Science Medicine Surgery
RN Adult Medical Surgical Nursing
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II Lecture Chapter 20 Short Answer: ... ch 14-24 aemt Feeding and Swallow
21 terms 112 terms 20 terms
marwri5628 Preview Zain_Almosawy Preview cmk60300
A nurse is caring for a client who A. Ask the dietitian to assist with meal planning
has a new diagnosis of type 2 B. Contact the client's support system
diabetes mellitus and reports D. Encourage the use of a daily medication dispenser
difficulty following the diet and E. Provide educational materials for home use
remembering to take the
prescribed medication. Which of
the following actions should the
nurse take to promote client
compliance? (SATA)
A. Ask the dietitian to assist with
meal planning
B. Contact the client's support
system
C. Assess for age-related
cognitive awareness
D. Encourage the use of a daily
medication dispenser
E. Provide educational materials
for home use
,A nurse in a health care clinic is D. A young male who has a long history of well-controlled
evaluating the level of wellness rheumatoid arthritis
for clients using the illness-
wellness continuum tool. The
nurse should identify which of
the following clients as being at
the center of the continuum?
A. A college student who has
influenza
B. An older adult who has a new
diagnosis of type 2 diabetes
mellitus
C. A new mother who has a
urinary infection
D. A young male who has a long
history of well-controlled
rheumatoid arthritis
A nurse is evaluating clients at a A. Smoking on social occasions
health fair for modifiable B. BMI of 28
variables affecting health and E. History of reflux
wellness. The nurse should
identify which of the following
variables as modifiable? (SATA)
A. Smoking on social occasions
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux
A nurse is caring for a client who B. "I need a second opinion. There is no lump."
was just informed of a new
diagnosis of breast cancer. The
nurse evaluates the client's
response. Which of the following
statements by the client reflects
a lack of understanding of an
illness perspective?
A. "I have no family history of
breast cancer."
B. "I need a second opinion.
There is no lump."
C. "I am glad we live in the city
near several large hospitals."
D. "I will schedule surgery next
week, over the holidays."
,A nurse on a medical-surgical B. Client who reports right calf pain and shortness of breath
unit is caring for a group of
clients. The nurse should notify
the rapid response team for
which of the following clients?
A. Client who has a pressure
injury of the right heel whose
blood glucose is 300 mg/dL
B. Client who reports right calf
pain and shortness of breath
C. Client who has blood on a
pressure dressing in the femoral
area following a cardiac
catheterization
D. Client who has dark red
coloration of left toes and
absent pedal pulse
A nurse is caring for a client who B. Instill activated charcoal
has ingested a toxic agent. C. Perform a gastric lavage with aspiration
Which of the following actions E. Infuse IV fluids
should the nurse plan to take?
(SATA)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with
aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids
A nurse in the emergency A. Remove wet clothing
department is caring for a client C. Apply warm blankets
who fell through the ice on a D. Use a rapid rewarming water of 40º C (104º to 108º F)
pond and is unresponsive and E. Infuse warmed IV fluids
breathing slowly. Which of the
following actions should the
nurse take? (SATA)
A. Remove wet clothing
B. Maintain normal room
temperature
C. Apply warm blankets
D. Use a rapid rewarming water
of 40º C (104º to 108º F)
E. Infuse warmed IV fluids
, A nurse in the emergency A. Head-tilt, chin-lift
department is assessing a client
who is unresponsive. The client's
partner states, "He was pulling
weeds in the yard and slumped
to the ground." Which of the
following techniques should the
nurse use to open the client's
airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head
A nurse is reviewing the C. Administer IV epinephrine
common emergency
management protocol for
clients who have asystole. Which
of the following actions should
the nurse plan to take during this
cardiac emergency?
