PN Adult Medical Surgical Online Practice 2020 A, Exams of Nursing

Download PN Adult Medical Surgical Online Practice 2020 A and more Exams Nursing in PDF only on Docsity! (Best Answers) PN Adult Medical Surgical Online Practice 2020 A with Complete Verified Solutions 100% Maintain abduction of the client's right leg while in bed. A nurse is caring for a client who is 3 days postoperative following a total right hip arthroplasty. Which of the following actions should the nurse take? Use a traction boot to keep the client's right leg internally rotated. Have the client sit in a reclining chair when out of bed. Maintain abduction of the client's right leg while in bed. Encourage the client to perform passive range-of-motion exercises. "You feel like you want to discontinue treatment?" A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go on any longer." Which of the following responses should the nurse make? "Are you experiencing abdominal pain?" "You should talk about this with the people you're closest to." "Many people who have cancer feel this way." "You feel like you want to discontinue treatment?" 0:051:275 Sanity-Saving Tips for Arguing on the Internet Implement recommendations from the speech-language pathologist. A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following actions should the nurse take first? Collaborate with a dietitian. Ensure that the client is provided with a high-ber diet. Implement recommendations from the speech-language pathologist. Request a referral for an occupational therapist. Keep the client in a side-lying position. A nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? Encourage the client to participate in self-care. Assist the client with active range-of-motion exercises. Keep the client in a side-lying position. Maintain the client's body alignment Herpes zoster A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the nurse recommend for this age group? Meningococcal Herpes zoster Human papillomavirus (HPV) Measles, mumps, and rubella (MMR) Instruct the client to swish the medication in their mouth. A nurse is contributing to the plan of care for a client who has a new prescription for nystatin suspension for oral candidiasis. Which of the following interventions should the nurse include in the plan? Use a commercial mouthwash before taking the medication. Instruct the client to swish the medication in their mouth. Discontinue the medication as soon as the lesions are healed. Combine the medication with applesauce intermittent straight catheter (clear tube with blue top) Polyuria Abdominal cramps Renal insufficiency Insomnia Compartment Syndrome A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the affected arm with numbness in the ngers. The nurse nds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurse suspect? Compartment syndrome Fat embolism Deep-vein thrombosis Osteomyelitis Obtain a raised toilet seat. A nurse is assisting with the discharge planning for a client who is postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the discharge plan? Expect decreased sensation for the rst postoperative week. Avoid lying on the operative side. Obtain a raised toilet seat. Cross legs at the ankles Initiate oxygen at 4 L/min via nasal cannula A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following provider prescriptions should the nurse implement first? Collect a sputum culture Administer ceftriaxone by intermittent IV bolus. Initiate oxygen at 4 L/min via nasal cannula Obtain blood cultures. Prealbumin 12 mg/dL A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing? HbA1c 6% Prealbumin 12 mg/dL WBC count 8,000/mm3 Creatinine 0.8 mg/dL Have a designated stethoscope in the client's room. A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection and is on contact isolation precautions. Which of the following actions should the nurse take? Keep the door of the client's room closed at all times. Remove gloves after leaving the client's room. Wear a mask when working within 1 m (3 feet) of the client. Have a designated stethoscope in the client's room. Perform pin site care daily. A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? Perform pin site care daily. Remove the overbed trapeze. Remove the boot every 2 hr. Keep the weights on a stable, at surface. Palpate the abdomen. A nurse is monitoring a client who has a history of an enlarged prostate and is experiencing suprapubic discomfort. Which of the following actions should the nurse take first? Administer doxazosin. Palpate the abdomen. Insert an indwelling urinary catheter. Notify the provider. Decreased shortness of breath A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from the medication should the nurse expect? Increased weight Increased heart rate Decreased urinary output Decreased shortness of breath Use simple verbal cues when directing tasks A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the following actions should the nurse include in the plan? Observe for impulsive behavior. Approach the client from the right side. replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? Five-year history of menopause manifestations History of treatment for blood clots Topiramate use for migraine headaches Increased serum cholesterol levels Eat several, small-portioned meals daily. A nurse is caring for a client who is receiving chemotherapy. The client mentions that they have a loss of appetite because of sores in their mouth and that food no longer