NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LAT, Exams of Nursing

Download NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LAT and more Exams Nursing in PDF only on Docsity! NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ ATI Adv. Med-surg FINAL EXAM  A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids is used in the first 24 hours following a burn injury? a.5% dextrose in waterb. 5% dextrose in normal salinec.normal salined. lactated ringers  A nurse is caring for a client who has full-thicknessburns all over 75% of his body. Which of the followingmethods is appropriate to accurately monitor thecardiovascular system? a.auscultate cuff blood pressureb. palpate pulse pressurec.obtain a central venous pressured. monitor the pulmonary artery pressure NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  A nurse is assessing the depth and extent of a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the first priority when assessing the severity of the burn? a.Age of the clientb. Associated medical historyc.Location of the burnd. Cause of the burn  A client arrives at the emergency dept following an explosion at the chemical plant. He has deep partial and full-thickness chemical burns over more than 25 % of his body surface area. What is the nurse’s priority intervention? a.Initiate fluid resuscitationb. Medication for painc.Administer antibiotics NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ c.Decreased pulmonary pressured. Increases urinary output  A client comes into the ED reporting nausea and vomiting that worsens when lying down and without relieffrom antacids. The provider suspects acute pancreatitis. Which of the following lab test results should the nurse expect to see if the client has acute pancreatitis? a.Decreased WBC NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ b.Increased serum amylasec. Decreased serum lipased.Increased serum calcium  A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which ofthe followingnursing statements is appropriate? a.“large incisions will be made in the eschar to improve circulation”b. “ I can call the doctor back here if you want me to”c.“a piece of skin will be removed and grafted over the burned area”d. “dead tissue will be surgically removed”  A nurse in the ICU is caring for a client who has acute respiratory distress syndrome (ARDS) and is receiving mechanical via an endotracheal tube. The provider plans to extubate her within the next 24 hour. Which of the following is an important criterion for extubating the NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ client? a.Ability to cough effectivelyb.Adequate tidal volume without manually assisted breathsc. No indication of infectiond.No need for supplemental oxygen  A nurse is caring for a client following a CT scan with dye who suffered from an anaphylactic reaction. Which of the following conditions requires a priority nursing response? a.urticariab.stridorc. tachypnead.angioedema  A nurse is caring for a female client who came in to the ED reporting SOB and pain in the lung area. Her heart rateis 110/min, resp. rate 40/min, and blood pressure 140/80 m8juiimHg. Her arterial blood gases are: pH 7.5, PaCO2 29mmHg, PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client’s heart rate increases from86/min to 110/min and becomes irregular. The nurse should know that the client requires which of the following? a.A cardiology consultb.Less frequent suctioningc. An antidysrhythmic medicationd.Pre-oxygenation prior to suctioning  The nurse is caring for a client who is receiving a blood transfusion. The transfusion started 30 minutes ago at a rate of 100 mL/hr. The client begins to complainof low back pain and headache and is increasingly restless. What is the first nursing action? a.Stop the transfusion, disconnect the blood tubing, and begin a primary infusion of normal saline solutionb.Slow the infusion and evaluate the vital signs and the client’s history of tranfusion reactionsc. Slow the infusion of blood and begin infusion of NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ normal saline solution from the Y connector.d.Recheck the unit of blood for correct identification numbers and crossmatch information  A client with a diagnosis of disseminated intravascular coagulation (DIC) has the following assessment findings: blood pressure of 76/56, temperature 102.6 NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ degrees, resp. 24 breath/min., with complaints of severe neck and back pain. Which nursing action should the nurse implement first? a.Administer acetaminophen (Tylenol) PO.b.Administer ibuprofen (Motrin) PO.c. Draw coagulation study blood work in the AMd.Give morphine sulfate IV  The nurse administering albuterol (Proventil) via a metered-dose