Nursing Study Guide Q&A for NURS 120BROWNIERECIPE 2, Exams of Nursing

Download Nursing Study Guide Q&A for NURS 120BROWNIERECIPE 2 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 GRADED A+. Download to score, ATI Adv. Med-surg FINAL EXAM  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 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 saline 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 GRADED A+. Download to score, d. 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  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 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 GRADED A+. Download to score, a.Excessive thrombosis and bleedingb. Progressive increase in platelet productionc.Immediate sodium and fluid retentiond. Increased clotting factors  A nurse is about to administer warfarin (Coumadin) to a client who has atrial fibrillation. When the client asks what his medication will do, which of the following is an appropriate nursing response? a.It helps convert atrial fibrillation to sinus rhythmb. Is dissolves clots in the bloodstreamc.It slows the response of the ventricles to the fast atrial impulses d.It prevents strokes in clients who have atrial fibrillation  A nurse in a cardiac care unit is caring for a client with acute heart failure. Which of the following findings should the nurse expect? a.Decreased brain natriuretic peptide (BNP)b. Elevated central venous pressure (CVP) 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, b.Increased serum amylasec. Decreased serum lipased.Increased serum calcium  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 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.urticaria 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 GRADED A+. Download to score, intervened, the client sustained partial-thickness burns toboth lower legs, chest, and both forearms. Which of the following is priority nursing action when the client is brought to the ED? a.cover the burned area with sterile gauzeb.inspect mouth for signs of inhalationc. administer intravenous pain medicationd.draw blood for a CBC  A triage nurse in an emergency dept is caring for a client who has gunshot wound to the right side of chest. The nurse notices thick dressing on the chest and sucking noise coming from the wound. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take initially? a.Raise the foot of the bed to a 90 degree angleb. Remove the dressing to inspect the woundc.Prepare to insert a central line d.Administer oxygen via nasal cannula 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 GRADED A+. Download to score,  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 GRADED A+. Download to score, 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 GRADED A+. Download to score, a.Recheck the BP and call the doctorb.Decrease the infusion rate and recheck the blood pressure in 5 minutesc. Stop the medication and keep the IV open with D5W.d.Assess the client’s tolerance of the current level of BP 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 GRADED A+. Download to score,  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 GRADED A+. Download to score,  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 GRADED A+. Download to score, has been diagnosed with acute coronary syndrome. Whatare important nursing implications for this medication? A. Monitor the ECG for dysrthymias B.Place the client on bleeding precautionsC. monitor urine output hourlyD. Monitor for activity tolerance 31)The nurse is caring for a client who underwent cardiac catheterization 1 hour ago. What is an important nursing measure at this time? A.Measure urinary output hourly and maintain continuous cardiac monitoringB.Encourage client to perform slow pressure exercise of the affected side to promote circulation.C.Maintain pressure over catheter insertion site and determine distal circulation status.D. Evaluate apical pulse and determine presence of pulse deficit. 32. The nurse in a cardiac stepdown unit has received 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 GRADED A+. Download to score, a hand-off shift report for these clients. Which client should be assess first? 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, 38. A patient with septic shock has a urine output of 20mL/hr for the past 3 hours. The pulse rate is 120 and thecentral venous and pulmonary artery wedge pressure are4. Which of these orders by the health care provider willthe nurse question? a.Give furosemide (Lasix) 40 mg IVb.increase normal saline infusion to 150 mL/hrc. Administer hydrocortisone (SoluCortef) 100 mg IVd.Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr 39. After receiving 1000 mL of normal saline, the central venous pressure for a patient who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. The nurse will anticipate the administration of which of thefollowing? a.Nitroglycerin (Tridil)b.Sodium nitroprusside (Nipride)c. Drotrecogin alpha (Xigris)d.Norepinephrine (Levophed) 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 GRADED A+. Download to score, 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 patient with anaphylactic shock has been effective? 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, 47. After receiving change-of-shift report, which of these patients should the nurse assess first? a.A patient with smoke inhalation who has wheezes and altered mental statusb.A patient with full-thickness leg burns who has a dressing change scheduledc. A patient with abdominal burns who is complaining oflevel 8 (0 to 10 scale) pain.d.A patient with 40% total body surface area (TBSA) burns who is receiving IV fluids at 500 mL/hr 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, *B. Atropine sulfateC. Isoproterenol hydrochloride (Isuprel)D. Epinephrine 55. Chemical cardioversion is prescribed for the client with atrial fibrillation. The nurse who is assisting in preparing the client would expect that which medication specific for chemical cardioversion will be needed? A. NitroglycerinB Nifedipine (Procardia) C Lidocaine (Xylocaine)*D. Amiodarone (Cordarone) 56. A nurse assesses a comatose, head-injured clientand finds flexion of the arms, wrists, and fingers andadduction of the upper extremities. Which of the followingdescribes these findings? A.Stroke 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, 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 tachypneaC Nasal flaring and lung consolidation 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 GRADED A+. Download to score, B Obtain a STAT electrocardiogram*C Have the client sit down immediately D Assess the clien’ts vital signs. 63. The nurse is caring for a client diagnosed with ARDS who is on a ventilator. Which interventions should the nurse implement. Select all *A Assess the client’s level of consciousness*B Monitor clients urine output*C Perform passive range of motion exercise*D maintain intravenous fluids as orderedE Place the client with the HOB flat 64. The nurse is assessing a client experiencing motor loss as a result of a left sided cerebrovascular accident (CVA). Which clinical manifestations would the nurse document?The most common motor dysfunction of a CVA is paralysis of one side ofthe body, hemiplegia; in this case with a left-sided CVA, 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 GRADED A+. Download to score, 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 A.Starting an IV infusion of lactated Ringers solution 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 GRADED A+. Download to score, B. 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 GRADED A+. Download to score, nursing assessment indicates a therapeutic response to themedication?ANSWER- Pulse rate has increased to 70 beats/min  Order rocephen 1g over 30minutes Q6H. Supply 1g/100mL. How many mL per hour will the nurse infuse? Round the nearest whole number. ANSWER- 200 ml/hr  The nurse is caring for client who is 1 day postoperative following an open thoracotomy. The client is receiving oxygen mist at 40 percent. The 02 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 GRADED A+. Download to score, 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 GRADED A+. Download to score, 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 GRADED A+. Download to score,  Hot spot: T wave  Hot spot: P wave  P wave: atrial depolarization 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 GRADED A+. Download to score,  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 GRADED A+. Download to score,  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 GRADED A+. Download to score, C. PolyuriaD. PolydipsiaE. PolyphagiaF. ???  A nurse admitted morphine 2 mg IV push after client report pain and evaluate client 15 min. later injection. Which follow adverse effect? A . pain scale level of 6 to 4B. sleepy but arouse when name callC. O2 sat 94%D. RR 8 bpm  A nurse assess a client who 8 score using the Glasgow coma scale to elevate of consciousness. Describe the score. A. Reflex alert clientB. Need of total nursing caring C. Client in deep comaD. Stable neurological status 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 GRADED A+. Download to score,  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 soupD. Ham and bean 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 GRADED A+. Download to score,  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 mucosa 2. PE s/sx → petechiae, pleural rub, tachycardia (not NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE 2022/2023 GRADED A+ shigh carbs, high calorie NURS 120BROWNIERECIPE 2 STUDY GUIDE Q & AS BEST EXAM