Med surg proctored exam 2022
A nurse is assisting with he care of a client following a left femoral cardiac angiography. Thee nurse should place a sandb
... [Show More] ag on the client over which of the following areas? - left groin
A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas ABG values include:
pH 7.22
PaCO2 68 mm Hg
base excess -2
PaO2 78 mm Hg
oxygen saturation 80%
Bicarbonate 28 mEq/L. - respiratory acidosis
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? - I will abstain from sexual intercourse
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance which of the following actions should the nurse take first? - cover the clients wound with a moist sterile dressing
Based on a clients recent history a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause? - Do you sleep well at night
A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at Mcburneys point? - Mcburneys point is found between the naval and the anterior iliac crest (left lower)
A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? - I should avoid injecting insulin into my thigh if I am going to go running
A nurse is caring for a client who is postoperative following a tracheostomy and has copies and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the clients secretions? - provide humidified oxygen
A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant. Which of the following lab findings should the nurse identify as the most important to report to the provider? - increase in serum creatinine
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching? - breath in through nose and out through pursed lips
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long term goals is appropriate with regard to the clients mobility? - propel a wheelchair equipped with knobs on the wheels
A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching? - you will remain NPO for 8 hours before the procedure
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect? - drop is systolic BP more than 10 mm Hg on inspiration
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to section. Which of the following is the priority finding the nurse should report to the provider? - abdomen is distended
A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching? - avoid medications in a capsule or enteric form
A nurse is caring for a client after a radical dissection. To which of the following should the nurse give priority in the immediate postoperative period? - ineffective airway clearance related to thick copious secretions
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make? - Bypass surgery must be very frightening for you
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the client for which of the following manifestations? - hypotension
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? - dyspnea, barrel chest, clubbing of the fingers, shallow respirations
A nurse is assisting with thee care of a client who is postoperative and has a closed wound drainage system in place. Which of the following actions should the nurse take? - fully recollapse the reservoir after emptying it
A nurse is caring for a Client who has Alzheimers disease. The nurse discovers the client entering the room of another client who comes upset and frightened. Which of the following actions should the nurse take? - attempt to determine what the client was looking for
A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching? - this test will measure the intraocular pressure of the eye
A nurse is collecting data from a client who has open angle glaucoma. Which of the following findings should the nurse expect? - loss of peripheral vision
A nurse in a providers office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include? - take this medication between meals
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect? - hardened skin [Show Less]
