PN Adult Medical Surgical 2023

. A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following actions should the nurse take first? Collaborate with a dietitian. Ensure that the client is provided with a high-ber diet. Implement recommendations from the speech-language pathologist. Request a referral for an occupational therapist.: Implement recommendations from the speech-language pathologist. 4. A nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? Encourage the client to participate in self-care. Assist the client with active range-of-motion exercises. Keep the client in a side-lying position. Maintain the client's body alignment: Keep the client in a side-lying position. 5. A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the nurse recommend for this age group? Meningococcal Herpes zoster 1 / 20PN Adult Medical Surgical 2023 Study online at Human papillomavirus (HPV) Measles, mumps, and rubella (MMR): Herpes zoster 6. A nurse is contributing to the plan of care for a client who has a new pre- scription for nystatin suspension for oral candidiasis. Which of the following interventions should the nurse include in the plan? Use a commercial mouthwash before taking the medication. Instruct the client to swish the medication in their mouth. Discontinue the medication as soon as the lesions are healed. Combine the medication with applesauce: Instruct the client to swish the med- ication in their mouth. 7. A nurse is preparing to perform intermittent urinary catheterization for a female client who has been unable to void following surgery 6 hr ago. Which of the following catheters should the nurse use to perform this procedure?: - intermittent straight catheter (clear tube with blue top) 8. A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound as which of the following? Hyperactive bowel sounds Friction rub Normal bowel sounds Abdominal bruit: Hyperactive bowel sounds 9. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurse include? Apply hot packs to the client's muscles. Schedule physical therapy in the afternoon Encourage the client to complete ADLs. Administer valerian to promote sleep: Encourage the client to complete ADLs. 10. A nurse is assisting with the care of a client who had a cardiac catheteri- zation via the right femoral artery. Which of the following actions should the nurse take to prevent postprocedure complications? Monitor the insertion site for bleeding Position the affected extremity at a 45º Restrict the client's fluid intake 2 / 20PN Adult Medical Surgical 2023 Q & A Maintain the pressure dressing Check the client's peripheral pulses: Monitor the insertion site for bleeding is Maintain the pressure dressing Check the client's peripheral pulses 11. A home health nurse is reinforcing teaching about preventing asthma attacks with a client who has asthma. Which of the following instructions should the nurse include in the teaching? "Cover the floor of your bedroom with carpet." "Do not allow visitors to smoke cigarettes in your home." "Breathe cold air to ease feelings of shortness of breath." "Open the windows in your home during the spring to increase air flow.": "Do not allow visitors to smoke cigarettes in your home." 12. A nurse is caring for a client who has a prescription for phenazopyridine. Which of the following findings should the nurse identify as a therapeutic effect of the medication? Reduces bacteria in the urinary tract Suppresses urge to void Prevents nerve stimulation to the bladder muscle Decreases pain during urination: Decreases pain during urination 13. A nurse is monitoring a client who is taking acarbose. Which of the follow- ing findings should the nurse identify as an adverse effect of the medication? Polyuria Abdominal cramps Renal insufficiency Insomnia: Abdominal cramps 14. A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the affected arm with numbness in the ngers. The nurse nds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurs