ma mmask mon mthe mclient mif mtransport mis mneeded The mnurse mshould mapply ma mmask mto mthe mclient mwho mhas mmanifestations mof mpertussis mduring mtransport mto mprevent mexposure mto mothers. A mnurse mis mreinforcing mdischarge minstructions mwith ma mclient mwho mis mpostoperative mfollowing ma mright mhip marthroplasty. mWhich mof mthe mfollowing mstatements mshould mthe mnurse mmake? A) m"You mmay mcross myour mlegs min m60 mdays" B) m"Avoid mlying mon myour moperative mside" C) m"Avoid mbending myour mhips mmore mthan m90 mdegrees" D) mYou mmay msleep mon ma msoft mmattress" m- m m m mcorrect manswer.C) m"Avoid mbending myour mhips mmore mthan m90 mdegrees" The mnurse mshould minstruct mthe mclient mto mavoid mbending mher mhips mmore mthan m90° mto mprevent mdislocation mof mthe mreplacement mhip. A mnurse mis mreinforcing mteaching mwith man madolescent mclient mregarding mtesticular mself-examination. mWhich mof mthe mfollowing mstatements mby mthe mclient mdemonstrates man munderstanding mof mthe mteaching? A) m"I mwill mperform mthe mexam mbefore mI mshower" B) m"I mwill mcheck mmy mtesticles mevery m6 mmonths" C) m"I munderstand mthat mtesticular mcancer mis mpainless" D) m"I munderstand mthat mpea-sized mlumps mare mnormal" m- m m m mcorrect manswer.C) m"I munderstand mthat mtesticular mcancer mis mpainless" Clients mshould mreport ma mlump mthat mis mnot mpainful mbecause mtesticular mcancer mis mtypically mpainless. A mnurse mis mcaring mfor ma mclient mwho mhas macute mpancreatitis. mWhile mproviding mcare, mthe mnurse mobserves mecchymosis maround mthe mumbilicus. mThe mnurse mshould midentify mthat mthis mis ma mmanifestation mof mwhich mof mthe mfollowing? A) mCirrhosis mof mthe mliver B) mHypermotility mof mthe mbowel C) mIntra-abdominal mbleeding D) mAcute mcholecystitis m- m m m mcorrect manswer.C) mIntra-abdominal mbleeding Ecchymosis maround mthe mumbilicus mis ma msign mof mintra-abdominal mbleeding, mwhich mis ma mfinding mconsistent mwith mpancreatitis. A mnurse mis mcontributing mto mthe mplan mof mcare mfor ma mclient mwho mis mpostoperative mfollowing ma mtotal mknee marthroplasty. mThe mclient mis musing ma mcontinuous mpassive mmotion m(CPM) mmachine. mWhich mof mthe mfollowing minterventions mshould mthe mnurse mrecommend mfor mthe mplan mof mcare? A) mStore mthe mCPM mmachine mon mthe mfloor mwhen mit mis mnot min muse B) mKeep ma msheepskin mpad mbetween mthe mclient's mextremity mand mthe mCPM C) mCheck mthe mcycle mand mrange-of-motion msettings mat mleast mevery m12 mhr D) mAlign mthe mframe mjoint mof mthe mCPM mwith mthe mmiddle mof mthe mclient's mcalf m- m m m mcorrect manswer.B) mKeep ma msheepskin mpad mbetween mthe mclient's mextremity mand mthe mCPM The mnurse mshould mplan mto mkeep ma msheepskin mpad mbetween mthe mclient's mextremity mand mthe mCPM mmachine mto mprotect mthe mclient's mskin. mThe mnurse mshould mcheck mthe mclient's mskin mcondition mfrequently mwhile mthe mclient mis musing mthe mCPM. A mnurse mis mmonitoring ma mclient mwho mrecently mhas ma mcast mplaced mon mthe mright mlower mextremity mfor ma mbone mfracture. mWhich mof mthe mfollowing mfindings mshould mthe mnurse mrecognize mas mabnormal? A) mReport mof ma mdull, mthrobbing mpain B) mExtremities mthat mare mcool mbilaterally C) mCapillary mrefill mof m3 mseconds min mthe mnail mbeds mof mthe mtoes D) mLack mof msensation mbetween mthe mfirst mand msecond mtoes m- m m m mcorrect