RN Adult Medical Surgical Online Practice
2023 B
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RN Adult Medical Surgical Online Pr... ATI RN Adult Medical Surgical 2023... Pharm HESI 2024 Pr
90 terms 95 terms 359 terms
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(NGN) Heart rate 55/min
A nurse is caring for a client who
presents to a clinic for a 1-week Rational:
follow-up visit after The client's heart rate of 55/min is a decrease from the client's
hospitalization for heart failure. baseline of 74/min, and it can indicate the development of
Based on the information in the digoxin toxicity. The nurse should report this finding to the
client's chart, which of the provider.
following findings should the
nurse report to the provider?
(Click on the "Exhibit" button for
additional information about the
client. There are three tabs that
contain separate categories of
data.)
A nurse is teaching a client A tingling sensation replacing the pain
about the use of
transcutaneous electrical nerve Rational:
stimulation (TENS) for the A TENS unit applies small electric currents to the painful area,
management of bone cancer with the client increasing the current until the "pins and needles"
pain. The nurse should explain sensation overrides the pain.
that applying a TENS unit to the
painful area has which of the
following effects?
Bradycardia
A nurse in an ICU is assessing a
client who has a traumatic brain
Rational:
injury. Which of the following
A client who has increased intracranial pressure from a traumatic
findings should the nurse
brain injury can develop bradycardia, which is one component of
identify as a component of
Cushing's triad. The other components of Cushing's triad are
Cushing's triad?
severe hypertension and a widened pulse pressure.
,A nurse is teaching a family Create complete outfits and allow the client to select one each
about the care of a parent who day.
has a new diagnosis of
Alzheimer's disease. Which of Rational:
the following information should The family should place completed outfits on hangers and allow
the nurse include in the the client to select which one to wear each day.
teaching?
A nurse is planning care for a Avoid placing plants or flowers in the client's room.
client who has extensive burn
injuries and is Rational:
immunocompromised. Which of Live plants can harbor P. aeruginosa, and this bacterium can
the following precautions infect burn wounds and cause life-threatening complications. The
should the nurse include in the nurse should ensure no one brings live plants or flowers into the
plan of care to prevent a client's room.
Pseudomonas aeruginosa
infection?
A nurse is providing teaching to Increase fiber intake to at least 30 g per day.
a client who has irritable bowel
syndrome (IBS). Which of the Rational:
following instructions should the Dietary fiber helps produce bulky, soft stools and establish
nurse include in the teaching? regular bowel patterns.
Low urine specific gravity
A nurse is assessing a client who Rational:
has diabetes insipidus. Which of An expected finding for a client who has diabetes insipidus is a
the following findings should the urine specific gravity between 1.001 and 1.005. Decreased water
nurse expect? reabsorption by the renal tubules is caused by an alteration in
antidiuretic hormone release or the kidneys' responsiveness to
the hormone.
A nurse is caring for a client who 167 mL/hr
has a new prescription for total
parenteral nutrition (TPN). The Rational:
client is to receive 2,000 kcal mL/hr =
per day. The TPN solution has 4000/24 = 166.6 = 167
500 kcal/L. The IV pump should
be set at how many mL/hr?
(Round the answer to the
nearest whole number. Use a
leading zero if it applies. Do not
use a trailing zero.)
- Perineal pad saturated with blood, large clots present
(NGN)
A nurse is caring for a client who - Change of blood pressure, heart rate of 102/min
is 4 hr postoperative following a
total vaginal hysterectomy. Rational:
Perineal pad saturated with blood, large clots present, blood
Click to highlight the findings pressure trend, and heart rate of 102/min are correct. The client
the nurse should report to the has manifestations of vaginal hemorrhage, including vaginal
provider immediately. bleeding, blood clots, reduced blood pressure, and tachycardia.
The nurse should report these findings to the provider.
, Suction machine
A nurse is preparing to admit a
client who has dysphagia. The
Rational:
nurse should plan to place
The nurse should ensure that a suction machine is at the bedside
which of the following items at
of a client who has dysphagia to clear the client's airway as
the client's bedside?
needed and reduce the risk for aspiration.
