MEDSURGE 2 40 HOUR TRAINING 2024 QUESTIONS AND ANSWERS

MEDSURGE 2 40 HOUR TRAINING 2024 QUESTIONS AND ANSWERS Cefazolin • -Answer-The nurse is preparing to give apixaban for a client who recently had a total knee arthroplasty. What does the nurse recognize as the advantage of this drug over other anticoagulants? The client does not need to have labs drawn for PT or INR. • -Answer-The nurse is caring for a client who has a continuous femoral nerve blockade following a total knee arthroplasty. What nursing assessment does the nurse need to perform to ensure client safety Check that the client can dorsiflex and plantar flex the foot on the operative leg. • -Answer-The nurse has provided health teaching for a female client starting on methotrexate (MTX) for early rheumatoid arthritis. What statement by the client indicates a need for further teaching "I can drink alcohol in small amounts at night to help me relax." • -Answer-The nurse is planning health teaching for a client starting hydroxychloroquine for rheumatoid arthritis. What instruction would the nurse include in the teaching "Have eye examinations every 6 months while on the drug." • -Answer-The nurse is caring for a postoperative client with total hip arthroplasty. What actions would the nurse take to prevent venous thromboembolism (VTE) postoperatively? (Select all that apply.) Apply pneumatic or sequential compression devices Administer anticoagulant therapy. Ambulate the client on the day of surgery. Elevate the client's legs. • -Answer-The nurse recognizes that a client who has persistent pain may have difficulty with pain management after a total joint arthroplasty. What collaborative interventions are needed to help the client manage postoperative pain? (Select all that apply.) -Answer-Establish trust and explain the postoperative pain management plan. Consult the pain management team if needed and available. Plan continuing pain management after discharge. Use multimodal and alternative pain management modalities. Identify at-risk clients preoperatively using a comprehensive assessment. • The nurse is teaching a client preparing to have a total knee replacement about interventions to help prevent surgical infection. What interventions would the nurse include in this teaching? (Select all that apply.) Using nasal mupirocin for at least a week before surgery Avoiding sleeping with pets in the client's bed Showering the night before and the morning of surgery with chlorhexidine Sleeping on clean linen wearing clean nightwear • -Answer-A young female client whose mother and grandmother have osteoporosis asks whether she needs to take steps to prevent this disease in herself. What will the nurse tell this client? "Now is the time to begin building strong bones." • -Answer-Buck's (skin) traction for a fractured hip is applied to a client while a urinary tract infection is treated before surgery. What instruction will the nurse give assistive personnel (AP) for providing client care related to the traction? "Do not allow the traction weights to rest on the ground." • -Answer-A rock climber has sustained an open fracture of the right tibia after a 20-foot (6 m) fall 2 days ago. The nurse plans to assess the client for which potential complications? (Select all that apply.) Acute compartment syndrome (ACS) Fat embolism syndrome (FES) Osteomyelitis. • -Answer-Which intervention would the nurse suggest to a client who has undergone a leg amputation to help cope with loss of the limb Talking with an amputee close to the client's age who has a similar amputation • -Answer-A client has undergone an elective below-the-knee amputation of the right leg as a result of severe peripheral vascular disease. In postoperative care teaching, the nurse would instruct the client to notify the primary health care provider immediately if which change occurs Large amount of serosanguineous or bloody drainage • -Answer-A client who uses a computer for hours each day asks the nurse how to help prevent carpal tunnel syndrome (CTS). Which statement by the client indicates a need for further teaching "I need to exercise repetitively to strengthen my wrists." • -Answer-The nurse is teaching a client who needs a clean-catch urine specimen. What teaching will the nurse include "Do not touch the inside of the container." • -Answer-The nurse is teaching a client how to provide a clean-catch urine specimen. Which client statement indicates that teaching was effective "I'll start to urinate in the toilet, stop, and then urinate into the cup."(MIDSTREAM) The nurse assesses blood clots in a client's urinary catheter after a cystoscopy. What initial nursing intervention is appropriate -Answer- Notify the health care provider (HCP). The nurse is preparing to obtain a sterile urine specimen from a client with a Foley catheter. What technique will the nurse use -Answer- Clamp the tubing, attach a syringe to the specimen, and withdraw at least 5 mL of urine. A client had a computed tomography (CT) scan with contrast dye 8 hours ago. Which nursing intervention is the priority for this client -Answer- Promoting fluid intake When a client with diabetes returns to the medical unit after a computed tomography (CT) scan with contrast dye, all of these interventions are prescribed. Which intervention will the nurse implement first -Answer- Infuse 0.45% normal saline at 125 mL/hr. The nurse is caring for the following clients who are scheduled for a computed tomography (CT) scan with contrast. For which clients will the nurse communicate safety concerns to the health care provider (HCP)? (Select all that apply.) -Answer- Client who took metformin 4 hours ago Client with an allergy to shrimp Client with a history of asthma Client with a blood urea nitrogen of 62 mg/dL (22.1 mmol/L) and a creatinine of 2.0 mg/dL (177 umol/L). The nurse is performing catheter care. Which nursing action demonstrates proper aseptic technique -Answer- Positioning the collection bag below the height of the bladder The nurse is instructing an older adult female client about interventions to decrease the risk for cystitis. Which client statement indicates that the teaching was effective -Answer- "I need to drink 2½ L of fluid every day."