RN Adult Medical Surgical 2019 B final exam

RN Adult Medical Surgical 2019 B final exam 1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? a. “I will need to take antibiotics for 1 year.” b. “My partner will need to take an antiviral medication.” c. “My joints ache because I have Lyme Disease.” d. “I bruise easily because I have Lyme Disease.” 2) A Nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following assessment findings should the nurse report to the provider? a. Extremity cool upon palpation b. Serosanguineous drainage on the dressing. c. Capillary refill of 2 seconds. d. Client report of discomfort when moving toes. 3) A nurse is assessing a client while suctioning the client’s tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? a. The client starts to cough b. The client’s heart rate increases c. The client is diaphoretic d. The client’s blood pressure decreases 4) A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? a. Document the client’s intake and output. b. Scan the bladder with a portable ultrasound. c. Pour warm water over the client’s perineum. d. Perform a straight catheterization. 5) A nurse is providing discharge instructions to a client who has active tuberculosis (T