A. Perform defibrillation
B. Prepare for transcutaneous
pacing
C. Administer IV epinephrine
D. Elevate the client's lower
extremities
A nurse is caring for a client who B. Assist the client to a supine position
is postprocedure following C. Administer an opioid medication
lumbar puncture and reports a D. Encourage the client to increase fluid intake
throbbing headache when
sitting upright. Which of the
following actions should the
nurse take? (SATA)
A. Use the Glasgow Coma Scale
when assessing the client
B. Assist the client to a supine
position
C. Administer an opioid
medication
D. Encourage the client to
increase fluid intake
E. Instruct the client to perform
deep breathing and coughing
exercises
RN Adult Medical Surgical Nursing
Save
Students also studied
Flashcard sets Study guides
II Lecture Chapter 20 Short Answer: ... ch 14-24 aemt Feeding and Swallow
21 terms 112 terms 20 terms
marwri5628 Preview Zain_Almosawy Preview cmk60300
A nurse is caring for a client who A. Ask the dietitian to assist with meal planning
has a new diagnosis of type 2 B. Contact the client's support system
diabetes mellitus and reports D. Encourage the use of a daily medication dispenser
difficulty following the diet and E. Provide educational materials for home use
remembering to take the
prescribed medication. Which of
the following actions should the
nurse take to promote client
compliance? (SATA)
A. Ask the dietitian to assist with
meal planning
B. Contact the client's support
system
C. Assess for age-related
cognitive awareness
D. Encourage the use of a daily
medication dispenser
E. Provide educational materials
for home use
,A nurse in a health care clinic is D. A young male who has a long history of well-controlled
evaluating the level of wellness rheumatoid arthritis
for clients using the illness-
wellness continuum tool. The
nurse should identify which of
the following clients as being at
the center of the continuum?
A. A college student who has
influenza
B. An older adult who has a new
diagnosis of type 2 diabetes
mellitus
C. A new mother who has a
urinary infection
D. A young male who has a long
history of well-controlled
rheumatoid arthritis
A nurse is evaluating clients at a A. Smoking on social occasions
health fair for modifiable B. BMI of 28
variables affecting health and E. History of reflux
wellness. The nurse should
identify which of the following
variables as modifiable? (SATA)
A. Smoking on social occasions
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux
A nurse is caring for a client who B. "I need a second opinion. There is no lump."
was just informed of a new
diagnosis of breast cancer. The
nurse evaluates the client's
response. Which of the following
statements by the client reflects
a lack of understanding of an
illness perspective?
A. "I have no family history of
breast cancer."
B. "I need a second opinion.
There is no lump."
C. "I am glad we live in the city
near several large hospitals."
D. "I will schedule surgery next
week, over the holidays."
,A nurse on a medical-surgical B. Client who reports right calf pain and shortness of breath
unit is caring for a group of
clients. The nurse should notify
the rapid response team for
which of the following clients?
A. Client who has a pressure
injury of the right heel whose
blood glucose is 300 mg/dL
B. Client who reports right calf
pain and shortness of breath
C. Client who has blood on a
pressure dressing in the femoral
area following a cardiac
catheterization
D. Client who has dark red
coloration of left toes and
absent pedal pulse
A nurse is caring for a client who B. Instill activated charcoal
has ingested a toxic agent. C. Perform a gastric lavage with aspiration
Which of the following actions E. Infuse IV fluids
should the nurse plan to take?
(SATA)
A. Induce vomiting
B. Instill activated charcoal
C. Perform a gastric lavage with
aspiration
D. Administer syrup of ipecac
E. Infuse IV fluids
A nurse in the emergency A. Remove wet clothing
department is caring for a client C. Apply warm blankets
who fell through the ice on a D. Use a rapid rewarming water of 40º C (104º to 108º F)
pond and is unresponsive and E. Infuse warmed IV fluids
breathing slowly. Which of the
following actions should the
nurse take? (SATA)
A. Remove wet clothing
B. Maintain normal room
temperature
C. Apply warm blankets
D. Use a rapid rewarming water
of 40º C (104º to 108º F)
E. Infuse warmed IV fluids
, A nurse in the emergency A. Head-tilt, chin-lift
department is assessing a client
who is unresponsive. The client's
partner states, "He was pulling
weeds in the yard and slumped
to the ground." Which of the
following techniques should the
nurse use to open the client's
airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head
A nurse is reviewing the C. Administer IV epinephrine
common emergency
management protocol for
clients who have asystole. Which
of the following actions should
the nurse plan to take during this
cardiac emergency?
A. Perform defibrillation
B. Prepare for transcutaneous
pacing
C. Administer IV epinephrine
D. Elevate the client's lower
extremities
A nurse is caring for a client who B. Assist the client to a supine position
is postprocedure following C. Administer an opioid medication
lumbar puncture and reports a D. Encourage the client to increase fluid intake
throbbing headache when
sitting upright. Which of the
following actions should the
nurse take? (SATA)
A. Use the Glasgow Coma Scale
when assessing the client
B. Assist the client to a supine
position
C. Administer an opioid
medication
D. Encourage the client to
increase fluid intake
E. Instruct the client to perform
deep breathing and coughing
exercises