manswer.D) mLack mof msensation mbetween mthe mfirst mand msecond mtoes Lack mof msensation mbetween mthe mtoes mindicates mperipheral mnerve mimpairment mand mis man mabnormal mfinding mthat mcan mindicate mthe mclient mhas mcompartment msyndrome. mThe mnurse mshould mnotify mthe mprovider mimmediately. A mnurse mis mreinforcing mteaching mwith ma mclient mwho mhas mmitral mvalve mdisease. mWhich mof mthe mfollowing mstatements mby mthe mclient mindicates man munderstanding mof mthe mdisease mprocess? A) m"I mshould mcall mmy mdoctor mif mI mget ma mheadache" B) m"I mmay mdevelop mgastric mreflux" C) m"I mmay mdevelop mexcessive mbruising" D) m"I mshould mcall mmy mdoctor mif mmy mankles mswell" m- m m m mcorrect manswer.D) m"I mshould mcall mmy mdoctor mif mmy mankles mswell" Swelling mof mthe mankles mcan mindicate mheart mfailure. mThe mclient mshould mreport mthis mfinding mto mthe mprovider. A mnurse mis mproviding mdischarge mteaching mfor mthe mfamily mof ma mclient mwho mhas mParkinson's mdisease. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude min mthe mteaching? A) mPlace mthe mclient mon ma mlow-calorie mdiet mto mprevent mweight mgain B) mRemind mthe mclient mto mavoid mwatching mher mfeet mwhen mwalking C) muse msmall marea mrugs min mthe mclient's mhome mfor mtraction D mInstruct mthe mclient mto mtake mtub mbaths minstead mof mshowers m- m m m mcorrect manswer.B) mRemind mthe mclient mto mavoid mwatching mher mfeet mwhen mwalking The mnurse mshould minstruct mthe mclient's mfamily mto mfrequently mremind mthe mclient mto mmaintain mcorrect mposture mand mprevent mfalls mby mnot mwatching mher mfeet mwhen mwalking. A mnurse mis mcaring mfor ma mclient mwho mhas mbacterial mmeningitis. mUpon mmonitoring mthe mclient, mwhich mof mthe mfollowing mfindings mshould mthe mnurse mexpect? A) mFlaccid mneck B) mStooped mposture mwith mshuffling mgait C) mRed mmacular mrash D) mMasklike mfacial mexpression m- m m m mcorrect manswer.C) mRed mmacular mrash The mnurse mshould mexpect mto mfind ma mred mmacular mrash, msometimes mcalled ma mpetechial mrash, mwhich mis ma mmanifestation mof mmeningococcal mmeningitis. A mnurse mis mreinforcing mteaching mwith ma mclient mwho mhas msystemic mlupus merythematosus m(SLE) mand mis mto mbegin mtaking mmethylprednisone morally. mWhich mof mthe mfollowing mstatements mshould mthe mnurse minclude min mthe mteaching? A) m"Take mthe mmedication mon man mempty mstomach" B) m"Limit mcontact mwith mlarge mgroups mof mpeople" C) m"Avoid mtaking mover-the-counter mcalcium msupplements" D) m"Follow ma mlow-protein mdiet" m- m m m mcorrect manswer.B) m"Limit mcontact mwith mlarge mgroups mof mpeople" Glucocorticoids mcause mimmunosuppression mand mmay mmask minfection. mThe mclient mshould mlimit mcontact mwith msources mof mpossible minfections, msuch mas mlarge mgroups mof mpeople. A mnurse mis mreinforcing mdischarge mteaching mwith ma mclient mwho mhas mcirrhosis. mWhich mof mthe mfollowing minstructions mshould mthe mnurse minclude? A) m"You mcan mtake macetaminophen mfor mpain" B) m"Consume ma mdiet mhigh min manimal mprotein" C) m"Sleep mlying mflat mon myour mback" D) m"Consume mfoods mlow min msodium" m- m m m mcorrect manswer.D) m"Consume mfoods mlow min msodium" The mnurse mshould minstruct mthe mclient mto mconsume mfoods mlow min msodium mto mreduce mthe mdevelopment mof medema mand mascites. A mnurse mis mreviewing mthe mmedical mrecord mof ma mclient mwho mhas ma