Medsurg Level 4_Fundamentals Prepu Alt

Medsurg Level 4_Fundamentals Prepu Alt Question 1 See full question A physician orders hourly urine output measurement for a postoperative client with an indwelling catheter. The nurse records the following amounts of output for 2 consecutive hours: 8 a.m. (0800): 50 ml; 9 a.m. (0900): 60 ml. Based on these amounts, which action should the nurse take? You Selected:  Irrigate the indwelling urinary catheter. Correct response:  Continue to monitor and record hourly urine output. Explanation: Remediation: Question 2 See full question A nurse is performing a sterile dressing change. Which action contaminates the sterile field? You Selected:  Holding sterile objects above the waist Correct response:  Pouring solution onto a sterile field cloth Explanation: Remediation: Question 3 See full question When bandaging a client's ankle, the nurse should use which technique? You Selected:  Spiral reverse Correct response:  Figure-eight Explanation: Remediation: Question 4 See full question A client who's scheduled for open-heart surgery in 2 days has been having circulation problems in the feet and legs. The physician orders antiembolism stockings. The nurse is teaching the client about this treatment. What is the purpose of antiembolism stockings? You Selected:  To decrease arterial blood circulation to the legs and feet Correct response:  To reduce or prevent edema of the legs and feet Explanation: Remediation: Question 5 See full question A primary unit nurse tells the nurse-manager that a newly hired registered nurse needs an additional week of orientation in order to function effectively on the staff. Which action is most appropriate for the nurse-manager to take? You Selected:  Tell the primary nurse that the new nurse must finish orientation within 6 weeks because of a staffing shortage. Correct response:  Meet with the new nurse and the primary nurse and help set up an additional week of orientation. Explanation: Question 6 See full question For a client with a nursing diagnosis of Insomnia, the nurse should use which measure to promote sleep? You Selected:  Serving the client a cup of coffee and a snack in the evening Correct response:  Playing soft or soothing music Explanation: Remediation: Question 7 See full question During the termination phase of a nurse-client relationship, which intervention may lead to client confusion? You Selected:  Having the client express sadness that the relationship is ending Correct response:  Introducing new issues to the client Explanation: Remediation: Question 8 See full question A nurse notes that a client's I.V. insertion site is red, swollen, and warm to the touch. Which action should the nurse take first? You Selected:  Discontinue the I.V. infusion. Correct response:  Discontinue the I.V. infusion. Explanation: Remediation: Question 9 See full question A client is to receive a glycerin suppository. Which nursing action is appropriate when administering a suppository? You Selected:  Instructing the client to bear down during insertion Correct response:  Applying a lubricant to the suppository Explanation: Remediation: Question 10 See full question A client is to be discharged on daily medication delivered by a transdermal disk. Which statement indicates the need for further medication teaching? You Selected:  "I'll avoid touching the gel in the disk." Correct response:  "I'll place the disk on the same spot each day." Explanation: Remediation: ...Continued...