tastes good. Which of the following suggestions to the client should the nurse make? Drink water before and after each bite. Consume foods that are served hot rather than cold. Rinse with a glycerin-based mouthwash before meals. Eat several, small-portioned meals daily. "Avoid bending your hips more than 90 degrees." A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? "You may cross your legs in 60 days." "Avoid lying on your operative side." "Avoid bending your hips more than 90 degrees." "You may sleep on a soft mattress." Pulmonary embolism A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these findings indicate which of the following complications? Wound infection Pulmonary embolism Thrombophlebitis Paralytic ileus "I should call my doctor if my ankles swell." A nurse is reinforcing teaching with a client who has mitral valve disease. Which of the following statements by the client indicates an understanding of the disease process? "I should call my doctor if I get a headache." "I might develop gastric reux." "I might develop excessive bruising." "I should call my doctor if my ankles swell." • Creatinine 1.9 mg/dL A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Sodium 136 mEq/L Potassium 4.8 mEq/L Creatinine 1.9 mg/dL Calcium 10 mg/dL Encourage abdominal breathing. A nurse is contributing to the plan of care for a client who has COPD and is dyspneic. Which of the following interventions should the nurse include in the plan? Encourage abdominal breathing. Direct the client to inhale with pursed lips. Set the oxygen therapy at 5 L/min. Instruct the client to lean back when coughing. Administer an antiemetic to the client A nurse is contributing to the plan of care for a client who has Ménière's disease. Which of the following interventions should the nurse include in the plan of care? Increase the client's fluid intake. Assist the client with changing positions often. Encourage the client to rest in a well-lit room. Administer an antiemetic to the client "You should have a pneumococcal immunization every 10 years." A nurse is discussing health screening guidelines with an older adult client. Which of the following statements should the nurse include? "You should have a screening for glaucoma every 5 years." "You should have a physical examination every other year." "You should have your hearing checked every 2 years." "You should have a pneumococcal immunization every 10 years." Pinch the NG tube. A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk for aspiration? Instill 10 mL of air through the NG tube. Place the client in the supine position. Return the blood to the laboratory. Administer an antihistamine. Ventilate the client with 100% oxygen A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first? Insert the suction catheter into the tracheostomy Rinse the catheter with sterile 0.9% sodium chloride. Ventilate the client with 100% oxygen Occlude the vent on the catheter for 10 seconds Determine the client's understanding of the procedure. A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the following interventions should the nurse identify as the priority? Determine the client's understanding of the procedure. Encourage the client to express their feelings. Allow the client's partner to stay with them. Provide music as a distraction. "Eat soft foods." A nurse is caring for a client who reports stomatitis. Which of the following dietary recommendations should the nurse make? "Eat soft foods." "Season foods with salt." "Select foods that are low in protein." "Choose foods that are served hot." "I will have my HbA1c checked twice per year." A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? "The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates." "The HbA1c test can help detect the presence of ketones in my body "I will have my HbA1c checked twice per year." "I will plan to fast before I have my HbA1c tested." Stop the medication infusion. A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten minutes after beginning the infusion, the client reports intense itching. Which of the following actions should the nurse take first? Stop the medication infusion. Notify the charge nurse. Administer a PRN dose of diphenhydramine. Follow facility policy for appropriate reporting of the adverse reaction. "I don't cross my legs anymore." A home health nurse is reinforcing teaching with a client about preventing complications of peripheral vascular disease. Which of the following statements indicates that the client is adhering to the nurse's instructions? "I apply rubbing alcohol to my feet every day to prevent infection." "I will wear clean, knee-high wool socks every day to help improve my circulation." "I use hot water bottles to keep my feet warm at night." "I don't cross my legs anymore." Ceftriaxone A nurse is preparing to administer scheduled medications to a client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) Ceftriaxone Diltiazem Pioglitazone Hydrocodone 5 mg/acetaminophen 500 mg Check the IV site. Stop the infusion. Withdraw the IV catheter. Elevate the affected arm. Notify the charge nurse. A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Notify the charge nurse. Stop the infusion. Elevate the affected arm. Withdraw the IV catheter. Check the IV site. Determine the client's daily elimination habits. continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? Store the CPM machine on the floor when it is not in use. Keep a sheepskin