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RN Adult Medical Surgical Nursing REVIEW MODULE
EDITION 11.0 (Content Mastery Series Review Module
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A nrs in a clinic is preparing to obtain a skin specimen from a client who has a
suspected herpes infection. Which of the following actions should the nurse take?
(select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
- use a cotton-tipped application to obtain fluid from the lesion
- place specimen in a KOH solution tube
- place specimen tube on ice after obtaining sample - - use a cotton-tipped application
to obtain fluid from the lesion
- place specimen tube on ice after obtaining sample
A nurse administered midazolam IV bolus to a client before a procedure. The client's
bood pressure is 86/40, HR is 134/min. Which of the following IV med should the nurse
administer?
- naloxone
-morphine
- flumazenil
- atropine - - naloxone (revereses resp. depression resulting from an opiod med)
-morphine (relieves pain, can cause hypotension and resp depression)
- FLUMAZENIL (midazolam is a benzo. Flum reverses effects)
- atropine (treats bradycardia)
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opiods twice daily. The client reports an incr in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
- phantom limb pain
-mixed pain
- breakthrough pain
- neuropathic pain - - breakthrough pain
A nurse caring for a client who has contact dermatitis and has a new prescription for
diphenhydramine. Which adverse effect should the nurse monitor?
- elev. blood glucose lvls
- anorexia
- incr salivation
- insomnia - - anorexia
A nurse is assessing a client's lab values before surgery. Which to report? (select all)
- K 3.9
- Na 145
- Creatinine 2.8
- Blood Glucose 235
- WBC 17,850 - - Creatinine 2.8
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- Blood Glucose 235
- WBC 17,850
A nurse is assisting an anesthesiologist who is delivering nitrous oxide by face mask to
a client during the induction of anesthesia. Which of the following is the priority nursing
action?
- assessing oxygen saturation.
- measure BP
- palpate pulse rate
- check temperature - - assessing oxygen saturation.
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
- monitor blood creatinine levels
- provide airway support
- turn the client to the right side
- administer a diuretic - - provide airway support
A nurse is caring for a client who develops malignant hyperthermia. WHich of the
following actions should the nurse take? (select all that apply)
- infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- treat the complication while the surgeon continues surgery
- administer IV dantrolene - - infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- administer IV dantrolene
A nurse is caring for a client who has a suspected viral skin lesion. WHich of the
following lab findings should the nurse expect to review to confirm this diagnosis?
- Potassium hydroxide (KOH)
- Diascopy
- Tzanck smear report
- Biopsy - - Tzanck smear report
- Biopsy (confirm or rule out malignancy)
- KOH (test for if fungal)
- Diascopy (provides incr visibility of a skin lesion by blanching the skin over the lesion,
thus eliminating erythema which can obscure findings)
A nurse is caring for a client who is experiencing mild acute pain after spraining an
ankle. Which of the following analgesics should the nurse expect to administer?
- ketorolac
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- ketamine
- meperidine
- methadone - - ketorolac
ketamine (anesthetic agent used for treating neuropathic pain); meperidine (not
recommended for reg use); methadone (effective for treating severe pain).
A znurse zis zcaring zfor za zclient zwho zis zreceiving zmorphine zvia za zPCA zafter
zabdominal zsurgery. zWhich zstatement zindicates zthe zclient zunderstands zhow zto zuse
zthe zdevice?
- z"I'll zwait zto zuse zthe zdevice zuntil zabsolutely znecessary"
- z"I'll zbe zcareful zabout zpushing zthe zbutton zso zI zdon't zget zan zoverdose"
- z"I zshould ztell zthe znurse zif zthe zpain zdoesn't zstop zafter zI zuse zthis zdevice"
- z"I zwill zask zmy zson zto zpush zthe zs=dose zbutton zwhen zI zam zsleeping" z- z- z"I zshould
ztell zthe znurse zif zthe zpain zdoesn't zstop zafter zI zuse zthis zdevice"
a znurse zis zcaring zfor za zclient zwho zis zscheduled zfor zan zexploratory zlaparotomy. zthe
zclient's ztemp zis z39*C z(102.2 zF) zorally. zwhich zof zthe zfollowing zactions zshould zthe
znurse ztake?
