RN ADULT MEDICAL SURGICAL ONLINE PRACTICE

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RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. The nurse should plan to place which of the following items at bedside? A nurse is carin... g for a client who is having a seizure. Which of the following interventions is the nurse’s priority? A nurse is providing teaching to a client who was hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfare with the effectiveness of this medication? A nurse is providing teaching to a female client who has a history of UTI’s. Which of the following information should nurse teach? 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? 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? A nurse is caring for a client who has emphysema and is receiving medication ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A nurse is caring ofr a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? A nurse is caring ofr a client who has a stage III pressure injury. Which of the following findings contributes to delayed wound healing? A nurse is caring for a client who is undergoing hemodialysis to treat ESKD. The client reports muscle cramps and tingling sensation in their hands. Which of the following should the nurse plan to administer? 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? A nurse is preparing to administer a unite of packed RBC’s to a client. Which of the following actions should the nurse take? 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? Sleepiness exhibited by client, widening pulse pressure, decerebrate posturing A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct to withhold for 48 hr prior to cardioversion? A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse’s priority? A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure (view chart) A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect? A nurse is providing dietary teaching to a client who is postoperative following a thyriodectomy with removal of the parathyroid glands. The nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet? A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? 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 indicate to the nurse that the client is experiencing fluid volume deficit? A nurse is providing instructions to a client who has type 2 diabetes and a new prescription of metformin. Which of the following statements by the client indicates an understanding of the teaching? A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago. Which fo the following actions should the nurse take first after hearing the following sound? A nurse is caring or a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with . Which of the following assessment findings is the nurse’s priority? A nurse is conduction 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? A nurse is providing discharge instruction so to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? A nurse is caring for a client who has a bilateral pneumonia and an SaO2 of 85%. The client has dyspnea with a productive cough and is using accessory muscles to breathe. Which of the following actions should the nurse take first? A nurse is providing teaching for a female client who has recurrent UTI. Which of the following actions should the nurse include in her teaching? A nurse is reviewing the health records of a client who is schedules for allergy skin testing. The nurse should postpone testing based on what in his chart? A nurse and an AP are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? A nurse in the emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. After ensuring a patient airway and administering oxygen, which of the following items should the nurse prepare to administer first? A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new back is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? 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? A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? 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? 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? A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? An older adult client is brought to an ED by a family member. Which of the following assessment findings should cause the nurse to suspect the client has hypertonic dehydration? A nurse is caring for a client while experiencing a seizure. Which of the following actions should the nurse take? A nurse is evaluation a client who has a new diagnosis of type 1 diabetes. Which of the following client statements indicates the client is successfully coping with the change? “I used to never worry about my feet. Now, I inspect my feet every day with a mirror” A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food after a meal. Which of the following actions should the nurse take first? A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching? A nurse is providing to a client following an upper gastrointestinal …with barium contrast. Which of the following information should the nurse provide? A nurse is providing teaching to an older adult 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? A nurse is providing preoperative teaching for a client who is schedules for an open cholecystectomy. Which of the following actions should the nurse take? A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? A nurse in an emergency department is assessing a client who has a detached retina. Which of the following actions should the nurse ….report? A home health care nurse is assigned to a client who was recently discharged from a rehab center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? A nurse is caring for a client who has type 1 diabetes mellitus and has had an acute bronchitis for the past 3 days. Which of the following statements should the nurse including when instructing the client? 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 fo the following rx should the nurse expect? A nurse is to provide discharge teaching for a family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? 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? A nurse is assessing a client who had extracorporeal shop wave lithotripsy (ESWL) 6 hours ago. Which of the following findings should the nurse expect? A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? A nurse is assessing a client who has had a plaster cast applied to their leg 2 hr ago. Which of the following actions should the nurse take? 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? A nurse is caring for a client who has had a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: HR 200/min, BP 78/40 mm Hg, and RR 30/min. Which of the following actions should the nurse take? A nurse is providing teaching to a client who has chronic kidney diease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? A nurse is teaching a young adult client how to perform testicular self-examination. Which of the following instructions should the nurse include? A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which fo the following adverse effects should the nurse monitor? A nurse is caring for a client who has DKA. Which of the following laboratory findings should the nurse expect? A nurse in a provider’s office is assessing a client who has hypertension and takes propranolol. Which of the following findings indicate to the nurse that the client is experiencing an adverse reaction to the medication? A nurse is caring for a client who has viral pneumonia. The client’s pulse oximeter readings have fluctuated between 79% and 88% for the last 30 mins. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for CKD. Which of the following interventions should the nurse include in the plan? Tell the client that it is possible to return to similar previous levels of activity 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? A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment? A nurse in an ED is caring for a client who is experiencing a thyroid storm. Which of the following manifestations should the nurse expect? 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? 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? 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? A nurse is planning care for a client who has extensive burn injuries and immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent Pseudomonas aeruginosa infection? 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? A nurse is teaching a young adult client to perform testicular self-exam. Which of the following instructions should the nurse include? A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. Which of the following adverse effects should the nurse monitor? A nurse is caring for a client who has DKA. Which of the following laboratory findings should the nurse expect? 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? 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? A nurse is providing teaching to a client who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include in the teaching? 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? A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? A nurse is assessing a group of clients for indication of role changes. The nurse should identify that which of the following clients is at risk for expecting a role change? A client who has multiple sclerosis and is experiencing progressive difficult ambulating A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. [Show More]

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