RN Adult Medical Surgical Online Practice 2019 A for NGN Questions and Correct answers Updated Version A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - Correct AnswerWear a mask.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy A nurse is providing teaching for the client. Which of the following instructions should the nurse include? - Correct AnswerAvoid drinking fluids with meals Eat several small meals per day Consume high-protein snacks Avoid highly seasoned foods
A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - Correct AnswerA client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet
A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - Correct AnswerAged cheese
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - Correct AnswerReport of a night cough
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - Correct AnswerNaproxen
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - Correct Answer"You will not be able to use sildenafil if you are taking nitroglycerin."
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - Correct AnswerThe nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity.
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A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - Correct AnswerHeart rate 110/min
A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - Correct AnswerAdminister an opioid analgesic to the client.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing's triad? - Correct AnswerBradycardia
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects should the nurse monitor? - Correct AnswerRespiratory paralysis
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - Correct AnswerStone fragments in the urine
A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - Correct AnswerTachycardia
A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - Correct AnswerD
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? - Correct AnswerCheck that one finger fits between the cast and the leg.To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application.
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - Correct AnswerDysphagia
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - Correct AnswerA client who has multiple sclerosis and is experiencing progressive difficulty ambulating
A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - Correct AnswerC
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