inhaler (MDI) to a client who has a history ofcoronary artery disease is now in congestive heart failure. What side effects will be particularly important to observe for when the client takes the medication? a.Tremors and central nervous system stimulationb.Tachycardia and chest discomfortc. Development of oral candidiasisd.An increase in blood pressure  The nurse is assessing a client who is on a ventilator and has an endotracheal tube in place. What data NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  Norepinephrine (Levophed) has been ordered for a clientin hypovolemic shock. Before administering the drug, the nurse should make sure that the client has: a.A heart rate of less than 120 beats/minb. Urine output of at least 30 mL/hr.c.Received adequate anticoagulation d.Been receiving adequate IV fluid replacement  The client returns to his room after a thoracotomy. What will the nursing assessment reveal if hypovolemia from excessive blood loss is present? a.CVP of 3 cm H20 and urine output of 20 mL/hrb. Jugular vein distention with the head elevated 45 degreesc.Chest tube drainage of 50 mL/hr in the first 2 hoursd. Persistent increased BP and increased pulse pressure NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  The nurse is performing an assessment and finds the client has cold, clammy skin, pulse of 130 beats/min and weak, blood pressure of 84/56 mm Hg, and urinary of 20mL for the past hour. The nurse would interpret these findings as suggestive of which pathophysiology? a.Reduction of circulation to the coronary arteries, this increasing the preloadb.Decreased glomeruli filtration rate, resulting in volume overloadc. Stimulation of the sympathetic nervous system, causing severe vasoconstrictiond.Decrease in the cardiac output and inadequate tissue perfusion  The nurse applies a Nitro-Dur patch on a client who has undergone cardiac surgery. What nursing observation indicates that a Nitro-Dur patch is achievingthe desired effect? a.Chest pain is completely relievedb.Client performs activities of daily living without chest pain NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ c. Pain is controlled with frequent changes of patchd.Client tolerates increased activity without pain 28)The V/S of a client with Cardiac disease are as follows: BP 102/76 mm/hg, Pulse 52, RR 16. Atropine is administered IV push. What nursing assessment indicates a therapeutic response to the medication? NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ A. a client who has just returned from a coronary artierogram with placement of an intracoronary stent.B.A client who is in heart failure and has gained 2 pnds in the last 24 hours.C. a client with endocarditis who has temperature elevation of 100F and P 100 beats/min NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ D. A client who was cardioverted from atrial fib 24 hours ago and has had 3 atrial premature 33) What ECG changes would reflect myocardial ischemia in a client who has been admitted for observation after experiencing an episode of chest pain? A. Prolonged PR intervalB.Wide QRS complexC. ST- Segment elevation or depressionD. Tall, peak T-waves 34) A new employee at a facility needs a hepatitis vaccine. Which statement reflects accurate understanding of the immunization? A. I need to get 6 shots of hep CB.Once I receive the Hep vaccine I will always been immuneC.I will receive 3 injections over a period of months, which should protect me from hep BD. Hep vaccine is an oral vaccine with live attenuated Virus NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 35) While talking with a client with a diagnosis of end stage liver disease. The nurse notices the client is unable tostay awake and seems to fall asleep in the middle of a sentence. The nurse recognizes these symptoms to be indicative of what condition? A.HyperglycemiaB.Increased Bile productionC.Increased blood ammonia levelsD. Hypocalcaemia 36) The nurse is caring for a client with chronic hep B. What will the teaching plan for this client include? A.use a condom for sexual intercourseB.Report any clay- colored stools.C.Eat a high protein dietD. Perform daily urine bilirubin checks 37. A patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which finding by the nurse will help confirm a diagnosis of NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ d.Norepinephrine (Levophed) 40. Which of these findings is the best indicators that the fluid resuscitation for a patient with hypovolemic shock has been successful? a.hemoglobin is within normal limitsb.Urine output is 60 mL over the last hourc. Pulmonary artery wedge pressure (PAWP) is 10 mmHgd.Mean arterial pressure (MAP) is 55 mm Hg 41. Which interventions will the nurse include in the plan of the care for a patient who has