RN ADULT MEDICAL SURGICAL 2019
A nurse is assessing a client who has a diagnosis on colon cancer which of the following should the nurse expect?
Hematochezia
A nurse is assessing a client admitted with peripheral vascular disease,. Which of the following findings indicates a venous vascular disorder?
Edema of the ankle
A nurse is assessing a client who has pericarditis. In which of the following areas of the client’s chest should the nurse place the stethoscope to best hear a pericardial friction rub? (select HOT
spot) Answer: D
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water -seal chamber rises and falls. Which of the following statements should the nurse make?“ Your breathing pattern causes this”
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?Changes in weight 1 / 2
A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) unit. Which of the following statements should the nurse include?
“adjust the dial until you feel a ‘pins and needles’ sensation”
A nurse is providing teaching to a client who is postoperative following a total hip arthroplasty.Which of the following statements should the nurse make?
“ use raised toilet seat to maintain your hips above the knees”
A nurse finds a client in bed, unresponsive and breathing. Which of the following action should the nurse take first?
Palpate for the client’s carotid pulse
A nurse is caring who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?
Perform neurological assessments
A nurse is providing discharge teaching about blood sugar monitoring for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain which of the following supplies?
Hand mirror
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