Capstone Med Surg Assessment 1 all answers correct ;
latest spring
A nurse is teaching a client about using a continuous positive airway pressure device
to treat obstructive sleep apnea. Which of the following information should the nurse
include in the teaching? - ANSWER It delivers a preset amount of airway pressure
throughout the breathing cycle.
A nurse is providing discharge teaching to a client following a heart transplant. Which
of the following information should the nurse include in the teaching? - ANSWER
Shortness of breath might be an indication of transplant rejection.
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the
following laboratory findings should the nurse identify as an indication that SIADH is
resolving? - ANSWER Urine specific gravity of 1.020
A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening
of colorectal cancer. Which of the following statements should the nurse include in
the teaching? - ANSWER You should avoid taking corticosteroids prior to testing.
A nurse is preparing a client for a colonoscopy. Which of the following medications
should the nurse anticipate the provider to prescribe as an anesthetic for the
procedure? - ANSWER Propofol
A nurse is planning care for a client who has acute pancreatitis. Which of the
following interventions should the nurse include in the client's plan? (select all that
apply) - ANSWER -Monitor blood glucose levels
-Maintain NPO status until pain free
-Manage acute pain
A nurse is teaching a client who has hypertension about dietary modifications to help
control blood pressure. Which of the following food choices should the nurse
recommend that the client include in their diet? - ANSWER 3 oz of chicken breast
A nurse is reviewing the medical record of a client who has unstable angina. Which
of the following findings should the nurse report to the provider? - ANSWER Breath
sounds
A nurse is providing discharge instructions to a client who has GERD. Which of the
following statements by the client demonstrates an understanding of the teaching? -
ANSWER I will limit activities that require bending at the waist.
A nurse at a provider's office is interviewing a client who has multiple sclerosis and
has been taking dantrolene for several months. Which of the following client
, statements should the nurse identify as an indication that the medication is effective?
- ANSWER I don't have muscle spasms as frequently.
A nurse is assessing a client who reports a possible exposure to HIV. Which of the
following findings should the nurse identify as an early manifestation of HIV
infection? - ANSWER Fatigue
A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia.
Which of the following statements by the client indicates an understanding of the
teaching? - ANSWER I can drink 4 ounces of soda if my blood sugar is low.
A nurse is providing discharge teaching to a client who has heart failure and a
prescription for furosemide 20mg PO two times daily. Which of the following
instructions should the nurse include in the teaching? - ANSWER Increase intake
of high-potassium food.
A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about altered appearance. Which of the following statements should the
nurse make? - ANSWER It could be helpful for you to attend a support group for
people who have burn injuries.
A nuse is developing a plan of care for a client who will be placed in halo traction
following surgical repair of the survical spine. Which of the following interventions
should the nurse include in the plan? - ANSWER Monitor the client's skin under the
halo vest.
A nurse is caring for a client who has a traumatic brain injury. Which of the following
findings should indicate to the nurse the need for immediate intervention? -
ANSWER Respiratory Rate of 30/min
A nurse is assessing a client who has meningitis. The nurse should identify which of
the following findings as a positive Kernig's sign? - ANSWER After hip flexion, the
client is unable to extend their leg completely without pain.
A nurse is teaching a group of assistive personnel (AP) about caring for clients who
have Azheimer's disease. Which of the following information should the nurse
include in the teaching? - ANSWER Provide supervision to prevent a client from
becoming injured or lost.
A home health nurse is providing teaching to the family of a client who has a seizure
disorder. Which of the following interventions should the nurse include in the
teaching? - ANSWER Position the client on their side during a seizure.
A nurse is contributing to the plan of care for a client who has pyelonephritis. Which
of the following interventions should the nurse include? - ANSWER Monitor the
client's urine for color changes.
A nurse is assessing a client who has a herniated lumbar disc. Which of the following
findings should the nurse expect? - ANSWER The client reports tingling and a
burning sensation in one foot.
latest spring
A nurse is teaching a client about using a continuous positive airway pressure device
to treat obstructive sleep apnea. Which of the following information should the nurse
include in the teaching? - ANSWER It delivers a preset amount of airway pressure
throughout the breathing cycle.
A nurse is providing discharge teaching to a client following a heart transplant. Which
of the following information should the nurse include in the teaching? - ANSWER
Shortness of breath might be an indication of transplant rejection.
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone
(SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the
following laboratory findings should the nurse identify as an indication that SIADH is
resolving? - ANSWER Urine specific gravity of 1.020
A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening
of colorectal cancer. Which of the following statements should the nurse include in
the teaching? - ANSWER You should avoid taking corticosteroids prior to testing.
A nurse is preparing a client for a colonoscopy. Which of the following medications
should the nurse anticipate the provider to prescribe as an anesthetic for the
procedure? - ANSWER Propofol
A nurse is planning care for a client who has acute pancreatitis. Which of the
following interventions should the nurse include in the client's plan? (select all that
apply) - ANSWER -Monitor blood glucose levels
-Maintain NPO status until pain free
-Manage acute pain
A nurse is teaching a client who has hypertension about dietary modifications to help
control blood pressure. Which of the following food choices should the nurse
recommend that the client include in their diet? - ANSWER 3 oz of chicken breast
A nurse is reviewing the medical record of a client who has unstable angina. Which
of the following findings should the nurse report to the provider? - ANSWER Breath
sounds
A nurse is providing discharge instructions to a client who has GERD. Which of the
following statements by the client demonstrates an understanding of the teaching? -
ANSWER I will limit activities that require bending at the waist.
A nurse at a provider's office is interviewing a client who has multiple sclerosis and
has been taking dantrolene for several months. Which of the following client
, statements should the nurse identify as an indication that the medication is effective?
- ANSWER I don't have muscle spasms as frequently.
A nurse is assessing a client who reports a possible exposure to HIV. Which of the
following findings should the nurse identify as an early manifestation of HIV
infection? - ANSWER Fatigue
A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia.
Which of the following statements by the client indicates an understanding of the
teaching? - ANSWER I can drink 4 ounces of soda if my blood sugar is low.
A nurse is providing discharge teaching to a client who has heart failure and a
prescription for furosemide 20mg PO two times daily. Which of the following
instructions should the nurse include in the teaching? - ANSWER Increase intake
of high-potassium food.
A nurse is caring for a client who has burn injuries covering their upper body and is
concerned about altered appearance. Which of the following statements should the
nurse make? - ANSWER It could be helpful for you to attend a support group for
people who have burn injuries.
A nuse is developing a plan of care for a client who will be placed in halo traction
following surgical repair of the survical spine. Which of the following interventions
should the nurse include in the plan? - ANSWER Monitor the client's skin under the
halo vest.
A nurse is caring for a client who has a traumatic brain injury. Which of the following
findings should indicate to the nurse the need for immediate intervention? -
ANSWER Respiratory Rate of 30/min
A nurse is assessing a client who has meningitis. The nurse should identify which of
the following findings as a positive Kernig's sign? - ANSWER After hip flexion, the
client is unable to extend their leg completely without pain.
A nurse is teaching a group of assistive personnel (AP) about caring for clients who
have Azheimer's disease. Which of the following information should the nurse
include in the teaching? - ANSWER Provide supervision to prevent a client from
becoming injured or lost.
A home health nurse is providing teaching to the family of a client who has a seizure
disorder. Which of the following interventions should the nurse include in the
teaching? - ANSWER Position the client on their side during a seizure.
A nurse is contributing to the plan of care for a client who has pyelonephritis. Which
of the following interventions should the nurse include? - ANSWER Monitor the
client's urine for color changes.
A nurse is assessing a client who has a herniated lumbar disc. Which of the following
findings should the nurse expect? - ANSWER The client reports tingling and a
burning sensation in one foot.