cardiogenic shock? a.Avoid elevating head of bedb.Check temperature every 2 hoursc. Monitor breath sounds frequentlyd.Assess skin for flushing and itching 42. Which assessment is most important for the nurse to make in order to evaluate whether treatment of a NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ patient with anaphylactic shock has been effective? a.Pulse rateb.Orientationc. Blood pressured.Oxygen saturation NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 43. When caring for the patient who has septic shock, which assessment finding is most important for the nurse to report to the health care provider? (TB ch.67 Q.17) a.BP 92/56 mm Hgb.Skin cool and clammyc. apical pulse 118 beats/mind.Arterial oxygen saturation 91% 44. During change-of-shift report, the nurse learns that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 3 days. Which findings is most important for the nurse to report to the HCP? a.Decreased bowel soundsb.Apical pulse 110 beats/minc. Pale, cool, and dry extremitiesd.New onset of confusion and agitation 45. A patient is admitted to the burn unit with burns the NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 48. The RN observes all of the following actions begin taken by a staff nurse who has floated to the unit. Which action requires that the RN intervene? a.The nurse uses latex gloves when applying antibacterial cream to a burn woundb.The float nurse obtains burn cultures when the patient has a temp of 101* Fc. The float nurse administers PRN fentanyl (Sublimaze) IV to a pt 5 minutes before a dressing change d.The float nurse calls the health care provider for aninsulin order when a nondiabetic pt has an elevated serum glucose 49)A client with cervical neck fracture is admitted to the intensive care unit. Which findings would the nurse recognize as indicative of spinal shock? A.Spastically, neuromuscular irritability, hyperreflexia NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ B.Flaccidity and lack of sensation below the level of spinal cord lesion.C.Automatic dysreflexia with neurogenic bladder symptomsD. Muscular spasticity and loss of motor reflexes in allparts of the body below the level of spinal cord lesion. ****know T2-T3: paraplegic *************** 50)A client with T6 spinal cord injury is being discharged. The PT is concerned about autonomic dysreflexia. S/S include the following: A.Dialited pupilsB.Sudden vomiting and diarrheaC.drop in BP and pulseD. Diaphoresis above the level of the lesion 51)A woman has been recently diagnosed with systemic lupus and shares with the nurse, I want to get pregnant, but I don’t know how I will tolerate pregnancy because I have lupus. Which response is best? NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ A.Most women find that they feel better when they are pregnantB.How long have you been in remission?C.Women with lupus frequently have slightly longer gestationD. Its best to become pregnant within the first 6 months of diagnosis 52. The nurse is assessing the patency of an arteriovenous fistula and suspects clotting in the fistulaif which finding are noted? Select all that applyA. presence of a thrill on palpation over the fistula*B. Absence of a bruit on auscultation over the fistula NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ B.Epileptic Seizure*C. Decorticate posturingD. Decerebrate posturing 57. The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first? A Confirm that the ventilator settings are correct NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ B Verify that the ventilator alarms are functioning properly*C. Assess the respiratory status and pulse oximeter reading.D Monitor the clients arterial blood gas results. 58. The low-pressure alarm sounds on a ventilator. A nurse assesses the client and then attempts to determine the cause of the alarm. The nurse is unsuccessful in determining the cause of the alarm and takes what initial action? A.Administer oxygenB.Checks the client’s vital signs*C Ventilates the client manuallyD. Starts cardiopulmonary resuscitation 59. The client is admitted to the ED with chest trauma. Which signs/symptoms would the nurse expect to assess that supports the diagnosis of pneumothorax? A. Bronchovesicular lung sounds and friction rub*B Absent breath sounds and tachypnea NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ C Nasal flaring and lung consolidationD Symmetrical chest expansion and bradypnea. 60. A nurse is planning care for a client with a chest tube attached to a Pleur-Evac drainage system. The nurse includes which interventions in the plan? Select all that applyA.Clamping the chest tube intermittently*B. Changing the client’s position frequently *C. Maintaining the collection chamber below the client’s waist *D. Adding water to the suction control chamber as it evaporates. *E Taping the connection between the chest tube and the drainage system. 