A nurse is providing discharge "I can ask a friend to change my cats litter box."
teaching about infection
prevention to a client who is Rational:
receiving chemotherapy. Which Changing a pet's litter box increases the client's risk of being
of the following statements by exposed to toxoplasmosis. Therefore, the client should wear
the client indicates gloves or avoid changing the pet's litter box.
understanding of the teaching?
Check that one finger fits between the cast and the leg.
A nurse is assessing a client who
has had a plaster cast applied Rational:
to their left leg 2 hr ago. Which To make sure the cast is not too tight, the nurse should be able
of the following actions should to slide one finger under the cast. It is not uncommon for casts to
the nurse take? loosen as swelling subsides, but that should not be an issue 2 hr
after application.
Avocados
A nurse is performing a
preoperative assessment for a
Rational:
client. The nurse should identify
Clients who have an avocado allergy might have an allergic
that an allergy to which of the
reaction or a sensitivity to latex. Allergies to certain fruits, such
following foods can indicate a
as strawberries and bananas, can also indicate latex allergy or
latex allergy?
sensitivity.
Regular insulin 20 units IV bolus
Rational:
A nurse is caring for a client who
DKA is a complication of diabetes mellitus that results in
has diabetic ketoacidosis
dehydration, ketosis, metabolic acidosis, and elevated blood
(DKA). Which of the following
glucose levels. Management of DKA involves providing
should the nurse plan to
hydration, correcting acid-base imbalances, and decreasing
administer?
blood glucose levels. Regular insulin is a fast-acting insulin
that can be effective within 10 min when administered
intravenously.
A nurse is providing teaching to "I will use my hands rather than a washcloth to clean the
a client who has esophageal radiation area."
cancer and is to undergo
radiation therapy. Which of the Rational:
following statements should the The client should gently wash the radiation area with their hands
nurse identify as an indication using warm water and mild soap to protect the skin from further
that the client understands the irritation.
teaching?
See an expert-written answer!
2023 B
Save
Students also studied
Flashcard sets Study guides
RN Adult Medical Surgical Online Pr... ATI RN Adult Medical Surgical 2023... Pharm HESI 2024 Pr
90 terms 95 terms 359 terms
ELIRX Preview evesemo Preview Mediano1984
(NGN) Heart rate 55/min
A nurse is caring for a client who
presents to a clinic for a 1-week Rational:
follow-up visit after The client's heart rate of 55/min is a decrease from the client's
hospitalization for heart failure. baseline of 74/min, and it can indicate the development of
Based on the information in the digoxin toxicity. The nurse should report this finding to the
client's chart, which of the provider.
following findings should the
nurse report to the provider?
(Click on the "Exhibit" button for
additional information about the
client. There are three tabs that
contain separate categories of
data.)
A nurse is teaching a client A tingling sensation replacing the pain
about the use of
transcutaneous electrical nerve Rational:
stimulation (TENS) for the A TENS unit applies small electric currents to the painful area,
management of bone cancer with the client increasing the current until the "pins and needles"
pain. The nurse should explain sensation overrides the pain.
that applying a TENS unit to the
painful area has which of the
following effects?
Bradycardia
A nurse in an ICU is assessing a
client who has a traumatic brain
Rational:
injury. Which of the following
A client who has increased intracranial pressure from a traumatic
findings should the nurse
brain injury can develop bradycardia, which is one component of
identify as a component of
Cushing's triad. The other components of Cushing's triad are
Cushing's triad?
severe hypertension and a widened pulse pressure.
,A nurse is teaching a family Create complete outfits and allow the client to select one each
about the care of a parent who day.
has a new diagnosis of
Alzheimer's disease. Which of Rational:
the following information should The family should place completed outfits on hangers and allow
the nurse include in the the client to select which one to wear each day.
teaching?
A nurse is planning care for a Avoid placing plants or flowers in the client's room.
client who has extensive burn
injuries and is Rational:
immunocompromised. Which of Live plants can harbor P. aeruginosa, and this bacterium can
the following precautions infect burn wounds and cause life-threatening complications. The
should the nurse include in the nurse should ensure no one brings live plants or flowers into the
plan of care to prevent a client's room.
