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Kaplan Medical-Surgical Nursing Verified Exams ||Just Out!!!
A client has a chest tube attached to wall suction. The nurse
observes continuous bubbling in the water chamber. Which
action does the nurse take next?
a. Nothing because this is normal for a chest tube
b. Notifies HCP to replace tube
c. Has the client cough and deep breathe
d. Clamps tube for a moment at insertion site - ANSWER-b.
Notifies HCP to replace tube
A client has a possible UTI. Which does the nurse expect the
client to say that is relevant to the possible infection? (select all)
a. "I started eating more fruits and vegetables."
b. "I was constipated yesterday but not today."
c. "I use diaphragm when I have sex."
d. "I have to urinate all the time and it hurts."
e. "I had surgery on my hand last week."
f. "I get hot and then cold, I shiver." - ANSWER-c. "I use
diaphragm when I have sex."
d. "I have to urinate all the time and it hurts."
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f. "I get hot and then cold, I shiver."
A client is diagnosed with HTN. The client says, "I have trouble
remembering to take my medications, but I am now only
smoking 5 cigarettes a day instead of 2 packs." Which response
by the nurse is best?
a. "Ask your spouse to help you remember the medications. The
smoking needs to be reduced even more."
b. "It is good that your smoking has decreased. Let's talk about
ways to remember the medication."
c. "You must take the medication, and the smoking habit needs
to stop very soon."
d. "It sounds like you are trying to adhere to the plan. Tell me
about your current diet." - ANSWER-b. "It is good that your
smoking has decreased. Let's talk about ways to remember the
medication."
A client is diagnosed with myasthenia gravis. The client says, "I
am tired all the time and I don't want to live any more. If I stop
taking my medication, I can stop breathing." Which is the
nurse's best response?
a. Ask client about feelings of hopelessness
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b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication - ANSWER-a. Ask
client about feelings of hopelessness
The nurse suctions a client's tracheostomy. Which technique
does the nurse use? (select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning - ANSWER-a. Routinely instills
sterile normal saline before suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures.
The nurse identifies which client goal as the priority?
Kaplan Medical-Surgical Nursing Verified Exams ||Just Out!!!
A client has a chest tube attached to wall suction. The nurse
observes continuous bubbling in the water chamber. Which
action does the nurse take next?
a. Nothing because this is normal for a chest tube
b. Notifies HCP to replace tube
c. Has the client cough and deep breathe
d. Clamps tube for a moment at insertion site - ANSWER-b.
Notifies HCP to replace tube
A client has a possible UTI. Which does the nurse expect the
client to say that is relevant to the possible infection? (select all)
a. "I started eating more fruits and vegetables."
b. "I was constipated yesterday but not today."
c. "I use diaphragm when I have sex."
d. "I have to urinate all the time and it hurts."
e. "I had surgery on my hand last week."
f. "I get hot and then cold, I shiver." - ANSWER-c. "I use
diaphragm when I have sex."
d. "I have to urinate all the time and it hurts."
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f. "I get hot and then cold, I shiver."
A client is diagnosed with HTN. The client says, "I have trouble
remembering to take my medications, but I am now only
smoking 5 cigarettes a day instead of 2 packs." Which response
by the nurse is best?
a. "Ask your spouse to help you remember the medications. The
smoking needs to be reduced even more."
b. "It is good that your smoking has decreased. Let's talk about
ways to remember the medication."
c. "You must take the medication, and the smoking habit needs
to stop very soon."
d. "It sounds like you are trying to adhere to the plan. Tell me
about your current diet." - ANSWER-b. "It is good that your
smoking has decreased. Let's talk about ways to remember the
medication."
A client is diagnosed with myasthenia gravis. The client says, "I
am tired all the time and I don't want to live any more. If I stop
taking my medication, I can stop breathing." Which is the
nurse's best response?
a. Ask client about feelings of hopelessness
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b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication - ANSWER-a. Ask
client about feelings of hopelessness
The nurse suctions a client's tracheostomy. Which technique
does the nurse use? (select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning - ANSWER-a. Routinely instills
sterile normal saline before suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures.
The nurse identifies which client goal as the priority?