61. A client has a total serum calcium level of 7.5 mg/dl. Which clinical manifestations would the nurse expect to note on assessment of the client? Select all A Constipation*B Muscle twitchesC Hypoactive bowel sounds*D Hyperactive deep tendon reflexes NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ the body, hemiplegia; in this case with a left-sided CVA, paralysis would affect the right side. Ataxia is an impaired ability to coordinate movement. 65. When teaching a client about the expected outcomes after intravenous administration of furosemide, the nurse would include which outcome?A.Increased blood pressure*B Increased urine outputC Decreasedpain D Decreased PVCs 66. A client arrives at the emergency department with deep partial thickness and burns over 15% of his body. At admission his vital signs are blood pressure 100/50 mm Hg, heart rate 130 beats/minute and respiratory rate 20 breaths/minute. Which nursing intervention are appropriate for this client? Select all that apply NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ A.Starting an IV infusion of lactated Ringers solutionB. Administering 6mg of morphine IVC.Administering tetanus prophylaxis as ordered 67. If dietary trays are usually brought to the nursing unit at 8:00am the nurse should plan to administer intermediate- acting insulin (Humlin N) 40 units SQ to the client between?ANSWER- 630am and 700 am68. What ECG changes would reflect myocardial ischemia in a client who has been admitted for observation after experiencing an episode of chest pain?ANSWER- ST segment elevation or depression69. The client with acute renal failure has a serum potassium level of 6.0 mEq/L. The nurse would plan which of the following as a priority action? NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ ANSWER- Place the client on a cardiac monitor  The nurse is caring for a client who underwent cardiac catherization 1 hour ago. What is an important nursing measures at this time? ANSWER- MAINTAIN PRESSURE OVER CATHETER INSERTION SITE AND DETERMINE DISTAL CIRCULATION STATUS.  A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client’s heart rate increases ??? to 110min and becomes irregular. The nurse should know that the client requires? ANSWER- OXYGENATE PRIOR TO SUCTIONING  A client comes into the ER with complains of midsternal chest pain radiating to the neck and left arm which is unrelieved by sublingual nitroglygen. An electrocardiogram (ECG) is obtained. What observation on the ECG or on the cardiac monitor would indicate to the nurse the need to immediately notify the physician? NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ measured by pulse oximeter was 83 ABG results are pH 7.31, PACO2 93mmHg, HCO3 25 meq/L. Which of the following is an appropriate action by the nurse? ANSWER- POSITION CLIENT IN HIGH- FOWLERS AND ENCOURAGE USE OF INCENTIVE SPIROMETER AND COUGHING.  The diabetic educator is teaching a class on Diabetes Type 1 and is discussing sick day rules. Which interventions should the diabetes counselor include in theteaching? Select all that apply ANSWER-A)Take diabetic medication even if unable to eat the client’s normal die t. B)If unable to eat, drink liquids equal to the client’s normal diet.D) Test the blood glucose levels and test the urine ketones once a day and keep a record.  The nurse is monitoring a client receiving pertional dialysis notes that the client’s outflow is less than inflow. NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ What action should the nurse take? Select all that apply? ANSWER- (SELECT ALL ANSWERS EXPCEPT – CONTACT THE HEALTH CARE PROVIDER & INCREASE THE FLOW- DO NOT SELECT THOSE TWO ANSWERS)  The nurse is obtaining a health history from a client whois visiting the clinic with complaints of a severe headache. The client provides the following data to the nurse based on a review of systems. The nurse identifies the following as a modifiable risk for stroke? Select all the apply. A. SMOKING B.ALCOHOL CONSUMPTION C.DECREASED PHYSICAL ACTIVITY D.OBESITY  The nurse is caring for a client diagnosed with ARDS who is on a ventilator. Which intervention should the nurse implement? Select all that apply A. Assess the client’s level of consciousness. NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ B.Monitor the client’s urine output C.Perform passive range of motion (ROM) exercise. D.Maintain intravenous fluids as ordered.  