UPDATED RN Adult Medical Surgical Online Practice NGN all solutions guaranteed pass 2024/2025

a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of the following findings is an adverse effect of the medication? - ANSWER hypokalemia a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the client appears anxious and restless, and the high-pressure alarm is sounding. which of the following actions should the nurse take first? - ANSWER instruct the client to allow the machine to breathe for them a nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this risk, which of the following dietary alterations should the nurse recommend? - ANSWER add cabbage to the diet a home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. which of the following neurological deficits should the nurse expect to find when assessing the client? - ANSWER visual spatial deficits left hemianopsia one-sided neglect a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? - ANSWER nonrebreather mask a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the client has dyspnea with a productive cough and is using accessory muscles to breathe. which of the following actions should the nurse take first? - ANSWER place the client in high-fowler's position a nurse is planning care for a client who has extensive burn injuries and is immunocompromised. which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection. - ANSWER avoid placing plants or flowers in the client's room an older adult client is brought to an emergency department by a family member. which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? - ANSWER Urine specific gravity of 1.045 a nurse in an emergency department is reviewing the providers prescriptions for a client who sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse expect? - ANSWER administer an opioid analgesic to the client a nurse is assessing a client who has had a suspected stroke. the nurse should place the priority on which of the following findings? - ANSWER dysphagia a nurse is teaching a young adult client how to perform testicular self-examination. which of the following instructions should the nurse include? - ANSWER roll each testicle between the thumb and fingers a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. which of the following statements by the client indicates an understanding of the teaching? - ANSWER I should take this medication with a meal a nurse is teaching a client who has venous insufficiency about self-care. which of the following statements should the nurse identify as an indication that the client understands the teaching? - ANSWER I will wear clean graduated compression stockings every day a nurse is assessing a client who has acute cholecystitis. which of the following findings is the nurse's priority? - ANSWER tachycardia a nurse is reviewing the health record of a client who is scheduled for allergy skin testing. the nurse should postpone the testing and report to the provider with if the following findings? - ANSWER current medications a nurse is caring for a group of clients. the nurse should plan to make a referral to physical therapy for which of the following clients? - ANSWER a client who is receiving preoperative teaching for a right knee arthroplasty a nurse is caring for a client who has DKA. which of the following laboratory findings should the nurse expect? - ANSWER BUN 32 mg/dl a nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. which of the following statements should the nurse include in the teaching - ANSWER you should cut the opening of the skin barrier one-eighth inch wider than the stoma a nurse is providing teaching for a female client who has recurrent urinary tract infections. which fo the following information should the nurse include in the teaching? - ANSWER void before and after intercourse a nurse and an assistive personnel are caring for a client who has bacterial meningitis. the nurse should give the AP which of the following instructions? - ANSWER wear a mask a nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. which of the following actions should the nurse take? - ANSWER place a pillow between the client's legs a nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. the nurse should identify that which of the following client medications interact with feverfew - ANSWER naproxen a nurse is caring for a client who has pancreatitis. the nurse should expect which of the following laboratory results to be below the expected reference range? - ANSWER calcium a nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contract. which of the following information should the nurse provide? - ANSWER increase fluid intake a nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which of the following findings should the nurse expect? - ANSWER stone fragments in the urine a nurse is assessing a group of clients for indications of role changes. the nurse should identify that which of the following clients is at risk for experiencing a role change? - ANSWER a client who has multiple sclerosis and is experiencing progressive difficulty ambulating a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the following is the priority assessment finding that the nurse should report to the provider? - ANSWER blood pressure 170/80 mm Hg a nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. which of the following instructions should the nurse include? - ANSWER wrap fingers with individual dressings a nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. which of the following client statements indicates an understanding of the teaching? - ANSWER I will monitor my blood pressure while taking this medication a nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. which of the following information should the nurse include in the teaching? - ANSWER try to walk at least three times per week for exercise