RN Adult Medical Surgical Online Practice A 2024
Study online at https://quizlet.com/_f9uv2k
1. A nurse is caring for a client who Perform a 12-lead ECG is not indicated. The client is not
is receiving dialysis treatment. reporting chest pain; therefore, a 12-lead ECG is not indi-
cated at this time.
For each potential nursing inter-
vention, click to specify if the in- Place the client in Trendelenburg position is indicated. The
tervention is indicated or not indi- client should be placed in the Trendelenburg position to
cated. increase blood flow to the heart, improving cardiac output
and organ perfusion.
Administer a 0.9% sodium chloride 200 mL IV bolus is
indicated. The nurse should administer 200 mL of 0.9%
sodium chloride IV bolus to increase fluid volume and the
client's blood pressure.
Apply oxygen at 2 L/min via nasal cannula is indicated.
The nurse should administer oxygen at 2 L/min via nasal
cannula to increase the amount of oxygen carried in the
blood.
Notify the provider immediately is indicated. The nurse
should notify the provider immediately as part of the
nurse's role to provide an update on the client's condi-
tion.
Obtain the client's blood glucose level is not indicated.
There is no indication that the client is experiencing hy-
poglycemia; therefore, obtaining a blood glucose level is
not indicated.
2. A nurse is caring for a client who is Apply oxygen via a face mask is incorrect. It is not neces-
postoperative following abdomi- sary to place a face mask on the client because their SaO2
nal surgery. is within the expected reference range of 95% to 100%.
Instruct the client to splint the abdomen with a pillow for
, RN Adult Medical Surgical Online Practice A 2024
Study online at https://quizlet.com/_f9uv2k
A nurse is caring for a client who coughing is correct. It is important for the client to turn,
is postoperative. Which of the fol- cough, and deep breathe to reduce the risk for respira-
lowing actions should the nurse tory complications. The nurse should instruct the client
take? to splint the incision while performing these actions to
reduce the risk of complications to the surgical incision.
Plan to ambulate the client as soon as possible is correct.
The nurse should plan to ambulate the client as soon as
possible to promote ventilation and decrease the risk of
thrombosis.
Report urinary output to the provider is correct. The client
should produce at least 30 mL of urine per hour. There-
fore, the nurse should report this finding to the provider.
Ask the client to rate their pain on a 0 to 10 pain scale is
correct. The nurse should have the client rate their pain
prior to and following the administration of pain medica-
tion to evaluate its effectiveness.
3. A nurse is caring for a client who Administer dextrose 10% in water until the new bag arrives
is receiving total parenteral nutri-
tion (TPN). A new bag is not avail-
able when the current infusion is
nearly completed. which actions
should the nurse take?
Keep the line open with 0.9% sodi-
um chloride until the new bag ar-
rives.
Administer dextrose 10% in water
until the new bag arrives.
Flush the line and cap the port
until the new bag arrives.
, RN Adult Medical Surgical Online Practice A 2024
Study online at https://quizlet.com/_f9uv2k
Decrease the infusion rate until
the new bag arrives.
4. A nurse is caring for a client who The client reports back pain
had a nephrostomy tube inserted
12 hr. ago. Which of the following The nurse should notify the provider if the client reports
findings should the nurse report back pain, which can indicate that the nephrostomy tube
to the provider? is dislodged or clogged.
The client's urinary output has in-
creased.
The client reports back pain.
The client's urine color is red
tinged.
The client's tube requires irriga-
tion.
5. A nurse is caring for a client who is Turn the client to the side.
having a seizure. Which of the fol-
lowing interventions is the nurse's
priority?
6. A nurse in a provider's office is Report of a night cough.
assessing a client who has hyper-
tension and takes propranolol. (the nurse should recognize that this is an early indication
Which of the following findings of heart failure and report this adverse reaction to the
should indicate to the nurse that provider)
the client is experiencing an ad-
verse reaction to this medication?