The nurse is performing an assessment on a client who has returned from dialysis unit following hemodialysis. Theclient is complaining of headache, nausea, NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  Assessing response in an unconscious patient: nail bed pressure (peripheral)  HbA1c considerations for about 3 months of glucose monitoringa. less than 6% for nondiabeticb. diabetic controlled should be less than 7%  Sengstaken-Blakemore tube prevents bleeding (esophageal varices)a. Triple lumenb. Have scissors at the bedsidec. Provide oral and nasal care every 3 hoursd. Used to reduce bleeding  Planning rehabilitation for a stroke patienta. Assess functional status before developing plani. Walking, speaking, eating, ADLs  Cranial nerve II: Snellen test NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  T2-T3: Paraplegia  ICP: no lumbar puncture  A nurse observing a close chest tube drainage system is postop 1 day thoracotomy? Continue bubbling in the suction chamber? A.check the control outlet against the wallB.observe all the connection tubingC.Continue to monitor client respiratory statusD. Notify MD of the oxidation  A client admit to hospital report recurrent flank pain,nausea, and vomiting within 24 hours. Which of the following priority nursing action? A. Administered pain medicationB. Monitor intake and outputC. Administered antiemetics D. Strain urine  A nurse is caring for client who have type 1 DM. The nurse misread client morning blood glucose level at 210 NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ mg/dL instead of 120 mg/dL base on this error. She admitted insulin dose of 200 mg/dL before client breakfast.Which of the nursing priority? NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  client low sodium diet and reduce fluid intake to choose lunch. A. Tuna sandwich on wheat bread, can of cocktail fruit, salad, and soda B. Grill chicken sandwich on white bread, apple, salad, and ice teaC. Grill cheese sandwich, tomato soup NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ D. Ham and bean  client acute MI. a cardiac enzyme obtain. Cardiac enzyme identify? A.damage to the myocardialB.determine the size MIC.help to determine the location MID. ???? 104. administered DDAVP to client diagnosis DI. Therapeutic effect 1. Specific gravity (1.015) WEEK 3 1. Consequence of too much O2 → dry & cracking oral NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ mucosa 2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension) 3. 1 day post surgery (thoracotomy), what should the nurse do? → teach about incentive spirometer and high fowler’s position (not give O2 nasal cannula) 4. CVP increase → possible right ventricular failure 5. Digoxin toxicity s/sx → nauseous with loss of appetite [REPEAT] 6. Apical pulse location → (image) mitral location 7. PaO2 50 mm → severe hypoxia (anything > 60 mm) WEEK 4 1. Hypokalemia → “U” wave formation on EKG 2. Client’s partner will suction, ready to be sent home? → they perform it independently 3. Best indicator for heart damage → troponin I 4. Patient is on coumadin, what is concerning → PT 45 seconds (normal: 11-12.5) 5. Suspected MI, what do you do first → oxygen NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ WEEK 7 1. Spinal cord injury, what will occur? → flaccid paralysis 2. What contributes to ICP → sodium 110 (hyponatremia) *always think sodium!* 3. Hep A, early indication → anorexia 4. Acute pancreatitis, where is the pain → epigastric radiating to back 5. What should be reported → ICP of 19 6. Left HH, teaching → put tray & items on patient’s right side 7. Cane teaching with AP → move cane first before legs 8. Stroke teaching → put the patient semi fowlers to facilitate swallowing 9. Associated with embolic stroke → chronic a fib 10. L1, what should you do? → give anticoagulants (they are paralyized → not active ROM exercises) 11. TIA where will you monitor, symptoms go away → go to neurotele & monitor 12. Embolic stroke → it travels 13. Most concern to nurse → unresponsive with arousal 14. ICP sata → headache, slurred speech, eye changes, disorientation NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 15. Trauma, s/sx hypovolemia → increased HR (tachycardia) NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ Quiz 1 1. SATA AP a. Record Urinary Output b. Assist ambulation pt. Who has a cane c. Move pt to stretcher d. NOT irrigate wound e. NOT eye drops 2. Best position for getting IAP a. Supine 3. PCA a. Pain scale b. IV bolus before lock out c. 30 min lock d. Let fam do it 4. Heparin a. PLT 73,000 b. NOT PTT 65 sec c. Hct 45% d. 5. Holistic care SATA a. Legal members b. Non legal partners NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. Nausea and vomiting 16. What situation do you call RRT for a. Right calf pain and SOB 17. First intervention when patient’s low pressure alarm is ringing? a. Assess cardiac dysrhythmias b. Assess hand for pallor 18. Picture of heart a. The solo on are the right side NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ Quiz 2 