MED SURG FINAL EXAM NEWEST 2024 ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

MED SURG FINAL EXAM NEWEST 2024
ACTUAL EXAM TEST BANK 250
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
|ALREADY GRADED A+


A nurse is completing a preoperative teaching plan for a
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client who is to have a total hip arthroplasty. Which of the
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following should the nurse include in the teaching plan?
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Select all that apply
V V V V



Select one or more: V V V



a. Having the patient roll onto the operative hip
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b. Possible use of an abductor device or pillow between
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the legs when turning
V V V V



c. Sitting in a low reclining chair
V V V V V



d. Performing isometric exercises - ...ANSWER...B - V V V V V



possible use of an abductor device or pillow between the
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legs when turning, D - performing isometric exercises
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A nurse is presenting g information to clients at a health
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fair on measures to reduce the risk of amputation. Which
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of the following information should the nurse provide
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Select one or more: V V V



a. Unplug electrical equipment when having repairs
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b. encourage clients who have diabetes mellitus to V V V V V V



maintain blood glucose within the reference ranges
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c. Encourage clients who smoke to consider V V V V V



smoking cessation programs.
V V V



d. Advise clients to wait 2 hrs after taking pin medication
V V V V V V V V V



before driving - ...ANSWER...B - encourage clients who
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have
V

,diabetes mellitus to maintain blood glucose within the
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reference ranges, C - encourage clients who smoke to
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consider smoking cessation programs
V V V V




A client who had an above the knee amputation reports
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having sharp, stabbing type of phantom pain. Which of the
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following is an appropriate action by the nurse. ?
V V V V V V V V V



Select one: V



a. Facilitate counseling services V V



b. Administer an antiepileptic V V



medication c. Question rather the pain is
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real
V



d. Encourage cold therapy treatments - ...ANSWER...B
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- administer antiepileptic medication
V V V V




A nurse is assessing a client who has a casted compound
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fracture of the right forearm Which of the following finds
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is an early indication of neurovascular compromise?
V V V V V V V



Select one: V



a. Pallor
b. Pulselessness
c. Paralysis
V V



d. Paresthesia - ...ANSWER...D - paresthesia
V V V V V




A nurse is caring for a client who has a laboratory finding
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of serum potassium of 5.4 mEq/L, The nurse should assess
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for which of the following clinical manifestations?
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Select one: V



a. Constipation
V



b. EKG
V V



changes c.
V V



Hypotension
V



d. Polyuria - ...ANSWER...B - EKG changes
V V V V V V

,The nurse is caring for a client who has a peripheral IV in
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place for fluid replacement. When caring for the client's
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IV site, the nurse should
V V V V V



Select one: V



a. ensure that the tubing is firmly anchored to the client's
V V V V V V V V V V



skin. b. ensure that anticoagulants are placed on hold for the
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duration of IV therapy
V V V V



c. periodically remove hair from 2 cm around the IV site.
V V V V V V V V V V



d. replace the IV dressing with a new, clean dressing if it
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is soiled. - ...ANSWER...A - ensure that the tubing is
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firmly anchored to the clients skin
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When planning the care of a client with a fluid imbalance,
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the nurse understands that in the human body, water and
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electrolytes move from the arterial capillary bed to the
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interstitial fluid. What causes this to occur?
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Select one: V



a. Hydrostatic pressure resulting from the pumping action V V V V V V



of the heart
V V V



b. Pressure of the blood in the renal capillaries
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c. Active transport of hydrogen ions across the capillary
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walls d. Action of the dissolved particles contained in a unit
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of blood - ...ANSWER...A - hydrostatic pressure resulting
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from the pumping action of the heart
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The nurse is caring for a client who is being treated on the
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oncology unit with a diagnosis of lung cancer with bone
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metastases. The client reports a new onset of weakness with
V V V V V V V V V V



abdominal pain and further assessment suggests that the
V V V V V V V V



client likely has a fluid volume deficit. The nurse should
V V V V V V V V V V



recognize that this client may be experiencing what
V V V V V V V V



electrolyte imbalance?
V V



Select one: V

, a. Hypomagnesemia
V



b.
V



Hypomagnesemia
V



c. Hypercalcemia
V V



d. Hypernatremia - ...ANSWER...C - hypercalcemia
V V V V V




A nurse is caring for a client whose lab finding of NA 133,
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K 3.4. Which of the following treatment can result in these
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lab findings?
V V



Select one: V



a. 3 tab water enemas
V V V



b. 0.9% NSS IV at 50 ML / V V V V V V



hr c. Administration of
V V V V



steroids
V



d. D5 W with 20 mEq of K at 80 mL/hr - ...ANSWER...A -
V V V V V V V V V V V V V



3 tab water enemas
V V V V




When caring for a patients with fluid excess which of the
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following intervention will help relieve respiratory
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distress. Select one:
V V V



a. Preform Postural drainage V V



b. Increase fluid to promote urine output V V V V V



c. Encourage the patient to cough and deep breath V V V V V V V



d. Elevate the head of the bed - ...ANSWER...D - elevate
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the head of the bed
V V V V V




A patient is being treated for hypokalemia. When evaluating
V V V V V V V V



his response to potassium replacement therapy, Which of
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the following changes in his assessment should the nurse
V V V V V V V V V



assess for?
V V



Select one: V



a. decreased serum glucose
V V V



b. increasing muscle
V V V



strength c. improved vision
V V V V