RN Adult Medical Surgical Online Practice 2019 A for NGN Answers

RN Adult Medical Surgical Online Practice 2019 A for NGN Answers A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? Instruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? Administer dextrose 10% in water until the new bag arrives. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? "I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? A client should sign an informed consent before receiving a placebo during a research trial. 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? Avoid placing plants or flowers in the client's room. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated Perform a 12-lead ECG is not indicated Place the client in Trendelenburg position is indicated Administer a 0.9% sodium chloride 200 mL IV bolus is indicated Apply oxygen at 2 L/min via nasal cannula is indicated Notify the provider immediately is indicated. Obtain the client's blood glucose level is not indicated A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? Elevated bilirubin level A nurse is teaching a young adult client how to perform testicular self-examination. Which of the following instructions should the nurse include? Roll each testicle between the thumb and fingers. A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? "I will monitor my blood pressure while taking this medication." A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? A client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? Hyperkalemia A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? Tachycardia The client is experiencing manifestations of.. due to.. Peritonitis X-ray results A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect? BUN 32 mg/dL A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? Apply firm pressure to the insertion site. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? Calcium A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? A client who is receiving preoperative teaching for a right knee arthroplasty The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply.