RN Adult Medical Surgical Online Practice
2019 A
a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of the following findings is an adverse effect of the medication?(ANS- hypokalemia
a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the client appears anxious and restless, and the high-pressure alarm is sounding. which of the following actions should the nurse take first?(ANS- instruct the client to allow the machine to breathe for them
a nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this risk, which of the following dietary alterations should the nurse recommend?(ANS- add cabbage to the diet
a home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. which of the following neurological deficits should the nurse expect to find when assessing the client?(ANS- visual spatial deficits left hemianopsia one-sided neglect
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a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen?(ANS- nonrebreather mask
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the client has dyspnea with a productive cough and is using accessory muscles to breathe. which of the following actions should the nurse take first?(ANS- place the client in high-fowler's position
a nurse is planning care for a client who has extensive burn injuries and is immunocompromised. which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection.(ANS- avoid placing plants or flowers in the client's room
an older adult client is brought to an emergency department by a family member.which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration?(ANS- Urine specific gravity of 1.045
a nurse in an emergency department is reviewing the providers prescriptions for a client who sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse expect?(ANS- administer an opioid analgesic to the client
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a nurse is assessing a client who has had a suspected stroke. the nurse should place the priority on which of the following findings?(ANS- dysphagia
a nurse is teaching a young adult client how to perform testicular self-examination.which of the following instructions should the nurse include?(ANS- roll each testicle between the thumb and fingers
a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. which of the following statements by the client indicates an understanding of the teaching?(ANS- I should take this medication with a meal
a nurse is teaching a client who has venous insufficiency about self-care. which of the following statements should the nurse identify as an indication that the client understands the teaching?(ANS- I will wear clean graduated compression stockings every day
a nurse is assessing a client who has acute cholecystitis. which of the following findings is the nurse's priority?(ANS- tachycardia
a nurse is reviewing the health record of a client who is scheduled for allergy skin testing. the nurse should postpone the testing and report to the provider with if the following findings?(ANS- current medications
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