RN Adult Medical Surgical Online Practice 2025 B New
Update With 100% Verified Solutions!!
A nurse is caring for a client who has a pneumothorax and a closed-chest drainage
system. The nurse assesses the client and identifies that lung re-expansion has
occurred. Which of the following findings would support this conclusion? -
ANSWER>>Bubbling in the water seal chamber has ceased.
Rationale: Bubbling in the water seal chamber stops when the lung re-expands.
A nurse is providing discharge teaching to a client who is to self-administer heparin
subcutaneously. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER>>I will use an electric razor to shave.
Rationale: Heparin is an anticoagulant. Therefore, the client is at risk for bleeding; the
nurse should instruct the client to use an electric razor when shaving to decrease the
risk of cuts to the skin.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider? - ANSWER>>Sedimentation rate.
Rationale: An increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis.
A nurse is performing a preoperative assessment for a client. The nurse should identify
that an allergy to which of the following foods may indicate a latex allergy? -
ANSWER>>Avocados.
Rationale: Clients who are allergic to avocado may have an allergic reaction or be
,sensitive to latex. Allergies to multiple fruits such as strawberries and bananas may also
indicate latex allergy or sensitivity.
shellfish allergy= allergic reaction to povidone-iodine.
allergies = propofol allergic reaction.
egg allergy = propofol allergic reaction.
The nurse is providing care to a client who is in DKA. What the following finding would
best reveal to the nurse that this client's condition is improving? - ANSWER>>Glucose
272
Rationale: Glucose value of less than 300 mg/dL suggests an improvement of the client
condition.
The client is in DKA and the physician has prescribed fluid replacement. What does the
nurse plan to administer? ANSWER- Regular insulin 20 units IV.
Rationale: Diabetic ketoacidosis is a complication of diabetes mellitus characterized by
dehydration, ketosis, metabolic acidosis, and hyperglycemia. Treatments for DKA
include rehydration, replacement of acid-base imbalances, and a decrease in blood
glucose levels. Regular insulin is a fast-acting insulin; its onset of action can occur as
quickly as 10 min after intravenous administration.
A nurse is reviewing the plan of care for four clients after 2 days of hospitalization. The
nurse should identify the need to revise the plan for which of the following clients? -
ANSWER>>A client who is postoperative following abdominal surgery and reports
feeling that something "popped" when they coughed.
Rationale: The first symptom of a wound dehiscence may be the sensation of something
popping or letting loose with the cough. Revisions to this client's plan of care could
include treatment of the dehiscence to prevent evisceration or surgical repair of an
evisceration when one occurs.
, A nurse is teaching a client who has a new prescription for psyllium. Which of the
following should the nurse include in the teaching? - ANSWER>>Drink 240 mL (8 oz) of
water after administration.
SN:
The medication should be taken after meals to avoid appetite suppression.
Results can be expected in 12 to 24 hr and bowel regularity in 2 to 3 days.
Medication absorption is not affected by reducing dietary fiber intake. However, dietary
fiber intake should be increased by the client for the management of chronic
constipation.
A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following illustrations depicts a
disorder related to pernicious anemia? - ANSWER>>This figure illustrates glossitis,
which can be a result of pernicious anemia. Glossitis, a smooth red tongue, is also a sign
of deficiencies in vitamin B6, zinc, niacin, or folic acid.
A nurse is teaching a client with a diagnosis of laryngeal cancer who is receiving
radiation therapy about precautions to take during and after treatment. Which of the
following statements by the client indicates that the client understands this teaching?
ANSWER>>"I won't be out in the sun without protection."
Rationale: The client should avoid exposing irradiated skin areas to the sun for at least 1
year following the date of radiation treatment. Skin in the path of radiation is especially
vulnerable to sun damage.
SN:
Radiation to the head and neck can destroy the salivary glands and cause dry mouth,
placing the client at risk for mucositis. The client should rinse his mouth with plain water
or 0.9% sodium chloride.
