Med-Surg Exam 1
1.A hospice nurse is reviewing the prescriptions for a client who is
receiving palliative care. Which of the following prescriptions
should the nurse expect?
-Provide skin care with a moisture barrier is correct. The nurse
should apply a moisture barrier cream for a client who is
incontinent to reduce the risk of skin breakdown and increase
comfort. Palliative care relies on comfort measures and use of
alternative therapies to help individuals become more at peace
during the end of life.
-Administer artificial tears PRN is correct. Blinking reflexes can
produce corneal dryness. Artificial tears or lubricants can reduce
corneal irritation and promote comfort.
-Perform mouth care every hour is correct. Oral care reduces dry
mucous membranes caused by a decrease in salivary secretions
and mouth breathing. It also increases comfort.
-Administer oxygen 2 L/min via nasal cannula is correct. Providing
low-flow oxygen via nasal cannula increases the comfort level of
the client.
2.Following the death of a client who followed the Muslim faith, a
Muslim of the same gender must ritualistically wash and wrap the
body.
3. A nurse is assisting an older adult client who sometimes loses
her balance while walking. Which of the following devices should
the nurse use when helping the client ambulate?
-The nurse should use a gait belt to help support the client during
ambulation. A gait belt helps keep the client's center of gravity
stable and helps maintain balance and prevent falls.
4. A nurse is admitting a client who has a partial hearing loss.
Which of the following is the priority action by the nurse?
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, -The first action the nurse should take using the nursing process
is to assess the client. The nurse should find out if the client has
hearing aids and whether they are in place and functioning.
5. An older adult client is scheduled to have an elective surgical
procedure and informs the nurse that she wants to be designated
as a "do not resuscitate" (DNR) case. Which of the following
responses should the nurse provide?
"your provider needs to talk to you concerning your request"
provider is responsible for consulting w client and writing a DNR
order
6. A nurse has completed an informed consent form with a client.
The client then states, "I have changed my mind and do not want
to have the procedure done." Which of the following actions
should the nurse take?
notify the surgeon that the client wishes to withdraw informed
consent from procedure
client has right to withdraw informed consent
7. A nurse is caring for a client who is scheduled for an elective
surgical procedure. Which of the following actions should the
nurse take regarding informed consent?
It is the nurse's responsibility to witness the client's signing of the
consent form, and to verify that the client is consenting
voluntarily and appears to be competent to do so.
8. A nurse is assisting with transferring a client from the bed to a
wheelchair. Which of the following actions should the nurse take?
lock the wheels of the bed and the wheelchair
9.A nurse is caring for a client who is at risk for falls. Which of the
following actions should the nurse take? (Select all that apply.)
This study source was downloaded by 100000852681095 from CourseHero.com on 03-07-2023 06:23:51 GMT -06:00
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1.A hospice nurse is reviewing the prescriptions for a client who is
receiving palliative care. Which of the following prescriptions
should the nurse expect?
-Provide skin care with a moisture barrier is correct. The nurse
should apply a moisture barrier cream for a client who is
incontinent to reduce the risk of skin breakdown and increase
comfort. Palliative care relies on comfort measures and use of
alternative therapies to help individuals become more at peace
during the end of life.
-Administer artificial tears PRN is correct. Blinking reflexes can
produce corneal dryness. Artificial tears or lubricants can reduce
corneal irritation and promote comfort.
-Perform mouth care every hour is correct. Oral care reduces dry
mucous membranes caused by a decrease in salivary secretions
and mouth breathing. It also increases comfort.
-Administer oxygen 2 L/min via nasal cannula is correct. Providing
low-flow oxygen via nasal cannula increases the comfort level of
the client.
2.Following the death of a client who followed the Muslim faith, a
Muslim of the same gender must ritualistically wash and wrap the
body.
3. A nurse is assisting an older adult client who sometimes loses
her balance while walking. Which of the following devices should
the nurse use when helping the client ambulate?
-The nurse should use a gait belt to help support the client during
ambulation. A gait belt helps keep the client's center of gravity
stable and helps maintain balance and prevent falls.
4. A nurse is admitting a client who has a partial hearing loss.
Which of the following is the priority action by the nurse?
This study source was downloaded by 100000852681095 from CourseHero.com on 03-07-2023 06:23:51 GMT -06:00
https://www.coursehero.com/file/31377245/Med-Surg-Exam-1docx/
, -The first action the nurse should take using the nursing process
is to assess the client. The nurse should find out if the client has
hearing aids and whether they are in place and functioning.
5. An older adult client is scheduled to have an elective surgical
procedure and informs the nurse that she wants to be designated
as a "do not resuscitate" (DNR) case. Which of the following
responses should the nurse provide?
"your provider needs to talk to you concerning your request"
provider is responsible for consulting w client and writing a DNR
order
6. A nurse has completed an informed consent form with a client.
The client then states, "I have changed my mind and do not want
to have the procedure done." Which of the following actions
should the nurse take?
notify the surgeon that the client wishes to withdraw informed
consent from procedure
client has right to withdraw informed consent
7. A nurse is caring for a client who is scheduled for an elective
surgical procedure. Which of the following actions should the
nurse take regarding informed consent?
It is the nurse's responsibility to witness the client's signing of the
consent form, and to verify that the client is consenting
voluntarily and appears to be competent to do so.
8. A nurse is assisting with transferring a client from the bed to a
wheelchair. Which of the following actions should the nurse take?
lock the wheels of the bed and the wheelchair
9.A nurse is caring for a client who is at risk for falls. Which of the
following actions should the nurse take? (Select all that apply.)
This study source was downloaded by 100000852681095 from CourseHero.com on 03-07-2023 06:23:51 GMT -06:00
https://www.coursehero.com/file/31377245/Med-Surg-Exam-1docx/
