Med Surg vati assessment
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Med Surg vati assessment Maternal Newborn Health Promotio... TMC EXAM A
154 terms 30 terms 160 terms
hope_perkins5 Preview rcorker0130 Preview IFL_12
A nurse is preparing to Elevated toilet seat
discharge a client who is
postoperative following a total A client who is postoperative following a total hip arthroplasty is
hip arthroplasty. Which of the at risk for dislocation of the hip prosthesis. Limitations on hip
following equipment should the flexion and adduction decrease the risk. The client should avoid
nurse ensure that the client has flexing the hip greater than 90° and should avoid using toilet
available at home prior to seats that are low to the ground. An elevated toilet seat should
discharge? be in place in the client's home prior to the client's discharge.
Continuous passive motion
device
Elevated toilet seat
Trapeze bar
Compression garment
Elevated WBC count
A nurse is assessing a client who
A client who has acute appendicitis will show a moderate
has suspected appendicitis.
elevation of the WBC count from 10,000 to 18,000/mm3. If the
Which of the following
WBC count is greater than 20,000/mm3, it can indicate a
manifestations should the nurse
perforated appendix.
expect? (select all that apply)
Rebound tenderness
A client who has appendicitis develops localized pain over the
Elevated WBC count
right lower quadrant of the abdomen. When the area is palpated,
Elevated amylase level
pain occurs during release of pressure on the client's abdomen.
Rebound tenderness
Anorexia
Ascites
A client who has acute appendicitis experiences nausea,
Anorexia
vomiting, and reduced appetite.
,A nurse is teaching a client who "I am aware that my diabetes is caused by an autoimmune
has a new diagnosis of type 1 disorder."
diabetes mellitus. Which of the
following statements by the Type 1 diabetes mellitus is an autoimmune disorder that destroys
client indicates an pancreatic beta cells. This autoimmune reaction is often
understanding of the teaching? triggered by a viral infection.
"I am aware that my diabetes is
caused by an autoimmune
disorder."
"I know that my diabetes
developed slowly over several
years."
"If I lose weight, I may be able
to stop taking insulin."
"I have developed a resistance
to insulin."
A nurse is caring for a male BUN 24 mg/dL
client who has a new
prescription for cyclosporine A BUN of 24 mg/dL is above the expected reference range of 10
following a kidney transplant. to 20 mg/dL, indicating renal impairment. An adverse effect of
Which of the following findings cyclosporine is nephrotoxicity. The nurse should monitor the
should the nurse identify as an client for increases in BUN and creatinine and report any
adverse effect of this therapy? elevation to the provider. A rise in BUN could indicate transplant
WBC count 8,000/mm3 rejection.
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L
A nurse in a long-term care Provide finger food at mealtime.
facility is caring for a client who
has dementia. Which of the The nurse should provide the client who has dementia with
following actions should the fingers foods. Clients who have dementia can have difficulty
nurse take? sitting still and tend to wander, which makes weight loss and
Give detailed directions when malnutrition a concern. Therefore, foods that the client can hold
addressing the client. while ambulating are ideal.
Provide finger food at mealtime.
Use written signs to redirect the
client.
Seat the client at a large table
for meals.
, A nurse is caring for a client Check for end-tidal carbon dioxide levels.
immediately following intubation
with an endotracheal (ET) tube. According to evidence-based practice, the most reliable method
Which of the following methods for verifying ET tube placement is checking for end-tidal carbon
should the nurse identify as the dioxide levels by using capnometry. A chest x-ray is another
most reliable for verifying reliable method for verifying placement.
placement of the ET tube?
Feel for exhaled air emerging
from the endotracheal tube.
Assess for bilateral breath
sounds.
Observe for symmetric chest
movement.
Check for end-tidal carbon
dioxide levels.
A nurse is providing teaching for "I will avoid crowds."
a client who has neutropenia The client who is immunocompromised should avoid crowds
and is receiving chemotherapy. while undergoing chemotherapy to reduce the risk of infection.
Which of the following client "I will take my temperature daily."
statements indicates an The client who is immunocompromised should take daily
understanding of the teaching? temperature readings and report an elevated temperature to the
(select all that apply) provider.
"I will avoid crowds."
"I will wash my toothbrush
weekly."
"I will change my cat's litter box
twice weekly."
"I will take my temperature
daily."
"I will eat plenty of fresh fruits
and vegetables."
A nurse is planning care for a. Menopausal obesity
client who has a lump in their
right breast. Which of the During menopause, increased fat tissue can lead to higher stores
following findings increases the of estrogen. Higher levels of estrogen in the body increase the
client's risk of developing breast risk for postmenopausal breast cancer.
cancer?