1. HR increasing (80-110) and irregular HR a. Hyperoxygenation 2. Requires immediate intervention a. 92% No response to verbal stimuli (i think this was the answer, -KL) 3. Apical pulse a. 5th ICS 4. T B 5. E T a. Private room special ventilation a. Hand Gestures b. Various tech 6. Digoxin a. N/ no appetite 7. CVP a. Right ventricular failure 8. PaO2 50 a. Severe hypoxic 9. SATA NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ PE a. Tachypnea b. Priatial rub c. Petechiae 10. Prevent PE quadraplegic, SATA a. Passive ROM b. SVC c. Assess redness 12. Left arterial line a. Left is cooler than right 11. Thrombus a. Homan’s sign b. (dull aching calf pain) 12. Slow bubbling in water seal chamber a. Monitor resp 13. Oxygen toxicity a. Cracks on mucous membranes 14. Chest tube water chamber norm finding a. Fluctuation 15. Hyperventilation & hypoxic NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. A-Fib 4. Image on ECG, Hyperkalemia a. T wave 5. Cholesterol diet a. Beans 6. Needs further teaching NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. I ate two eggs 7. Come to ER, indigestion, calf pain a. ECG 8. P wave a. Atrial depolarization 9. Cardiac enzymes a. Injury to heart muscle 10. Cardiac enzyme question a. Troponin I 11. Hypokalemia a. Prominent u wave 12. Ventricular depolarization, repolarization a. QT interval 13. Pt on coumadin, enoxaprin, etc a. PT of 45 14. Glipizide for DM 2 15. Hx of coronary artery disease a. Increasing LDL 16. First intervention for MI a. Oxygen (ABC) 17. DVT NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ SATA a. HTN b. Immobility c. Increased Ca+ intake d. Oral contraceptives 18. Patient has a-fib, what vitals are most important a. Apical and radial pulse Quiz 4 1. Increased ICP SATA a. HA b. Disorientation c. Slurred speech d. Dilated pupils 2. Pancreatitis a. Severe pain in RUQ radiating to back 3. CSF leakage a. Check for presence of glucose 4. Fever, nuccal rigidity, HTN a. Meningeal irritation 5. Internal flexion NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. Tachycardia 21. Spinal shock a. Flaccid paralysis 22. Communicating w a pt w aphasia a. Use nonverbal cues Quiz 5 1. Cholecystitis SATA a. Everything but ambulation 2. TPN SATA - refigerate when not used a. keep TPN even after goal weight, dextrose 10 3. Asthma exacerbation, PRIORITY a. b2 nebulizer 4. Cirrhosis, what not to give a. ham sandwich 5. Acites diet a. high carbs, low protein 6. Bile duct cholecystitis a. fatty stool 7. Pancreatitis, pain is addressed what next a. keep NPO status 8. Wafarin, contradiction NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. cabbage 9. African American a. check hard palate 10. Cardiac cath a. L radial pulse 11. Levothyroxine toxicity a. insomnia 12. Cirrhosis, what to intervene a. “I take tylenol q4hr” 13. Homeless with hep B a. bedrest with commode privilege 14. Liver cirrhosis, avoid a. chedder cheese 15. Wound healing a. protein 16. Heb B teaching to pt a. promote appetite NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 17. Blood transfusion, allergic reaction a. Generalized urticaria 18. Pt with edema 4+ a. Give pressure bed 19. Advanced cirrhosis a. Frequent nosebleed and bruises 20. Pt teaching with cirrhosis a. Go not strain when pooping 21. Pancreatitis lab a. increased amylase Quiz 6 1. Warfarin for afib a. Prevents stroke in afib 2. First DKA intervention a. 0.9% Sodium chloride w/ IV drip insulin 3. DKA pt, <260 mg/dL now what do you do a. Add glucose to IV fluids 4. Contributors to noncompliance for diabetes regime a. Dexterity NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 1.015 13.Prevent thyroid storm a. Provide low stimuli environment 14.Why is nitroglycerin given a. To dilate cardiac blood vessels to deliver more oxygen rich blood back to heart 15. SIADH a. Hyponatremia 16. Stopping prednisone taper down pt teaching a. Adrenal insufficiency 17.Mixing NPH first step a. Inject 20 units of air into NPH vial 18. Statement needing clarification by diabetic woman & CAD about diet a. “I will need to increase intake of trans-fats” 19.Digoxin don’t want to eat a. Check vitals 20. Which insulin do you use for DKA a. Humulin R (regular insulin) 21.Lasix pt teaching NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. Eating foods with K 22. What to do for hella hypoglycemic pt with 60mg/dL a. glucagon NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ 23.3,000 IV in 24h started 1,000 at 0800 when would you start the next 1,000 a. 1600 24.DM 2 pt teaching priority a. Evaluate pt understanding of DM 2 NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ b. Hyperchloremia c. Hypermagn esemia d. Hypocalcemia NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+  A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching? a. “I plan to take this medication for 1 week.” b. “I will have my liver function tested while I am taking this medication.” c. “This medication may cause my blood pressure to increase.” d. “I should take an antacid with each dose of this medication.”  