RN Adult Medical Surgical Online Practice 2019 B for NGN Updated Version 100 Questions and Verified Correct Answers Guaranteed A+

RN Adult Medical Surgical Online Practice 2019 B for NGN Updated Version 100 Questions and Verified Correct Answer s Guaranteed A+ A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the greater trochanter of his left hip. Which of the following instructions should the nurse include in the teaching? - Correct Answer Change position every hour. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent airway, which of the following nursing interventions is the priority. - Correct Answer Applying oxygen via face mask A nurse in an emergency departmen t is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, " Last week I crashed my car because I my vision suddenly became blurry." Which of the following actions is the nurses priority? - Correct Answer Check the clients neurologic status A nurse is administering packed RBCs to a client. Which of the following assessment findings indicate a hemolytic tr Correct Answer fusion reaction? - Correct Answer Low back pain and apprehension Hemolytic tr Correct Answer fusion reactions result fr om the infusion of incompatible blood products and create a systemic inflammatory response. A nurse is admitting a client who has active tuberculosis. Which of the following types of trCorrect Answer mission precautions should the nurse initiate? - Correct Answer Airborne A nurse is assessing a client following the completion of hemodialysis. Which of the following f indings is the nurse's priority to report to the provider? - Correct Answer Restlessness Restlessness, which can be an indication the client is experiencing disequilibrium syndrome. Disequilibrium syndrome is caused by the rapid removal of electrolytes from the cli ent's blood and can lead to dysrhythmias or seizures. Other manifestations include nausea, vomiting, fatigue, and headache. A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia. - Correct Answer The clients heart rate increases. A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following nonpharmacological interventions should the nurse suggest to the clien t to reduce pain? - Correct Answer The nurse should instruct the client to alternate heat and cold applications to decrease join inflammation and pain. Then application of cold can relieve joint swelling and the application of heat can decrease joint stiffness and pa in. A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. the client has just undergone thoracentesis. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? - Correct Answer Dyspnea Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the clients breathing and improve comfort. A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect ? - Correct Answer Low urine specific gravity An expected finding for a client who has diabetes insipidus is a urine specific gravity between 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hormone releas e or the kidneys responsiveness to the hormone. A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? - Correct Answer Hair loss on the lower legs The nurse should expect a client who has a per ipheral arterial disease to have hair loss on the lower legs as a result of impaired arterial circulation affecting follicular growth. A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nu rse's priority? - Correct Answer Temperature 38.9 C (102 F) An elevated temperature is a manifestation of excessive thyroid hormone release, or thyroid storm, due to an increase in metabolic rate. A nurse is assessing a clients hydration status. Which of the follo wing findings indicates fluid volume overload? - Correct Answer Distended neck veins A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? - Correct Answer Pain that increases with passive movement Client who has compartment syndrome experiences pain that increases with passive movement. A nurse is caring for a client following extubation of an endotracheal tube 10 min ago. Which of the following findings should the nurse report to the provider immediately? - Correct Answer Stridor