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NSG 320 Final Exam Review

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NSG 320 Final Exam Review

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NSG 320 Final Exam Review

A client admitted with a diagnosis of a renal calculi. Which
intervention should the nurse implement? Correct Answers
Assess the client's pain and rule out complications.

A client is admitted to the hospital for a gastric ulcer. Which
assessment finding indicates to the nurse the client's ulcer is
likely perforated? Correct Answers Rigid, board-like abdomen
with rebound tenderness

A client is reporting chills, fever, and left costovertrebal pain.
Which diagnostic test would the nurse anticipate being ordered
first? Correct Answers A midstream urine for culture and
sensitivity

A female client present with a UTI. What education should be
given? Correct Answers Void after intercourse, wipe from
front to back, take the full course of prescribed antibiotics.

A nurse in the oncology clinic is providing pre-op education to a
client just diagnosed with cancer. The client has has been
scheduled for surgery in 3 days, What action by the nurse is
best? Correct Answers Provide all the pre-op instruction in
writing.

A nurse is caring for a client who is being admitted for an acute
exacerbation of ulcerative colitis. What should the nurse do?
Correct Answers Review the client's electrolyte values.

,A nurse is caring for a patient with Chron's disease and is
receiving TPN. What should the nurse do? Correct Answers
Monitor daily lab values and report them as necessary.

A nurse is conducting a class on safer sexual practices. Which
statement should be included when discussing prevention of
HIV? Correct Answers Having another STD increases your
risk for contracting HIV.

The client had a nephrostomy tube placed 12 hours ago, Which
of the following should be reported to the healthcare provider?
Correct Answers Client complains of back pain.

The client had surgery to remove a kidney stone. Which lab ass
data requires immediate intervention by the nurse? Correct
Answers A white blood cell count of 18,000 (it shows a sign of
infection)

The client underwent lithotripsy. What is the nurse's priority
assessment post-op? Correct Answers Assess the costo-
vertebral angle for excessive tenderness and excessive flank
bruising.

The client who underwent a right mastectomy with lymph node
dissection, is being admitted to a nursing unit from the PACU.
When settling the client in bed, which action by the UAP
requires the nurse to intervene? Correct Answers Elevating the
head of the bed to 90 degrees and keeping the right arm
dependent

, The client with a hx of PUD is admitted with a GI bleed. What
priority action does the nurse anticipate? Correct Answers
Insertion of a NG tube for saline lavage.

The nurse instructs a client with DM and his family about the
clinical manifestations of DKA before discharge. Correct
Answers Dehydration, Acetone breath, abdominal pain

Which interventions should be the nurse expect to implement for
the client admitted with DKA. Correct Answers Administer
insulin, encourage 2L fluid intake daily, Monitor for ketones in
the blood.

Which med order should the nurse immediately question if the
client is diagnosed with untreated hypothyroidism? Correct
Answers Sedatives

Which of the following lab reports would be expected in a client
newly diagnosed with hyperthyroidism? Correct Answers Low
TSH, increased T4

Which of the following statements should the nurse include
when teaching a diabetic client prescribed steroid for an
exacerbation of asthma? Correct Answers Monitor your blood
glucose levels closely and contact your physician if your levels
remain elevated

What is the most important question to ask a client when
obtaining pre-op information?:
When was the last time you ate or drank?

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