PN Medical Surgical Practice 2020 ALL CORRECT ANSWERS 100%

PN Medical Surgical Practice 2020 ALL CORRECT ANSWERS 100% A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the nurse recommend for this age group? - ANS Herpes zoster Rationale: The nurse should recommend the herpes zoster vaccine for adults who are 60 years of age and older. -------------- The nurse should recommend the meningococcal vaccine to college students and military recruits who are living in shared housing. The nurse should recommend the HPV vaccine for clients who are 9 to 26 years of age. The nurse should recommend the MMR vaccine to clients who are 62 years of age. 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 procedures? - ANS Creatinine 1.9 mg/dL Rationale: Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should report the finding to the provider before the client has a CT scan with an IV contrast agent. This finding places the client at risk for developing contrast-induced nephropathy. --------------------- Expected ranges: Calcium (ca) 9 - 10.5 mg/dL Sodium (Na) 136 - 145 mEq/L Potassium (K) 3.5 - 5 mEq/L A nurse is reinforcing teaching about home care with a client who had knee arthroplasty. Which of the following factors should the nurse identify as an indication that a barrier to learning might be present? - ANS The client stops the nurse and asks for pain medication Rationale: The nurse should identify that a client who is in pain will not be able to concentrate, which can interfere with their ability to learn. A nurse is caring for a client who has a acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspirations? - ANS Allow for 30 min of rest before meals. Rationale: The nurse should allow the client to rest for 30 min before meals to prevent aspiration. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurse include? - ANS Encourage the client to complete ADLs. Rationale: The nurse should encourage the client to complete ADLs and provide assistance as needed. Performing self-care increases the client's independence, strength, and level of functioning. A nurse is reinforcing about joint protection with a clietn who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? - ANS Apply cold packs to the inflamed joints Rationale: The nurse should instruct the client to use both warm and cold packs on inflamed joints to decrease pain. ----------------- The nurse should instruct the client to participate in low-impact aerobic exercises, which will not inflame the client's joints. The nurse should instruct the client to carry a shoulder bag, which places the stress on larger muscles. The nurse should instruct the client to sleep on a firm mattress to support their joints.