Medical-Surgical bundled exams with complete solution

Heparin is ordered for a patient with a non-ST-segment-elevation myocardial infarction (NSTEMI). What is the purpose of the heparin? - c. Heparin prevents the development of new clots in the coronary arteries. A male client with a history of cirrhosis and alcoholism is admitted with severe dyspne...

The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? A. 2 minutes B. 5 minutes C. 10 minutes D. 1...

1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my...

Which of the following is part of the respiratory tract? Choose all that apply. A. Bronchi B. Pharynx C. Larynx D. Sinuses - Answer-A. Bronchi B. Pharynx C. Larynx D. Sinuses Because the pressure of CO2 is higher in the blood vessels than the pressure of CO2 in the lungs, the CO2 moves from...

1. The nurse is admitting a client diagnosed with acute renal failure (ARF). Which question is most important for the nurse to ask during the admission interview? 1. "Have you recently traveled outside the United States?" 2. "Did you recently begin a vigorous exercise program?" 3. "Is there...

A Patient was admitted for shortness of breath. The nurse connects the patient to the cardiac monitor. According to the strip below, which treatment is appropriate for the patient? a. administer adenosine b. administer a thiazide medication c. adminster an oral anticoagulant d. administer a bet...

A patient who has received a maximum dose of nitroglycerin continues to report chest pain. What is the next medication that the nurse should administer to the patient? A. Ticagrelor B. Morphine sulfate C. Docusate D. Esmolol - Answer-B. Morphine Sulfate When planning emergent care for a patien...

What is the best way to assess pain? - Answer-Client self-report How to assess pain in a confused patient? - Answer-FACES pain scale-revised Which patient to see first after hand-off - Priority with pain? - Answer-A client with new-onset abdominal pain rated as an 8 on a 0 to 10 scale. The proce...

What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient? (Select all that apply.) 1. BUN : serum creatinine ratio of >12.1 2. Urine positive for blood 3. Hematocrit level of >47% 4. Urine specific gravity of 1.027 5. Urine osmolality of >4...

1. A patient is being admitted to the hospital on the day before a scheduled surgery. What is the most appropriate initial question for the nurse to ask this preoperative patient? a) "What did your surgeon say to you about the type of surgery you are having?" b) "What questions do you have abo...

The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? - Frequently wash her hands and surfaces of the home. The nurse is caring for a client infected...

A newly diabetic patient will receive instructions from his nurse. Which of the following actions should the nurse take first? A. Provide the patient with brochures for making smart choices for cooking/baking. B. Ask the patient what they know about diabetes. C. Instruct the patient on exercise ...

A student nurse is preparing blood for an A Positive patient who needs to receive a blood transfusion. The nurse intervenes after which statement? A. " Since you are A positive, you are considered a "universal recipient", therefore you can receive any type of blood. B. "A positive blood type...