PN ADULT MEDICAL SURGICAL EOC EXAMS SET
ANSWERS AND QUESTIONS SET A+
✔✔Complete the following sentence by using the lists of options.
The nurse should identify that the client is most likely experiencing
a migraine, and the nurse should address the client's
pain. - ✔✔a migraine
pain
✔✔A nurse is assisting with the care of a client who has a migraine. Which of the
following interventions should the nurse anticipate?
Select all that apply.
Administer sumatriptan.
Dim the lights in the client's room.
Prepare the client for a lumbar puncture.
Administer phenobarbital.
Prepare to initiate fibrinolytic therapy.
initiate seizure precautions. - ✔✔Administer sumatriptan.
Dim the lights in the client's room.
✔✔Complete the following sentence by using the list of options.
Following the administration of sumatriptan, the nurse should monitor for
chest pain
due to the risk for
myocardial ischemia - ✔✔chest pain
myocardial ischemia
✔✔The nurse is evaluating the client's understanding of the discharge instructions.
Click to highlight the client statements that indicate an understanding of the teaching. To
deselect a statement, click on the statement again.
, "Foods that contain tyramine might trigger my headaches."
"I will keep a food and headache diary."
"I will place a cool cloth on my forehead when I experience a migraine."
"I will take a dose of sumatriptan once every day." - ✔✔"Foods that contain tyramine
might trigger my headaches."
"I will keep a food and headache diary."
"I will place a cool cloth on my forehead when I experience a migraine."
✔✔A nurse is assisting with the care for a client who is postoperative and has a
portable wound bulb suction device. Which of the following actions should the nurse
take?
Fill the bulb reservoir with 0.9% sodium chloride.
Prepare for the drain to be removed after 24 hr.
Cut a slit in a gauze sponge and apply it around the tubing insertion site.
Compress the bulb reservoir and then close the drainage valve. - ✔✔Compress the bulb
reservoir and then close the drainage valve.
✔✔A nurse is reinforcing discharge teaching with a client who has Crohn's disease.
Which of the following statements should the nurse include in the teaching?
"Increase your intake of dietary fat."
"Maintain a low-residue diet."
"Avoid taking antidiarrheal medications."
"Plan to weigh yourself weekly." - ✔✔"Maintain a low-residue diet."
✔✔A nurse is assisting with the care for a client who has dementia due to Alzheimer's
disease. Which of the following actions should the nurse take to reduce the client's
confusion?
Restrict visitors to three at a time.
Avoid touching the client during care.
Encourage reminiscence of past experiences.
Give the client multiple options for daily events. - ✔✔Encourage reminiscence of past
experiences.
✔✔A nurse is assisting with the care for a client who is postoperative and has an
epidural infusion. Which of the following findings should the nurse recognize as the
priority?
Pruritus!
Nauseal
Urinary retention
Dyspneal - ✔✔Dyspnea
✔✔A nurse is reinforcing discharge teaching about wound care with the caregiver of a
client who is postoperative. Which of the following instructions should the nurse include
in the teaching?
Administer an analgesic following wound care.
ANSWERS AND QUESTIONS SET A+
✔✔Complete the following sentence by using the lists of options.
The nurse should identify that the client is most likely experiencing
a migraine, and the nurse should address the client's
pain. - ✔✔a migraine
pain
✔✔A nurse is assisting with the care of a client who has a migraine. Which of the
following interventions should the nurse anticipate?
Select all that apply.
Administer sumatriptan.
Dim the lights in the client's room.
Prepare the client for a lumbar puncture.
Administer phenobarbital.
Prepare to initiate fibrinolytic therapy.
initiate seizure precautions. - ✔✔Administer sumatriptan.
Dim the lights in the client's room.
✔✔Complete the following sentence by using the list of options.
Following the administration of sumatriptan, the nurse should monitor for
chest pain
due to the risk for
myocardial ischemia - ✔✔chest pain
myocardial ischemia
✔✔The nurse is evaluating the client's understanding of the discharge instructions.
Click to highlight the client statements that indicate an understanding of the teaching. To
deselect a statement, click on the statement again.
, "Foods that contain tyramine might trigger my headaches."
"I will keep a food and headache diary."
"I will place a cool cloth on my forehead when I experience a migraine."
"I will take a dose of sumatriptan once every day." - ✔✔"Foods that contain tyramine
might trigger my headaches."
"I will keep a food and headache diary."
"I will place a cool cloth on my forehead when I experience a migraine."
✔✔A nurse is assisting with the care for a client who is postoperative and has a
portable wound bulb suction device. Which of the following actions should the nurse
take?
Fill the bulb reservoir with 0.9% sodium chloride.
Prepare for the drain to be removed after 24 hr.
Cut a slit in a gauze sponge and apply it around the tubing insertion site.
Compress the bulb reservoir and then close the drainage valve. - ✔✔Compress the bulb
reservoir and then close the drainage valve.
✔✔A nurse is reinforcing discharge teaching with a client who has Crohn's disease.
Which of the following statements should the nurse include in the teaching?
"Increase your intake of dietary fat."
"Maintain a low-residue diet."
"Avoid taking antidiarrheal medications."
"Plan to weigh yourself weekly." - ✔✔"Maintain a low-residue diet."
✔✔A nurse is assisting with the care for a client who has dementia due to Alzheimer's
disease. Which of the following actions should the nurse take to reduce the client's
confusion?
Restrict visitors to three at a time.
Avoid touching the client during care.
Encourage reminiscence of past experiences.
Give the client multiple options for daily events. - ✔✔Encourage reminiscence of past
experiences.
✔✔A nurse is assisting with the care for a client who is postoperative and has an
epidural infusion. Which of the following findings should the nurse recognize as the
priority?
Pruritus!
Nauseal
Urinary retention
Dyspneal - ✔✔Dyspnea
✔✔A nurse is reinforcing discharge teaching about wound care with the caregiver of a
client who is postoperative. Which of the following instructions should the nurse include
in the teaching?
Administer an analgesic following wound care.
