Med Surg Questions- student
A nurse is assessing a client with Cushing syndrome. For which finding would First choice:
you notify the physician immediately?
a. Purple striae present on the abdomen and thighs
b. Weight gain of 1 lb since the previous day Answer:
c. Dependent edema rated 1+ in the ankles and calves
d. Crackles bilaterally in the lower lobes of the lungs
Rationale:
The nurse cares for a client with a right sided CVA. Which assessment findings First choice:
does the nurse associate with this condition? (Select all that apply)
a. Hemiparesis
b. Impaired comprehension
c. Impaired judgment Answer:
d. Impaired speech
e. Impulsivity
Rationale:
An unimmunized individual is diagnosed with acute hepatitis B. What is First choice:
involved in the plan of care? (Select all that apply)?
a. Avoid fatigue and ensure adequate rest periods
b. Administer hepatitis B immunoglobulin.
Answer:
c. Eat a well-balanced diet and maintain hydration.
d. Avoid alcoholic beverages.
e. Instruct on antiviral therapy schedule.
Rationale:
An unimmunized individual is diagnosed with acute hepatitis B. What is First choice:
involved in the plan of care? (Select all that apply)?
, a. Avoid fatigue and ensure adequate rest periods
Answer:
b. Administer hepatitis B immunoglobulin.
c. Eat a well-balanced diet and maintain hydration.
d. Avoid alcoholic beverages.
e. Instruct on antiviral therapy schedule.
Rationale:
A client with acute pancreatitis has a nasogastric (NG) tube to suction and First choice:
reports 10/10 pain. What manifestations indicate the condition is improving?
(Select all that apply)
a. Bowel sounds are present.
Answer:
b. Vital signs are within normal limits.
c. Electrolyte and glucose levels are normal.
d. Abdominal pain has diminished.
e. Nasogastric (NG) tube drainage has increased.
Rationale:
The nurse is caring for four clients. Which client should be assessed first? First choice:
a. The client who is two-thirds of the way through a blood transfusion and
has had no complaints.
b. The client diagnosed with leukemia who has a hematocrit of 18%, and
Answer:
petechiae on the legs.
c. The client with peptic ulcer disease who called the nurse to say he is
vomiting blood.
d. The client diagnosed with Crohn’s disease who is complaining of
perineal discomfort.
Rationale:
Which interventions are included in the plan of care for a client experiencing First choice:
A nurse is assessing a client with Cushing syndrome. For which finding would First choice:
you notify the physician immediately?
a. Purple striae present on the abdomen and thighs
b. Weight gain of 1 lb since the previous day Answer:
c. Dependent edema rated 1+ in the ankles and calves
d. Crackles bilaterally in the lower lobes of the lungs
Rationale:
The nurse cares for a client with a right sided CVA. Which assessment findings First choice:
does the nurse associate with this condition? (Select all that apply)
a. Hemiparesis
b. Impaired comprehension
c. Impaired judgment Answer:
d. Impaired speech
e. Impulsivity
Rationale:
An unimmunized individual is diagnosed with acute hepatitis B. What is First choice:
involved in the plan of care? (Select all that apply)?
a. Avoid fatigue and ensure adequate rest periods
b. Administer hepatitis B immunoglobulin.
Answer:
c. Eat a well-balanced diet and maintain hydration.
d. Avoid alcoholic beverages.
e. Instruct on antiviral therapy schedule.
Rationale:
An unimmunized individual is diagnosed with acute hepatitis B. What is First choice:
involved in the plan of care? (Select all that apply)?
, a. Avoid fatigue and ensure adequate rest periods
Answer:
b. Administer hepatitis B immunoglobulin.
c. Eat a well-balanced diet and maintain hydration.
d. Avoid alcoholic beverages.
e. Instruct on antiviral therapy schedule.
Rationale:
A client with acute pancreatitis has a nasogastric (NG) tube to suction and First choice:
reports 10/10 pain. What manifestations indicate the condition is improving?
(Select all that apply)
a. Bowel sounds are present.
Answer:
b. Vital signs are within normal limits.
c. Electrolyte and glucose levels are normal.
d. Abdominal pain has diminished.
e. Nasogastric (NG) tube drainage has increased.
Rationale:
The nurse is caring for four clients. Which client should be assessed first? First choice:
a. The client who is two-thirds of the way through a blood transfusion and
has had no complaints.
b. The client diagnosed with leukemia who has a hematocrit of 18%, and
Answer:
petechiae on the legs.
c. The client with peptic ulcer disease who called the nurse to say he is
vomiting blood.
d. The client diagnosed with Crohn’s disease who is complaining of
perineal discomfort.
Rationale:
Which interventions are included in the plan of care for a client experiencing First choice:
