Medical-Surgical: Final Practice (50 questions)
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1. a nurse is planning care for a client who has:
2. A nurse is monitoring a client following a thyroidectomy. Which of the follow-
ing findings should the nurse identify as an indication of hypoparathyroidism?-
: Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle twitching and paresthesias
can result due to decreased parathyroid hormone levels and calcium deficiency.)
3. A nurse is reinforcing discharge teaching with a client who has a new perma-
nent pacemaker. Which of the following statements by the client indicates an
understanding of the teaching?: "I should check my heart rate each day."•
4. A nurse is reinforcing discharge teaching about improving gas exchange with
a client who has emphysema. Which of the following information should the
nurse include in the teaching?: Use pursed-lip breathing during periods of dyspnea.
5. A nurse is reinforcing teaching with a client who has a new diagnosis of
multiple sclerosis (MS). The client asks the nurse about the usual course of MS.
Which of the following responses should the nurse make?: "Acute episodes are usually
followed by remissions, which can last varying lengths of time."
6. a nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Whats priority?: Ask the client about first aid performed at the scene
7. A nurse is preparing to administer timolol eye drops for a client who has glau-
coma. When instilling the medication, which of the following actions should the
nurse take?: Apply pressure to puncta after instillation of the medication.
8. A nurse is caring for a client who has a stage III pressure ulcer on his heel.
When preparing to irrigate the wound, which of the following actions should
the nurse take rst?: Check the client's pain level
9. A nurse is caring for a client who begins having a tonic-clonic seizure while
sitting in a chair at the bedside. Which of the following actions should the nurse
take first?: Lower the client to the floor.
10. A nurse is caring for a client who has type 1 diabetes mellitus and a capillary
blood glucose reading of 48 mg/dL. Which of the following findings should the
nurse expect?: Diaphoresis
1/7
, Medical-Surgical: Final Practice (50 questions)
Study online at https://quizlet.com/_89cbov
A client who has a blood glucose level below 70 mg/dL to exhibit indications of hypoglycemia. Including weakness,
hunger, diaphoresis, nausea, shakiness, and confusion.
11. A nurse is reinforcing teaching with a client who is scheduled for a sigmoid
colon resection with colostomy. Which of the following statements by the client
indicates a need for further teaching?: "My diet will have to change to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any food restrictions.)
12. A nurse is reviewing a client's laboratory report. The client's ABG levels are
pH 7.5, PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine that
the client has which of the following acid-base imbalances?: Respiratory alkalosis
(The nurse should identify that the client's pH is elevated above the expected reference range of 7.35 to 7.45, indicating
alkalosis. The nurse should then identify that the client's PaCO is low, below the expected reference range of 35 to 45
mm Hg, which indicates a respiratory origin. The nurse should conclude that the client's elevated pH and decreased
PaCO indicate respiratory alkalosis.)
13. A nurse in an urgent care clinic is collecting data from a client who sustained
a fall. Which of the following findings should the nurse identify as an indication
of a skull fracture?: Clear fluid coming from the nares.
(cerebrospinal fluid)
14. A nurse is reinforcing teaching with a client about preventing the transmis-
sion of hepatitis A. The nurse should identify that hepatitis A is transmitted by
which of the following routes?: Fecal-oral contamination
15. A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a
prescription for isoniazid. Which of the following instructions should the nurse
include?: "Your provider will monitor your liver function while you are taking this medication."
16. A nurse is collecting data from a client who develops a fruity breath odor, dry
mouth, and extreme thirst. Which of the following additional data should the
nurse collect?: Blood glucose using a glucometer
17. A nurse is contributing to the plan of care for a client who is 72 hr postoper-
ative following an above-the-knee amputation. Which of the following actions
should the nurse recommend?: Assist the client to a prone position every 4 hours.
(for 20 to 30 min every 3 to 4 hr following an amputation to reduce the risk of flexion contractures.)
