RN Adult Medical Surgical Online Practice 2019
B EXAM Questions & Answers, Well Elaborated |
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Terms in this set (90)
A nurse is assessing for Pain that increases with passive movement
compartment syndrome in a client
who has a short leg cast. Which of Rationale: The nurse should identify that a client
the following findings should the who has compartment syndrome experiences
nurse identify as a manifestation of pain that increases with passive movement.
this condition? Compartment syndrome results from a decrease
in blood flow in the extremity caused by a
decrease in the muscle compartment size due to
a cast that is too tight.
A nurse is providing teaching to a My joints ache because I have Lyme disease
client who has a severe form of
stage II Lyme disease. Which of the Rationale: Lyme disease is a vector-borne illness
following statements made by the transmitted by the deer tick. The disease course
client reflects an understanding of occurs in three stages beginning with joint and
the teaching? muscle pain in stage I. If left untreated, these
symptoms continue throughout stage II and, by
stage III, become chronic. Other chronic
complications include memory problems and
fatigue.
,A nurse is preparing to administer 24
phenytoin 600 mg PO daily to a
client. The amount available is oral
solution 125 mg/5 mL. How many
mL should the nurse administer?
(Round the answer to the nearest
whole number. Use a leading zero if
it applies. Do not use a trailing
zero.)
A nurse is caring for a client who place a pressure bag around the flush solution
has an arterial line. Which of the
following actions should the nurse Rationale: The nurse should place a pressure bag
take? around the flush solution of 0.9% sodium chloride
because the pressure from an artery is greater
than that of the line.
An arterial line is not appropriate access for
administering antibiotics. The nurse should use
the arterial line to obtain arterial blood gas
samples and monitor hemodynamic pressures.
A nurse is updating the plan of care Report of sore throat
for a client who is receiving
chemotherapy. Which of the Rationale: When using the urgent vs. nonurgent
following findings should the nurse approach to client care, the nurse should
identify as the priority? determine that the priority finding is a report of a
sore throat, which could be a manifestation of an
infection. The client is at risk for neutropenia due
to myelosuppression; therefore, an infection
could lead to sepsis.
A nurse is reviewing the medical Facial butterfly rash
record of a client who has systemic
lupus erythematosus (SLE). Which Rationale: A butterfly rash is a manifestation of
of the following findings should the SLE. It appears as a dry, red rash on the client's
nurse expect? cheeks and nose and can disappear during times
of remission.
, A nurse is planning care for a client Place tracheostomy tray at the bedside
who is postoperative following a
parathyroidectomy. Which of the Rationale: The priority action the nurse should
following actions should the nurse take when using the airway, breathing, circulation
identify as the priority? approach to client care is to place a
tracheostomy tray at the client's bedside in case
of airway obstruction.
A nurse is assessing a client who Low urine specific gravity
has diabetes insipidus. Which of the
following findings should the nurse Rationale: An expected finding for a client who
expect? has diabetes insipidus is a urine specific gravity
between 1.001 and 1.005. Decreased water
reabsorption by the renal tubules is caused by an
alteration in antidiuretic hormone release or the
kidneys' responsiveness to the hormone.
A nurse is providing teaching to a You will need to stay still in the bed during each
client who has stage II cervical treatment session."
cancer and is scheduled for
brachytherapy. Which of the Rationale: The nurse should instruct the client that
following instructions should the they will need to remain on bed rest with very
nurse include? limited movement because excessive movement
can cause the radioactive source to become
dislodged.
The nurse should instruct the client that there is
not excreted radiation between treatments.
The nurse should instruct the client that there will
likely be between two and five treatments, once
or twice each week.
The nurse should instruct the client that blood in
the urine is an adverse effect of brachytherapy
and is not an expected finding.
B EXAM Questions & Answers, Well Elaborated |
Already Verified Test |100% Verified solutions |
Latest!!
Save
Terms in this set (90)
A nurse is assessing for Pain that increases with passive movement
compartment syndrome in a client
who has a short leg cast. Which of Rationale: The nurse should identify that a client
the following findings should the who has compartment syndrome experiences
nurse identify as a manifestation of pain that increases with passive movement.
this condition? Compartment syndrome results from a decrease
in blood flow in the extremity caused by a
decrease in the muscle compartment size due to
a cast that is too tight.
A nurse is providing teaching to a My joints ache because I have Lyme disease
client who has a severe form of
stage II Lyme disease. Which of the Rationale: Lyme disease is a vector-borne illness
following statements made by the transmitted by the deer tick. The disease course
client reflects an understanding of occurs in three stages beginning with joint and
the teaching? muscle pain in stage I. If left untreated, these
symptoms continue throughout stage II and, by
stage III, become chronic. Other chronic
complications include memory problems and
fatigue.
,A nurse is preparing to administer 24
phenytoin 600 mg PO daily to a
client. The amount available is oral
solution 125 mg/5 mL. How many
mL should the nurse administer?
(Round the answer to the nearest
whole number. Use a leading zero if
it applies. Do not use a trailing
zero.)
A nurse is caring for a client who place a pressure bag around the flush solution
has an arterial line. Which of the
following actions should the nurse Rationale: The nurse should place a pressure bag
take? around the flush solution of 0.9% sodium chloride
because the pressure from an artery is greater
than that of the line.
An arterial line is not appropriate access for
administering antibiotics. The nurse should use
the arterial line to obtain arterial blood gas
samples and monitor hemodynamic pressures.
A nurse is updating the plan of care Report of sore throat
for a client who is receiving
chemotherapy. Which of the Rationale: When using the urgent vs. nonurgent
following findings should the nurse approach to client care, the nurse should
identify as the priority? determine that the priority finding is a report of a
sore throat, which could be a manifestation of an
infection. The client is at risk for neutropenia due
to myelosuppression; therefore, an infection
could lead to sepsis.
A nurse is reviewing the medical Facial butterfly rash
record of a client who has systemic
lupus erythematosus (SLE). Which Rationale: A butterfly rash is a manifestation of
of the following findings should the SLE. It appears as a dry, red rash on the client's
nurse expect? cheeks and nose and can disappear during times
of remission.
, A nurse is planning care for a client Place tracheostomy tray at the bedside
who is postoperative following a
parathyroidectomy. Which of the Rationale: The priority action the nurse should
following actions should the nurse take when using the airway, breathing, circulation
identify as the priority? approach to client care is to place a
tracheostomy tray at the client's bedside in case
of airway obstruction.
A nurse is assessing a client who Low urine specific gravity
has diabetes insipidus. Which of the
following findings should the nurse Rationale: An expected finding for a client who
expect? has diabetes insipidus is a urine specific gravity
between 1.001 and 1.005. Decreased water
reabsorption by the renal tubules is caused by an
alteration in antidiuretic hormone release or the
kidneys' responsiveness to the hormone.
A nurse is providing teaching to a You will need to stay still in the bed during each
client who has stage II cervical treatment session."
cancer and is scheduled for
brachytherapy. Which of the Rationale: The nurse should instruct the client that
following instructions should the they will need to remain on bed rest with very
nurse include? limited movement because excessive movement
can cause the radioactive source to become
dislodged.
The nurse should instruct the client that there is
not excreted radiation between treatments.
The nurse should instruct the client that there will
likely be between two and five treatments, once
or twice each week.
The nurse should instruct the client that blood in
the urine is an adverse effect of brachytherapy
and is not an expected finding.
