Capstone Med Surg Pre Assessment
A nurse is collecting data from an older adult client who has a femoral fracture 24 hr ago and is in Buck's traction.
... [Show More] Which of the following findings is an indication of fat embolism syndrome? - ANSWER-petechiae on the chest 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? - ANSWER-Breathe in through her nose and out through pursed lips. A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories? - ANSWER-Prehypertension A nurse is caring for a client whose arterial blood gas results show the following results: pH 7.2, PaCO2 50mm Hg, HCO3 24mEq/L. The nurse should identify the client is experiencing which of the following acid-base conditions? - ANSWER-Respiratory acidosis A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. which of the following complications should the nurse expect? - ANSWER-Hypoglycemia A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect? - ANSWER-Shortness of breath while lying down A nurse is assisting with the care of a client who is receiving packed red blood cells. During the infusion, the client states, "My heart is racing." The nurse notes that the clients face has become flushed. Which of the following actions should the nurse take first? - ANSWER-Stop the transfusion. A nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the client's diet? - ANSWER-eggs A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client's history?1) - ANSWER-Gallstones A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first? - ANSWER-Albuterol A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider?1. - ANSWER-headache, restlessness A nurse is collecting data from a client who has Parkinson's disease and is experiencing bradykinesia. Which of the following findings should the nurse expect? - ANSWER-Slurred speech A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group? - ANSWER-Confusion A nurse is caring for a client who is suspected to have active laryngeal tuberculosis (TB). Which of the following actions should the nurse plan to take to safely care for this client? - ANSWER-Place the client in a private room with a special ventilation [Show Less]