mprescription mfor mmorphine. mWhich mof mthe mfollowing mfindings mshould mthe mnurse mreport mto mthe mprovider? A) mUrinary mretention B) mAdministration mof mcelecoxib m24 mhr mago C) mHistory mof mimmunosuppression D) mAdministration mof mlevothyroxine m12 mhr mago m- m m m mcorrect manswer.A) mUrinary mretention The mnurse mshould mrecognize mthat madministering mmorphine mto mthe mclient mcan mcause murinary mretention. mTherefore, mthe mnurse mshould mreport mthis mfinding mto mthe mprovider. A mnurse mis mcaring mfor ma mclient mwho mis mat mrisk mfor mdeveloping mpressure mulcers. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake? A) mPosition mpillows mbetween mthe mbony mprominences B) mCheck mfor mincontinence mevery m3 mhr C) mMassage mreddened mareas mof mthe mskin D) mElevate mthe mhead mof mthe mbed mto m45 mdegrees m- m m m mcorrect manswer.A) mPosition mpillows mbetween mthe mbony mprominences The mnurse mshould muse mpositioning mdevices mto mkeep mbony mprominences mfrom mbeing min mdirect mcontact mwith meach mother, mwhich mwill mprevent mskin mbreakdown mand mpressure mulcer mdevelopment. A mnurse mis mdiscussing mhealth mscreening mguidelines mwith man molder madult mclient. mWhich mof mthe mfollowing mstatements mshould mthe mnurse minclude? A) m"You mshould mhave ma mscreening mfor mglaucoma mevery m5 myears" B) m"You mshould mhave ma mphysical mexamination mevery mother myear" C) m"You mshould mhave myour mhearing mchecked mevery m2 myears" D) m"You mshould mhave ma mpneumococcal mimmunization mevery m10 myears" m- m m m mcorrect manswer.D) m"You mshould mhave ma mpneumococcal mimmunization mevery m10 myears" The mnurse mshould mremind mthe mclient mto mhave ma mpneumococcal mimmunization mat mage m65 mand mevery m10 myears mthereafter mto mprotect mher mfrom macquiring mpneumonia. A mnurse mis mreinforcing mteaching mabout mjoint mprotection mwith ma mclient mwho mhas man macute mexacerbation mof mrheumatoid marthritis. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude min mthe mteaching? A) mApply mcold mpacks mto mthe minflamed mjoints B) mParticipate min mhigh mimpact mexercise C) mCarry ma mhand mpurse mrather mthan ma mshoulder mbag D) mSleep mon ma msoft mfoam mmattress m- m m m mcorrect manswer.A) mApply mcold mpacks mto mthe minflamed mjoints The mnurse mshould minstruct mthe mclient mto muse mboth mwarm mand mcold mpacks mon minflamed mjoints mto mdecrease mpain. A mnurse mis mpreparing mto mauscultate mbowel msounds mof ma mclient mwho mhas ma mmechanical mbowel mobstruction min mthe mdescending mcolon. mWhen mlistening min mthe mleft mupper mquadrant, mthe mnurse mshould midentify mthis msound mas mwhich mof mthe mfollowing? A) mHyperactive mbowel msounds B) mFriction mrub C) mNormal mbowel msounds D) mAbdominal mbruit m- m m m mcorrect manswer.A) mHyperactive mbowel msounds A mmechanical mbowel mobstruction mprevents ma mportion mor mall mof mthe mbowel mcontents mfrom mmoving mforward mthrough mthe mbowel. mThe mnurse mshould mexpect mto mauscultate mhigh-pitched, mhyperactive mbowel msounds mabove mthe mpoint mof mthe mintestinal mobstruction mas mthe mintestines mattempt mto mpropel mthe mblockage mforward. A mnurse mis mreinforcing mteaching mwith ma mclient mwho mis mon ma mlow-sodium mdiet mand masks mabout mhow mto mimprove mthe mtaste mof mbland mfood. mWhich mof mthe mfollowing mshould mthe mnurse mrecommend? A) mKetchup B) mMayonnaise C) mSoy msauce D) mLemon