RN adult medical surgical online practice 2019 B with NGN, Exams of Nursing

Download RN adult medical surgical online practice 2019 B with NGN and more Exams Nursing in PDF only on Docsity! RN adult medical surgical online practice 2019 B with NGN The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. The medication is supplied as 125 milligrams in a 2ml vial. How much of the medication should the nurse administer to ensure the ordered dose is given. - ansWrong Answer: 1.5ml Which of the following PPE is required for the staff entering a patient's room who has been diagnosed with pneumonia and is positive for MRSA - answrong answer: Gown and mask You are caring for a diabetic patient admitted for uncontrolled blood sugar. You observe that the patient is non-compliant with her diet, complains of the meals offered by the hospital, and saw her eat 3 large cookies brought in from home. You know the patient needs further education when she states: - answrong answer: "I will just take extra units of my insulin" You are caring for a diabetic patient diagnosed with CHF. The patient is on lasix and solumedrol IV. Which of the following educational topics would be appropriate for you to include as part of patient teaching? - answrong answer: Report any visual disturbances immediately while on the medications. You are caring for a patient admitted with diverticulitis. The patient has NKDA. Which of the following admission orders would you expect for this patient? - answrong answer: NPO, antibiotic, anticholinergic You are caring for a patient with a lower GI bleed. Which of the following is characteristic of this diagnosis? - answrong answer: Black tarry stools You enter your patient's room and find the patient unresponsive and without a pulse. What should be your FIRST action - answrong answer: check the patients airway Your patient has dysphagia. Which of the following should be implemented? - answrong answer: NPO status Your patient who was admitted 5 days ago begins to have diarrhea. After notifying the physician, what action should you take NEXT? - answrong answer: Give prescribed imodium ansNormal sinus rhythm - ansNormal sinus with VTach - ansNot normal sinus rhythm into a flutter Correct answer is ventricular fibrillation RN adult medical surgical online practice 2019 B with NGN - ansPaced rhythm - ansSinus tachycardia - ansVentricular tachycardia A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: - ansPulmonary embolism? NOT: tuberculosis A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is most likely to be ordered? - ansMorphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? - ansA respiratory rate of 8 breaths per minute After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? - ansNOT: ammonia At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood sugar is currently 60. Which of the following is the most appropriate intervention - ansHave the patient drink 120 ML's of orange juice Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - ans1520 cardiac rhythm - ansV-Tach Cardiac strip - ansSinus rhythm with PAC Cardiac strip - ansUnable to determine Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the orders received. What should be done with this urine sample? - ansDiscarded, then begin the 24 hour collection Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - ansWomen could have pain in their arm, neck, back or jaw RN adult medical surgical online practice 2019 B with NGN Not: start CPR You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? - ansUpper G.I. bleed You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain pulse ox at 86%. The patient may be experiencing: - ansPulmonary embolism You're a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after coughing in her surgical wound has dehisced - ansApply sterile saline soap towels over the extruding site You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency? - ansLaryngeal strider You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? - ansCanned meats You're providing discharge instructions to a CHF patient. - ansIncrease shortness of breath You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question? - ansAcetylsalicylic acid ( Bauer buffered aspirin) You're reviewing the menu list of a patient on Warfran what food should they not eat? - ansSpinach Your COPD patient is complaining of wheezing and increased shortness of breath - ansAssess your patient for a change in condition Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best action? - ansAspirate the fluid, advance the catheter farther, then re-inflate the balloon Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient is experiencing: - ans Your patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step? - ansPerform a bladder scan RN adult medical surgical online practice 2019 B with NGN Your patient fell and hit his head on the bed rail during a physical therapy session. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The patient is lying in a supine position. What should be your first response? - ansCall a rapid response Your patient had a TB skin test done on Thursday at 2:45 PM - ansSaturday at 3 PM Your patient has been diagnosed with a hemorrhagic CVA - ansHeparin infusion per pharmacy protocol Your patient was admitted with severe dehydration. Which of the following orders would you question - ansKCI 40 mEq IV push STAT Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? - ansCompress the drain, then plug the bulb to establish suction - ansNormal sinus rhythm - ansNormal sinus with VTach - ansNot normal sinus rhythm into a flutter Correct answer is ventricular fibrillation - ansPaced rhythm - ansSinus tachycardia - ansVentricular tachycardia A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: - ansPulmonary embolism? NOT: tuberculosis A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is most likely to be ordered? - ansMorphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? - ansA respiratory rate of 8 breaths per minute RN adult medical surgical online practice 2019 B with NGN After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? - ansNOT: ammonia At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood sugar is currently 60. Which of the following is the most appropriate intervention - ansHave the patient drink 120 ML's of orange juice Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter - ans1520 cardiac rhythm - ansV-Tach Cardiac strip - ansSinus rhythm with PAC Cardiac strip - ansUnable to determine Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the orders received. What should be done with this urine sample? - ansDiscarded, then begin the 24 hour collection Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - ansWomen could have pain in their arm, neck, back or jaw Heart rate - ans80 One