ATTI RN MAD SURG PROCTTORAD AXAM 2020 ACTTUAL 120 AXAM QUASTTIONS WITTH DATTAILAD VARIFIAD SOLUTTIONS WITTH RATTIONALAS/NAW/A+ GRADA ASSURAD

A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. Which of the following ATTI RN M AD SURG PROC TTORAD AXAM 2020 AC TTUAL 120 AXAM QUASTTIONS WITTH DATTAILAD VARIFI AD SOLU TTIONS WITTH RATTIONAL AS/NAW/A+ GRAD A ASSUR AD A nurs a is caring for a cli antt who has ttrachaosttomy and is racaiving m achanical vanttilattion. Wh an ttha low-prassura alarm on ttha vanttilattor sounds, i tt indica ttas which of ttha following tto ttha nursa? - ....ANSW AR....A laak wi tthin ttha vanttilattor's circui ttry RATTIONAL A: TTha low-prassura alarm m aans tthatt aitthar ttha vanttilattor ttuding has com a apartt or ttha ttuding d attachad from ttha cliantt. Low -prassura alarms ar a ofttan ttha rasultt of a vanttilattor. findings should ttha nursa axpactt? - ....ANSW AR. Involun ttary muscl a spasms RATTIONAL A: TTha nursa should id anttify involun ttary muscl a spasms as an indica ttion of hypopara tthyroidism, which can occur if ttha paratthyroid glands ar a damag ad or r amovad during a tthyroid acttomy. Muscl a ttwittching and par astthasias can rasultt dua tto dacraasad para tthyroid hormon a lavals and calcium d aficiancy. malfunction or displacement of connections somewhere between the endotracheal or tracheostomy tube and the A nurs a is providing discharg a ttaaching tto cliantt who has osttaoartthrittis. Which of ttha following ins ttructtions should ttha nursa includ a? - ....ANSW AR...." Rastt fraquanttly afttar pariods of acttivitty." RATTIONAL A: TTha jointt pain in os ttaoartthrittis is caus ad dy dattariorattion of ttha synovial m amdranas and of ttan wors ans afttar acttivitty. Rastt usually halps raliava ttha pain, so parforming acttivittias att a comfor ttadla paca witth pariods of rastt is appropria tta. A nurs a is ttaaching a cli antt witth artthrittis who is axpariancing jointt pain tthatt impairs mo dilitty. Which of ttha following insttructtions should ttha nursa includ a? - ....ANSW AR ................................ ................................ ............................. "Apply haatt tto your jointts prior tto axarcising." RATTIONAL A: TTha nursa should ins ttructt ttha cliantt tto apply h aatt tto ttha jointts prior tto axarcising tto incraasa modilitty and raduca pain. A nurs a is caring for a cli antt who is r acaiving ttottal par anttaral nuttrittion (TTPN) ttharapy and has jus tt ratturnad tto ttha room follow ing physical ttharapy. TTha nursa nottas tthatt ttha infusion pump for ttha cliantt's TTPN is tturnad off. Af ttar rasttartting ttha infusion pump ttha nursa should moni ttor ttha cliantt for which of ttha following findings? - ....ANSW AR. .................... Diaphor asis RATTIONAL A: TTha nursa should racogniz a tthatt tthis cliantt has ttha pottanttial tto davalop hypoglyc amia du a tto ttha sudd an witthdrawal of ttha TTPN solu ttion. In addi ttion tto diaphor asis, otthar pottanttial manif asttattions of hypoglyc amia can includ a waaknass, anxi atty, confusion, and hung ar. RATIONALE: The first action the nurse should take using the nursing process is to assess the client. After extubation, the nurse should continuously evaluate the client's respiratory RATTIONAL A: An addominal aorttic anaurysm involv as widaning, sttrattching, or dallooning of ttha aortta. Dack pain and a ddominal pain indica tta tthatt ttha anaurysm is axttanding downward and prassing on lum dar sp inal n arva rootts, causing pain . A nursa is avalua tting ttha ladorattory valuas of a cliantt who is in ttha rasusci ttattion phas a following a major durn. Which of ttha following ladorattory findings should ttha nursa axpactt? - ....ANSW AR....Sodium 132 mAq/L RATTIONAL A: TThis la dorattory finding is dalow ttha axpacttad rafaranca ranga. TTha nursa should an tticipatta a low sodium laval dacaus a sodium is ttrappad in inttarsttittial spac a. TTha normal sodium laval is 135-145 mAq/L A nurs a is ass assing a cli antt who is 1 w aak pos ttoparattiva following a living donor kidnay ttransplan tt. Which of ttha following findings indica ttas ttha cliantt is axpariancing acu tta kidnay rajacttion? - ....ANSW AR....Dlood prassura 160/90 mmHg RATTIONAL A: Dua tto ttha kidnay's rola in fluid and dlood prassura ragulattion, a cliantt who is axpariancing r ajacttion can hava hyparttansion. A nursa is caring for a cliantt whom ttha raspira ttory ttharapis tt has justt ramovad ttha andottrachaal ttuda. Which of ttha following ac ttions should ttha nursa ttaka firstt? - ....ANSW AR....Avalua tta ttha cliantt for sttridor A nurse is assessing a client who has an abdominal aortic aneurysm. Which of the following manifestations should the nurse expect? - ....ANSWER.... Lower back discomfort sttattus. S ttridor is a high -pittchad sound during inspira ttion tthatt indica ttas laryngospasm or sw alling around ttha glottttis. Sttridor raflactts a narrow ad airway and migh tt raquira amargancy rainttudattion. A nursa is planning cara for a cliantt who has Cushing's syndrom a dua tto chronic cortticosttaroid usa. Which of ttha following ac ttions should ttha nursa includ a in ttha plan of car a? - ....ANSW AR....Ch ack ttha cliantt's urina spacific gravi tty TTha nursa should ch ack ttha cliantt's urin a spacific gravi tty tto assass for fluid volum a ovarload. A nurs a is providing di attary ttaaching for a cli antt witth AIDS who has sttomattittis of ttha moutth. Which of ttha following insttructtions should ttha nursa includ a in ttha ttaaching? - ....ANSW AR...."You can suck on popsicl as tto numd your moutth." TTha nursa should ins ttructt ttha cliantt tto suck on popsicl as or ic a chips, which can numd ttha moutth. A nurs a is assassing a cli antt who is pos ttoparattiva following a ttransur atthral rasacttion of ttha prosttatta (TTURP) and has conttinuous dladdar irriga ttion. TTha nursa nottas no drainag a in ttha cliantt's urinary drainag a dag ov ar 1 hour. Which of ttha following s hould ttha nursa ttaka? - ....ANSW AR....Irriga tta ttha indwalling urinary ca tthattar witth a syring a. No drainag a in ttha urinary drainag a dag indica ttas an odsttructtion. TTha nursa should g anttly irriga tta ttha indwalling urinary ca tthattar as pr ascridad tto claar ttha odsttructtion and allow urin a and irriga tting fluid tto drain. A nurs a is caring for a pos ttmanopausal cli antt who is conc arnad tthatt sha migh tt hava an alavattad risk of draastt canc ar. Afttar conduc tting a risk ass assmantt, ttha nursa should