mjuice m- m m m mcorrect manswer.D) mLemon mjuice The mnurse mshould mrecommend mthat mthe mclient muse mlemon mjuice mto mflavor mhis mfood mbecause mit mis mlow min msodium. A mnurse mis mcaring mfor ma mclient mwho mis mpostoperative mand mhas man mepidural minfusion. mWhich mof mthe mfollowing mfindings mshould mthe mnurse mrecognize mas mthe mpriority? A) mPruritus B) mNausea C) mUrinary mretention D) mDyspnea m- m m m mcorrect manswer.D) mDyspnea When musing mthe mairway, mbreathing, mcirculation mapproach mto mclient mcare, mthe mnurse mshould mdetermine mthat mthe mpriority mfinding mis mdyspnea, mwhich mis ma mcomplication mof mthe mepidural minfusion. A mnurse mis mcaring mfor ma mclient mwho mis m3 mdays mpostoperative mfollowing ma mtotal mright mhip marthroplasty. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake? A) mUse ma mtraction mboot mto mkeep mthe mclient's mright mleg minternally mrotated. B) mHave mthe mclient msit min ma mreclining mchair mwhen mout mof mbed. C) mMaintain mabduction mof mthe mclient's mright mleg mwhile min mbed. D) mEncourage mthe mclient mto mperform mpassive mrange-of-motion mexercises. m- m m m mcorrect manswer.C) mMaintain mabduction mof mthe mclient's mright mleg mwhile min mbed. The mnurse mshould mmaintain mabduction mof mthe mclient's mright mleg mto mprevent mdislocation mof mthe maffected mhip mby mplacing man mabductor mpillow mbetween mthe mclient's mlegs mwhen mresting min mbed. A mnurse mis mcaring mfor ma mclient mwho mis m24 mhr mpostoperative mfollowing mabdominal msurgery mand mhas man mNG mtube. mWhich mof mthe mfollowing mactions mshould mthe mnurse mplan mto mtake mto mdecrease mthe mrisk mof mpostoperative mcomplications? A) mOffer msips mof mwater mto mthe mclient mfollowing moral mcare. B) mMassage mthe mclient's mlower mextremities mwith mlotion mevery m2 mhr. C) mEncourage mthe mclient mto muse man mincentive mspirometer mevery mhour mwhile mawake. D) mPlace mone mor mtwo mpillows mbeneath mthe mclient's mknees mwhile mhe mis min mbed. m- m m m mcorrect manswer.C) mEncourage mthe mclient mto muse man mincentive mspirometer mevery mhour mwhile mawake. The mnurse mshould massist mthe mclient mto muse mthe mincentive mspirometer min maddition mto mcoughing mand mdeep mbreathing mevery mhour mwhile mawake mfor mthe mfirst m24 mhr mpostoperatively mand mat mleast mevery m2 mhr mwhile mawake mthereafter. mAn mincentive mspirometer mwill minflate mthe mclient's malveoli mand mimprove mventilation mto mprevent mpostoperative mpneumonia. A mnurse mis mcontributing mto mthe mplan mof mcare mfor ma mclient mwho mis mhaving mdifficulty meating mfollowing ma mstroke. mWhich mof mthe mfollowing minterventions mshould mthe mnurse mplan mto mimplement mfirst? A) mCollaborate mwith ma mdietitian. B) mProvide mnutritional msupplements. C) mRecommend ma mreferral mfor ma mspeech mlanguage mpathologist. D) mInform massistive mpersonnel mabout mproper mpositioning. m- m m m mcorrect manswer.C) mRecommend ma mreferral mfor ma mspeech mlanguage mpathologist. The mgreatest mrisk mto mthe mclient mfollowing ma mstroke mis minjury mfrom maspiration. mTherefore, mthe mfirst mintervention mthe mnurse mshould minclude min mthe mplan mof mcare mis mto mrecommend ma mreferral mfor ma mspeech mlanguage mpathologist. mA mspeech mlanguage mpathologist mcan mconduct ma mswallow mstudy mto mdetermine mthe mclient's mrisk mfor maspiration, mprovide mteaching mto mthe mclient