pad between the client's extremity and the CPM machine. Check the cycle and range-of-motion settings at least every 12 hr. Align the frame joint of the CPM machine with the middle of the client's calf. "Limit contact with large groups of people." A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching? "Take the medication on an empty stomach." "Limit contact with large groups of people." "Avoid taking over-the-counter calcium supplements." "Follow a low-protein diet." Thrombophlebitis A nurse is examining a client's IV site and notes a red line up their arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy? Thrombophlebitis Infiltration Hematoma Venous spasms Intra-abdominal bleeding A nurse is caring for a client who has acute pancreatitis. While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of which of the following? Cirrhosis of the liver Hypermotility of the bowel Intra-abdominal bleeding Acute cholecystitis Bradycardia A nurse is collecting data from a client who has hypothyroidism. Which of the following manifestations should the nurse anticipate? Blurred vision Insomnia Bradycardia Weight loss Dyspnea A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as the priority? Pruritus Nausea Urinary retention Dyspnea Decreased potassium A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following findings should the nurse report before administering the medication? Elevated sodium Elevated blood pressure Decreased potassium Decreased urine output Hgb 11 g/dL A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates the treatment is effective? BUN 40 mg/dL Hgb 11 g/dL Urine specific gravity 1.035 Blood glucose 105 mg/dL Visitors must don a gown and gloves prior to entering the client's room. A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? Visitors should call prior to visiting the client. Visitors must don a gown and gloves prior to entering the client's room. Visitors need to wear a mask when in close proximity to the client. Visitors may not bring fresh flowers into the client's room. Face the client while speaking. A nurse is contributing to the plan of care for a client who has partial hearing loss. Which of the following interventions should the nurse include in the plan of care? Position the client in the semi-Fowler's position. Loosen clothing around the client's neck. Apply cold packs to the inamed joints. A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? Apply cold packs to the inamed joints. Participate in high-impact exercise. Carry a hand purse rather than a shoulder bag. Sleep on a soft foam mattress. "Use rapid-acting insulin in the infusion device." A nurse is reinforcing teaching with a client who is to begin using an insulin pump. Which of the following instructions should the nurse include? "Insert the infusion needle into intramuscular tissue." "Change the needle every 5 days." "Calculate the insulin for each meal by using an insulin-to-protein ratio." "Use rapid-acting insulin in the infusion device." Dangle the extremities o the side of the bed. A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. Which of the following interventions should the nurse include? Place moist heat pads on the extremities. Perform manual massage of the affected extremities. Dangle the extremities o the side of the bed. Apply support stockings before getting out of bed. Encourage weight-bearing exercises. A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? Increase fluid intake. Encourage range-of-motion exercises. Massage bony prominences. Encourage weight-bearing exercises. Give the client liquids with increased viscosity. A nurse is caring for a client who has difficulty swallowing. Which of the following actions should the nurse implement to prevent aspiration? Provide small, frequent meals. Tell the client to extend their neck when swallowing. Provide mouth care before meals. Give the client liquids with increased viscosity. Chest drainage is greater than 70 mL/hr. A nurse is assisting with the care of a client who has a newly-inserted water-seal closed chest tube. Which of the following findings should the nurse report to the provider? Chest drainage is greater than 70 mL/hr. Water fluctuates in the water-seal chamber. Chest drainage is clear in color. Connections of the tubing are secured with tape. Dispose of radiation implants in a lead container. A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include? Restrict the time pregnant women are allowed in the client's room to 15 min. Pick up a radiation implant with a double-gloved hand if it becomes dislodged. Limit time spent in the client's room to 2 hr during an 8 hr shift. Dispose of radiation implants in a lead container. The client stops the nurse and asks for pain medication. A nurse is reinforcing teaching about home care with a client who had a knee arthroplasty. Which of the following factors should the nurse identify as an indication that a barrier to learning might be present? The client asks questions each time the nurse stops talking. The client stops the nurse and asks for pain medication. While the nurse is speaking, the client refers to the written materials. A caregiver who is present asks the client to repeat important points. Lemon juice A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about how to improve the taste of bland food. Which of the following foods should the nurse recommend? Ketchup Mayonnaise Soy sauce Lemon juice "Consume foods that are low in sodium."