TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+, Exams of Nursing

Download TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+ and more Exams Nursing in PDF only on Docsity! TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT EVERYTHING CORRECT 1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Regular insulin c. Furosemide d. Lithium carbonate 3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following test should the nurse monitor? a. Fasting blood glucose b. Stool for occult blood TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications? a. Diphenhydramine b. Acetaminophen c. Pantoprazole d. Furosemide 9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication? a. Lungs clear b. Apical pulse 82/min c. Hyperactive bowel sounds d. Blood pressure 90/50 mm Hg TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse should recognize these findings as indication of which of the following conditions? a. Metabolic acidosis b. Metabolic alkalosis c. Compensated respiratory alkalosis d. Uncompensated respiratory acidosis 11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which of the following labs should the nurse expect during the first 24 hours a. Decreased BUN b. Hypoglycemia c. Hypoalbuminemia d. Decreased Hematocrit 12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the following actions should the nurse takes? a. Offer the client high carbohydrate meal options b. Provide the client with four full meals a day c. Encourage the client to drink at least 360 ml of fluids with meals TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT d. Have the client lie down for 30 minutes after meals 13. A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? SATA a. Born with a high weight b. Chronic infections of the middle ear c. Use a loop diuretic such as furosemide and antibiotics like aminoglycoside and gentamicin d. Perforation of the ear drum e. Frequent exposure to low volume noise 14. A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take? TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 19. A nurse is caring for a client who has a peripherally inserted central catheter. The client is receiving an antibiotic via intermittent IV bolus. Which of the following actions should the nurse take? a. Administer 20 ml of 0.9 sodium chloride after each dose of medication b. Flush the catheter using a 5 ml syringe c. Verify the placement with an x-ray prior to the initial dose d. Change the transparent membranes dressing daily 20. A nurse is teaching a client using a metered dose rescue inhaler. Which of the following statements should the nurse include in the teaching? a. Do not shake your inhaler before use. b. Exhale fully before bringing the inhaler to your lips c. Depress the canister after you inhale d. Use peroxide to clean the mouthpiece if your inhaler 21. A nurse is assessing the pain status of a group of clients. Which of the following findings indicate a client is experiencing referred pain? a. A client who has angina reports substernal chest pain b. A client who has pancreatitis reports pain in the left shoulder c. A client who is postoperative reports incisional pain d. A client who has peritonitis reports generalized abdominal pain TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 22. A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessments findings requires immediate intervention by the nurse? a. The client reports a pain level of 7 on a scale from 0 -10 at the operative site. b. The client’s capillary refill in the left toe is 6 c. The client has an oral temperature of 38.3 (100.9 F) d. The client has 100 ml of blood in the closed suction drained. 23. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutrition for the past 72 hours. Which of the following findings requires the nurse to intervene? TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT “This is an expected adverse effect of this medication.” TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT a. Right upper quadrant pain b. Capillary blood glucose level of 164 mg/dl c. WBC counts 13,000/mm3 d. Crackle in bilateral lower lobes 24. A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? a. Reverse Trendelenburg b. Side Lying c. High Fowlers d. Feet elevated 25. A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that her saliva has turned red-orange in color. Which of the following responses should the nurse make? a. “This finding may indicate possible medication toxicity” b. “Your provider will prescribe a different medication regimen” c. d. “You will need to increase your fluid intake to resolve this problem” TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT d. A client who has right-sided weakness due to Parkinson’s disease 31. A nurse is providing teaching to a client who has DVT. Which of the following findings should the nurse identify as a risk factor for the development of DVTs? a. Hypertension b. Cirrhosis c. NSAIDS use d. Oral Contraceptive Use 32. A nurse is caring for client who has Cushing’s disease. Which of the following actions should the nurse take first? (Click Exhibit button for additional information) a. Check the client’s medication administration record for antihypertensive medication. TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT b. Verify the client’s understanding of sodium restriction. c. Auscultate the client’s lung sound d. Determine the need for further glucose monitoring. 