Custom:PN VATI Medical Surgical Re-evaluation Assessment questions with solutions

Custom:PN VATI Medical Surgical Re-evaluation
Assessment questions with solutions

A nurse is caring for a client who just had a endoscopic procedure. Which of the following is the monitoring priority for this
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client?
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A) Pain ,i.




B) Nausea ,i.




C) Gag reflex ,i . ,i.




D) Level of consciousness - answersC) Gag reflex
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A nurse is reinforcing discharge teaching for a client who has chronic pancreatitis. Which of the following statements by th
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nurse is appropriate?
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A)"You should decrease your caloric intake when abdominal pain is present."
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B) "You should increase your daily protein intake."
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C) "You should increase fat intake when experiencing loose stools."
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D) "You should limit alcohol intake to 2-2 drinks per week." - answersB) "You should increase your daily protein intake."
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A nurse collects data on a client who returned to the unit four hr ago following a partial colectomy. Which of the following
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conditions should the nurse attend to first?
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A) Change the moderately saturated dressing.
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B) Administer analgesic medication for incisional pain.
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C) Catheterize for a distended bladder.
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D) Cough and deep breathe client. - answersB) Administer analgesic medication for incisional pain.
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Rationale: Administer pain medication to establish comfort and then attend to the other reported condition.
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A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema.
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Which of the following instructions should be included in the teaching?
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A) Resting in a supine position
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B) Elevating arms while performing ADLs
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C) Breathing in through the nose and out through pursed lips.
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D) Increasing oxygen delivery to 5 L/min during times of distress. - answersC) Breathing in through the nose and out
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through pursed lips.
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A nurse is assessing a client who is African-American and who is jaundice. Which of the following areas are the most
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reliable for the nurse to inspect?
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A) Palms of hands
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B) Hard palate
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C) Sclera ,i .




D) Nail beds - answersHard palate
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1/15 ,i. ,i.

,A nurse is reinforcing teaching with a client who has ulcerative colitis and requires a low fiber diet. The nurse should instru
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the client to avoid which of the following foods?
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A) Cooked carrots ,i. ,i.




B) Dried apricots ,i. , i.




C) Ripe bananas ,i . ,i.




D) White rice - answersB) Dried apricots
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A nurse is caring for a client who has a large wound that has a vacuum-assisted closure device placed over it. Which of the
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following findings by the nurse indicated healing of the wound.
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A) Granulation tussue on the surface of the wound
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B) Musty odor from the foam dressing upon removal
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C) Sanguineous drainage in the suction device.
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D) Peeling of the edges of the transparent dressing - answersA) Granulation tussue on the surface of the wound
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A nurse is caring for a toddler admitted to the hospital with acute gastroenteritis. Which of the following findings has the
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highest priority?
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A) Weightloss 3% of total body weight.
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B) Blood glucose 150 mg/dL
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C)Potassium 2.5 mEq/L ,i . ,i.




D) Urine specific gravity 1.035 - answersC)Potassium 2.5 mEq/L
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A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older ad
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client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the
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teaching?
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A) "Plan to have an eye examination once per year."
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B) "Examine your feet carefully every day".
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C) "Wear closed toed shoes daily."
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D) "Maintain stable blood glucose levels." - answersD) "Maintain stable blood glucose levels."
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A nurse is reinforcing teaching to the family of a client who has multiple myeloma and is admitted to the unit with a WBC
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count of 2,200/mm3. Which of the following food items brought by the family should the nurse prohibit from being given to
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the client?
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A) Fried chicken ,i. ,i.




B) Bagels ,i.




C) A factory-sealed box of chocolates
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D) Fresh fruit basket - answersD) Fresh fruit basket
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A nurse is reviewing the preadmission laboratory test results of a client who is scheduled for a carotid endarterectomy in 3
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days. Which of the following results should the nurse resport to the provider?
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A) Sodium 151 mEq/L ,i. , i. ,i.




B) Chloride 105 mEq/L ,i. ,i. ,i.




C) Potassium 3.8 mEq/L ,i . , i. ,i .




D) Calcium 9.6 mEq/L - answersA) Sodium 151 mEq/L
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A nurse is caring for a client who has unilateral leg edema with associated pain and a low-grade temperature. Which of the
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following action should the nurse take?
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2/15 ,i. ,i.