Med-Surg Final Exam

Med-Surg Final Exam Clients who reports right calf pain and shortness of breath - ANSWER A nurse on a medical- surgical unit is caring for a group of clients. The nurse should notify the rapid response team for which of the following clients? Instill activated charcoal, Perform a gastric lavage with aspiration, and infuse IV fluids. - ANSWER A nurse is caring for a patient who has ingested a toxic agent. Which of the following actions should the nurse plan to take? Remove wet clothing, Apply warm blankets, Use rapid rewarming water of 40 degrees to 42C degrees (104-108 F), Infuse warmed IV fluids - ANSWER A nurse in the emergency department is caring for a client who fell through the ice on a pond and is unresponsive and breathing slowly. Which of the following actions should the nurse take. Head tilt, chin lift - ANSWER A nurse in the emergency department is assessing a client who is unresponsive. The client's partner states, "He was pulling weeds in the yard and slumped to the ground." Which of the following techniques should the nurse use to open the client's airway? Administer IV epinephrine - ANSWER A nurse is reviewing the common emergency management protocol for clients who have asystole. Which of the following actions should the nurse plan to take during this cardiac emergency? Decreased skin turgor, concentrated urine, low-grade fever, tachypnea - ANSWER A nurse is admitting a client who reports nausea, vomiting, and weakness. The client has dry oral mucous membranes and blood pressure 102/64 mm Hg. Which of the following findings should the nurse identify as manifestations of fluid volume deficit?