33. A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the nurse expect? a. Proteinuria b. Flank pain c. Hyperalbuminemia d. Hypotension 34. A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find? a. Oliguria b. S3/S4 galloping heart sounds c. Poor skin turgor d. Pitting edema 35. A nurse is caring for a client who has newly inserted chest tube. The nurse should clarify which of the following prescriptions with the provider? a. Notify the provider when tidaling ceases. TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT b. Assisting the client out of bed three times daily. c. Vigorously strip the chest tube twice daily. d. Administer morphine 2 mg IV bolus every 3 hr PRN for pain. 36. A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the following instructions should the nurse include for home management of heart failure? a. Obtain daily weight. b. Use of salt substitute. c. Monitor Intake and Output d. Limit daily activity. 37. A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching? TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT c. Take tub baths instead of showers d. May place a small pillow under the head when sleeping 42. A nurse is assessing for elderly signs of compartment syndrome for a client who has a short leg fiberglass cast. Which of the following findings should the nurse expect? a. Bounding distal pulses b. Capillary refill less than 2 seconds c. Erythema of the toes d. Intense pain with movement 43. A nurse is caring for a client who is postoperative following coronary artery bypass surgery and reports shortness of breath. The nurse administers oxygen at 3L/min and obtains arterial blood gases 60 min later. Which of the following lab findings indicates a positive response to the oxygen therapy? a. PaCO2 34 mmHg b. Bicarbonate 20 mEq/L c. PaO2 90 mmHg d. ph 7.32 TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 44. A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear (VIII)? a. Loss of the peripheral vision b. Disequilibrium with movement c. Deviation of the tongue from midline d. Inability to smell 45. A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse? a. Glasgow coma scale score changes from 14 to 9 b. Bilateral pupil diameter changes from 4 to 2 mm c. Pulse pressure changes from 30 to 20 mm Hg d. WBC count changes from 9000 to 16,000 mm3 TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 46. A nurse is caring for a client who is taking furosemide. The client has a potassium level of 3.1 mEq/L. Which of the following should the nurse assess first? a. Urine output b. Level of orientation c. Cardiovascular status d. Muscle weakness 47. A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions? a. Instruct the client to take deep breaths and hold them during the procedure b. Administer a stool softener following the procedure c. Ask the client to empty his bladder prior to the procedure d. Assist the client into the left lateral position during the procedure 48. A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of following electrolytes imbalances? a. Hyperatremia b. Hypermagnesemia TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT a. Hypoxemia b. Hyperventilation c. Hypocarbia d. Hypervolemia 54. A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first? a. Obtain the client’s vital signs b. Clear items from the client’s surrounding area c. Loosen the client’s restrictive clothing d. Lower the client to the floor 55. A nurse is teaching a client who is receiving total parenteral nutrition at home through a central venous access device about transparent dressing changes. Which of the following instructions should the nurse include in the teaching? TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT a. Change the dressing every 48 hr. b. Replace the extension tubing with each dressing change c. Use clean technique when changing the dressing d. Wear a mask during dressing change 56. A nurse is caring for a client in the emergency department who experienced a full- thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect? a. Decreased respiratory rate b. Hypotension c. Bradycardia d. Urinary diuresis 57. A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the following is a priority finding? a. Spider angiomas b. Palmar erythema c. Mental confusion d. Yellow Sclera 58. A nurse is providing instructions about foot care for a client who has a TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching? a. “I apply a lubricating lotion to the cracked areas on the soles of my feet every morning” b. “I use my heating pad on a low setting to keep my feet warm.” c. “I soak my feet in hot water before trimming my toenails” d. I rest in my recliner with my feet elevated for about an hour every afternoon” 59. A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis. Which of the following instructions should the nurse include in the teaching? a. Swallow the medication with 120mL (4 oz) of water b. Take the medication with a vitamin E supplement c. Sit upright for 30 min after taking the medication TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 64. A nurse is performing ear irrigation for a client. Which of the following actions should the nurse take? a. Tilt the client's head 45 degrees b. Insert the tip of the syringe to .5 centimeters 1 inch into the ear canal c. Point the tip of the syringe toward the top of the ear canal d. Use cool fluid for irrigation 65. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first? a. Check the client's urine output b. Reposition the client in bed c. Increase the client's fluid intake d. Administer PRN pain medication 66. A nurse is providing teaching for a client who has diabetes mellitus about the self- administration of insulin. The client has prescriptions for regular and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching? a. I will draw up regular insulin into the syringe first TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT b. I will insert the needle at a 15-degree angle c. I will store prefilled syringes in the refrigerator with the needle pointing downward d. I will shake the NPH vial vigorously before drawing up the insulin 67. A nurse is caring for a client who is receiving Total parenteral Nutrition (TPN). Which of the following nursing actions are appropriate? (Select all the apply) a. Obtain the client's weight daily b. Increase the rate of infusion if Administration is delayed c. Monitor serum blood glucose during infusion d. In to use 0.9% sodium chloride if the solution is not available e. Verify the solution with another RN prior to infusion 68. A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse? TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT a. Check potassium levels b. Administer 0.9% sodium chloride c. Begin bicarbonate continuous IV infusion d. Initiate continuous IV insulin infusiond 69. A nurse is reviewing the laboratory results of a female client who asked about acupuncture treatment for chemotherapy-induced nausea and vomiting. Which of the following laboratory results contraindication to receiving acupuncture? a. Absolute neutrophil count 5000/mm3 b. C-reactive protein 0.7 mg/dl c. Platelets 160,000/mm3 d. Hemoglobin 12g /dl 70. A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a Pain Scale of 0 to 10. Which of the following should the nurse take? a. Gently massage the area around the client’s incision b. Place pillows under the client's knee c. Apply an ice pack to the client’s knee d. Perform range of motion exercises to the client’s knee TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT b. Pain relief from the use of heat and cold continues for several hours after removal of the stimulus c. Discontinue opioids before trying non-pharmacological methods of pain relief d. Distraction changes the client's perception of pain but does not affect the cause 76. A nurse is caring for a client who has pneumothorax and a chest tube with closed water seal drainage system. Which of the following actions should the nurse take? a. Strip or clear the chest tube every 8 hours b. Refill the water chamber if the fluid is low c. Empty the system at least every 8 hr d. Change the chest to site dressing every 24 hour. TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 77. A nurse is in an emergency department is reviewing a client's ECG reading. Which of the following findings should the nurse identify as an indication that the client has first-degree heart block? a. Prolonged PR intervals b. More p waves than QRS complexes c. Non-discernible p waves d. No correlation between p and QRS waves 78. A nurse is preparing to administer a unit of packed RBC's to a client who is anemic. Identify the sequence of steps the nurse should follow. a. Obtain venous access using a 19-gauge needle 3 b. Obtain the unit of packed rbc's from Blood Bank 1 c. Verify blood compatibility with another nurse 2 d. Initiate transfusion of the unit of packed rbc's 4 e. Remain with the client for the first 15 to 30 minutes of the infusion 5 79. A nurse is teaching a client who is to begin chemotherapy about peripherally inserted central catheter. Which of the following statements should the nurse include in the teaching? a. We will replace the PICC every month b. We can draw blood samples from the PICC for diagnostic test TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT c. We will change the dressing daily d. We can measure your blood pressure in either arm 80. A nurse is assessing a client who has Pyelonephritis and reports flank pain. Which of the following actions should the nurse take? a. Assist the client to a sitting position b. Percuss the side of tenderness first c. Auscultate for a bruit over the coastal vertebral area d. Thump the area of tenderness directly with a closed fist 81. A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider? a. Peripheral pulses 2 + bilaterally b. Weight gain 1.1 kilogram to 2.4 pound in 24-hour TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT 86. A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? a. Obtain ABG values b. Perform an ECG c. Turn the client to his left side d. Clamp the catheter 87. A nurse is providing discharge teaching to a client who has impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? a. Wash your perineal area 2 times each day with antimicrobial soap b. Change the water in your drinking glass every 4 hours c. Wash your toothbrush in the dishwasher once each month d. Change your pet litter box daily 88. A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing the client? a. Serum Ammonia b. Glucose level c. Phosphate level TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT d. Serum troponin 89. A nurse is caring for a client who has admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report to the provider? a. The client reports being extremely thirsty with a sore throat b. The amount of drainage is gradually decreasing c. The clients abdomen becomes distended and firm d. The drainage is bright green in color with brown fecal material 90. A nurse is caring for a client who takes Lisinopril for HTN. Which of the following client statements indicates an adverse effect of the medication? a. I have a heightened sense of taste TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT b. I have a nagging, dry cough c. I have to urinate frequently d. I seem to be bruising more easily 91. A nurse is caring for a client who has an endotracheal tube. Which of the following actions should the nurse take to verify tube placement? a. Deflate the cuff to check the tube placement b. Place the client’s head and neck in a flexed position c. Observe for symmetry of chest expansion d. Document the tube length where it passes the chin 92. A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching? a. Take a laxative to prevent constipations b. Take an antacid 30 min before taking the medication c. Monitor heart rate once daily d. Drink 2 to 3 L of fluid daily 93. A nurse is caring for a client who presents to the emergency department TTT 67777MedSurg 3 MedSurg 3 (Q & As) BEST EXAM SOLUTION LATEST UPDATE 2021/2022 SCORES A+- EVERYTHING CORRECT RATED 100% CORRECT