Advanced RN Adult Medical Surgical Practice Questions And Answers for NGN 2023

Advanced RN Adult Medical Surgical Practice Questions And Answers for NGN 2023 A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should recognize that an UNEXPECTED finding for which of the following LABORATORY VALUES is a manifestation of OSTEOMYELITIS and should be reported to the provider? - CORRECT ANSWER-An increased sedimentation rate occurs when a client has any type of inflammatory process, such as osteomyelitis A nurse is reviewing the medical records of a client who is taking WARFARIN for chronic arterial fibrillation. Which of the following values should the nurse identify as a desired outcome for this therapy? - CORRECT ANSWER-INR 2.5 Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction (MI), or pulmonary emboli (PE) from blood clots. Since warfarin is an anticoagulant, the medication must be monitored to ensure the anticoagulation is within the therapeutic range and prevent hemorrhage (levels of anticoagulation) or stroke, MI, PE (low levels of anticoagulation). An INR 2.5 is within the targeted therapeutic range of 2 to 3 for a client who has atrial fibrillation. A nurse is planning a health promotional presentation for a group of African American clients at a community center. Which of the following disorders presents the greatest risk to this group of clients? - CORRECT ANSWER-Hypertension When using the safety/risk reduction approach to client care, the nurse should determine that the disorder with the greatest risk for this group of clients is hypertension. The prevalence of hypertension is highest among African American clients, followed by Caucasian clients, and then Hispanic clients. A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? - CORRECT ANSWER-WBC count 2,000/mm3 A WBC count of 2,000/mm3 is below the expected reference range and indicates a risk for severe immunosuppression A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. The client is agitated and is attempting to remove the IV catheter. Which of the following actions should nurse take to avoid restraining the client? - CORRECT ANSWER-Keep the client occupied with a manual activity