A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include? a. Assess the client’s stools for occult blood. b. Instruct the client to limit vitamin K intake. c. Monitor the client’s PT levels. d. Massage the injection site for 1 minute.  A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse? a. The client has an oral temperature of 38.3 C NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ Enoxaparin is an anticoag used to treat DVT + Pulmonary Embolism A B NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ (100.9 F) b. The client reports a pain level of 7 on a scale from 0 to 10 at the operative site. c. The client has 100 ml blood in the closed-suction drain. d. The client’s capillary refill in the left toe is 6 seconds.  A community health nurse is reviewing home care instructions with an older client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client? a. Daily sodium restrictions b. Daily exercise routine c. Changes in weight d. Fluid intake record  A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching? NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ solution. c. Decrease the rate of infusion to last until the new bag is available. d. Discontinue the infusion and flush the line.  A nurse is providing discharge teaching for a client who has a new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching? a. “I’ll cut a slit in a clean gauze pad to use as a stoma dressing.” b. “I’ll insert the obturator after cleaning my stoma.” c. “I’ll cleanse the cannula with half-strength hydrogen peroxide.” d. “I’ll remove the soiled tracheostomy ties prior to cleaning my stoma.”  A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the following is a priority finding? a. Mental confusion b. Palmar erythema c. Yellow sclera d. Spider angiomas  A nurse is planning care of a client who has a newly NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ LO NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? a. Insert a saline lock into a site 10 cm (4 in) distal to the graft. b. Instruct the client to avoid lifting the right arm for 72 hours. c. Check blood pressure in the right arm. d. Palpate the site for a thrill.  A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching? a. “I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash.”*** NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ b. “I will increase the amount of fresh fruits and vegetables I consume.” c. “I will be sure to wear gloves and wash my hands when I change my cat’s litter box.” d. “I will need to take my clothes to the dry cleaners to sterilize them.”  A nurse is preparing instructions for a client who is prescribed metoprolol. Which of the following should the nurse plan to include in the teaching? a. Expect excess production of saliva after taking the medication. b. Monitor for hyperglycemia when taking the medication. c. Notify the provider if hearing loss occurs. d. Take a radial pulse before administering the medication.  A nurse is caring for a client who has atrial fibrillation. Which of the following medications should the nurse expect to administer? b. Dobutamine c. Lidocaine d. Atropine  Don’t have! NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ a. NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ d. Oatmeal  A nurse is caring for a client who develops third- degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take? a. Instruct the client to perform the Valsalva maneuver. b. Administer digoxin by IV bolus. c. Perform carotid sinus massage. d. Prepare the client for temporary pacing.  A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction? a.  A nurse is providing discharge teaching to a client NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? a. “I will eat a high-fiber diet.” b. “I will empty my bag when it is full.” c. “I will expect my stools to be loose.”*** d. “I will take a laxative when I’m constipated.”  A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating which of the following? a. Fluid volume excess*** b. Pleural effusion c. Increased cardiac output d. Aspiration  A nurse is caring for a client who is 5 days postoperative following a total abdominal hysterectomy. Which of the following findings indicates dehiscence? a. Inflammation of incision edges b. Serous crusting along the incision line c. Increased serosanguineous drainage from the wound*** NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ d. Incision pain when coughing or breathing deeply NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+