Med - Surg Final Exam (4/12/23) 2024 Questions And Correct Answers A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan? - right answer --Wipe perianal area with wa rm water and apply a barrier cream A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize confabulation when the client - right answer -
-makes up stories when he is unable to remember a ctual events A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect? - right answer --Bradykinesia A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching? - right answer --
"Glucosamine may help to increase joint functionality." A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated wit h urinary retention should the nurse expect? (Select all that apply.) - right answer --- Report of feeling pressure - Tenderness over the symphysis pubis - Distended bladder - Voiding 30 mL frequently A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take? - right answer --Inject the medication into the abdomen above the level of the iliac crest. A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the fol lowing information should the nurse include in the teaching? - right answer --Provide client supervision. A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first? - right answer --Place a seat alarm in the client's chair. A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have availab le to reverse heparin's effects? - right answer --Protamine sulfate A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium? - right answer --A client attempts to climb out of bed and repeatedly states she must get home. A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider? - right answer --Yellow or green nasal discharge is an indicatio n of an upper respiratory infection. Children who have nephrotic syndrome are at constant risk for infection. The nurse should report this manifestation to the provider so the child can receive appropriate and prompt treatment. A nurse on a medical -surgic al unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep -vein thrombosis? - right answer --Hip arthroplasty A nurse is reviewing the laboratory results of an adolesc ent who has chronic glomerulonephritis. Which of the following findings should the nurse expect? - right answer --BUN 50 mg/dL A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders? - right answer --Hirschsprung's diseas e A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should th e nurse take first? - right answer --Check the tubing for kinks. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following statements by the nurse indicates an understanding of the teaching? - right answer --"I should report a cough to my provider." A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? - right answer --Bradycardia A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trail ing zero.) - right answer --Follow these steps for the Desired Over Have method of calculation: Step 1: What is the unit of measurement the nurse should calculate? mL Step 2: What is the dose the nurse should administer? Dose to administer = Desired 150 mg Step 3: What is the dose available? Dose available = Have 50 mg
-makes up stories when he is unable to remember a ctual events A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect? - right answer --Bradykinesia A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching? - right answer --
"Glucosamine may help to increase joint functionality." A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated wit h urinary retention should the nurse expect? (Select all that apply.) - right answer --- Report of feeling pressure - Tenderness over the symphysis pubis - Distended bladder - Voiding 30 mL frequently A nurse is preparing to administer heparin to a client. Which of the following actions should the nurse plan to take? - right answer --Inject the medication into the abdomen above the level of the iliac crest. A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the fol lowing information should the nurse include in the teaching? - right answer --Provide client supervision. A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his chair. Which of the following actions should the nurse take first? - right answer --Place a seat alarm in the client's chair. A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have availab le to reverse heparin's effects? - right answer --Protamine sulfate A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium? - right answer --A client attempts to climb out of bed and repeatedly states she must get home. A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider? - right answer --Yellow or green nasal discharge is an indicatio n of an upper respiratory infection. Children who have nephrotic syndrome are at constant risk for infection. The nurse should report this manifestation to the provider so the child can receive appropriate and prompt treatment. A nurse on a medical -surgic al unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep -vein thrombosis? - right answer --Hip arthroplasty A nurse is reviewing the laboratory results of an adolesc ent who has chronic glomerulonephritis. Which of the following findings should the nurse expect? - right answer --BUN 50 mg/dL A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders? - right answer --Hirschsprung's diseas e A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should th e nurse take first? - right answer --Check the tubing for kinks. A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following statements by the nurse indicates an understanding of the teaching? - right answer --"I should report a cough to my provider." A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? - right answer --Bradycardia A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trail ing zero.) - right answer --Follow these steps for the Desired Over Have method of calculation: Step 1: What is the unit of measurement the nurse should calculate? mL Step 2: What is the dose the nurse should administer? Dose to administer = Desired 150 mg Step 3: What is the dose available? Dose available = Have 50 mg
