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Med Surg Hesi
M
1. 1. Following long-term administration of warfarin sodium to a client with a
medical diagnosis of deep vein thrombosis, the nurse should expect which
treatment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal: ANSc. The PT will be 1.5 times the normal
2. A client who has been taking finasteride, an enzyme (5 alpha reductase)
inhibitor used to shrink the prostate gland, is admitted because of continuing
benign prostate prostatic hypertrophy (BPH) symptoms when planning care.
Which nursing problem should the nurse address first?:ANS Urinary retention
3. An older client has been diagnosed with chronic venous insufficiency. To
prevent venous return, which action should the nurse encourage the client
to?:ANS Wear cotton socks and enclosed toe shoes whenever outside
4. When caring for a client with a full thickness burn covering 40% of the body,
the nurse observes pertinent drainage at the wound. Before reporting this
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, finding to the healthcare provider, the nurse should review which of the client's
laboratory values?:ANS White blood cell (WBC) count
5. An older client arrives at the outpatient eye surgery clinic for a right cataract
extraction and implant. During the immediate postoperative period, which
intervention should the nurse implement?:ANS Provide an eye shield to be worn while
sleeping
6. After several days of coughing and taking acetaminophen to treat temper-
atures of 101 F (38.3 C), a client with DI is admitted to the hospital with an
upper respiratory infection. Several hours after admission, the client reports
having a severe headache and feeling dizzy. Which intervention should the
nurse implement first?:ANS Reassess vital signs
7. A client takes daily supplemental iron tablets for iron deficiency anemia
reports feeling increasingly fatigued. Which laboratory values should the nurse
review?:ANS Complete blood count
8. The nurse is caring for a client post anesthesia care unit (PACU) who under-
went a thoracotomy two hours ago. The nurse observes the following vital
signs:ANS heart rate 140 beats/ minute, respirations 26 breaths/minute, and
blood
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