Kaplan medical surgical integrated test,100% CORRECT UPDATED 2023
lOMoAR cPSD| 10027265
1. Client has vomiting and
... [Show More] diarrhea. ABG analysis results are ph 7.48 paco2 40mmhg, hcos 35, pa02 95, sao2 98%. Which IV solution does nurse anticipate for client?
Normal saline 3% Normal saline 0.9% Dextrose 5% in water Ringer solution
2. Client comes with difficultly breathing, runny nose, pulse of 100, sneezing and coughin. Diagnosis of asthma is made. Which information is most important for nurse to obtain? Select all that apply
Any previous attacks like this Exposure to known allergans Family history of allergies
Any symptoms while exercising
Past history of psychological problems Current list of medications
3. Client reports difficultly moving right arm. Numbness and tingling in arm. Client has difficulty speaking and diagnosis of stroke is made. The nurse understands this is what type of stroke?
Double hemisphere stroke Hemorrhagic stroke
Lef t brain stroke
R right brain stroke
4. Nurse teaches client who had stapedectomy. Teaching is understood when which client request is made.
Physical therapy for vertigo
Neck brace with padding
Diet sheet that lists high protein foods
Prescription for stool softener
5. Client diagnoses with pulmonary embolism. Which priority does nurse apply? Give supportive care during healin
Cardiac monitoring
Prevent further embolism Administer thrombolytic agents
6. Client diagnoses with meniere disease. Client has sudden attack of vertigo, nausea, vomiting, and sweating. Nurse provides which interventions? Select all that apply
GLYCEROL TEST
D diet high in sodium and caffeine Warm, moist environment
Dark quiet environment
Lorazepam and meclizine
IV lfuids and medications
7. Client has respiratory failure. Client becomes agitate, restless, and disoriented. Client has nasal flaring and RR of 26. Most important client goal for nurse to activate?
Will have clear breath sounds in all lyng areas
Will have pao2 of 90mmHg
Will have heart rate of at least 110 bpm Will cough and deep breath 10 tims an hour
8. Client in middle stage of Parkinson. Client no long able to work at job held for years and gave up hand crafts. Client cries and says” this is to hard I cant do the things I want to do. I never thought I would be like this.” Which is the most important goal for this client?
Will indicate reduced feeling of depression Will oibtain new job in preferred field of work Will join Parkinson support group
Will maintain independence in activities of daily living
9. Clikent diagnoses with bell palsy. Client is concerned because facial appearance has changed. Feelings of fear and qanxiety are expressed to the nurse. Which is the best goal for this client?
Client will take meds as ordered
Client will state understanding of disease process Client will share prognosis with spouse
Client will express decrease in fear and anxiety
10. Client has hypertension. Client says “I think I can stop taking my medication now. I don’t have those headcahces anymore, so I am over this.” Which is the nurses best response?
Remember, you can have hyptertension and not have any symptoms
Don’t you remember, I told you the medication would needc to be taken for life
We will see what your BP is. Maytbe you can stop. How about your diet?
Tell me thwat you remember from our conversation about hypertension
Client reports sharp burngin pain in lower gums and jaw. Client diagnoses with trigeminal neuralgia. Eating and brushing teeth often trigger pain. Carbamazepine is prescribed. Nurse knows the medication has the anticipated effects when the client makes which statement?
I have to have two new cavities filled in my back molars
I have regained the 10 punds lost before the
treatment I wish I could use my fan when the house gets hot
I miss seeing my friends at my bridge club every week
Client receives hearing aid because of decreased hearing in both ears. Nurse speak softly and high- pitched to turn right and go up the stairs. The client turns left and goes down the stairs. Which interpretation does the nurse make?
Hearing aid needs volume adjustment Different type of hearing aid is needed Mental changes should be assessed Loud-speaking voice is needed [Show Less]