RN Adult Medical Surgical Online Practice A with
options TOP PRIORITY EXAM NEWEST 2024
/2025 RETAKE 100% GUARANTEED PASS
(Complete And Verified Study material)
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?
a. hypokalemia
b. instruct the client to allow the machine to breathe for them.
c. add cabbage to the diet.
d. nonrebreather mask - ✔✔ANSWER✔✔-hypokalemia
Lactulose works by stimulating the production of excess stools to rid the body
of excess ammonia. These excessive stools can result in hypokalemia and
dehydration.
,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?
a. add cabbage to the diet.
b. nonrebreather mask
c. place the client in high-fowler's position.
d. instruct the client to allow the machine to breathe for them. -
✔✔ANSWER✔✔-instruct the client to allow the machine to breathe for them.
When providing client care, the nurse should first use the least restrictive
intervention. Therefore, the first action the nurse should take is to provide
verbal instructions and emotional support to help the client relax and allow the
ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
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?
a. nonrebreather mask
b. add cabbage to the diet.
c. place the client in high-fowler's position.
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-add
cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet
that is high in fiber, low in fat, and low in refined carbohydrates. Brassica
vegetables, such as cabbage, cauliflower, and broccoli, are high in fiber.
,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?
a. visual-spatial deficits
b.
c. left hemianopsia
d. one-sided neglect
e. - ✔✔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?
a. nonrebreather mask
b. place the client in high-fowler's position.
c. Urine specific gravity of 1.045
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-
nonrebreather mask
The nurse should initiate a nonrebreather mask to deliver between 80% to 95%
oxygen to the client. A client who has an unstable respiratory status should
receive oxygen via a 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?
a. nonrebreather mask
b. place the client in high-fowler's position.
c. Urine specific gravity of 1.045
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-place
the client in high-fowler's position.
The greatest risk to this client is injury from airway obstruction. Therefore, the
priority intervention the nurse should take is to move the client into high-
Fowler's position. High-Fowler's position facilitates lung expansion and
improves ventilation and gas exchange.
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.
a. nonrebreather mask
b. place the client in high-fowler's position.
c. Urine specific gravity of 1.045
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-avoid
placing plants or flowers in the client's room.
Live plants can harbor P. aeruginosa, and this bacterium can infect burn
wounds and cause life-threatening complications. The nurse should ensure no
one brings live plants or flowers into the client's room.
options TOP PRIORITY EXAM NEWEST 2024
/2025 RETAKE 100% GUARANTEED PASS
(Complete And Verified Study material)
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?
a. hypokalemia
b. instruct the client to allow the machine to breathe for them.
c. add cabbage to the diet.
d. nonrebreather mask - ✔✔ANSWER✔✔-hypokalemia
Lactulose works by stimulating the production of excess stools to rid the body
of excess ammonia. These excessive stools can result in hypokalemia and
dehydration.
,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?
a. add cabbage to the diet.
b. nonrebreather mask
c. place the client in high-fowler's position.
d. instruct the client to allow the machine to breathe for them. -
✔✔ANSWER✔✔-instruct the client to allow the machine to breathe for them.
When providing client care, the nurse should first use the least restrictive
intervention. Therefore, the first action the nurse should take is to provide
verbal instructions and emotional support to help the client relax and allow the
ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
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?
a. nonrebreather mask
b. add cabbage to the diet.
c. place the client in high-fowler's position.
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-add
cabbage to the diet.
To help reduce the risk for colorectal cancer, the client should consume a diet
that is high in fiber, low in fat, and low in refined carbohydrates. Brassica
vegetables, such as cabbage, cauliflower, and broccoli, are high in fiber.
,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?
a. visual-spatial deficits
b.
c. left hemianopsia
d. one-sided neglect
e. - ✔✔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?
a. nonrebreather mask
b. place the client in high-fowler's position.
c. Urine specific gravity of 1.045
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-
nonrebreather mask
The nurse should initiate a nonrebreather mask to deliver between 80% to 95%
oxygen to the client. A client who has an unstable respiratory status should
receive oxygen via a 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?
a. nonrebreather mask
b. place the client in high-fowler's position.
c. Urine specific gravity of 1.045
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-place
the client in high-fowler's position.
The greatest risk to this client is injury from airway obstruction. Therefore, the
priority intervention the nurse should take is to move the client into high-
Fowler's position. High-Fowler's position facilitates lung expansion and
improves ventilation and gas exchange.
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.
a. nonrebreather mask
b. place the client in high-fowler's position.
c. Urine specific gravity of 1.045
d. avoid placing plants or flowers in the client's room. - ✔✔ANSWER✔✔-avoid
placing plants or flowers in the client's room.
Live plants can harbor P. aeruginosa, and this bacterium can infect burn
wounds and cause life-threatening complications. The nurse should ensure no
one brings live plants or flowers into the client's room.