Pseudomonas aeruginosa
infection?
A nurse is providing teaching to Increase fiber intake to at least 30 g per day.
a client who has irritable bowel
syndrome (IBS). Which of the Rational:
following instructions should the Dietary fiber helps produce bulky, soft stools and establish
nurse include in the teaching? regular bowel patterns.
Low urine specific gravity
A nurse is assessing a client who Rational:
has diabetes insipidus. Which of An expected finding for a client who has diabetes insipidus is a
the following findings should the urine specific gravity between 1.001 and 1.005. Decreased water
nurse expect? reabsorption by the renal tubules is caused by an alteration in
antidiuretic hormone release or the kidneys' responsiveness to
the hormone.
A nurse is caring for a client who 167 mL/hr
has a new prescription for total
parenteral nutrition (TPN). The Rational:
client is to receive 2,000 kcal mL/hr =
per day. The TPN solution has 4000/24 = 166.6 = 167
500 kcal/L. The IV pump should
be set at how many mL/hr?
(Round the answer to the
nearest whole number. Use a
leading zero if it applies. Do not
use a trailing zero.)
- Perineal pad saturated with blood, large clots present
(NGN)
A nurse is caring for a client who - Change of blood pressure, heart rate of 102/min
is 4 hr postoperative following a
total vaginal hysterectomy. Rational:
Perineal pad saturated with blood, large clots present, blood
Click to highlight the findings pressure trend, and heart rate of 102/min are correct. The client
the nurse should report to the has manifestations of vaginal hemorrhage, including vaginal
provider immediately. bleeding, blood clots, reduced blood pressure, and tachycardia.
The nurse should report these findings to the provider.
, Suction machine
A nurse is preparing to admit a
client who has dysphagia. The
Rational:
nurse should plan to place
The nurse should ensure that a suction machine is at the bedside
which of the following items at
of a client who has dysphagia to clear the client's airway as
the client's bedside?
needed and reduce the risk for aspiration.
A nurse is providing discharge "I can ask a friend to change my cats litter box."
teaching about infection
prevention to a client who is Rational:
receiving chemotherapy. Which Changing a pet's litter box increases the client's risk of being
of the following statements by exposed to toxoplasmosis. Therefore, the client should wear
the client indicates gloves or avoid changing the pet's litter box.
understanding of the teaching?
Check that one finger fits between the cast and the leg.
A nurse is assessing a client who
has had a plaster cast applied Rational:
to their left leg 2 hr ago. Which To make sure the cast is not too tight, the nurse should be able
of the following actions should to slide one finger under the cast. It is not uncommon for casts to
the nurse take? loosen as swelling subsides, but that should not be an issue 2 hr
after application.
Avocados
A nurse is performing a
preoperative assessment for a
Rational:
client. The nurse should identify
Clients who have an avocado allergy might have an allergic
that an allergy to which of the
reaction or a sensitivity to latex. Allergies to certain fruits, such
following foods can indicate a
as strawberries and bananas, can also indicate latex allergy or
latex allergy?
sensitivity.
Regular insulin 20 units IV bolus
Rational:
A nurse is caring for a client who
DKA is a complication of diabetes mellitus that results in
has diabetic ketoacidosis
dehydration, ketosis, metabolic acidosis, and elevated blood
(DKA). Which of the following
glucose levels. Management of DKA involves providing
should the nurse plan to
hydration, correcting acid-base imbalances, and decreasing
administer?
blood glucose levels. Regular insulin is a fast-acting insulin
that can be effective within 10 min when administered
intravenously.
A nurse is providing teaching to "I will use my hands rather than a washcloth to clean the
a client who has esophageal radiation area."
cancer and is to undergo
radiation therapy. Which of the Rational:
following statements should the The client should gently wash the radiation area with their hands
nurse identify as an indication using warm water and mild soap to protect the skin from further
that the client understands the irritation.
teaching?
See an expert-written answer!