2/7
Study online at https://quizlet.com/_89cbov
1. a nurse is planning care for a client who has:
2. A nurse is monitoring a client following a thyroidectomy. Which of the follow-
ing findings should the nurse identify as an indication of hypoparathyroidism?-
: Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle twitching and paresthesias
can result due to decreased parathyroid hormone levels and calcium deficiency.)
3. A nurse is reinforcing discharge teaching with a client who has a new perma-
nent pacemaker. Which of the following statements by the client indicates an
understanding of the teaching?: "I should check my heart rate each day."•
4. A nurse is reinforcing discharge teaching about improving gas exchange with
a client who has emphysema. Which of the following information should the
nurse include in the teaching?: Use pursed-lip breathing during periods of dyspnea.
5. A nurse is reinforcing teaching with a client who has a new diagnosis of
multiple sclerosis (MS). The client asks the nurse about the usual course of MS.
Which of the following responses should the nurse make?: "Acute episodes are usually
followed by remissions, which can last varying lengths of time."
6. a nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing wood.
Whats priority?: Ask the client about first aid performed at the scene
7. A nurse is preparing to administer timolol eye drops for a client who has glau-
coma. When instilling the medication, which of the following actions should the
nurse take?: Apply pressure to puncta after instillation of the medication.
8. A nurse is caring for a client who has a stage III pressure ulcer on his heel.
When preparing to irrigate the wound, which of the following actions should
the nurse take rst?: Check the client's pain level
9. A nurse is caring for a client who begins having a tonic-clonic seizure while
sitting in a chair at the bedside. Which of the following actions should the nurse
take first?: Lower the client to the floor.
10. A nurse is caring for a client who has type 1 diabetes mellitus and a capillary
blood glucose reading of 48 mg/dL. Which of the following findings should the
nurse expect?: Diaphoresis
1/7
, Medical-Surgical: Final Practice (50 questions)
Study online at https://quizlet.com/_89cbov
A client who has a blood glucose level below 70 mg/dL to exhibit indications of hypoglycemia. Including weakness,
hunger, diaphoresis, nausea, shakiness, and confusion.
11. A nurse is reinforcing teaching with a client who is scheduled for a sigmoid
colon resection with colostomy. Which of the following statements by the client
indicates a need for further teaching?: "My diet will have to change to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any food restrictions.)
12. A nurse is reviewing a client's laboratory report. The client's ABG levels are
pH 7.5, PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine that
the client has which of the following acid-base imbalances?: Respiratory alkalosis
(The nurse should identify that the client's pH is elevated above the expected reference range of 7.35 to 7.45, indicating
alkalosis. The nurse should then identify that the client's PaCO is low, below the expected reference range of 35 to 45
mm Hg, which indicates a respiratory origin. The nurse should conclude that the client's elevated pH and decreased
PaCO indicate respiratory alkalosis.)
13. A nurse in an urgent care clinic is collecting data from a client who sustained
a fall. Which of the following findings should the nurse identify as an indication
of a skull fracture?: Clear fluid coming from the nares.
(cerebrospinal fluid)
14. A nurse is reinforcing teaching with a client about preventing the transmis-
sion of hepatitis A. The nurse should identify that hepatitis A is transmitted by
which of the following routes?: Fecal-oral contamination
15. A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a
prescription for isoniazid. Which of the following instructions should the nurse
include?: "Your provider will monitor your liver function while you are taking this medication."
16. A nurse is collecting data from a client who develops a fruity breath odor, dry
mouth, and extreme thirst. Which of the following additional data should the
nurse collect?: Blood glucose using a glucometer
17. A nurse is contributing to the plan of care for a client who is 72 hr postoper-
ative following an above-the-knee amputation. Which of the following actions
should the nurse recommend?: Assist the client to a prone position every 4 hours.
(for 20 to 30 min every 3 to 4 hr following an amputation to reduce the risk of flexion contractures.)
2/7
