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Exam (elaborations)

PN Adult Medical Surgical 2020/2024

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1. A nurse is witnessing a client sign an informed consent form for a surgical procedure which of the following actions should the nurse take? a. Tell the client that they can refuse the procedure i. The nurse should tell the client they can refuse the procedure even after signing the consent form b. Discuss the risks of the procedure to the client c. Explain the alternative options to the procedure to the client d. Inform the client about the intended purpose of the procedure 2. A nurse is prioritizing care for four clients. Which of the following clients should the nurse see first? a. A client who has a tracheostomy and requires suctioning i. When using the urgent vs. nonurgent approach to client care, the nurse should first see the client who has a tracheostomy and requires suctioning. If the tracheostomy tube is not kept open, the client can suffocate b. A client who has diabetes mellitus and a pre-meal glucose of 75 mg/dL c. A client who is 1 day postoperative and has serosanguineous drainage on the surgical dressing d. A client who has COPD and a pulse oximetry reading of 92% 3. A nurse is preparing to admit a client who has dysphagia. Which of the following items should the nurse place at the client’s bedside? a. Dry erase board b. Wire cutters c. Flashlight d. Suction equipment i. The nurse should have oral and nasal suction equipment at the bedside of a client who has dysphagia to clear the client’s airway and reduce the risk for aspiration .....CONTINUES


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