South Texas University MEDSURG Nclex practive 100 Prepu

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Question 1: (see full question) A client with acquired immunodeficiency syndrome (AIDS) develops Pneumocystis carinii pneumonia. Which nursing diagnosis has the highest priority? Impaired oral mucou... s membranes Impaired gas exchange Although all of these nursing diagnoses are appropriate for a client with AIDS, Impaired gas exchange is the priority nursing diagnosis for a client with P. carinii pneumonia. Airw ... (more) Pneumocystis jiroveci (carinii) pneumonia Pneumocystis carinii pneumonia You selected: Incorrect Correct response: Explanation: Remediation: Question 2: (see full question) Adolescents and adults who were sexually abused as children commonly mutilate themselves. The nurse interprets this behavior as: You selected: use of physical pain to avoid dealing with emotional pain. Correct Explanation: Dealing with the physical pain associated with mutilation is viewed as easier than dealing with the intense anger and emotional pain. The client fears an aggressive outburst when a ... (more) Remediation: Self-mutilation Question 3: (see full question) A client with diabetes mellitus asks the nurse to recommend something to remove corns from his toes. The nurse should advise the client to: You selected: consult a health care provider (HCP) about removing the corns. Correct Explanation: A client with diabetes should be advised to consult a HCP or podiatrist for corn removal because of the danger of traumatizing the foot tissue and potential development of ulcers (more) Remediation: Foot care Diabetes Question 4: (see full question) You selected: A nurse is developing a care plan for a client recovering from a serious thermal burn. What does the nurse determine is the priority goal of therapy? Maintaining the client's fluid and electrolyte balance Correct Explanation: Remediation: After maintaining respirations, the most important and immediate goal of therapy for a client with a serious thermal burn is to maintain fluid, electrolyte, and acid-base balance t ... (more) Fluid assessment Burn wound care Question 5: (see full question) You selected: Correct Explanation: Remediation: A distraught father is waiting for his son to come out of surgery. He accidentally backed the car into his son, causing multiple fractures and a serious head injury. Which statement by the father would most alert the nurse to the need for a psychiatric consultation? "If he dies, there will be nothing for me to do but join him." The statement about joining the son if he dies indicates potential for self-harm and subsequent suicide, always a risk during crisis. Although the father may be charged with reckle ... (more) Suicide precautions Question 6: (see full question) You selected: Correct Explanation: Remediation: A nurse is completing discharge teaching for the client who has left-sided hemiparesis following a stroke. When investigating the client's home environment, the nurse should focus on which nursing diagnosis? Risk for injury Because of decreased physical mobility, a client with recent left-sided hemiparesis is at risk for falls in the home setting. His ability to cope with the stroke is important, but ... (more) Stroke Question 7: (see full question) You selected: Correct Explanation: Remediation: At which time should the nurse instruct the client to take ibuprofen, prescribed for left hip pain secondary to osteoarthritis, to minimize gastric mucosal irritation? immediately after a meal Drugs that cause gastric irritation, such as ibuprofen, are best taken after or with a meal, when stomach contents help minimize the local irritation. Taking the medication on an e ... (more) Ibuprofen [Show More]

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