Menarche started at age 15
First born child was at 20 years
of age
History of a fibrocystic breasts
Menopausal obesity
Save
Students also studied
Flashcard sets Study guides
Med Surg vati assessment Maternal Newborn Health Promotio... TMC EXAM A
154 terms 30 terms 160 terms
hope_perkins5 Preview rcorker0130 Preview IFL_12
A nurse is preparing to Elevated toilet seat
discharge a client who is
postoperative following a total A client who is postoperative following a total hip arthroplasty is
hip arthroplasty. Which of the at risk for dislocation of the hip prosthesis. Limitations on hip
following equipment should the flexion and adduction decrease the risk. The client should avoid
nurse ensure that the client has flexing the hip greater than 90° and should avoid using toilet
available at home prior to seats that are low to the ground. An elevated toilet seat should
discharge? be in place in the client's home prior to the client's discharge.
Continuous passive motion
device
Elevated toilet seat
Trapeze bar
Compression garment
Elevated WBC count
A nurse is assessing a client who
A client who has acute appendicitis will show a moderate
has suspected appendicitis.
elevation of the WBC count from 10,000 to 18,000/mm3. If the
Which of the following
WBC count is greater than 20,000/mm3, it can indicate a
manifestations should the nurse
perforated appendix.
expect? (select all that apply)
Rebound tenderness
A client who has appendicitis develops localized pain over the
Elevated WBC count
right lower quadrant of the abdomen. When the area is palpated,
Elevated amylase level
pain occurs during release of pressure on the client's abdomen.
Rebound tenderness
Anorexia
Ascites
A client who has acute appendicitis experiences nausea,
Anorexia
vomiting, and reduced appetite.
,A nurse is teaching a client who "I am aware that my diabetes is caused by an autoimmune
has a new diagnosis of type 1 disorder."
diabetes mellitus. Which of the
following statements by the Type 1 diabetes mellitus is an autoimmune disorder that destroys
client indicates an pancreatic beta cells. This autoimmune reaction is often
understanding of the teaching? triggered by a viral infection.
"I am aware that my diabetes is
caused by an autoimmune
disorder."
"I know that my diabetes
developed slowly over several
years."
"If I lose weight, I may be able
to stop taking insulin."
"I have developed a resistance
to insulin."
A nurse is caring for a male BUN 24 mg/dL
client who has a new
prescription for cyclosporine A BUN of 24 mg/dL is above the expected reference range of 10
following a kidney transplant. to 20 mg/dL, indicating renal impairment. An adverse effect of
Which of the following findings cyclosporine is nephrotoxicity. The nurse should monitor the
should the nurse identify as an client for increases in BUN and creatinine and report any
adverse effect of this therapy? elevation to the provider. A rise in BUN could indicate transplant
WBC count 8,000/mm3 rejection.
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L
A nurse in a long-term care Provide finger food at mealtime.
facility is caring for a client who
has dementia. Which of the The nurse should provide the client who has dementia with
following actions should the fingers foods. Clients who have dementia can have difficulty
nurse take? sitting still and tend to wander, which makes weight loss and
Give detailed directions when malnutrition a concern. Therefore, foods that the client can hold
addressing the client. while ambulating are ideal.
Provide finger food at mealtime.
Use written signs to redirect the
client.
Seat the client at a large table
for meals.
, A nurse is caring for a client Check for end-tidal carbon dioxide levels.
immediately following intubation
with an endotracheal (ET) tube. According to evidence-based practice, the most reliable method
Which of the following methods for verifying ET tube placement is checking for end-tidal carbon
should the nurse identify as the dioxide levels by using capnometry. A chest x-ray is another
most reliable for verifying reliable method for verifying placement.
placement of the ET tube?
Feel for exhaled air emerging
from the endotracheal tube.
Assess for bilateral breath
sounds.
Observe for symmetric chest
movement.
Check for end-tidal carbon
dioxide levels.
A nurse is providing teaching for "I will avoid crowds."
a client who has neutropenia The client who is immunocompromised should avoid crowds
and is receiving chemotherapy. while undergoing chemotherapy to reduce the risk of infection.
Which of the following client "I will take my temperature daily."
statements indicates an The client who is immunocompromised should take daily
understanding of the teaching? temperature readings and report an elevated temperature to the
(select all that apply) provider.
"I will avoid crowds."
"I will wash my toothbrush
weekly."
"I will change my cat's litter box
twice weekly."
"I will take my temperature
daily."
"I will eat plenty of fresh fruits
and vegetables."
A nurse is planning care for a. Menopausal obesity
client who has a lump in their
right breast. Which of the During menopause, increased fat tissue can lead to higher stores
following findings increases the of estrogen. Higher levels of estrogen in the body increase the
client's risk of developing breast risk for postmenopausal breast cancer.
cancer?
Menarche started at age 15
First born child was at 20 years
of age
History of a fibrocystic breasts
Menopausal obesity
