Med Surg Test B - Pain Management & Postoperative Care Strategies |
Questions and Answers | Latest Update
1. A nurse is assisting with the development of a plan of care to manage pain for a client
who has herpes zoster with lesions on the lower extremities. Which of the following
interventions should the nurse include in the plan of care?
a. keep bed linens off of the affected areas
2. A nurse is contributing to the plan of care to promote a restful night sleep for a client wh
has Alzheimer's disease. Which of the following interventions should the nurse include in
the plan?
a. Offer a small snack at bedtime
3. A nurse is reviewing the plan of care for a client who is 1 day postoperative following a
total hip arthroplasty. Which of the following interventions should the nurse contribute to
the plan of care?
a. Check neurovascular status on the extremity every 8 hr.
b. Have the client perform incentive spirometry every 4 hr.
c. Keep an abduction pillow between the client's legs.
d. Maintain the client on bed rest until the third postoperative day.
4.
5.
6. A nurse is assisting with the care for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse
should recognize that these findings indicate which of the following complications?
a. Wound infection
b. Pulmonary embolism
c. Thrombophlebitis
d. Paralytic ileus
7. Next gen
8. A nurse is reviewing the medication record of a client who is taking digoxin. Which of
the following medications should the nurse identify as increasing the risk for the client to
develop digoxin toxicity?
a. Potassium chloride
b. Famotidine
c. Levothyroxine
d. Furosemide
9. A nurse is reviewing the medication record of a client who is taking digoxin. Which of
the following medications should the nurse identify as increasing the risk for the client to
develop digoxin toxicity?
a. BUN 40 mg/dL (10 to 20 mg/dL)
b. Hgb 11 g/dL (12 to 16 g/dL)
c. Urine specific gravity 1.035 (1.005 to 1.03)
d. Blood glucose 115 mg/dL (74 to 106 mg/dL)
, 10. A nurse is reinforcing teaching with a client who has systemic lupus erythematosus
(SLE) and is to begin taking methylprednisolone orally. Which of the following
statements should the nurse include in the teaching?
a. Take the medication on an empty stomach
b. Limit contact with large groups of people
c. Avoid take over the counter calcium supplements
d. Follow a low protein diet
11. A nurse is monitoring a client who has a cast and reports intense itching underneath the
cast. Which of the following actions should the nurse take?
a. Blow cool air into the cast using a blow dryer on a cool setting.
b. Obtain a prescription for pregabalin.
c. Ask the provider to bivalve the cast.
d. Provide the client with a tongue blade to rub the skin under the cast.
12. A nurse in a telemetry unit is collecting data from a client who has a newly inserted
permanent pacemaker. Which of the following findings should the nurse report to the
provider?
a. The client experiences hiccups when sitting.
b. The client's pulse rate is 5/min faster than preset pacemaker rate.
c. There is the presence of a pacing spike before the P-wave on the ECG rhythm
strip.
d. The dressing over the insertion site is dry and intact.
13. A nurse is reinforcing discharge instructions with a client who is postoperative following
a right hip arthroplasty. Which of the following statements should the nurse make?
a. "You may cross your legs in 60 days."
b. "Avoid lying on your operative side."
c. "Avoid bending your hips more than 90 degrees."
d. "You may sleep on a soft mattress."
14. A nurse is reinforcing teaching about nutrition choices with a client who has leukemia
and is receiving chemotherapy. The nurse should identify that which of the following
statements by the client indicates an understanding of the teaching?
a. "I put plenty of pepper on my soft-boiled eggs."
b. "I eat at a salad bar for lunch."
c. "I like to eat steak cooked medium."
d. "I drink bottled water."
15. A nurse is assisting in the care of a client who is scheduled for a CT scan with an IV
contrast agent. Which of the following laboratory test does the nurse anticipate that the
provider will prescribe?
a. Sodium level
b. Cholesterol
c. Creatinine
Questions and Answers | Latest Update
1. A nurse is assisting with the development of a plan of care to manage pain for a client
who has herpes zoster with lesions on the lower extremities. Which of the following
interventions should the nurse include in the plan of care?
a. keep bed linens off of the affected areas
2. A nurse is contributing to the plan of care to promote a restful night sleep for a client wh
has Alzheimer's disease. Which of the following interventions should the nurse include in
the plan?
a. Offer a small snack at bedtime
3. A nurse is reviewing the plan of care for a client who is 1 day postoperative following a
total hip arthroplasty. Which of the following interventions should the nurse contribute to
the plan of care?
a. Check neurovascular status on the extremity every 8 hr.
b. Have the client perform incentive spirometry every 4 hr.
c. Keep an abduction pillow between the client's legs.
d. Maintain the client on bed rest until the third postoperative day.
4.
5.
6. A nurse is assisting with the care for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse
should recognize that these findings indicate which of the following complications?
a. Wound infection
b. Pulmonary embolism
c. Thrombophlebitis
d. Paralytic ileus
7. Next gen
8. A nurse is reviewing the medication record of a client who is taking digoxin. Which of
the following medications should the nurse identify as increasing the risk for the client to
develop digoxin toxicity?
a. Potassium chloride
b. Famotidine
c. Levothyroxine
d. Furosemide
9. A nurse is reviewing the medication record of a client who is taking digoxin. Which of
the following medications should the nurse identify as increasing the risk for the client to
develop digoxin toxicity?
a. BUN 40 mg/dL (10 to 20 mg/dL)
b. Hgb 11 g/dL (12 to 16 g/dL)
c. Urine specific gravity 1.035 (1.005 to 1.03)
d. Blood glucose 115 mg/dL (74 to 106 mg/dL)
, 10. A nurse is reinforcing teaching with a client who has systemic lupus erythematosus
(SLE) and is to begin taking methylprednisolone orally. Which of the following
statements should the nurse include in the teaching?
a. Take the medication on an empty stomach
b. Limit contact with large groups of people
c. Avoid take over the counter calcium supplements
d. Follow a low protein diet
11. A nurse is monitoring a client who has a cast and reports intense itching underneath the
cast. Which of the following actions should the nurse take?
a. Blow cool air into the cast using a blow dryer on a cool setting.
b. Obtain a prescription for pregabalin.
c. Ask the provider to bivalve the cast.
d. Provide the client with a tongue blade to rub the skin under the cast.
12. A nurse in a telemetry unit is collecting data from a client who has a newly inserted
permanent pacemaker. Which of the following findings should the nurse report to the
provider?
a. The client experiences hiccups when sitting.
b. The client's pulse rate is 5/min faster than preset pacemaker rate.
c. There is the presence of a pacing spike before the P-wave on the ECG rhythm
strip.
d. The dressing over the insertion site is dry and intact.
13. A nurse is reinforcing discharge instructions with a client who is postoperative following
a right hip arthroplasty. Which of the following statements should the nurse make?
a. "You may cross your legs in 60 days."
b. "Avoid lying on your operative side."
c. "Avoid bending your hips more than 90 degrees."
d. "You may sleep on a soft mattress."
14. A nurse is reinforcing teaching about nutrition choices with a client who has leukemia
and is receiving chemotherapy. The nurse should identify that which of the following
statements by the client indicates an understanding of the teaching?
a. "I put plenty of pepper on my soft-boiled eggs."
b. "I eat at a salad bar for lunch."
c. "I like to eat steak cooked medium."
d. "I drink bottled water."
15. A nurse is assisting in the care of a client who is scheduled for a CT scan with an IV
contrast agent. Which of the following laboratory test does the nurse anticipate that the
provider will prescribe?
a. Sodium level
b. Cholesterol
c. Creatinine
