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Exam (elaborations)

Kaplan Medical Surgical Comp IEN_A Exam Graded A 2023

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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." - 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 b. Give client information about a myasthenia gravis group c. Place client on suicide watch d. Teach client about the new medication - 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 - a. Routinely instills sterile normal saline before suctioning d. Uses sterile technique when suctioning e. Rotates the catheter when withdrawing f. Uses intermittent suctioningA client is diagnosed with epilepsy following a series of seizures. The nurse identifies which client goal as the priority? a. Client will maintain optimal mental functioning b. Client will have no injuries during a seizure c. Client will meet with a counselor as needed d. Client will take all medications as directed - d. Client will take all medications as directed A client just had an upper GI X-ray procedure. Which information is most important for the nurse to give the client? a. Save stool specimen after 48 hours b. Take a laxative after 72 hours if no stool c. Clear liquid diet only for 24 hours then a regular diet d. Drink large amounts of fluid for 72 hours - d. Drink large amounts of fluid for 72 hours A client experiences anaphylactic shock caused by a reaction to a medication. IV diphenhydramine is administered, and the client appears to be recovering. Which VS is the most important for the nurse to monitor for the next several hours? a. Respirations b. Blood pressure c. Pulse d. Temperature - a. Respirations A client with heart failure is to be weighed daily. The client asks why this is necessary. Which is the best information for the nurse to give the client? a. Helps determine if the medication is working b. Shows how activity affects activity intolerance c. Is an indication of the fluid status in the body d. Determines the number of calories for the diet - c. Is an indication of the fluid status in the body A client is diagnosed with glaucoma. The client asks the nurse why eye drops are necessary. Which response by the nurse is best?a. "The drops keep your eye pressure low and help maintain your vision." b. "How can we help you use the drops better? You need to follow the directions." c. "Does using the drops bother you? Did you ask your eye care provider?" d. "Unfortunately, you are not a candidate for the surgery and need the drops." - a. "The drops keep your eye pressure low and help maintain your vision."

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Uploaded on
October 23, 2023
Number of pages
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Written in
2023/2024
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Kaplan Medical Surgical Comp IEN_A Exam Grade d A 2023 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 med ications. 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 yo u are trying to adhere to the plan. Tell me about your current diet." - 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 b. Give client information about a myasthenia gravis group c. Place client on su icide watch d. Teach client about the new medication - 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 tec hnique when suctioning e. Rotates the catheter when withdrawing f. Uses intermittent suctioning - a. Routinely instills sterile normal saline before suctioning d. Uses sterile technique when suctioning e. Rotates the catheter when withdrawing f. Uses inter mittent suctioning A client is diagnosed with epilepsy following a series of seizures. The nurse identifies which client goal as the priority? a. Client will maintain optimal mental functioning b. Client will have no injuries during a seizure c. Client w ill meet with a counselor as needed d. Client will take all medications as directed - d. Client will take all medications as directed A client just had an upper GI X -ray procedure. Which information is most important for the nurse to give the client? a. Save stool specimen after 48 hours b. Take a laxative after 72 hours if no stool c. Clear liquid diet only for 24 hours then a regular diet d. Drink large amounts of fluid for 72 hours - d. Drink large amounts of fluid for 72 hours A client experiences an aphylactic shock caused by a reaction to a medication. IV diphenhydramine is administered, and the client appears to be recovering. Which VS is the most important for the nurse to monitor for the next several hours? a. Respirations b. Blood pressure c. Pulse d. Temperature - a. Respirations A client with heart failure is to be weighed daily. The client asks why this is necessary. Which is the best information for the nurse to give the client? a. Helps determine if the medication is working b. Shows how activity affects activity intolerance c. Is an indication of the fluid status in the body d. Determines the number of calories for the diet - c. Is an indication of the fluid status in the body A client is diagnosed with glaucoma. Th e client asks the nurse why eye drops are necessary. Which response by the nurse is best?

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