RN adult medical surgical online practice 2019 B with NGN Questions and Answers

RN adult medical surgical online practice 2019 B with NGN Questions and Answers A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? A. Potassium 3.5 mEq/L B. pH 7.28 C. Glucose 272 mg/dL D. HCO3 14 mEq/L [Correct Ans: -C. Glucose 272 mg/dL A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should identify the need to revise the plan for which of the following clients? A. A client who is taking potassium supplements, has a potassium level of 3.2 mEq/L and reports constipation B. A client who has Alzeimer's Disease (AD), has a room near the nurse's station, and is agitated C. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed D. A client who has a conductive hearing loss, speaks softly, and is scheduled for a cerumen removal [Correct Ans: -C. A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following information should the nurse include in the teaching? A. Drink 240 mL (8 oz) of water after administration B. Expect results in 4 to 6 hr C. Take this medication before meals to increase appetite D. Reduce dietary fiber intake to improve medication absorption [Correct Ans: -A. Drink 240 mL (8 oz) of water after administration A nurse is admitting a client who has active tuberculosis. Which of the following types of transmission precautions should the nurse initiate? A. Airborne B. Droplet C. Contact D. Protective environment [Correct Ans: -A. Airborne A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? A. WBC count B. Temperature C. Blood pressure D. Serum creatinine [Correct Ans: -D. Serum creatinine A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. For which of the following adverse effects should the nurse instruct the client to notify the provider? (Select all that apply.) A. Night sweats B. Calf pain C. Vaginal dryness D. Numbness in the arms E. Intense headache [Correct Ans: -B, D, E A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. Which of the following instructions should the nurse include in the plan of care? A. Secure the straps firmly around the boot B. Remove the device before showering C. Use crutches with rubber tips D. Adjust the screws to maintain alignment [Correct Ans: -C. Use crutches with rubber tips