Capstone Med Surg Assessment. FINAL EXAM UPDATED FOR

Capstone Med Surg Assessment. FINAL EXAM UPDATED FOR 10. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia .which of the following statements by the client indicates anunderstanding of the teaching? I can drink 4 ounces of soda if my blood sugar is low 11. A nurse is providing discharge teaching to a client who has heart failure anda prescription for furosemide 20 mg PO two times daily. Which of the following instructions should the nurse include in the teaching? Increase intake of high-potassium foods 12. A nurse is caring for a client who has burn injuries covering their upperbody and is concerned about their altered appearance .Which of the following statements should the nurse make? It could be helpful for you to attend a support group for people who haveburn injuries. 13. A nurse is developing a plan of care for a client who will be placed in halotraction following surgical repair of the cervical spine .Which of the following interventions should the nurse include in the plan? Monitor the client skin under the halo vest. 14. A nurse is caring for a client who has a traumatic brain injury. Which of thefollowing finding should indicate to the nurse the need for immediate intervention? Respiratory rate 30/min 15. A nurse is assessing a client who has meningitis. The nurse should identify which of the following finding as a positive Kerning s sign? After stroking the lateral area of the foot, the client’s toes contract and draw together. After hip flexion, the client is unable to extend their leg completely withoutpain 16. A nurse is teaching a group of assistive personnel (AP) about caring for client who have Alzheimer’s disease. Which of the following informationshould the nurse include in the teaching? lost. 17. A home health nurse is providing teaching to the family of a client who hasa seizure disorder. Which of the following interventions should the nurse include in the teaching? Keep a padded tongue blade near the bedside. Place a pillow under the client's head while in bed during a seizure.Administer diazepam orally at the onset of seizures. Position the client on their side during a seizure. 18. A nurse is contributing to the plan of care for a client who has pyelonephritis. Which of the following interventions should the nurseinclude? Encourage the client to consume caffeinated beveragesAvoid the use of acetaminophen for discomfort Monitor the clients the urine for color changes Begin antibiotic therapy after culture and sensitivity results are obtained 19. Nurse is assessing a client who has a herniated lumbar disc. Which of thefollowing findings should the nurse expect? The client reports relief from pain when lying in the prone position. The client reports that her low-back pain radiates upward toward one scapula.The client reports tingling and a burning sensation in one foot. The client reports decreased pain when the affected leg is raised and straightened