RN Med Surg B Questions And Answers

RN Med Surg B Questions And Answers Nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic and has crackles noted to lung bases. Which of the following actions should the nurse anticipate taking? - Answer- Slow the infusion rate A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of rt ankle. Which of the following assessment findings should the nurse report to the provider. - Answer- Extremity cool upon palpation A nurse is caring for a client who has increased ICP and is receiving mannitol. The nurse should rport which of the following adverse effects of this medication - AnswerCrackles heard on ausclultation A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemitry monitoring. Which of the follwing statements refelcts understanding of the teaching - Answer- This identifies if the pacemaker cells of my heart are working properly. A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings should the nurse expect? - Answer- Hypoactive bowel sounds A nurse is caring for a client who is receiving TPN and is NPO. When receiving an orer: capillary blood glucose AC and HS. Which action should the nurse take? - Answer- Contact the primary care to clarify the prescription. A nurse is reviewing lab results of a client who has AIDS and is taking amphotericin B for a fungal infection. The nurse should identify which is an adverse effect of the medication - Answer- BUN 34 A nurse is assessing a client who has Cushing's disease. Which should nurse expect? - Answer- Muscle atrophy Nurse is caring for a client who has DKA. Which should the nurse plan to admin? - Answer- Regular insulin 20 u IV bolus A nurse is caring for ALS pt.Which assessment finding is the nurse's priority - Answer- Increased resp secretions Nurse caring for client who has pneumothorax and closed chest drainage system. Which finding is indication of lung re-expansion? - Answer- Bubbling in water seal chamber has ceased. Nurse caring for client with gastric hemorrhage and is going into shock. Identify nurse's sequence - Answer- Administer oxygen, IV, NG, then ranitidine A home health nurse is assigned to client who recently discharged after CVA. Which of the following neurological deficits should the nurse expect? - Answer- visual spatial deficits, Left hemionopsia, and one sided neglect A nurse in provider's office is assessing client with htn and takes propanolol. Which is adverse reaction to med? - Answer- Report of a night cough Client brought to an emergency department by a family member. Which causes nurse to suspect hypertonic dehydration? - Answer- Urine specific gravity is 1.045 Nurse assessing a client following IV urography. Which of the following IV urography. Which of the followoing findings is the priority? - Answer- Swollen Lips Swollen lipsNurse has client with cervical spinal cord injury 1 mo ago. What are signs of autonomic dysreflexia? - Answer- Heart race 52/min nurse providing teaching of a client who is at risk for developing Type one DM. What are manifestations? - Answer- Polyuria, polydipsia, neuropathy Planning to irrigate and dress a clean, granulating wound for a client with pressure ulcer. Which actions should she take? - Answer- use a 30 ml syringe Nurse caring for client with cirrhosis with esophageal varices. What should patient avoid? - Answer- Straining to have bowel movements Stage III pressure ulcer. What contributes to delayed wound healing? - AnswerUrine output 25 ml/hr Portal hypertension. Client vomiting blood mixed with food. What should nurse do first? - Answer- obtain VS Client with chest pain of 8. First nursing action? - Answer- Administer morphine Care for a client with CAP. Interventions? - Answer- Monitor the client for confusion Hepatic encephalopathy treated with lactulose. Excessive stools. Which is adverse effect of the med? - Answer- Hypokalemia DM1 pt. What should nurse expect? - Answer- Low urine specific gravity Pt with exposure to hep c. What would show the presence of hep c antibodies? - Answer- Enzyme immunoassay Pancriatitis--lab results? - Answer- calcium ICU nurse with cardiogenic shock. What med increases cardiac output? - AnswerDopamine Chemo pt with script for epoitin alfa. What shows understanding? - Answer- I will monitor my BP while on this med Nurse teaching about hypothyroidism and levothyroxine. What supplement can interfere? - Answer- Calcium Sealed radiation implant for cervical cancer. What should the nurse include? - Answer- Keep a leaded container in the client's room Emphysema with mecanical vent. Pt anxious and restless, with high pressure alarm - Answer- Instruct the client to allow machine to breathe for him IV therapy. What requires a revision of IV therapy script? - Answer- BUN Acute myocardial infarction. What is indication of cardiogenic shock? - AnswerHypotension Abdominal aortic aneurism. What should nurse expect? - Answer- Bruit heard over middle upper abdomen After mag sulfate bolus, what should nurse monitor? - Answer- Resp paralysis Active bleeding from peptic ulcer disease?Compensatory shock? - AnswerIncreased heart rate teaching plan for client with gout - Answer- Decrease intake of purine meats TB and family - Answer- Family members should undergo TB testing DKA. Lab findings expected - Answer- BUN 32 mg/dl Comminuted fracture of femur. What shows fat embolism - Answer- Dyspnea Pernicious anemia resulting from peptic ulcer disease. What condition caused? - Answer- Glossitis--smooth red tongue HF and takes digoxin. What shows Dig toxicity? - Answer- Bradycardia HIV. What shows pos response to tx - Answer- Decreased viral load...