COMPREHENSIVE FINAL REVIEW:MED SURG/MATERNITY QUESTIONS AND ANSWERS

COMPREHENSIVE FINAL REVIEW:MED SURG/MATERNITY QUESTIONS AND ANSWERS 1. A nurse is assessing a client who has diabetes mellitus. which of the following findings is a manifestation of hypoglycemia. - Cool, clammy skin 2. A nurse is caring for a client who has diabetic ketoacidosis. which of the following manifestations should the nurse except. - Acetone odor to breath 3. A nurse is assessing a client who has Graves disease. the nurse should expect which of the following laboratory results. - Decreased Thyroid stimulating hormone (TSH) level 4. A nurse in a provider’s office is collecting data from a client who is states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis? - Night Sweats: nights sweats and fevers are clinical manifestations of tuberculosis. 5. A nurse is caring for an older adult client who has chronic obstructive pulmonary disease and pneumonia. The nurse should monitor the client for which of the following acid-base imbalances? - Respiratory Acidosis is a common complication of COPD. This complication occurs because clients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs. 6. A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? - The client has coarse crackles in the lung fields. The nurse should auscultate coarse crackles or rhonchi, identify a moist cough, hear or see secretions in the tracheostomy tube, and then suction the client’s airway secretions. 7. A nurse is reinforcing teaching with a client about pulmonary function tests. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation? - Total lung capacity: pulmonary function tests are used to examine the effectiveness of the lungs and identify lung problems. Total lung capacity measures the amount of air the lungs can hold after maximum inhalation. 8. A nurse is assisting with the plan of care for a client following placement of a chest tube 1 hr ago. Which of the following actions should the nurse include in the plan of care? - Tape all connections between the chest tube and drainage system. The nurse should tape all connections to ensure that the system is airtight and prevent the chest tubing from accidently disconnecting. 9. A nurse is assisting with the care for a client who had a chest tube inserted 12 hr ago. The nurse notes a crackling sensation upon palpation of the skin on the right side of the client's chest. The nurse should notify the charge nurse that the client is demonstrating a clinical manifestation of which of the following complications? - Crepitus: is also called subcutaneous emphysema, is a coarse crackling sensation that the nurse can feel when palpating the skin surface over the client’s chest. Crepitus