MEDICAL SURGICAL EXAM 4 QUESTIONS AND CORRECT ANSWERS 2023

- A client with eczema is using an over-the-counter (OTC) topical product with urea 10% OTC (Aqua Care Cream) to the affected skin areas. Which finding reflects the expected therapeutic response? - Hydration of affected dry skin areas (Photo) The charge nurse observes a newly employed nurse gathering equipment to obtain a venous blood sample from a client's implanted port. The nurse has obtained the equipment seen in the photo. What actions should the charge nurse take? (Select all that apply) - Determine if the nurse has ever performed this skill Assist in obtaining the correct needle to access the port * Venous Insufficiency. All Apply? - -When the pt. is sitting or lying elevate the legs -Diet rich in protein and Vit. A and C -Assessment the legs for dark discoloration* 1.A young adult male who has had type 2 diabetes mellitus (DM) is admitted to the intensive care unit with hyperglycemic nonketotic syndrome (HHNS). A sliding scale protocol for an isotonic IV solution with regular insulin is prescribed based on the results of a continuous blood glucose monitoring device that is attached to the client's central venous catheter. When the client's respirations become labored and his lungs sound indicate crackles what action should the nurse take? - decrease infusion rate to address fluid overload A client diagnose with stable angina secondary to ischemic heart disease has a prescription for sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to follow which instructions if chest pain is not relieved after taking 3 NTG tables 5 min apart - call 911 pain is unrelieved and chew a tablet of aspirin 325mg A client diagnosed with stable angina secondary to ischemic heart disease has a prescription for sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to follow which instructions if chest pain is not relieved after taking 3 NTG tables 5 min apart? - call 911 pain is unrelieved and chew a tablet of aspirin 325mg A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the health care provider? - low back pain and hypotension A client in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely high temperature. What action should the nurse implement? - Call the PACU nurse to prepare for prolonged ventilatory support Also know that PACU is BP, Respiration and Pulse A client is admitted with a sudden onset of right sided the nurse complete first? - Observe for peripheral edema A client is discharged with a prescription for warfarin (Coumadin). What discharge instructions should the nurse emphasize to the client? - avoid going barefoot especially outside A client is who is diagnose with schizophrenia receives a prescription for an atypical antipsychotic drug aripipazole (Abilify). Which assessment should the nurse perform to monitor for an adrenergic receptor antagonist side effect that commonly occurs atypical antipsychotic agents - obtain the client finger stick glucose levels A client returns from surgery following a hiatal hernia repair via Nissen fundoplication. Which position should the nurse implement for this client? - 30 degree semi-Fowler's to drop the diaphragm A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse implement next? - collect a clean catch specimen A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse implement next? - collect a clean catch specimen A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How should the nurse respond? ask the client in the healthcare provider has giving her any information about the - classification of her cancer A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How should the nurse respond? - ask the client in the healthcare provider has giving her any information about the classification of her cancer