7. A nurse is planning to irrigate and Use a 30-mL syringe.
dress a clean, granulating wound
for a client who has a pressure (Nurse should use a 30-60 mL syringe with an 18 or
Study online at https://quizlet.com/_f9uv2k
1. A nurse is caring for a client who Perform a 12-lead ECG is not indicated. The client is not
is receiving dialysis treatment. reporting chest pain; therefore, a 12-lead ECG is not indi-
cated at this time.
For each potential nursing inter-
vention, click to specify if the in- Place the client in Trendelenburg position is indicated. The
tervention is indicated or not indi- client should be placed in the Trendelenburg position to
cated. increase blood flow to the heart, improving cardiac output
and organ perfusion.
Administer a 0.9% sodium chloride 200 mL IV bolus is
indicated. The nurse should administer 200 mL of 0.9%
sodium chloride IV bolus to increase fluid volume and the
client's blood pressure.
Apply oxygen at 2 L/min via nasal cannula is indicated.
The nurse should administer oxygen at 2 L/min via nasal
cannula to increase the amount of oxygen carried in the
blood.
Notify the provider immediately is indicated. The nurse
should notify the provider immediately as part of the
nurse's role to provide an update on the client's condi-
tion.
Obtain the client's blood glucose level is not indicated.
There is no indication that the client is experiencing hy-
poglycemia; therefore, obtaining a blood glucose level is
not indicated.
2. A nurse is caring for a client who is Apply oxygen via a face mask is incorrect. It is not neces-
postoperative following abdomi- sary to place a face mask on the client because their SaO2
nal surgery. is within the expected reference range of 95% to 100%.
Instruct the client to splint the abdomen with a pillow for
, RN Adult Medical Surgical Online Practice A 2024
Study online at https://quizlet.com/_f9uv2k
A nurse is caring for a client who coughing is correct. It is important for the client to turn,
is postoperative. Which of the fol- cough, and deep breathe to reduce the risk for respira-
lowing actions should the nurse tory complications. The nurse should instruct the client
take? to splint the incision while performing these actions to
reduce the risk of complications to the surgical incision.
Plan to ambulate the client as soon as possible is correct.
The nurse should plan to ambulate the client as soon as
possible to promote ventilation and decrease the risk of
thrombosis.
Report urinary output to the provider is correct. The client
should produce at least 30 mL of urine per hour. There-
fore, the nurse should report this finding to the provider.
Ask the client to rate their pain on a 0 to 10 pain scale is
correct. The nurse should have the client rate their pain
prior to and following the administration of pain medica-
tion to evaluate its effectiveness.
3. A nurse is caring for a client who Administer dextrose 10% in water until the new bag arrives
is receiving total parenteral nutri-
tion (TPN). A new bag is not avail-
able when the current infusion is
nearly completed. which actions
should the nurse take?
Keep the line open with 0.9% sodi-
um chloride until the new bag ar-
rives.
Administer dextrose 10% in water
until the new bag arrives.
Flush the line and cap the port
until the new bag arrives.
, RN Adult Medical Surgical Online Practice A 2024
Study online at https://quizlet.com/_f9uv2k
Decrease the infusion rate until
the new bag arrives.
4. A nurse is caring for a client who The client reports back pain
had a nephrostomy tube inserted
12 hr. ago. Which of the following The nurse should notify the provider if the client reports
findings should the nurse report back pain, which can indicate that the nephrostomy tube
to the provider? is dislodged or clogged.
The client's urinary output has in-
creased.
The client reports back pain.
The client's urine color is red
tinged.
The client's tube requires irriga-
tion.
5. A nurse is caring for a client who is Turn the client to the side.
having a seizure. Which of the fol-
lowing interventions is the nurse's
priority?
6. A nurse in a provider's office is Report of a night cough.
assessing a client who has hyper-
tension and takes propranolol. (the nurse should recognize that this is an early indication
Which of the following findings of heart failure and report this adverse reaction to the
should indicate to the nurse that provider)
the client is experiencing an ad-
verse reaction to this medication?
7. A nurse is planning to irrigate and Use a 30-mL syringe.
dress a clean, granulating wound
for a client who has a pressure (Nurse should use a 30-60 mL syringe with an 18 or
