Medical-Surgical Assignment Exam complete latest update
When making morning assessments, the practical nurse finds a client who is
... [Show More] exhibiting a new finding of right-sided facial drooping. Which assessment is most important for the PN to implement first? - answers
An adult male presents in the Emergency Center with "tearing" chest pain that has moved into his back. Which finding by the practical nurse in the client's history is relevant to the client's chest pain? - answers
A client who is positive for human immunodeficiency virus (HIV) comes to the clinic for a routine check up. During the initial interview, the client's partner tells the practical nurse (PN) that the client has had several occasions of mental confusion. The PN should focus questions to determine if the client is developing which opportunistic infection? - answers
The practical nurse (PN) is monitoring a client with a comminuted fracture of the left femur. Which finding should the PN report to the healthcare provider immediately? - answers
The practical nurse (PN) is caring for a group of clients on a telemetry unit. Which client requires immediate follow-up by the PN? - answers A client with multiple premature ventricular contractions (PVC)/minute after receiving atropine.
Rationale
A client who is experiencing multiple PVCs/minute (C) is at risk for ventricular fibrillation (VF) and requires immediate follow-up and treatment. Digoxin slows the heart rate by decreasing the rate impulse conduction through the AV node, which is contraindicated in heart block (A), but the client who is at risk for impending VF is the priority. The PN should continue monitoring (B and D) for other side effects of glucocorticosteroids and epinephrine, such as trembling (D), which are not life threatening.
The practical nurse (PN) is transferring a client to the in-patient dialysis unit for hemodialysis scheduled for today. Which information is essential for the PN to report to the receiving nurse? - answers
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The practical nurse (PN) receives shift report about a client whose chest x-ray reveals "free air under the right diaphragm." What action should the PN take? - answers
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The practical nurse (PN) performs a Glasgow Coma Scale (GCS) assessment for a client who experienced an acute brain attack (stroke) yesterday and obtains a score of "12." What assessment should the PN do next? - answers
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The practical nurse (PN) at an extended care facility is called to the unit's activity room where a client has "fainted." Which finding indicates to the PN that the client experienced a syncopal episode? - answers
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The practical nurse (PN) is assessing breath sounds of a client who has spontaneous respirations after an endotracheal tube (ET) insertion. The breath sounds are absent on the left side. What action should the PN do? - answers
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A client who accidentally received an electrical shock at work and temporarily lost consciousness is brought to the emergent care center by his supervisor because the client states that he doesn't feel well. What intervention should the practical nurse implement first? - answers
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A male client with type 1 diabetes mellitus comes to the clinic because he is feeling bad. He tells the practical nurse (PN) that he stopped taking his prescribed insulin. He has a flushed appearance; a deep, sighing respiratory pattern; and a fruity breath odor. Which action should the PN implement? - answers
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The practical nurse (PN) is caring for a client with cancer who is receiving chemotherapy (CT) and is nauseated. Which intervention should the PN implement to promote adequate nutrition for the client? -
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