of the signs of left sided heart failure is: - ansPulmonary edema NOT: pedal edema Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and she states "she always takes care of my husband" what would be an appropriate response? - ansEducate the spouse on oxygen use as a medical device in the hospital The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml The Glasgow, scale ranges from: - ans3 to 15 The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a sudden cardiac arrest and family wants CPR initiated. How should you respond? - ansHonor the patient's wishes RN adult medical surgical online practice 2019 B with NGN You're providing discharge instructions to a CHF patient. - ansIncrease shortness of breath You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question? - ansAcetylsalicylic acid ( Bauer buffered aspirin) You're reviewing the menu list of a patient on Warfran what food should they not eat? - ansSpinach Your COPD patient is complaining of wheezing and increased shortness of breath - ansAssess your patient for a change in condition Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best action? - ansAspirate the fluid, advance the catheter farther, then re-inflate the balloon Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient is experiencing: - ans Your patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step? - ansPerform a bladder scan Your patient fell and hit his head on the bed rail during a physical therapy session. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The patient is lying in a supine position. What should be your first response? - ansCall a rapid response Your patient had a TB skin test done on Thursday at 2:45 PM - ansSaturday at 3 PM Your patient has been diagnosed with a hemorrhagic CVA - ansHeparin infusion per pharmacy protocol Your patient was admitted with severe dehydration. Which of the following orders would you question - ansKCI 40 mEq IV push STAT Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? - ansCompress the drain, then plug the bulb to establish suction RN adult medical surgical online practice 2019 B with NGN A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min RN adult medical surgical online practice 2019 B with NGN A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - ansInject the medication into the anterolateral abdominal wall. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ansHgb 8 g/dL A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take? Select all that apply. - ansInstruct the client to splint the abdomen with a pillow for coughing Plan to ambulate the client as soon as possible Report urinary output to the provider Ask the client to rate their pain on a 0 to 10 pain scale A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty RN adult medical surgical online practice 2019 B with NGN A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should RN adult medical surgical online practice 2019 B with NGN the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." RN adult medical surgical online practice 2019 B with NGN Expressive aphasia The client is experiencing manifestations of.. due to.. - ansPeritonitis X-ray results The nurse is evaluating the client's understanding of discharge instructions. Which of the following client statements indicates an understanding of the teaching? - ans"Foods that contain tyramine might trigger my headaches" "I will keep a food and headache diary" "I will place a cool cloth on my forehead when I experience a migraine" The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - ansPCO2 WBC Chest X-ray Oxygen saturation BUN The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - ansHeart rate is 72/min Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. RN adult medical surgical online practice 2019 B with NGN A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. RN adult medical surgical online practice 2019 B with NGN A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - ansApply firm pressure to the insertion site. RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ansHgb 8 g/dL A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take? Select all that apply. - ansInstruct the client to splint the abdomen with a pillow for coughing Plan to ambulate the client as soon as possible Report urinary output to the provider Ask the client to rate their pain on a 0 to 10 pain scale A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma RN adult medical surgical online practice 2019 B with NGN A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete RN adult medical surgical online practice 2019 B with NGN range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - ans"I will use my hands rather than a washcloth to clean the radiation area." RN adult medical surgical online practice 2019 B with NGN The nurse is evaluating the client's understanding of discharge instructions. Which of the following client statements indicates an understanding of the teaching? - ans"Foods that contain tyramine might trigger my headaches" "I will keep a food and headache diary" "I will place a cool cloth on my forehead when I experience a migraine" The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - ansPCO2 WBC Chest X-ray Oxygen saturation BUN The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - ansHeart rate is 72/min Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy RN adult medical surgical online practice 2019 B with NGN A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia RN adult medical surgical online practice 2019 B with NGN A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - ansApply firm pressure to the insertion site. A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - anshyperkalemia RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take? Select all that apply. - ansInstruct the client to splint the abdomen with a pillow for coughing Plan to ambulate the client as soon as possible Report urinary output to the provider Ask the client to rate their pain on a 0 to 10 pain scale A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with RN adult medical surgical online practice 2019 B with NGN the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin RN adult medical surgical online practice 2019 B with NGN A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - ans"I will use my hands rather than a washcloth to clean the radiation area." The client should gently wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ansCalcium RN adult medical surgical online practice 2019 B with NGN The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - ansPCO2 WBC Chest X-ray Oxygen saturation BUN The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - ansHeart rate is 72/min Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods RN adult medical