Medical-Surgical Final Practice (50 Questions with 100% Correct Solutions, A+

a nurse is planning care for a client who has - A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism? - Involuntary muscle spasms (occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle twitching and paresthesias can result due to decreased parathyroid hormone levels and calcium deficiency.) A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching? - "I should check my heart rate each day."• A nurse is reinforcing discharge teaching about improving gas exchange with a client who has emphysema. Which of the following information should the nurse include in the teaching? - Use pursed-lip breathing during periods of dyspnea. A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the following responses should the nurse make? - "Acute episodes are usually followed by remissions, which can last varying lengths of time." a nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Whats priority? - Ask the client about first aid performed at the scene A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take? - Apply pressure to puncta after instillation of the medication. A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to irrigate the wound, which of the following actions should the nurse take rst? - Check the client's pain level A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside. Which of the following actions should the nurse take first? - Lower the client to the floor. A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect? - Diaphoresis A client who has a blood glucose level below 70 mg/dL to exhibit indications of hypoglycemia. Including weakness, hunger, diaphoresis, nausea, shakiness, and confusion. A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon resection with colostomy. Which of the following statements by the client indicates a need for further teaching? - "My diet will have to change to a soft diet after surgery."• ( After surgery, the client's diet quickly returns to a regular diet and there are not any food restrictions.) A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances? - Respiratory alkalosis (The nurse should identify that the client's pH is elevated above the expected reference range of 7.35 to 7.45, indicating alkalosis. The nurse should then identify that the client's PaCO is low, below the expected reference range of 35 to 45 mm Hg, which indicates a respiratory origin. The nurse should conclude that the client's elevated pH and decreased PaCO indicate respiratory alkalosis.)