A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate? - ANSWER>>Airborne.
Update With 100% Verified Solutions!!
A nurse is caring for a client who has a pneumothorax and a closed-chest drainage
system. The nurse assesses the client and identifies that lung re-expansion has
occurred. Which of the following findings would support this conclusion? -
ANSWER>>Bubbling in the water seal chamber has ceased.
Rationale: Bubbling in the water seal chamber stops when the lung re-expands.
A nurse is providing discharge teaching to a client who is to self-administer heparin
subcutaneously. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER>>I will use an electric razor to shave.
Rationale: Heparin is an anticoagulant. Therefore, the client is at risk for bleeding; the
nurse should instruct the client to use an electric razor when shaving to decrease the
risk of cuts to the skin.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider? - ANSWER>>Sedimentation rate.
Rationale: An increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis.
A nurse is performing a preoperative assessment for a client. The nurse should identify
that an allergy to which of the following foods may indicate a latex allergy? -
ANSWER>>Avocados.
Rationale: Clients who are allergic to avocado may have an allergic reaction or be
,sensitive to latex. Allergies to multiple fruits such as strawberries and bananas may also
indicate latex allergy or sensitivity.
shellfish allergy= allergic reaction to povidone-iodine.
allergies = propofol allergic reaction.
egg allergy = propofol allergic reaction.
The nurse is providing care to a client who is in DKA. What the following finding would
best reveal to the nurse that this client's condition is improving? - ANSWER>>Glucose
272
Rationale: Glucose value of less than 300 mg/dL suggests an improvement of the client
condition.
The client is in DKA and the physician has prescribed fluid replacement. What does the
nurse plan to administer? ANSWER- Regular insulin 20 units IV.
Rationale: Diabetic ketoacidosis is a complication of diabetes mellitus characterized by
dehydration, ketosis, metabolic acidosis, and hyperglycemia. Treatments for DKA
include rehydration, replacement of acid-base imbalances, and a decrease in blood
glucose levels. Regular insulin is a fast-acting insulin; its onset of action can occur as
quickly as 10 min after intravenous administration.
A nurse is reviewing the plan of care for four clients after 2 days of hospitalization. The
nurse should identify the need to revise the plan for which of the following clients? -
ANSWER>>A client who is postoperative following abdominal surgery and reports
feeling that something "popped" when they coughed.
Rationale: The first symptom of a wound dehiscence may be the sensation of something
popping or letting loose with the cough. Revisions to this client's plan of care could
include treatment of the dehiscence to prevent evisceration or surgical repair of an
evisceration when one occurs.
, A nurse is teaching a client who has a new prescription for psyllium. Which of the
following should the nurse include in the teaching? - ANSWER>>Drink 240 mL (8 oz) of
water after administration.
SN:
The medication should be taken after meals to avoid appetite suppression.
Results can be expected in 12 to 24 hr and bowel regularity in 2 to 3 days.
Medication absorption is not affected by reducing dietary fiber intake. However, dietary
fiber intake should be increased by the client for the management of chronic
constipation.
A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following illustrations depicts a
disorder related to pernicious anemia? - ANSWER>>This figure illustrates glossitis,
which can be a result of pernicious anemia. Glossitis, a smooth red tongue, is also a sign
of deficiencies in vitamin B6, zinc, niacin, or folic acid.
A nurse is teaching a client with a diagnosis of laryngeal cancer who is receiving
radiation therapy about precautions to take during and after treatment. Which of the
following statements by the client indicates that the client understands this teaching?
ANSWER>>"I won't be out in the sun without protection."
Rationale: The client should avoid exposing irradiated skin areas to the sun for at least 1
year following the date of radiation treatment. Skin in the path of radiation is especially
vulnerable to sun damage.
SN:
Radiation to the head and neck can destroy the salivary glands and cause dry mouth,
placing the client at risk for mucositis. The client should rinse his mouth with plain water
or 0.9% sodium chloride.
A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate? - ANSWER>>Airborne.
