Medical Surgical Nursing Exam 1
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nnthroat nninfection. nnWhich nnnurse nnrecommendation nnwould nnbe nnbest nnto nnadvise nnthe
nnclient nnto nndo nnin nnorder nnto nnprevent nnacquiring nnthe nninfection? nn- nnCORRECT
nnANSWER-Frequently nnwash nnher nnhands nnand nnsurfaces nnof nnthe nnhome. nn
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nnclient nnexperiencing nnshock. nnWhat nnis nnthe nnnurse's nnbest nnresponse? nn- nnCORRECT
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nnnasogastric nntube
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nnshock. nnThe nn
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nnnurse's nnbest nn
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nnpain
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nnamputated. nnThe nnfamily nntells nnthe nnnurse nnthat nnthe nnclient nnis nnjust nnaddicted nnto nnpain
nnmedications. nnWhat nnis nnthe nnnurse's nnbest nnresponse? nn- nnCORRECT nnANSWER-"He
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nntimes nna nnday. nn
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nnWhat nnshould nnthe nnnurse nnask nnthe nnfamily nnabout? nn- nnCORRECT nnANSWER-What
nnmedications nnthe nnclient nnhas nntaken nn
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nnsmall nncell nn
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nnCORRECT nn
, nn
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nn20 nnyears
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nnfor nna nngroup nnof nnclients nnon nna nnmedical nnunit. nnWhich nninformation nnprovided nnby nnthe
nnUAP nnwarrants nnimmediate nnintervention nnby nnthe nnpractical nnnurse? nn- nnCORRECT
nnANSWER-The nnclient nnreceiving nnProcrit nn
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nnmetastasized nnto nnthe nnbrain. nnWhich nnintervention nnshould nnthe nnpractical nnnurse
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nncancer." nn
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nnimplement nnfirst? nn-
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nnimbalance
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nnthroat nninfection. nnWhich nnnurse nnrecommendation nnwould nnbe nnbest nnto nnadvise nnthe
nnclient nnto nndo nnin nnorder nnto nnprevent nnacquiring nnthe nninfection? nn- nnCORRECT
nnANSWER-Frequently nnwash nnher nnhands nnand nnsurfaces nnof nnthe nnhome. nn
nn
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nnThe nnnurse nnshould nnask nnif nnthe nnclient nnhas nnexperienced nnwhich nnof nnthe nnfollowing? nn-
nnCORRECT nnANSWERWas nnbitten nnby nna nntick nn
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nnor nnwater
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nnCORRECT
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nnexperiencing nntachycardia, nnhypotension, nnconfusion, nntachypnea, nnand nnflat nnjugular
nnveins. nnWhat nnshould nnbe nnthe nnnurse's nnfirst nnresponse? nn- nnCORRECT nnANSWER-
Administer nnoxygen. nn
nn
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nnclient nnexperiencing nnshock. nnWhat nnis nnthe nnnurse's nnbest nnresponse? nn- nnCORRECT
nnANSWER-"It nnwill nnhelp nnmonitor nnhow nnmuch nnurine nnthe nnkidneys nnare nnable nnto
nnproduce." nn
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nn10 nnhours. nnWhat nnis nnthe nnnurse's nnmost nnappropriate nnresponse? nn- nnCORRECT
nnANSWER-Notify nnthe nnphysician. nn
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nnCORRECT
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nnnasogastric nntube
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nnshock. nnThe nn
nn
nurse nnknows nnthat nnwhich nnvalue nnindicates nnshock? nn- nnCORRECT nnANSWER-
pH nn7.32
nn
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nnnurse's nnbest nn
nn
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nnpain
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nnamputated. nnThe nnfamily nntells nnthe nnnurse nnthat nnthe nnclient nnis nnjust nnaddicted nnto nnpain
nnmedications. nnWhat nnis nnthe nnnurse's nnbest nnresponse? nn- nnCORRECT nnANSWER-"He
nnis nnexperiencing nnphantom nnlimb nnpain." nn
nn
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nntimes nna nnday. nn
nn
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nnambulating nnthe
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client.
nn
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nnrespond? nn
nn
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nnalcohol?"
nn
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nnassessment nnreveals nnthat nnthe nnclient nnhas nna nndecreased nnlevel nnof nnconsciousness.
nnWhat nnshould nnthe nnnurse nnask nnthe nnfamily nnabout? nn- nnCORRECT nnANSWER-What
nnmedications nnthe nnclient nnhas nntaken nn
nn
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nnsmall nncell nn
carcinoma nnof nnthe nnlung. nnWhich nninformation nnis nnsignificant nnfor nnthis nndisease? nn-
nnCORRECT nn
, nn
ANSWER-The nnclient nnhas nnsmoked nntwo nn(2) nnpacks nnof nncigarettes nna nnday nnfor
nn20 nnyears
nn
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nnfor nna nngroup nnof nnclients nnon nna nnmedical nnunit. nnWhich nninformation nnprovided nnby nnthe
nnUAP nnwarrants nnimmediate nnintervention nnby nnthe nnpractical nnnurse? nn- nnCORRECT
nnANSWER-The nnclient nnreceiving nnProcrit nn
(epoetin nnalfa) nnhas nna nnT nn99.2˚F, nnP nn68, nnR nn24, nnand nnBP nnof nn198/102 nn
nn
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nnmetastasized nnto nnthe nnbrain. nnWhich nnintervention nnshould nnthe nnpractical nnnurse
nnexpect nnto nnimplement? nn- nnCORRECT nnANSWER-Discuss nnimplementing nnan
nnadvance nndirective nn
nn
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nnmade nnby nnthe nnclient nnindicates nna nnreiteration nnof nninformation nnis nnrequired? nn-
nnCORRECT nnANSWER-"It nndoesn't nnmatter nnif nnI nnsmoke nnnow. nnI nnalready nnhave
nncancer." nn
nn
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nnprovided nnby nna nn
nn
client nnwarrants nnfurther nninvestigation? nn- nnCORRECT nnANSWER-The nnclient
nnhas nnbeen
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coughing nnup nnblood nnin nnthe
nnmornings
The nnmale nnclient nnhad nnabdominal nnsurgery nnand nnthe nnpractical nnnurse nnsuspects nnthe
nnclient nnhas nn
nn
peritonitis. nnWhich nninformation nnsupport nnthe nndiagnosis nnof nnperitonitis? nn-
nnCORRECT
nn
ANSWER-Hard, nnrigid nnabdomen nnand nnwhite nnblood nncell nncount
nn22,000/mm3
nn
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nnsomething nngive nn
way nnin nnmy nnstomach." nnWhich nnintervention nnshould nnthe nnpractical nnnurse
nnimplement nnfirst? nn-
nn
CORRECT nnANSWER-Inspect nnthe nnabdominal nnwound
nnincision
nn
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nnproblem nn
nn
is nna nnpriority? nn- nnCORRECT nnANSWER-Fluid nnand nnelectrolyte
nnimbalance
nn
The nnclient nnhas nnan nneviscerated nnabdominal nnwound. nnWhich nnintervention nnshould nnthe
nnpractical nn
