KAPLAN MEDICAL SURGICAL COMP IEN_A ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

KAPLAN MEDICAL SURGICAL COMP IEN_A ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ The nurse obtains a specimen for arterial blood gases from a client. Which principle guides the nurse? a. Clotted blood will preserve the blood gas values b. Air in the syringe will alter the blood values c. Continuous intra-arterial monitoring is required d. May use peripheral IV site if no IV fluids present - ANSWER-b. Air in the syringe will alter the blood values A client has a vaso-occlusive crisis. The nurse teaches the client ways to avoid another crisis. Which intervention is most important for this client? a. Refer to a support group b. Adequate hydration c. Infection prevention d. Avoid high altitude situations - ANSWER-b. Adequate hydration A client is diagnosed with hepatitis B. The nurse identifies a nursing diagnosis based on which priority concern? a. Potential for changes in skin integrity because of the jaundice b. Changes in urinary output because oft he darkened urine c. Possible changes in liver function because of a viral infection d. Changes in psychological outlook because this is a chronic disease - ANSWER-c. Possible changes in liver function because of a viral infection 2 | Page A client is diagnosed with varicose veins. Education is provided by the nurse. The nurse continues teaching the client when the client makes which statement? a. "I may have more varicose veins even after my surgery." b. "I can stop wearing my elastic stocking when the pain is gone." c. "I will try to lose some weight to help prevent more vein problems." d. "I need to move my legs frequently when I am sitting." - ANSWER-b. "I can stop wearing my elastic stocking when the pain is gone." A client is diagnosed with a flaccid neurogenic bladder due to a spinal cord injury. The client has had several urinary tract infections. A bladder training program has been established. Which documentation indicates the client's bladder function is currently satisfactory? a. The client has had no urinary tract infections in 3 days b. The client verbalizes when to empty the bladder c. The client correctly demonstrates bladder emptying techniques d. The client empties the bladder completely every 2-3 hours - ANSWER-d. The client empties the bladder completely every 2-3 hours A client is diagnosed with a stroke. The nurse observes while the client eats lunch. The client coughs after many bites, swallows solids very slowly, but swallows liquids without difficulty. The client makes strange movements of the tongue during eating. Which action does the nurse take next? a. Asks the client for favorite food choices b. Requests an occupational therapy consult c. Encourages the client to chew slowly d. Requests a dietary consultation - ANSWER-d. Requests a dietary consultation A client is diagnosed with HTN. The client says, "I have trouble remembering to take my medications, but I am now only smoking 5 cigarettes a day instead of 2 packs." Which response by the nurse is best? 3 | Page a. "Ask your spouse to help you remember the medications. The smoking needs to be reduced even more." b. "It is good that your smoking has decreased. Let's talk about ways to remember the medication." c. "You must take the medication, and the smoking habit needs to stop very soon." d. "It sounds like you are trying to adhere to the plan. Tell me about your current diet." - ANSWER-b. "It is good that your smoking has decreased. Let's talk about ways to remember the medication." A client is diagnosed with myasthenia gravis. The client says, "I am tired all the time and I don't want to live any more. If I stop taking my medication, I can stop breathing." Which is the nurse's best response? a. Ask client about feelings of hopelessness b. Give client information about a myasthenia gravis group c. Place client on suicide watch d. Teach client about the new medication - ANSWER-a. Ask client about feelings of hopelessness The nurse suctions a client's tracheostomy. Which technique does the nurse use? (select all) a. Routinely instills sterile normal saline before suctioning b. Applies suction when inserting the catheter c. Suctions the client every hour d. Uses sterile technique when suctioning e. Rotates the catheter when withdrawing f. Uses intermittent suctioning - ANSWER-a. Routinely instills sterile normal saline before suctioning d. Uses sterile technique when suctioning