RN Med Surg B Questions and Answers 2024

RN Med Surg B Questions and Answers 2024 Nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic and has crackles noted to lung bases. Which of the following actions should the nurse anticipate taking? Slow the infusion rate A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of rt ankle. Which of the following assessment findings should the nurse report to the provider. Extremity cool upon palpation A nurse is caring for a client who has increased ICP and is receiving mannitol. The nurse should rport which of the following adverse effects of this medication Crackles heard on ausclultation A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemitry monitoring. Which of the follwing statements refelcts understanding of the teaching This identifies if the pacemaker cells of my heart are working properly. A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings should the nurse expect? Hypoactive bowel sounds A nurse is caring for a client who is receiving TPN and is NPO. When receiving an orer: capillary blood glucose AC and HS. Which action should the nurse take? Contact the primary care to clarify the prescription. A nurse is reviewing lab results of a client who has AIDS and is taking amphotericin B for a fungal infection. The nurse should identify which is an adverse effect of the medication BUN 34 A nurse is assessing a client who has Cushing's disease. Which should nurse expect? Muscle atrophy Nurse is caring for a client who has DKA. Which should the nurse plan to admin? Regular insulin 20 u IV bolus A nurse is caring for ALS pt.Which assessment finding is the nurse's priority Increased resp secretions Nurse caring for client who has pneumothorax and closed chest drainage system. Which finding is indication of lung re-expansion? Bubbling in water seal chamber has ceased. Nurse caring for client with gastric hemorrhage and is going into shock. Identify nurse's sequence Administer oxygen, IV, NG, then ranitidine A home health nurse is assigned to client who recently discharged after CVA. Which of the following neurological deficits should the nurse expect? visual spatial deficits, Left hemionopsia, and one sided neglect A nurse in provider's office is assessing client with htn and takes propanolol. Which is adverse reaction to med? Report of a night cough Client brought to an emergency department by a family member. Which causes nurse to suspect hypertonic dehydration? Urine specific gravity is 1.045 Nurse assessing a client following IV urography. Which of the following IV urography. Which of the followoing findings is the priority? Swollen Lips Swollen lipsNurse has client with cervical spinal cord injury 1 mo ago. What are signs of autonomic dysreflexia? Heart race 52/min nurse providing teaching of a client who is at risk for developing Type one DM. What are manifestations? Polyuria, polydipsia, neuropathy Planning to irrigate and dress a clean, granulating wound for a client with pressure ulcer. Which actions should she take? use a 30 ml syringe Nurse caring for client with cirrhosis with esophageal varices. What should patient avoid? Straining to have bowel movements Stage III pressure ulcer. What contributes to delayed wound healing? Urine output 25 ml/hr Portal hypertension. Client vomiting blood mixed with food. What should nurse do first? obtain VS Client with chest pain of 8. First nursing action? Administer morphine Care for a client with CAP. Interventions? Monitor the client for confusion Hepatic encephalopathy treated with lactulose. Excessive stools. Which is adverse effect of the med? Hypokalemia DM1 pt. What should nurse expect? Low urine specific gravity Pt with exposure to hep c. What would show the presence of hep c antibodies? Enzyme immunoassay Pancriatitis--lab results? calcium ICU nurse with cardiogenic shock. What med increases cardiac output? Dopamine Chemo pt with script for epoitin alfa. What shows understanding? I will monitor my BP while on this med Nurse teaching about hypothyroidism and levothyroxine. What supplement can interfere? Calcium Sealed radiation implant for cervical cancer. What should the nurse include? Keep a leaded container in the client's room