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Medical-Surgical Nursing and Nursing Fundamentals concepts

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Medical-Surgical Nursing and Nursing Fundamentals concepts

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Medical-Surgical Nursing and Nursing Fundamentals
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1. A nurse is visiting a client who is receiving home health care, focusing on
medication and dietary instructions and management of heart failure. The
nurse should reinforce which instruction?


A.) If you feel tired and short of breath, lie down flat and prop up your feet.


B.) Eating liver several times a week will help build up your strength.


C.) Your daily dose of furosemide should be taken first thing in the morning.


D.) The dose of enalapril will help prevent vasodilation from occurring.
Answer: C
2. A nurse planning care for a client who has undergone transurethral
resection of the prostate (TURP) remembers that the most common cause of
postoperative pain is which factor?


A.) Bladder spasms


B.) Bleeding within the bladder


C.) The location of the incision


D.) Tension on the Foley catheter
Answer: A
3. A nurse assessing the skin of a client who is immobile notes this change in
appearance of the skin in the sacral area:


The nurse documents this finding in which way?


A.) Stage I pressure ulcer


B.) Stage II pressure ulcer

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C.) Stage III pressure ulcer


D.) Stage IV pressure ulcer
Answer: A
4. A nurse reinforces teaching given to a client with gastroesophageal reflux
disease (GERD) about measures to manage the disease. What does the nurse
encourage the client to do to obtain relief of the symptoms?


A.) Limit intake of coffee and tea.


B.) Eat three large, well-balanced meals per day.


C.) Rest in a supine position for 30 minutes after each meal.


D.) Elevate the head of the bed at least 6 to 8 inches for sleep.
Answer: D
5. A nurse provides instructions to a client who is taking allopurinol for the
treatment of gout. Which statements by the client indicate an understanding of
the medication?


A.) "I need to take the medication 1 hour before I eat."


B.) "I need to drink at least 8 glasses of fluid every day."


C. "I'll start taking a vitamin C supplement each morning."


D.) "I can use an antihistamine lotion if I get an itchy rash."
Answer: B
6. A client with phantom limb pain has decided to use transcutaneous
electrical nerve stimulation (TENS) as prescribed by the health care provider.
The nurse reinforces instructions regarding the use of the TENS unit. Which
statements by the client indicate a need for further instruction regarding this
pain-relief measure?

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