surgical online practice 2019 B with NGN A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis RN adult medical surgical online practice 2019 B with NGN A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - ansApply firm pressure to the insertion site. A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - anshyperkalemia A nurse is caring for a client in the emergency department (ED). - ansAdminister morphine Ensure the patient is NPO Cholecystitis Monitor the color of the client's stools RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. RN adult medical surgical online practice 2019 B with NGN A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine RN adult medical surgical online practice 2019 B with NGN A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - ans"I will use my hands rather than a washcloth to clean the radiation area." The client should gently wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ansCalcium A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - ans"I will monitor my blood pressure while taking this medication." RN adult medical surgical online practice 2019 B with NGN Chest X-ray Oxygen saturation BUN The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - ansHeart rate is 72/min Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, RN adult medical surgical online practice 2019 B with NGN which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia RN adult medical surgical online practice 2019 B with NGN A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - ansApply firm pressure to the insertion site. A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - anshyperkalemia A nurse is caring for a client in the emergency department (ED). - ansAdminister morphine Ensure the patient is NPO Cholecystitis Monitor the color of the client's stools Monitor the client for dark urine A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) - ansSleepiness exhibited by the client Widening pulse pressure RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. RN adult medical surgical online practice 2019 B with NGN A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. RN adult medical surgical online practice 2019 B with NGN A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - ans"I will use my hands rather than a washcloth to clean the radiation area." The client should gently wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ansCalcium A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - ans"I will monitor my blood pressure while taking this medication." A nurse is providing teaching to a female client who has a history of urinary tract infections (UTIs). Which of the following information should the nurse include in the teaching? - ansTake daily cranberry supplements. A nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management. Which of the following RN adult medical surgical online practice 2019 B with NGN Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough RN adult medical surgical online practice 2019 B with NGN A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. RN adult medical surgical online practice 2019 B with NGN To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - ansApply firm pressure to the insertion site. A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - anshyperkalemia A nurse is caring for a client in the emergency department (ED). - ansAdminister morphine Ensure the patient is NPO Cholecystitis Monitor the color of the client's stools Monitor the client for dark urine A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) - ansSleepiness exhibited by the client Widening pulse pressure Decerebrate posturing A nurse is caring for a client who has a migraine. Which of the following interventions should the nurse anticipate? Select all that apply. - ansAdminister sumatriptan is correct. Dim the lights in the client's room is correct RN adult medical surgical online practice 2019 B with NGN hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following RN adult medical surgical online practice 2019 B with NGN interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." RN adult medical surgical online practice 2019 B with NGN A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - ans"I will use my hands rather than a washcloth to clean the radiation area." The client should gently wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ansCalcium A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - ans"I will monitor my blood pressure while taking this medication." A nurse is providing teaching to a female client who has a history of urinary tract infections (UTIs). Which of the following information should the nurse include in the teaching? - ansTake daily cranberry supplements. A nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? - ans"You should void every 4 hours to decrease the risk of urinary retention." A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am dieting to lose weight." A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? - ansElevated bilirubin level RN adult medical surgical online practice 2019 B with NGN The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain RN adult medical surgical online practice 2019 B with NGN A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min RN adult medical surgical online practice 2019 B with NGN A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - ansInject the medication into the anterolateral abdominal wall. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ansHgb 8 g/dL A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take? Select all that apply. - ansInstruct the client to splint the abdomen with a pillow for coughing Plan to ambulate the client as soon as possible Report urinary output to the provider Ask the client to rate their pain on a 0 to 10 pain scale A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty RN adult medical surgical online practice 2019 B with NGN A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should RN adult medical surgical online practice 2019 B with NGN the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." RN adult medical surgical online practice 2019 B with NGN Expressive aphasia The client is experiencing manifestations of.. due to.. - ansPeritonitis X-ray results The nurse is evaluating the client's understanding of discharge instructions. Which of the following client statements indicates an understanding of the teaching? - ans"Foods that contain tyramine might trigger my headaches" "I will keep a food and headache diary" "I will place a cool cloth on my forehead when I experience a migraine" The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - ansPCO2 WBC Chest X-ray Oxygen saturation BUN The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - ansHeart rate is 72/min Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain RN adult medical surgical online practice 2019 B with NGN A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min RN adult medical surgical online practice 2019 B with NGN A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - ansInject the medication into the anterolateral abdominal wall. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ansHgb 8 g/dL A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take? Select all that apply. - ansInstruct the client to splint the abdomen with a pillow for coughing Plan to ambulate the client as soon as possible Report urinary output to the provider Ask the client to rate their pain on a 0 to 10 pain scale A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty RN adult medical surgical online practice 2019 B with NGN A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should RN adult medical surgical online practice 2019 B with NGN the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level." RN adult medical surgical online practice 2019 B with NGN Expressive aphasia The client is experiencing manifestations of.. due to.. - ansPeritonitis X-ray results The nurse is evaluating the client's understanding of discharge instructions. Which of the following client statements indicates an understanding of the teaching? - ans"Foods that contain tyramine might trigger my headaches" "I will keep a food and headache diary" "I will place a cool cloth on my forehead when I experience a migraine" The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - ansPCO2 WBC Chest X-ray Oxygen saturation BUN The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - ansHeart rate is 72/min Respiratory rate is 20/min Blood pressure is 128/56 Oxygen saturation is 96% The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - ansTemperature WBC Potassium The nurse should first address the client's .. followed by the client's.. - ansOxygen saturation Temperature The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - ansA migraine Pain RN adult medical surgical online practice 2019 B with NGN A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - ansWear a mask. A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - ansAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - ansA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ansAged cheese A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - ansReport of a night cough A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - ansNaproxen A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ans"You will not be able to use sildenafil if you are taking nitroglycerin." A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - ansThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ansHeart rate 110/min RN adult medical surgical online practice 2019 B with NGN A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - ansAdminister an opioid analgesic to the client. A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - ansBradycardia A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - ansRespiratory paralysis A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ansStone fragments in the urine A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - ansTachycardia A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - ansD A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - ansCheck that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - ansDysphagia A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - ansA client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ansC A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the RN adult medical surgical online practice 2019 B with NGN A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the nurse take? - ansInject the medication into the anterolateral abdominal wall. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - ansHgb 8 g/dL A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take? Select all that apply. - ansInstruct the client to splint the abdomen with a pillow for coughing Plan to ambulate the client as soon as possible Report urinary output to the provider Ask the client to rate their pain on a 0 to 10 pain scale A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - ansInstruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - ansAdminister dextrose 10% in water until the new bag arrives. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? - ansCalcium carbonate A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ansHeart rate 55/min A nurse is caring for a client who was just admitted from the emergency department (ED) - ansAcute chest syndrome and pneumonia A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - ansA client who is receiving preoperative teaching for a right knee arthroplasty RN adult medical surgical online practice 2019 B with NGN A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? - ansHistory of asthma A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ansMonitor the client's temperature every 4 hr. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - ans"I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - ansCall for help. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - ansAvoid placing plants or flowers in the client's room. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ansWear a lead apron while providing care to the client. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - ansTell the client that it is possible to return to similar previous levels of activity. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - ans"You should cut the opening of the skin barrier one-eighth inch wider than the stoma." A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - ansUse a 30- mL syringe A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should RN adult medical surgical online practice 2019 B with NGN the nurse include? - ansRemind the client to scan their complete range of vision during ambulation. The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ansDigoxin A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ansRemain with the client for the first 15 min of the infusion. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? - ansSuction machine A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - ansIncrease fluid intake. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - ansWrap fingers with individual dressings. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I should take this medication with a meal." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ansDemonstrate ways to deep breathe and cough. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - ansSuppressing gastric acid production A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? - ans"I am taking this medication to increase my energy level."