What action by the nurse takes priority? Which statement by the client indicates a need for additional teaching? Nurses next action? What is nurses best action? d. How would you describe the pain that you are feeling? Difficulty. What instruction by the nurse is most important? Which statement should the nurse include in this clients teaching? (Select all that apply. Check O2 sat. Which action should the nurse take to manage this clients pain? ), A nurse is planning discharge teaching on tracheostomy care for an older client. A client admitted for pneumonia has been tachypneic for several days. c)smoking. What treatment should the nurse educate the client on? What response do you have when you eat avocados? A client has rheumatoid arthritis that especially affects the hands. A client has been taking isoniazid (INH) for tuberculosis for 3 weeks. a. (Select all that apply.) The client admits to not doing the prescribed exercises. An older client with diabetes is admitted with a heavily draining leg wound. The client is so exhausted after coughing that work has become impossible. What recommendation is best to help prevent osteoarthritis (OA)? The nurse is assessing four clients with musculoskeletal disorders. ), A client is suspected to have muscular dystrophy. Which action should the nurse take next? She is at high risk for osteomalacia. Allow the client uninterrupted rest time. Which actions should the nurse include in the plan of care? c. I plan to use cotton balls to cushion the oxygen tubing on my ears. Normal platelet count? A school nurse is conducting scoliosis screening. (Select all that apply.). The client wants to finish quilting a baby blanket before the birth of her grandchild. The nurse notes the clients fingers are pale, cool, and slightly swollen. What vinareal disorder places client @ greatest risk for ectopic pregnancy? M/S, Respiratory. What action by the nurse is best? A nurse is caring for an older adult client who has a pulmonary infection. Drink 1 to 2 liters of water each day. A nurse admits a client from the emergency department. She uses the ATI grade as a final exam grade for the course. The client is confused and restless. b.Cohort the clients in the same area of the unit. ), A client is admitted with a bone tumor. Answer: Tell the patient dry mouth is an expected side effect. A nurse assesses a client with a cast for potential compartment syndrome. c. It is unlikely you will become addicted when taking medicine for pain. A client has been diagnosed with rheumatoid arthritis. a. Assess neurovascular status in both legs. c. Your risk for chronic obstructive pulmonary disease is higher, especially if you smoke. 2. A nurse cares for a client who is experiencing epistaxis. (Select all that apply. C. Provide a walker for ambulation. A student nurse is providing tracheostomy care. To reduce this risk, what activity should the nurse delegate to the unlicensed assistive personnel (UAP)? d. You need a new cast now that the swelling is decreased. C1 W1 Chapter 25 Assess of Cardio Function Med Surg 2 Exam 1 Med Surg 2 Exam 2 Notes SET 2 - Deanne Roopnarine SET 2 - Professor Eric Hasselhoff Quick Brain Overview CH 31 GI TEST Review-PDF Diabetes Outline Primary concepts exam 1 other Quiz 5 notes - Dr. Brecher SET 9 - Professor Robert James-Smith Paper topics life span - Dr. Shigeto Psy 2012 notes - Prof. West Physio Blood … Levels about 52%(M)/47%(F) can mean erythrocytosis, severe dehydration, polycythemia, Levels below 42%(M)/47%(F) can mean anemia, hemorrhage, bone marrow dysfunction, dietary deficiency. What response by the nurse is best? 324 Cards – 14 Decks – 26 Learners ... Med Surg II Final Exam. A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having elective surgery. A home health nurse is visiting a new client who uses oxygen in the home. What action by the nurse is most important? Gravity. What laboratory results need to be reported to the health care provider immediately? Assistance with activities of daily living. Which statement indicates the client needs further teaching? A client has been hospitalized with tuberculosis (TB). Which assessment finding is matched with the correct intervention? This is normal after surgery. About which complications does the nurse plan to teach the client? What action by the nurse is best? Which teaching point is most important for the client with bacterial pharyngitis? Collect the nasal drainage on a piece of filter paper. I only use my inhaler when I have an attack. a. Elevate heels off the bed with a pillow. What are the various functions of antibodies? b.Facilitate polymerase chain reaction testing. A nurse assesses a client with a pelvic fracture. a. Administer preoperative antibiotic as ordered. Which action should the nurse take first? (Select all that apply. How should the nurse respond? (Select all that apply.). c. This is a big change for you. A nurse cares for a client after radiation therapy for lung cancer. The client calls the clinic and asks the nurse why an antidepressant drug has been prescribed. What response by the nurse is best? The nurse knows that hematopoiesis occurs in what part of the musculoskeletal system? (Select all that apply. A client comes to the family medicine clinic and reports joint pain and stiffness. 