Rn Adult Medical Surgical Nursing Review Study Guide Exam.

Rn Adult Medical Surgical Nursing Review Study Guide Exam. A nurse caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medications. Which promotes client compliance - CORRECT ANSWER -The nurse provides resources to strengthen coping ability by asking the dietician to assist the client with meal planning. This will improve client compliance A nurse in a health care clinic is evaluating the level of wellness for clients using the illness-wellness continuum tool. The nurse should identify which of the following clients as being at the center of the continuum? - CORRECT ANSWER A young male client who has a long history of well-controlled rheumatoid arthritis - measured at the center of the continuum which is the normal state of health A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. The nurse should identify which of the following variables as modifiable - CORRECT ANSWER smoking on special occasions -Bmi of 28 - history of reflux A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. The nurse evaluates the clients response. Which of the following statements by the client reflects a lack of understanding of an illness perspective - CORRECT ANSWER "I need a second opinion there is no lump" -the patient denial reflects a lack of understanding of the illness perspective and can influence the clients acceptance of the diagnosis Common causes of pulseless electrical activity - CORRECT ANSWER 5 H (hypovolemia, hypoxia, hydrogen ion accumulation resulting acidosis, hyper or hypokalemia, hypothermia) 5 Ts (toxins, tamponade, tension pneumothorax, thrombosis coronary or pulmonary) A nurse on a medical surgical unit is caring for a group of clients. The nurse should notify the rapid response team for which of the following clients? - CORRECT ANSWER A client who reports right calf pain and shortness of breath. - The nurse should identify that the client is at risk for respiratory arrest due to a possible embolism. The nurse should call the rapid response team because manifestations can indicate the beginning of a rapid decline in the clients condition A nurse is caring for a client who has ingested a toxic agent. Which of the following actions should the nurse plan to take - CORRECT ANSWER -Activated charcoal absorbs toxic substances and the charcoal does not pass into the bloodstream - A gastric lavage with aspiration removes the toxic substance when instilled fluid is suctioned from the gastrointestinal tract - Infuse IV fluids help dilute the toxic substances in the bloodstream and promote elimination from the body through the kidneys.