Timby's Med-Surg Finals Study
A complete Blood count indicates that a client is anemic. What disorder in the client's health history is
most likely contribu ng to the reduc on in red blood cells? - Renal failure
When the nurse reviews the client's complete blood cell count, what finding is most sugges ve that a
client is at risk for acquiring an infec on? - Loan number of agranulocytes
A physician tells a client that her body is not making enough blood cells. A er the physician leaves, the
client appears very upset and states, "I do not even know how my body is supposed to make blood
cells." What is the simplest, yet correct, instruc on for the nurse to give the client at this me? - The
bone marrow produces blood cells.
What blood type could be transfused into anyone if there is no me to perform a type and crossmatch of
the recipient's blood? - O, Rh nega ve
A er comple on of a bone marrow aspira on, what is most important for the nurse to monitor? -
Bleeding from the puncture site.
A client arrives at the emergency department a er a motorcycle accident. Vital signs are T, 97.7F; P, 122;
R, 28; and BP, 96/54. The client has suffered profuse blood loss. From the clinical picture, what posi on is
best for the nurse to place the client? - Reverse Trendelenburg
The nurse is assessing a client with anemia possibly resul ng from malaria. What informa on would be
most important to ascertain to assist a physician in making a correct diagnosis? - Foreign travel
A client has been diagnosed with pernicious anemia. She says, "I'm worried because my grandmother
died of the disease years ago." What nursing explana on is most accurate? - "We now give vitamin B12
to control the disease."
A college student diagnosed with infec ous mononucleosis asks the school health nurse how old the
condi on was acquired. The best answer by the nurse is that the virus is transmi ed by what methods? -
Contact with the saliva of an infected person
, A hospitalized client with Hodgkin's disease is at risk for ineffec ve airway clearance and impaired gas
exchange related to compression of the trachea by enlarged lymph nodes. What measures should the
nurse take first to help ensure that breathing and blood oxygen satura on remain adequate? - Place the
client in semi- to high-Fowler's posi on.
When performing a physical assessment of the client in the early stages of Hodgkin's disease, what is the
most likely finding when the nurse palpates the client's lymph nodes? - The lymph nodes are enlarged
and painless
A nurse is asked to assist the physician with a diagnos c Romberg test, what nursing interven on is most
appropriate to ensure client safety? - Stand close to the client in case the client should begin to sway
What level of consciousness (LOC) is correct for a nurse to document when calling a client's name causes
the client to awaken temporarily, followed by dri ing back to sleep? - Somnolent
When a nurse uses the Glasgow coma scale to assess a client, what method should the nurse use to
determine the "best verbal response" from the client? - Note the client's responses to general
orienta on ques ons
Immediately following a lumbar puncture, a client asks to ambulate to the restroom. What nursing
ac on is most correct? - Explained that the client must temporarily lie flat and use a urinal
Because older adults o en do not exhibit the typical signs and symptoms of meningi s, what assessment
findings should the nurse be especially vigilant for an older clients with suspected meningi s? - -Low-
grade fever
-Nuchal rigidity
-Altered mental status
When the nurse select the equipment to place in the room of a client who has been diagnosed with
Guillain-Barre syndrome, what item is essen al to managing the client's care? - Supplemental oxygen
A complete Blood count indicates that a client is anemic. What disorder in the client's health history is
most likely contribu ng to the reduc on in red blood cells? - Renal failure
When the nurse reviews the client's complete blood cell count, what finding is most sugges ve that a
client is at risk for acquiring an infec on? - Loan number of agranulocytes
A physician tells a client that her body is not making enough blood cells. A er the physician leaves, the
client appears very upset and states, "I do not even know how my body is supposed to make blood
cells." What is the simplest, yet correct, instruc on for the nurse to give the client at this me? - The
bone marrow produces blood cells.
What blood type could be transfused into anyone if there is no me to perform a type and crossmatch of
the recipient's blood? - O, Rh nega ve
A er comple on of a bone marrow aspira on, what is most important for the nurse to monitor? -
Bleeding from the puncture site.
A client arrives at the emergency department a er a motorcycle accident. Vital signs are T, 97.7F; P, 122;
R, 28; and BP, 96/54. The client has suffered profuse blood loss. From the clinical picture, what posi on is
best for the nurse to place the client? - Reverse Trendelenburg
The nurse is assessing a client with anemia possibly resul ng from malaria. What informa on would be
most important to ascertain to assist a physician in making a correct diagnosis? - Foreign travel
A client has been diagnosed with pernicious anemia. She says, "I'm worried because my grandmother
died of the disease years ago." What nursing explana on is most accurate? - "We now give vitamin B12
to control the disease."
A college student diagnosed with infec ous mononucleosis asks the school health nurse how old the
condi on was acquired. The best answer by the nurse is that the virus is transmi ed by what methods? -
Contact with the saliva of an infected person
, A hospitalized client with Hodgkin's disease is at risk for ineffec ve airway clearance and impaired gas
exchange related to compression of the trachea by enlarged lymph nodes. What measures should the
nurse take first to help ensure that breathing and blood oxygen satura on remain adequate? - Place the
client in semi- to high-Fowler's posi on.
When performing a physical assessment of the client in the early stages of Hodgkin's disease, what is the
most likely finding when the nurse palpates the client's lymph nodes? - The lymph nodes are enlarged
and painless
A nurse is asked to assist the physician with a diagnos c Romberg test, what nursing interven on is most
appropriate to ensure client safety? - Stand close to the client in case the client should begin to sway
What level of consciousness (LOC) is correct for a nurse to document when calling a client's name causes
the client to awaken temporarily, followed by dri ing back to sleep? - Somnolent
When a nurse uses the Glasgow coma scale to assess a client, what method should the nurse use to
determine the "best verbal response" from the client? - Note the client's responses to general
orienta on ques ons
Immediately following a lumbar puncture, a client asks to ambulate to the restroom. What nursing
ac on is most correct? - Explained that the client must temporarily lie flat and use a urinal
Because older adults o en do not exhibit the typical signs and symptoms of meningi s, what assessment
findings should the nurse be especially vigilant for an older clients with suspected meningi s? - -Low-
grade fever
-Nuchal rigidity
-Altered mental status
When the nurse select the equipment to place in the room of a client who has been diagnosed with
Guillain-Barre syndrome, what item is essen al to managing the client's care? - Supplemental oxygen
