PN Adult Medical Surgical Online Practice 2024 A
A nurse is assisting with the care of a client who is postoperative following abdominal surgery.
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... [Show More] Apply oxygen to the client via a face mask
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
A nurse is reviewing the laboratory reports of a client who reports chest pain. Which of the following laboratory results indicates the client is experiencing a myocardial infarction? - Elevated Troponin
For each finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each finding may support more than 1 disease process. - Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia
A nurse is assisting with the care for a client who is suspected of having a myocardial infarction. Which of the following actions should the nurse take to prepare the client for an ECG? - Cleanse the client's skin prior to electrode placement.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. - The client is experiencing manifestations of peritonitis due to the client's abdominal x-ray results.
A nurse is assisting in the care of a client who is experiencing withdrawal from heroin. Which of the following medications should the nurse expect the provider to prescribe? - Methadone
A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk for aspiration? - Pinch the NG tube.
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about how to improve the taste of bland food. Which of the following foods should the nurse recommend? - Lemon Juice
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? - Decrease in exertion dyspnea.
A nurse is assisting with the care for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as the priority? - Dyspnea
A nurse is providing information regarding transmission-based precautions for a client who has Clostridium Difficile to an assistive personnel (AP). Which of the following instructions should the nurse include? (Select all that apply.) - "Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room"
"Clean contaminated surfaces with a bleach solution"
A nurse is contributing to the plan of care for a client who has just transferred to the medical-surgical unit from the PACU following a right total knee arthroplasty. Which of the following interventions should the nurse include in the plan? - Assist the client to change positions at least every 2 hr.
A nurse is preparing to administer scheduled medications to the client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) - Ceftriaxone
A nurse is examining a client's IV site and notes a hardened vein above their IV site. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy? - Thrombophlebitis
A nurse is reinforcing teaching with a client prior to the removal of a leg cast. Which of the following statements should indicate to the nurse that the client understands the teaching? - "I will feel vibrations on my leg from the cast cutter."
A nurse is collecting data from a client and notices several skin lesions. Which of the following findings should the nurse report as possible melanoma? - Irregular borders
A nurse is assisting with the care for a client who has difficulty swallowing. Which of the following actions should the nurse implement to prevent aspiration? - Give the client liquids with increased viscosity.
A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. Which of the following information should the nurse include in the teaching? (Select all that apply.) - "Your knee is flexed and extended as prescribed by your provider."
"The machine is padded with sheep skin."
A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following actions should the nurse take? - Withhold the dose.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? - History of treatment for blood clots
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which of the following instructions on preparing the insulins should the nurse include? - Withdraw the regular insulin before withdrawing the NPH insulin.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? - "I will have my HbA1c checked twice per year."
A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 864 calories
A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? - Check the incisional dressing.
A nurse in a health clinic is reinforcing teaching with a client about tuberculosis (TB). Which of the following client statements indicates an understanding of the teaching? - "I can develop TB by breathing in the infection."
A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy. Which of the following actions should the nurse take first? - Obtain the client's blood pressure.
A nurse is contributing to the plan of care for a client who has Ménière's disease. Which of the following interventions should the nurse include in the plan of care? - Administer an antiemetic to the client.
A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first? - Ventilate the client with 100% oxygen.
A nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? - "I will limit my daily intake of protein."
A nurse is reinforcing teaching with a client who has mitral valve disease. Which of the following statements by the client indicates an understanding of the disease process? - "I should call my doctor if my ankles swell."
A nurse is assisting with the care of a client who has prostate cancer. The client asks the nurse why they are having difficulty with urination. Which of the following responses should the nurse make? - "The tumor causes obstruction of urine from the urethra."
A nurse is assisting with the care for a client following a gastrectomy. Which of the following actions should the nurse take to decrease episodes of dumping syndrome. - Place the client in the supine position after meals.
A nurse on a medical-surgical unit is assign with the care of a newly admitted client. Select the 3 findings that require follow-up by the nurse. - Oxygen Saturation
Pain level
Wound dressing
The nurse is assisting with the care of the client. Complete the following sentence by using the lists of options. - The client is most likely experiencing a hemothorax as evidenced by the client's respiratory findings.
The nurse is assisting with the care of the client. Drag words from the choices below to fill in each blank in the following sentence. - The nurse should first address the client's blood pressure, followed by the client's oxygenation.
For each potential provider prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. - Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube insertion. Initiate NPO status.
Contraindicated- Place the client in Trendelenburg position. Cover the client with a cooling blanket. [Show Less]