- zinform zthe zsurgeon zof zthe zelevated ztemp
- ztransfer zthe zclient zto zthe zpreop zunit
- zapply zice zpacks zto zthe zgroin
- zencourage zthe zclient zto zincrease zintake zof zclear zliquids z- z- zinform zthe zsurgeon zof
zthe zelevated ztemp z(notifying zthe zsurgeon zof zthe zelevated ztemp zto zdetermine zif
zcanceling zthe zsurgery zis znecessary zdue zto zan zunderlying zinfection)
A znurse zis zcaring zfor za zclient zwho zreports za zheadache zfollowing zan zepidural
zregional znerve zblock. zWHich zof zthe zfollowing zactions zshould zthe znurse ztake?
- zdecrease zthe zclient's zfluid zintake
- zapply zpressure zto zthe zpuncture zsite
- zplace zthe zhead zof zthe zbed zflat
- zinstruct zthe zclient zto zlie zprone z- z- zplace zthe zhead zof zthe zbed zflat
A znurse zis zdiscussing zpain zassessment zwith za znewly zlicensed znurse. zWhich zof zthe
zfollowing zinformation zshould zthe znurse zinclude?
- zmost zclients zexaggerate ztheir zlevel zof zpain
- zpain zmust zhave zan zidentifiable zsource zto zjustify zthe zuse zof zopioids
- zobjective zdata zare zessential zin zassessing zpain
- zpain zis zwhatever zthe zclient zsays zit zis z- z- zpain zis zwhatever zthe zclient zsays zit zis
a znurse zis zeducating za zclient zon zthe zuse zof zcalcipotriene ztopical zmed zfor zthe
ztreatment zof zpsoriasis. zWHich zlab zvalues zshould zthe znurse zmonitor?
- zK
- zCa
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- zNa
- zCl z- z- zCa
A znurse zis zinstructing za zclient zon zhome zcare zafter za zculture zfor za zbacterial
zinfection zand zcellulitis. zWHich zof zthe zfollowing zinfo zshould zthe znurse zinclude?
- zbathe zdaily zwith zmoisturizing zsoap
- zapply zantibacterial ztopical zmed zto zthe zcrusted zexudate
- zapply zwarm zcompresses zto zthe zaffected zarea
- zcover zaffected zarea zwith zsnug-fitted zclothing z- z- zapply zwarm zcompresses zto zthe
zaffected zarea
A znurse zis zmonitoring za zclient zwho zis zreceiving zopioid zanalgesia. zWHich zof zthe
zfollowing zshould zthe znurse zidentify zas zadverse zeffects zof zopioid zanalgesics?
z(select zall zthat zapply)
- zurinary zincontinence
- zdiarrhea
- zbradypnea
- zorthostatic zhypotension
- znausea z- z- zbradypnea
- zorthostatic zhypotension
- znausea
a znurse zis zplanning zcare zfor zan zadult zclient zwho zsustained zsevere zburn zinjuries.
zSelect zall zinterventions zthat zapply.
- zlimit zvisitors zin zthe zclient's zroom
- zencourage zfresh zvegetables zin zthe zdiet
- zincrease zprotein zintake
- zinstruct zthe zclient zto zconsume z2,000 zcal/day
- zrestrict zfresh zflowers zin zthe zroom z- z- zlimit zvisitors zin zthe zclient's zroom
- zincrease zprotein zintake
- zrestrict zfresh zflowers zin zthe zroom
A znurse zis zproviding zinformation zabout za znew zprescription zfor zcorticosteroid zcream
zto za zclient zwho zhas zmild zpsoriasis. zWhich zof zthe zfollowing zinstructions zshould zthe
znurse zinclude? z(select zall)
- zapply zan zocclusive zdressing zafter zapplication
- zapply z3-4x zper zday
- zwear zgloves zafter zapplication zto zlesions zon zthe zhands
- zavoid zapplying zin zskin zfolds
- zuse zmedication zcontinuously zover za zperiod zof zseveral zmonths z- z- zapply zan
zocclusive zdressing zafter zapplication
- zwear zgloves zafter zapplication zto zlesions zon zthe zhands
- zavoid zapplying zin zskin zfolds z(risk zfor zyeast)
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