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Exam (elaborations)

PN Adult Medical Surgical Online Practice 2023 B Questions with Verified Solutions

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Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. - The nurse should reduce the temperature in the client's room and limit visitors because the client has manifestations of hyperthyroidism. Clients who have hyperthyroidism have heat intolerance and require an environment with decreased stimuli. The nurse should monitor the client for an increased temperature which can indicate a thyroid storm, as well as the client's weight daily, to monitor for weight loss. 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? - Encourage the client to complete ADLs. A nurse is assisting with the care for a client who has a new cast on their left forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurse suspect? - Compartment syndrome A nurse is assisting with the care for a client who has Cushing's syndrome and expresses concern regarding physical changes associated with the syndrome. Which of the following should the nurse recognize as a physical change caused by this disorder? - Truncal obesity A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? - "The medication should be taken before I eat breakfast every morning." A nurse is collecting data from a client who is being treated for hypovolemia due to nausea and vomiting. Which of the following findings should the nurse report to the provider? - Heart rate 120/min FLAG A nurse is assisting with the care for a client who reports stomatitis. Which of the following dietary recommendations should the nurse make? - "Select foods that are low in protein." A nurse is reviewing the medical record for a client who is experiencing nausea and vomiting. Based on the client data, which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) - Notify the charge nurse of the client's blood pressure. A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? - Remind the client to avoid watching their feet when walking. A nurse is assisting with the care of a client who had a stroke and is unable to speak. The nurse should identify that the client's injury occurred in which of the following lobes of the brain? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - A is correct. A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? - Loosen clothing around the client's neck. A nurse is assisting with the care 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? - Intra-abdominal bleeding A home health nurse is assisting with the care for a client who has COPD. The client reports shortness of breath while eating, despite the use of home oxygen. Which of the following recommendations should the nurse make? - "Use a bronchodilator 30 minutes before your meal." A nurse is changing the dressing for a client who has an abdominal incision and a closed-suction drain. Which of the following actions should the nurse take? - Cleanse the drainage plug with alcohol swabs. A nurse is contributing to planning care for a client who overdosed on oxycodone. Which of the following medications should the nurse recommend for the client? - Naloxone A nurse is assisting with the care of a client who is at risk for developing pressure injuries. Which of the following actions should the nurse take? - Position pillows between the bony prominences. A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the following statements by the client demonstrates an understanding of the teaching? - "I understand that testicular cancer is typically painless." A nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherapy. Which of the following statements should the nurse include in the teaching? - "You should place your toothbrush in hydrogen peroxide."

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Institution
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Uploaded on
December 4, 2023
Number of pages
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Written in
2023/2024
Type
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