532 Cards – 9 Decks – 12 Learners A nurse assesses several clients who have a history of asthma. A nurse is caring for a client who has sleep apnea and is prescribed modafinil (Provigil). Which interventions should the nurse include in this clients plan of care? An older client has returned to the surgical unit after a total hip replacement. Quiz Flashcard. During the Quiz End of Quiz. c. Strengthening exercises are important. For 5 years after menopause you lose 2% of bone mass yearly. Elevated liver enzymes r/t hepatotoxicity, Low sodium- avoid processed foods/meats, canned foods, avoid adding extra salt to food @ home. katwoman201. Appropriate teachings/interventions for client w/ sodium of 118? a. How should the nurse respond? NUR 317: Med Surg Final Exam ATI. b. A nurse is caring for a client who is scheduled to undergo a thoracentesis. What assessment technique is correct? This is for all you smarties out there, just curious on which ones I keep missing! What question by the nurse is most appropriate? Which client should the nurse assess first? Planning to teach about bisphosphonates. A nurse cares for a client who has a pleural chest tube. What support system do you have to help you cope? The client states, I cannot seem to catch my breath and I feel a bit light-headed. The client is still on partial weight bearing and using a walker. The answers to the sample questions are provided after the last question. What action by the nurse is best? c. Try a paraffin wax dip 20 minutes before you quilt. What assessment would be most important for the client whose chart contains the diagnosis of Sjgrens syndrome? Your feet have less blood flow, so healing is slower. Opportunistic infections -pneumonistic, C diff etc. (Select all that apply.). On examination, the nurse notes the client also has a severe headache and muscle aches. ), b. A client is scheduled for a bone biopsy. The nurse assesses the client using the device pictured below to deliver 50% O2: The nurse finds the mask fits snugly, the skin under the mask and straps is intact, and the flow rate of the oxygen is 3 L/min. Cover the insertion site with sterile gauze. (Select all that apply.). Autoimmune response where immune system attacks/destroys myelin sheeths of muscles, results in weakened muscles & paralysis. A client has been advised to perform weight-bearing exercises to help minimize osteoporosis. A nurse assesses a client with chronic obstructive pulmonary disease. Which action should the nurse take first? B. a. 2. An older clients serum calcium level is 8.7 mg/dL. b. What action by the nurse takes priority? When the nurse starts an IV to give fluids, the client questions this action, saying I have been drinking tons of water. The client reports that sleep, which is always difficult, is even harder now. The nurse instructs a client on how to correctly use an inhaler with a spacer. How should the nurse respond? Which action demonstrates that the client correctly understands the teaching? Which health promotion activities should the nurse include in this clients teaching? Which conditions in the clients history should the nurse identify as potential contributors to this problem? A nurse cares for a client with a fractured fibula. Med Surg Final Neuro: Constricted pupils= miosis dilated pupils= mydriasis Patient has unequal pupils first ask for baseline. Which action should the nurse take next? c. Smoking while taking this medication will increase your risk of a stroke. The clients vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78 mm Hg, and SpO2 88%. All up-to-date for and 2018. What action by the nurse is the priority? A client is distressed at body changes related to kyphosis. (Select all that apply.). Don't smoke w/ it on & remove old before putting new. What action by the nurse is best? (Select all that apply.). (Select all that apply. b. d. When the tube becomes disconnected from the drainage system. b.Alanine aminotransferase (ALT): 180 U/L. A nurse cares for a client with a 40-year smoking history who is experiencing distended neck veins and dependent edema. What action does the nurse. Must slowly taper doses b/c when taken exogenously body has temporarily stopped making hormones. c. Administer oxygen to keep saturations greater than 94%. Due to limited finances, the event organizers must limit giving the vaccination to priority groups. Check chovesks sign- to check for hypocalcemia. When assessing for encephalitis what info would clarify client as having it? Start studying Med/surg II Final exam. The nurse notes the clients blood glucose readings have been elevated. A client is in the family medicine clinic reporting a dry, sore throat. Ensure that informed consent is on the chart. At risk for infection, so should ask about sputum characteristics- has color changed? A nurse is caring for a client who is recovering from an above-the-knee