PN Adult Medical Surgical Online Practice 2017 A Questions and Answers

PN Adult Medical Surgical Online Practice 2017 A BUN - Correct answer-A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure? Determine the clients daily elimination habits. - Correct answer-A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse plan to implement first? "You should have a pneumococcal immunization every 10 years." - Correct answer-A nurse is discussing health screening guidelines with an older adult client. Which of the following statements should the nurse include? "I never forget to rinse my mouth after using my budesonide inhaler" "Between office visits, I keep a record of how many times I used my albuterol inhaler" "I use my albuterol inhaler before I go swimming." - Correct answer-A nurse is reinforcing teaching with a client who has asthma. Which of the following statements indicates an understanding of the use of budesonide and albuterol inhalers? Small liquid stools - Correct answer-A nurse in a long term care facility is collecting data from a client who reports fullness in the rectum and abdominal cramping. Which of the following findings should indicate to the nurse that the client might have a fecal impaction? Change the sheepskin liner weekly. - Correct answer-A nurse is reinforcing teaching with the family a client who has cervical injury and has a halo vest in place. Which of the following safety precautions should the nurse include in the teaching? Mohs surgery is a horizontal shaving of thin layers of the tumor. - Correct answer-A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. Which of the following information should the nurse include in the teaching? History of treatment for blood clots. - Correct answer-A nurse is collecting data from a 55-year old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy(HRT). Which of the following should the nurse recognize as a contraindication to HRT? "I understand that testicular cancer is painless." - Correct answer-A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the statements by the client demonstrates an understanding of the teaching? Hgb 11 g/dL - Correct answer-A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates the treatment is effective? Creatinine 1.9 mg/dL - Correct answer-A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Allow for 30 min of rest before meals. - Correct answer-A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration? Recommend a referral for a speech language pathologist. - Correct answer-A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following interventions should the nurse plan to implement first? Dispose of radiation implants in a lead container. - Correct answer-A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include? Prealbumin 12mg/dL - Correct answer-A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing? Herpes zoster - Correct answer-A nurse is participating in a health fair for older adult clients. Which of the following immunizations should the nurse recommend for this age group? Rephrase client instructions when not understood. - Correct answer-A nurse is reinforcing discharge teaching with a client client who has hearing loss. Which of the following actions should the nurse take when communicating with the client? Urinary retention - Correct answer-A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the following findings should the nurse report to the provider? Ventilate with 100% oxygen - Correct answer-A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first? "Avoid bending your hips more than 90 degrees." - Correct answer-A nurse is reinforcing discharge instruction with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? "Limit contact with large groups of people." - Correct answer-A nurse is reinforcing teaching with a client who has systemic lupus erythematous(SLE) and is to begin taking methylpresnisolone orally. Which of the following statements should the nurse include in the teaching? Minimize the time the head of the bed is elevated. - Correct answer-A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the following actions should the nurse take? Position pillows between the bony prominences. - Correct answer-A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take? Stop the infusion. - Correct answer-A nurse enters the room of a client whose transfusion of packed RBC's was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. Which of the following action should the nurse perform first? Encourage the client to use an incentive spirometer every hour while awake. - Correct answer-A nurse is caring for a client who is 24 hr postoperative following abdominal surgery and has an NG tube. Which of the following actions should the nurse plan to take to decrease the risk of postoperative complications. Monitor the insertion site for bleeding. Maintain the pressure dressing. Check the clients peripheral pulses - Correct answer-A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent post procedure complications? Into-abdominal bleeding - Correct answer-A nurse is caring for a client who has acute pancreatitis. While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of which of the following? Thrombophlebitis - Correct answer-A nurse is examining a client IV site and notes a red line up his arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the clients manifestations indicate which of the following complications of IV therapy?