mregarding mswallowing mtechniques, mand mrecommend mthe mconsistency mof mfoods mand mliquids. A mnurse mis mcaring mfor ma mclient mwho mis min mBuck's mtraction. mWhich mof mthe mfollowing minterventions mshould mthe mnurse mperform mto mreduce mskin mbreakdown? A) mKeep mthe mskin mdry mand mfree mof mperspiration. B) mUse mhot mwater mand mantibacterial msoap mto mbathe mthe mclient. C) mMassage mthe mskin mover mbony mprominences mto mpromote mcirculation. D) mLimit mthe muse mof mmoisturizers mon mthe mskin mover mbony mprominences. m- m m m mcorrect manswer.A) mKeep mthe mskin mdry mand mfree mof mperspiration. The mnurse mshould mnot mleave mmoisture mon mthe mskin mfor mprolonged mperiods mof mtime mbecause mit mcan mcause mskin mbreakdown. A mnurse mis mreviewing mthe mlaboratory mresults mof ma mclient mwho mhas mchronic mkidney mfailure mand mis mreceiving mepoetin malfa. mThe mnurse mshould midentify mthat mwhich mof mthe mfollowing mlaboratory mvalues mindicates mthe mtreatment mis meffective? A) mBUN m40 mmg/dL B) mHgb m11 mg/dL C) mUrine mspecific mgravity m1.035 D) mBlood mglucose m105 mmg/dL m- m m m mcorrect manswer.B) mHgb m11 mg/dL Epoetin malfa mstimulates mthe mproduction mof merythropoietin mand mred mblood mcells, mresulting min mincreased mhemoglobin mlevels. mTherefore, ma mhemoglobin mlevel mof m11 mg/dL mindicates mthe mepoetin malfa mtreatment mis meffective. A mnurse mis mreinforcing mteaching mwith ma mclient mwho mhas mmultiple msclerosis mand ma mnew mprescription mfor mbaclofen. mWhich mof mthe mfollowing minstructions mshould mthe mnurse minclude min mthe mteaching? A) mConsume ma mlow-purine mdiet. B) mAvoid mstopping mthis mmedication msuddenly. C) mUse mchamomile mtea mto malleviate minsomnia. D) mTake mthis mmedication mon man mempty mstomach. m- m m m mcorrect manswer.B) mAvoid mstopping mthis mmedication msuddenly. The mnurse mshould minstruct mthe mclient mto mavoid mstopping mbaclofen msuddenly mbecause mit mcan mresult min madverse mreactions, mincluding mseizures, mparanoia, mand mhallucinations. A mnurse mis mperforming man mECG mon ma mclient mwho mis mscheduled mfor msurgery mthe mfollowing mmorning. mIn mwhich mof mthe mfollowing mlocations mshould mthe mnurse mplace mthe mV1 melectrode? m(Hotspots mA,B,C,D) m- m m m mcorrect manswer.C mis mcorrect. m The mnurse mshould midentify mthat mthe mV1 melectrode mshould mbe mplaced min mthe m4th mintercostal mspace mjust mto mthe mright mof mthe msternum. mCorrect mplacement mof mthe melectrodes mis mvital min mobtaining maccurate minformation mabout mthe melectrical mactivity mof mthe mheart. A mnurse min man moncology mclinic mis mreinforcing mteaching mabout mMohs msurgery mwith ma mclient mwho mhas mskin mcancer. mWhich mof mthe mfollowing minformation mshould mthe mnurse minclude min mthe mteaching? A) mMohs msurgery mis ma mhorizontal mshaving mof mthin mlayers mof mthe mtumor. B) mMohs msurgery muses mliquid mnitrogen mto mdestroy mthe mcancerous mtissue. C) mMohs msurgery mis mthe mpreferred mtreatment mfor mmelanoma mskin mcancer. D) mMohs msurgery mis ma mpalliative mtreatment mfor mmetastatic mskin mcancer. m- m m m mcorrect manswer.A) mMohs msurgery mis ma mhorizontal mshaving mof mthin mlayers mof mthe mtumor. Mohs msurgery mis mperformed mto mtreat mbasal mand msquamous mcell mcarcinoma. mThe mprocedure, mwhich minvolves ma mhorizontal mshaving mof mthin mlayers mof ma mtumor, mhas ma mhigh mtreatment mrate.