amputation. d. Please come to the clinic today to have your arm checked by the provider. The nurse notes that the tracheostomy tube is pulsing with the heartbeat as the clients pulse is being taken. Which client should the nurse see first? Find an activity that you enjoy and will keep your hands busy. (Select all that apply. No need to buy new shoes, only soft tissue changes are reversible, not bone. Increased pulmonary pressure creating a higher workload on the right side of the heart. A nurse plans care for a client who is recovering from open reduction and internal fixation (ORIF) surgery for a right hip fracture. A client has an ingrown toenail. ), A nurse is teaching a client about possible complications and hazards of home oxygen therapy. a. -fight off infection by deactivating toxins released by infection. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Which clinical manifestations are correctly paired with the physiologic changes of compartment syndrome? A nurse teaches a client who is interested in smoking cessation. The client states, My arm feels really tight and puffy. A nurse is caring for four clients. ), A nurse teaches a client who has chronic obstructive pulmonary disease. What action by the nurse is most appropriate? Why do clients w/ prosthetic heart valves take anticoagulants? Which question should the nurse ask first? A 43-year-old diagnosed with cancer after a lung biopsy 2 days ago, A nurse teaches a client who is being discharged after a fixed centric occlusion for a mandibular fracture. A nurse reviews prescriptions for an 82-year-old client with a fractured left hip. a. After teaching a client who is prescribed voice rest therapy for vocal cord polyps, a nurse assesses the clients understanding. A client is in the internal medicine clinic reporting bone pain. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. What topics does the nurse cover? a.Administer oxygen at 4 liters per nasal cannula. Which laboratory values and their related connective tissue diseases (CTDs) are correctly matched? The client also has osteoarthritis (OA). Which statement indicates the client comprehends the teaching? What action by the nurse takes priority? d. Administer pain medication and encourage the client to take deep breaths. Which of the following actions should the nurse include in the plan of care? A. Medsurge FINAL EXAM. A+ RATED. An older adult is brought to the emergency department by a family member, who reports a moderate change in mental status and mild cough. How am I dehydrated? d. A 27-year-old client with a heart rate of 120 beats/min. These sample questions apply to all exams taken on or after October 25, 2014. What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP)? The client reports that one arm feels like pins and needles and that the neck is very painful since returning from surgery. Make appointments to come get your shot. (Select all that apply. Which assessment finding should the nurse identify as a complication of this injury? A nurse assesses clients on the medical-surgical unit. ), A nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate (MTX) (Rheumatrex) for disease control. A Graded. A client recently diagnosed with systemic lupus erythematosus (SLE) is in the clinic for a follow-up visit. client. Why does client w/ hypoglycemia need glucagon? Which actions should the nurse take? (Select all that apply. STUDY. A client is undergoing computed tomography (CT) of a joint. Which assessment finding warrants immediate action? Female client w/ chest pain-what would note need for EKG? -don't bend @ knees, avoid coughing/blowing nose, take stool softners, avoid tight collars/ties. (Select all that apply. What assessment finding indicates that goals for a priority diagnosis are being met? Client has venous ulcer on LLE, what else should be expected? ), A nurse assesses a client who has a chest tube. A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD). (Select all that apply. The family member questions why this is needed since the manifestations seem so vague. Client has order for artovastatin-what lab value indicates adverse effect is occurring? Which actions should the nurse take? b. A client is wearing a Venturi mask to deliver oxygen and the dinner tray has arrived. Which clients are at greatest risk for asphyxiation related to inspissated oral and nasopharyngeal secretions? Hypoxia and hypercapnia will affect mental status. Integrate a daily exercise routine. While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the lower chest tube is dislodged. (Select all that apply.). Client teachings? (Select all that apply.). An unlicensed assistive personnel (UAP) was feeding a client with a tracheostomy. Atrial fibrillation- blood pools in atria & leads to clotting. An emergency department nurse cares for a client who sustained a crush injury to the right lower leg. Client had a subtotal thyroidectomy & now has tingling around lips-nursing intervention? For that we provide Free Med Surg Nursing Practice Exam 2021 real test.
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