SOLUTION ALL ANSWERS 100% CORRECT LATEST UPDATE GRADED A+. Download to score, 6. Severe cirrhosis → nose bleeding & bruising *bleeding priority* 7. Acute pancreatitis teaching → no cheddar cheese 8. Intervention for ascites → (NOT 3in above umbilicus) 9. Cirrhosis, further teaching → “I can eat anything I want” 10. Acute pancreatitis, after pain med → keep them NPO 11. TPN at home teaching (SATA) → keep refrigerated, start D10 if feeding is finished, keep infusion rate if behind on feeding (3) 12. Patient is falling asleep as nurse is talking to them → increased ammonia levels 13. Cholecystitis (SATA) → back rub, incisional splinting, identify pain level, change client position (4) 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+ c. Weak peripheral pulses d. dependent edema 12. Suction SATA - Only 3 a. Spontaneous cough b. Cyanosis c. Secretions d. Tachypnea e. …... 13. Increase preload, Fluids a. Crackles 14. Family member in ICU a. Tell fam injuries and plan of care 15. 5.4 K a. Call MD b. Omit med 14. New nurse is showing doctor that they have knowledge about using arterial line a. Same level as the phenobarbital axis b. Lay patient supine with head flat c. Recalibrate level after pt moves 15.Adverse effect of digoxin 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+ until gag reflex 22. 1 day post op a. High fowlers, Use IS, encourage coughing 23. Blood transfusion - febrile, chills, blood in urine a. Hemolytic reaction 24. Quiz 3 1. What should patient report to provider? a. Crepitus b. Tracheal shift to unaffected side c. Bubbling... 2. SATA O2 therapy N/V a. NOT petroleum, and NOT assessing flow rate every other day b. Inspect ears c. Hang no smoking sign in house d. Check positioning regularly 3. rapid irregular pulse, Pulse deficit 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+ 12. Lumbar puncture a. Contraindicated with increased ICP 13. SATA a. Admin antihypertensives b. Elevate HOB c. Loosen restrictive clothing d. Assess for urinary retention and bowel impaction 14. Hep A a. Anorexia 15. Pt comes into ED dx with TIA, what next? a. Monitor pt for 24hr in neurotele 16. Embolic stroke, whos at highest risk? a. Pt w Chronic a-fib 17. Homonoymous hemisomething a. Put their things on the R side 18. Post-op, DVT prevention a. SCDs bil 19. Injury at T5 a. Neuro shock 20. Hypovolemia 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+ d. Motiva tion 5. SATA of cushings a. Striae b. Moon face c. Buffalo hump 6. tPa priority to look out for a. Decreased loc 7.Dehydration clinical manifestation a. tachycardia 8. Expected finding of addisons a. hyperpigmentation 9.Rapid insulin a. Give food 15min after 10. Thyroidectomy w. Tingling of hands a. Check chvosteck sign 11.Levothyroxine overdose a. insomnia 12. DI given vasopressin how do you know its working a. Urine specific gravity 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+ a. i. Erbs Point  A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a continuous IV infusion of 5% dextrose in water. Which of the following actions should the nurse take? a. Begin an IV infusion of 0.9% sodium chloride b. Insert another 22-gauge IV catheter c. Administer the unit through secondary IV tubing d. Verify the blood product with an assistive personnel  A nurse is assessing a client who reports numbness and tingling and exhibits a positive Trousseau’s sign. Which of the following electrolyte imbalances should the nurse suspect? a. Hyponatremia 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+  A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax? a. Diminished breath sounds b. Irregular heart rate c. Itching over the incision d. Distended neck veins  A nurse is obtaining a medication history from a client who is to start therapy with naproxen for rheumatoid arthritis. Which of the following medications places the client as risk for bleeding? a. Digoxin b. Captopril c. Pheny toin d. Ibuprof en  A nurse is caring for a client who is receiving total parenteral nutrition through a central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take? a. Switch the infusion to a 10% dextrose solution. b. Start an infusion of 0.45% sodium chloride 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+ teaching? a. “Depress the canister after you inhale.”** b. “Use peroxide to clean the mouthpiece of your inhaler.” c. “Do not shake your inhaler before use.” d. “Exhale fully before bringing the inhaler to your lips.”  A nurse is caring for a client who has ulcerative colitis and was admitted to the medical-surgical unit for management of diarrhea. Which of the following food items should the nurse select for the client’s breakfast tray? a. Poached egg b. Fresh peaches c. Whole grain toast 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. 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+