RN Virtual Medsurg(COMPATIBILITY MODEL)

RN Virtual Medsurg(COMPATIBILITY MODEL) 1. A nurse is caring for a client in Buck’s traction. What is the purpose of this type of traction? 2. A client with osteoarthritis has been prescribed glucosamine. What are some potential contraindications to this supplement? 3. A nurse is caring for an adult male client following a lumbar spinal surgery. Which of the following findings would indicate a fluid volume deficit? 4. A nurse is caring for a client who is starting hemodialysis. What information regarding a change in protein intake from the predialysis recommendation should the nurse provided? 5. A nurse is caring for a client following gastrectomy surgery. What information regarding prevention of dumping syndrome should the nurse provide to this client? 6. While assessing a patient two hours after a transurethral prostatectomy (TURP), the nurse notes the catheter drainage is bright red in color and contains many clots. Name the priority nursing intervention. 7. A nurse is caring for a client with a burn injury who has been prescribed hydrotherapy. How is hydrotherapy instituted and what actions should the nurse take during this therapy? 8. A nurse is caring for a client with a new ileostomy. What should the nurse instruct the client to expect in the post-operative period? 9. A client is experiencing disequilibrium syndrome. What are the clinical manifestations of disequilibrium syndrome? 10. The emergency room nurse is assisting the provider perform an emergency thoracentesis to relieve a tension pneumothorax following a traumatic motor vehicle accident. 11. Describe five (5) ongoing nursing interventions necessary for all clients receiving mechanical ventilation. 12. List three (3) client teaching points following permanent pacemaker insertion. 13. The nurse is administering 6 AM medications to a client with Gastroesophageal Reflux Disorder (GERD). The client states, “I don’t want to take that Protonix, it never helps my heart burn. I like taking TUMS better!” How will the nurse educate this client on the difference of Proton Pump Inhibitors and Antacids to treat GERD. 14. Following a hernia repair the client is instructed to avoid increasing intra-abdominal pressure. List three (3) things the nurse will educate the client to avoid increasing intra-abdominal pressure. 15. After providing AM care to a client receiving mechanical ventilation via an endotracheal tube, the nurse notes a sudden decrease in the pulse oximetry reading. How will the nurse assess endotracheal tube placement? A Case Study Questions: 1. How should the nurse position this client and why? 2. List four signs and symptoms of respiratory distress the nurse may observe in a client with COPD. 3. The client wants her nasal oxygen turned up because she is experiencing increased difficulty breathing. What should the nurse say to the client? 4. Why is it important to address the client’s pain level? 5. List three non-pharmacologic interventions that the nurse could implement to help decrease the client’s difficulty breathing. 6. What are the normal ranges for each of the components in an adult: pH: 7.35 - 7.45 partial pressure of carbon dioxide (PaCO2): 35 - 45 .........................................continued.............................................