PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers, Exams of Medical Physics

Download PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers and more Exams Medical Physics in PDF only on Docsity! PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? - correct answer Encourage weight-bearing exercises. r-Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis. A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? - correct answer Avoid bending your hips more than 90 degrees. ( to prevent dislocation of the replacement hip). - Nurse should instruct client to wait 90 days before crossing legs. Crossing legs early int heh postoperative period can result in dislocation of the replacement hip. -Nurse should inform the client that she ay lie on her operative side with a pillow between her legs. This will not injure the suture site or cause dislocation of the replacement hip. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers - Nurse should instruct the client to sleep on a firm mattress to avoid potential dislocation of the replacement hip. A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? - correct answer Remind the client to avoid watching their feet when walking. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following provider prescriptions should the nurse implement first? - correct answer Initiate oxygen at 4L/min via nasal cannula. Rationale: The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10 years thereafter to protect them from acquiring pneumonia. --------------------------- The nurse should collect a sputum culture to identify the organism causing the client's infection. Antimicrobial sensitivities are obtained from the sputum culture to PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers After stopping the infusion, which of the following actions should the nurse take next? - correct answer Take the client's vital signs. Rationale: The first action the nurse should take when using the nursing process is to collect data from the client to determine what actions should be taken next. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? - correct answer Creatinine 1.9 mg/dL Normal range is 0.7 to 1.3 Therefore the it's high and should be reported the the provider A nurse is preparing to administer scheduled medications to a client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers additional information about the client. There are three tabs that contain separate categories of data.) - correct answer Ceftriaxone In exhibit 2 it says the patient is allergies: "penicillin reaction severe". A nurse is caring for a client who has a methicillin- resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? - correct answer Visitors must don a gown and gloves before entering client's room. ( This patient will be on a client on contact isolation precautions. Contact precautions requires visitors to put on a gown and gloves prior to entering the client's room to prevent MRSA from spreading) - Nurse should identify visitors of clients who are on airborne or droplet precautions should wear a mask within 3 feet of the client. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers -MRSA does not spread through the respiratory tract and does not need airborne or droplet precaution. -NO FRESH FLOWERS for patient on neutropenic precaution . A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse identify as the priority? - correct answer Dysrhythmia RAT: When using the airway, breathing, circulation approach to client care, the nurse should identify that the priority finding for a client who has hypokalemia is dysrhythmia. A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? - correct answer Keep a sheepskin pad between the client's extremity and the CPM machine. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers The nurse should instruct the caregiver to clean the pin sites every day to decrease the risk for infection. The nurse should instruct the caregiver to never lift or reposition the client by pulling on the halo ring, which can cause further cervical injury. The nurse should instruct the caregiver to call a provider if the pins or traction bar is loose. The pin sites or traction bar supports should not be manipulated in any way because it could cause injury to the client. A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? - correct answer Perform pin site care daily. Rationale: The nurse should perform pin site care daily with chlorhexidine solution or use a solution according to facility protocol. The nurse should also monitor the pin sites for manifestations of infection. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? - correct answer Encourage weight-bearing exercises. r-Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis. A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? - correct answer Avoid bending your hips more than 90 degrees. ( to prevent dislocation of the replacement hip). - Nurse should instruct client to wait 90 days before crossing legs. Crossing legs early int heh postoperative period can result in dislocation of the replacement hip. -Nurse should inform the client that she ay lie on her operative side with a pillow between her legs. This will not injure the suture site or cause dislocation of the replacement hip. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers - Nurse should instruct the client to sleep on a firm mattress to avoid potential dislocation of the replacement hip. A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? - correct answer Remind the client to avoid watching their feet when walking. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following provider prescriptions should the nurse implement first? - correct answer Initiate oxygen at 4L/min via nasal cannula. Rationale: The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10 years thereafter to protect them from acquiring pneumonia. --------------------------- The nurse should collect a sputum culture to identify the organism causing the client's infection. Antimicrobial sensitivities are obtained from the sputum culture to PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers After stopping the infusion, which of the following actions should the nurse take next? - correct answer Take the client's vital signs. Rationale: The first action the nurse should take when using the nursing process is to collect data from the client to determine what actions should be taken next. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? - correct answer Creatinine 1.9 mg/dL Normal range is 0.7 to 1.3 Therefore the it's high and should be reported the the provider A nurse is preparing to administer scheduled medications to a client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers additional information about the client. There are three tabs that contain separate categories of data.) - correct answer Ceftriaxone In exhibit 2 it says the patient is allergies: "penicillin reaction severe". A nurse is caring for a client who has a methicillin- resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? - correct answer Visitors must don a gown and gloves before entering client's room. ( This patient will be on a client on contact isolation precautions. Contact precautions requires visitors to put on a gown and gloves prior to entering the client's room to prevent MRSA from spreading) - Nurse should identify visitors of clients who are on airborne or droplet precautions should wear a mask within 3 feet of the client. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers -MRSA does not spread through the respiratory tract and does not need airborne or droplet precaution. -NO FRESH FLOWERS for patient on neutropenic precaution . A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse identify as the priority? - correct answer Dysrhythmia RAT: When using the airway, breathing, circulation approach to client care, the nurse should identify that the priority finding for a client who has hypokalemia is dysrhythmia. A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? - correct answer Keep a sheepskin pad between the client's extremity and the CPM machine. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers The nurse should instruct the caregiver to clean the pin sites every day to decrease the risk for infection. The nurse should instruct the caregiver to never lift or reposition the client by pulling on the halo ring, which can cause further cervical injury. The nurse should instruct the caregiver to call a provider if the pins or traction bar is loose. The pin sites or traction bar supports should not be manipulated in any way because it could cause injury to the client. A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? - correct answer Perform pin site care daily. Rationale: The nurse should perform pin site care daily with chlorhexidine solution or use a solution according to facility protocol. The nurse should also monitor the pin sites for manifestations of infection. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers --------------------------- The nurse should ensure the client has an overbed trapeze to aid in lifting the upper body off the bed when necessary and to help prevent skin breakdown of the heels and elbows with client repositioning. The nurse should identify that balanced suspension skeletal traction is managed through the use of pins, pulleys, weights, and frames and that the client does not wear a boot. The nurse should ensure the weights hang freely at all times. A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching? - correct answer "Limit contact with large groups of people." Glucocorticoids cause immunosuppression and may mask infection. The client should limit contact with sources of possible infections, such as large groups of people. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following actions should the nurse take first? - correct answer Implement recommendation from the speech language pathologist. Rationale: The greatest risk to the client following a stroke is injury from aspiration. Therefore, the first intervention the nurse should include in the plan of care is to implement recommendations from the speech language pathologist. A speech language pathologist can conduct a swallow study to determine the client's risk for aspiration, provide teaching to the client regarding swallowing techniques, and recommend the consistency of foods and liquids for the client. Client Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. - correct answer Hypovolemia Insert a large gauge IV Initiate a fluid challenge PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is assisting a client who reports difficulty falling asleep. Which of the following activities should the nurse recommend to promote sleep? - correct answer Listen to soft music before sleeping. r- Listening to soft music can help the client to relax and reduces environmental stressors. A nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? - correct answer Keep the client in a side-lying position. RAT: The greatest risk to the client following a stroke is aspiration. The nurse should position the client in a lateral, or side-lying, position to allow any secretions to drain out of the mouth, decreasing the risk for aspiration. Additionally, the nurse should have suction equipment available in the event that any secretions are present in the oral cavity. A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers arthritis. Which of the following information should the nurse include in the teaching? - correct answer Apply cold packs to the inamed joints. A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the following interventions should the nurse identify as the priority? - correct answer Determine the client's understanding of the procedure. r-When using the nursing process, the first action the nurse should take is to collect data from the client. Therefore, the nurse should determine the client's understanding of the procedure to reinforce necessary teaching, which can help manage their anxiety. A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as the priority? - correct answer Dyspnea r-When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority finding is dyspnea, which is a complication of the epidural infusion. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers Drag words from the choices below to fill in each blank in the following sentence. - correct answer Respiratory failure and hypovolemia A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the following statements by the client demonstrates an understanding of the teaching? - correct answer I understand that testicular cancer is painless. ( Clients should report a lump that is NOT painful bc testicular cancer is typically painless). - Perform a testicular self examination after a WARM shower - Perform testicular self exam MONTHLY - Clients should report pea- sized lump in the testes to the provider. A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection and is on contact isolation precautions. Which of the following actions should the nurse take? - correct answer Have a designated stethoscope in the client's room. Rationale: PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers performance. Use all the steps.) - correct answer Check the IV site. Stop the infusion. Withdraw the IV catheter. Elevate the affected arm. Notify the charge nurse. The nurse is reviewing the client's diagnostic results. Which of the following findings require follow up? Select all that apply. - correct answer PaCO2 WBC count Chest x-ray Oxygen saturation BUN The nurse is reviewing the client's medical record. Click to highlight the findings below that indicate that the client has a potential problem. To deselect a finding, click on the finding again. - correct answer • Client is short of breath and has a productive cough with yellow mucus PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers • States, "I could barely breathe when I got up this morning and I had a throbbing headache" • Client is diaphoretic • Crackles heard in posterior lung A nurse is prioritizing care for the client. Complete the following sentence by using the lists of options. - correct answer • At 1000, the nurse should first address the client's oxygen saturation , • followed by the client's heart rate The nurse is assisting with the plan of care for the client. For each potential provider prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. - correct answer Cough and deep breathe every 2 hr is anticipated Obtain a sputum culture and sensitivity is anticipated Titrate oxygen to keep oxygen saturation greater than 90% is anticipated. Place client on a 1,500 mL fluid restriction is contraindicated PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers Administer acetaminophen 500 mg PO every 6 hr PRN is anticipated. Administer famotidine 40 mg PO daily is nonessential. The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - correct answer Temperature WBC Potassium • Temperature is correct. The nurse should identify that the client continues to have a fever as a result of the body's immune system fighting the infection. Therefore, this finding requires nursing intervention. • WBC count is correct. The nurse should identify that the client's WBC count remains elevated, which indicates an infection. Therefore, this finding requires nursing intervention. • Heart rate is incorrect. The nurse should identify the client's heart rate is within the expected reference range. Therefore, this finding does not require nursing intervention. • Potassium level is correct. The nurse should identify that the client's potassium level is elevated, which places PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers muscle spasms. Which of the following interventions should the nurse include? - correct answer Encourage the client to complete ADLs. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurse include? - correct answer Encourage the client to complete ADLs. The nurse should encourage the client to complete ADLs and provide assistance as needed. Performing self-care increases the client's independence, strength, and level of functioning. A nurse is planning to implement droplet precautions for a client who has manifestations of pertussis. Which of the following interventions should the nurse include when contributing to the plan of care? - correct answer Apply a mask on the client if transport is needed. A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the following actions should the nurse include in the plan? - PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers correct answer Use simple verbal cues when directing tasks. The nurse should expect a client who had a left hemispheric stroke to manifest some degree of expressive and/or receptive aphasia. Using simple verbal cues will assist the client in understanding spoken communication. --------------------------- A client who had a left hemisphere stroke will display slow movement and cautious behavior. A client who has had a right hemisphere stroke, in contrast, will exhibit impulsive and unsafe behavior. A client who had a left hemisphere stroke might have deficits, such as impaired vision on the right side of the body. The nurse should approach the client from the unaffected, or left side, of their body. The nurse should place the client in high-Fowler's position when eating, drinking, or taking medications to facilitate swallowing. If the client displays manifestations of dysphagia, the nurse should consult the provider for further evaluation of the client. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurse suspect? - correct answer compartment syndrome A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements indicates an understanding of the use of budesonide and albuterol inhalers? (Select all that apply.) - correct answer "I never forget to rinse my mouth after using my budesonide inhaler." "Between office visits, I keep a record of how many times I use my albuterol inhaler." "I use my albuterol inhaler before I go swimming." A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use? - correct answer Mask Rationale: PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers Phenazopyridine reduces pain and burning during urination by exerting an anesthetic effect on the mucosa of the urinary tract. A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following findings should the nurse report before administering the medication? - correct answer Decreased potassium RAT: The nurse should notify the provider immediately about a decreased potassium level because potassium is lost when a diuretic, such as furosemide, is administered, which can cause hypokalemia. The nurse should expect a client who has heart failure to have a decreased urine output and does not need to report this finding to the provider before administering the medication. Furosemide is a diuretic, which should cause an increase in urine output for a client who has heart failure.The nurse should expect a client who has heart failure to have an elevated blood pressure and does not need to report this finding to the provider before administering the medication. Furosemide is a diuretic that should help to lower the client's blood pressure. The nurse should report a decreased sodium level to the provider before PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers administering the medication because furosemide can cause hyponatremia. Which of the following actions should the nurse take? Select all that apply. - correct answer Instruct the client to splint their abdomen with a pillow when coughing plan to ambulate the client as soon as possible report the client's urinary output to the charge nurse monitor the client's pain level A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. Which of the following information should the nurse include in the teaching? - correct answer Mogs sx is a horizontal shaving of thin layers of the tumor A nurse is examining a client's IV site and notes a red line up their arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy? - correct answer Thrombophlebitis Rationale: PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers The nurse should identify pain, warmth, and a red streak up the arm as indications of thrombophlebitis. --------------------- swelling and cool skin at the IV site as indications of infiltration. swelling and bruising as indications of a hematoma that can develop by not holding enough pressure after discontinuing the IV. cramping at or above the insertion site and numbness as indications of venous spasms. A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from the medication should the nurse expect? - correct answer Decreased shortness of breath. Rationale: The nurse should expect the client to have decreased shortness of breath. Digoxin increases the contractility of the heart, which decreases pulmonary congestion. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers The nurse is collecting data on the client. For each client finding, click to specify if the finding is consistent with appendicitis, diverticular disease, or Crohn's disease. Each finding may support more than 1 disease process. - correct answer Blood in the stool - Diverticular disease Drag 1 condition and 1 client finding to fill in each blank in the following sentence. - correct answer The nurse is caring for the client who has manifestations of peritonitis therefore, the priority finding for the nurse to report is laboratory values Peritonitis is correct. The client has manifestations of peritonitis, including rigid abdomen and elevated WBC count and ESR. Peritonitis is an inflammation and infection of the abdominal cavit that can occur when bacteria enter the peritoneum through a perforation in the bowel as a complication of Crohn's disease. Laboratory values is correct. The nurse should identify that the client's laboratory values is the priority to report when using the urgent vs. nonurgent priority framework. An elevated WBC count and a high neutrophil count indicates an infection, which is a manifestation of peritonitis. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers The nurse is contributing to the plan of care for the client who has peritonitis and Crohn's disease. For each potential intervention, click to specify if the intervention is indicated or contraindicated for the client. - correct answer Obtain blood cultures - indicated obtain the client's vital signs every 15 min - indicated Administer a hypotonic IV solution - contraindicated insert a nasogastric tube - indicated The nurse is assisting with the care of the client who is preoperative for an exploratory laparotomy. Select the 4 actions the nurse should take. - correct answer Administer phenytoin with a sip of water on the day of surgery. Assist with the administration of gentamicin 100 mg IV. Assist with the administration of dextrose 5% in lactated Ringer's. Contact the wound, ostomy, and continence nurse. The nurse is reinforcing discharge teaching with the client. Which of the following client statements indicates an understanding of the teaching? PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers Select all that apply. - correct answer • "I should schedule several rest periods throughout the day" • "I should notify my provider if my temperature is higher than 101 degrees Fahrenheit". A nurse is caring for a client who is receiving chemotherapy. The client mentions that they have a loss of appetite because of sores in their mouth and that food no longer tastes good. Which of the following suggestions to the client should the nurse make? - correct answer Eat several, small-portioned meals daily. Clients who have difficulty eating because of pain or anorexia can usually tolerate small amounts of food at one time. Eating several small meals daily can increase the client's caloric intake. A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following instructions should the nurse include in the teaching? - correct answer Increase fiber-rich foods. Rationale: PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers Bowel sounds, diarrhea, small amount of blood in the stool, and weight loss trend are incorrect. The nurse should report hypoactive bowel sounds, diarrhea, small amount of blood in the stool, and the weight loss trend because the client is at risk for impaired nutrition and electrolyte imbalance. However, there is another finding that is the priority. Drag 1 condition and 1 client finding to fill in each blank in the following sentence - correct answer The client is experiencing manifestations of pancreatitis as evidenced by amylase and lipase A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? - correct answer History of treatment for blood clots. Rationale: Estrogen increases the risk for blood clots. Therefore, a female client who has a history of blood clots should not receive HRT. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include? - correct answer Dispose of radiation implants in a lead container: Rationale: Lead impairs the emission of radiation. Therefore, the nurse should dispose of radiation implants in a lead container in accordance with facility protocol. ------------------------------ Pregnant women and children should not be allowed to visit a client who is receiving internal radiation therapy because of the risk for exposure to radiation emissions. The nurse should use forceps to pick up a radiation implant if it becomes dislodged. The nurse should limit time spent in the client's room to 30 min during an 8 hr shift. A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the following PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers actions should the nurse take? - correct answer Loosen clothing around the client's neck. [The nurse should loosen clothing around the client's neck to maintain an open airway and prevent aspiration.] A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing? - correct answer Prealbumin 12 mg/dL This laboratory value is below the expected reference range, indicating that the client's protein status is inadequate and that he is at risk for delayed wound healing due to malnutrition. A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse identify as an adverse effect of the medication? - correct answer Abdominal cramps. Rationale: Acarbose affects the gastrointestinal system. Therefore, the nurse should monitor the client for abdominal cramping, rumbling bowel sounds, and diarrhea as adverse effects of this medication. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers A nurse is contributing to the plan of care for a client who has partial hearing loss. Which of the following interventions should the nurse include in the plan of care? - correct answer Face the client while speaking. r-The nurse should face the client, which allows the client to see who is speaking, read the nurse's lips, and obtain visual cues by observing facial expressions. A nurse is contributing to the plan of care for a client who has a new prescription for nystatin suspension for oral candidiasis. Which of the following interventions should the nurse include in the plan? - correct answer Instruct the client to swish the medication in their mouth. A home health nurse is reinforcing teaching about preventing asthma attacks with a client who has asthma. Which of the following instructions should the nurse include in the teaching? - correct answer "Do not allow visitors to smoke cigarettes in your home." Rationale: The nurse should inform the client that cigarette smoke is a common allergen that can increase the risk for PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers triggering an asthma attack. Therefore, the client should not allow anyone to smoke cigarettes in their home. -------------------------- The nurse should inform the client that carpet can hold mites and dust, which increases the risk for triggering an asthma attack. The nurse should inform the client that breathing cold air can cause bronchial constriction, which increases the risk for triggering an asthma attack. The nurse should inform the client that opening their windows during spring can increase their exposure to environmental allergens, which increases the risk for triggering an asthma attack. A nurse is contributing to the plan of care for a client who has Ménière's disease. Which of the following interventions should the nurse include in the plan of care? - correct answer Administer an antiemetic to the client A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfa. PN Adult Medical Surgical Online Practice 2020 A with NGN Questions And Answers The nurse should identify that which of the following laboratory values indicates the treatment is effective? - correct answer Hbg 11 g/dL A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following instructions should the nurse include? - correct answer "Consume foods low in sodium." A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? - correct answer "I will have my HbA1c checked twice per year." A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about how to improve the taste of bland food. Which of the following foods should the nurse recommend? - correct answer Lemon juice RAT: The nurse should recommend that the client use lemon juice to flavor their food because it is low in sodium.