PN ADULT MEDICAL SURGICAL ONLINE EXAM 2024. FULLY SOLVED WITH NGN.

PN ADULT MEDICAL SURGICAL ONLINE EXAM 2024. FULLY SOLVED WITH NGN. A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? -Correct Answer- Encourage weight-bearing exercises. Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis. A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? -Correct Answer- Avoid bending your hips more than 90 degrees. (To prevent dislocation of the replacement hip). Nurse should instruct client to wait 90 days before crossing legs. Crossing legs early into postoperative period can result in dislocation of the replacement hip. Nurse should inform the client that she may lie on her operative side with a pillow between her legs. This will not injure the suture site or cause dislocation of the replacement hip. Nurse should instruct the client to sleep on a firm mattress to avoid potential dislocation of the replacement hip. A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? -Correct Answer- Remind the client to avoid watching their feet when walking. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following provider prescriptions should the nurse implement first? -Correct Answer- Initiate oxygen at 4L/min via nasal cannula. Rationale: The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10 years thereafter to protect them from acquiring pneumonia. The nurse should collect a sputum culture to identify the organism causing the client's infection. Antimicrobial sensitivities are obtained from the sputum culture to guide the provider in prescribing antibiotics. However, there is another prescription the nurse should implement first. The nurse should administer antibiotics to treat the infection. A broad spectrum antibiotic, such as ceftriaxone, is administered when sepsis is suspected because it treats both gram-positive and gram-negative bacteria. After the results of the blood and sputum cultures are obtained, the provider will often change to a more specific antibiotic. However, there is another prescription the nurse should implement first. The nurse should obtain blood cultures to identify the organism causing the client's infection. Antimicrobial sensitivities obtained from the blood cultures will guide the provider in prescribing treatment. However, there is another prescription the nurse should implement first. A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten minutes after beginning the infusion, the client reports intense itching. Which of the following actions should the nurse take first? -Correct Answer- Stop the medication infusion. Rationale: The greatest risk to the client is injury from an allergic response to the medication. Therefore, the first action the nurse should take is to stop the medication infusion. The nurse should notify the charge nurse about what has occurred. However, there is another action the nurse should take first. The nurse should administer a PRN dose of diphenhydramine to keep the allergic reaction from worsening. However, there is another action the nurse should take first. The nurse should follow facility policy when reporting an adverse reaction. However, there is another action the nurse should take first. A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticarial. After stopping the infusion, which of the following actions should the nurse take next? -Correct Answer- Take the client's vital signs. Rationale: The first action the nurse should take when using the nursing process is to collect data from the client to determine what actions should be taken next. A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? -Correct Answer- Creatinine 1.9 mg/dL Normal range is 0.7 to 1.3 Therefore the it's high and should be reported the the provider A nurse is preparing to administer scheduled medications to a client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) -Correct Answer- Ceftriaxone In exhibit 2 it says the patient is allergies: "penicillin reaction severe". A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? -Correct Answer- Visitors must don a gown and gloves before entering client's room. (This patient will be on a client on contact isolation precautions. Contact precautions requires visitors to put on a gown and gloves prior to entering the client's room to prevent MRSA from spreading) - Nurse should identify visitors of clients who are on airborne or droplet precautions should wear a mask within 3 feet of the client. -MRSA does not spread through the respiratory tract and does not need airborne or droplet precaution. -NO FRESH FLOWERS for patient on neutropenic precaution. A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse identify as the priority? -Correct Answer- Dysrhythmia When using the airway, breathing, circulation approach to client care, the nurse should identify that the priority finding for a client who has hypokalemia is dysrhythmia. A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? -Correct Answer- Keep a sheepskin pad between the client's extremity and the CPM machine.